Issue - items at meetings - Diabetic Provision Consultation Update

Update Report from the CCG

111.1    Geraldine Hoban, Chief Operating Officer, Brighton and Hove CCG and Nicky Daborn, Clinical Lead, Brighton and Hove CCG presented a report to HWOSC explaining why the CCG was recommending a new model of diabetes care.

The CCG said that there was an increasing number of people presenting with poorly controlled diabetes; only 42% of patients were having the recommended nine checks.

There had been a very extensive consultation exercise, and the suggested model had been agreed by the CCG’s clinical reference group.

111.2    The Youth Council representative queried how stakeholders had been involved; with 10,000 diabetes patients in the city, the stakeholder involvement seemed fairly low to him. Ms Daborn said that they sent a lot of publicity to GP practices across the city.

The Youth Council representative said that in his experience, people with Type 1 diabetes did not often need to attend a GP practice. The CCG could be failing to reach a significant percentage of the diabetes population if they were purely focussing consultation publicity on GP practices. Ms Daborn confirmed that she would take this feedback into account when planning further events.

111.3    Members asked about the impact of healthy eating on diabetes management. Ms Daborn confirmed that healthy eating was a key area in preventing diabetes from arising and escalating. The CCG uses the nutritional guidance provided by Diabetes UK, including following a balanced diet. Pre-diabetes work includes exercise targets which can be effective.

111.4    Members asked about work with BME communities. Ms Daborn said that they worked with a number of gateway organisations across the city to improve access to harder to reach groups. This could be more targeted however.

111.5    Members asked about the link between higher rates of diabetes and health inequalities. Ms Hoban said that the CCG planned to introduce a more consistent service across the city. More outreach was needed.

111.6    Members asked why the numbers had escalated to such a level. Ms Daborn said that this was due to a combination of factors including increased obesity, and the fact that there had been under-diagnosis previously.

111.7    Ms Daborn concluded by advising members that the new diabetes provision would go live from April 2015, and plans had come to HWOSC before they had been signed off by the CCG’s own board. There were still areas to be improved, before plans were finally agreed. The CCG could bring finalised plans to HWOSC in due course.

111.8    Members welcomed this and agreed the report.