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Independents' Day

GP-led diabetes prevention scheme will start saving NHS money 'after 14 years'

The Government’s flagship diabetes prevention programme will start saving the NHS money by around 2030, according to an impact assessment.

The programme, which launched earlier this year and is currently being rolled out across the country, should become cost-saving ‘by year 14’, public health experts reported. 

It comes as Public Health England (PHE) has warned that the rising tide of type 2 diabetes – on course to affect five million by 2035 – could cripple the NHS financially in the future.

The National Diabetes Prevention Programme – set up by PHE in collaboration with NHS England and Diabetes UK, to try reverse the tide – has tasked GPs with finding and referring the estimated five million at risk of diabetes for group activities such as Zumba and cookery classes, to help get them to be more active and lose weight.

Speaking today at PHE’s annual conference, Rachel Clark, evidence lead for the programme, said a local impact assessment by Sheffield University researchers had ‘suggested that the programme would be cost saving at around 14 years’.

She added she thought that the scheme would prove cost-effective ‘much sooner’ than this.

PHE is pushing out a ‘return on investment’ tool to help commissioners determine how much the service could help to save in the future.

PHE experts also said that, assuming GPs can sign up 390,000 onto the scheme by 2021 as planned, then around 100 per CCG will be prevented from or delayed in developing diabetes - resulting in around £1.2bn worth of ‘health benefits’.

The figures are based on PHE’s review of the evidence from intensive lifestyle intervention studies.

However, some experts have warned this over-exaggerates the likely reduction in diabetes and called for greater emphasis on population-wide approaches to tackling obesity and diabetes - such as through sugar taxes and restrictions on marketing.

Earlier in the day, PHE chief executive Duncan Selbie was forced to defend the Government’s obesity plan – widely panned by the Health Committee, obesity experts and campaign groups for watering down such measures.

Quizzed about the criticism, Mr Selbie said public health colleagues should not see the strategy ‘as a failure’.

He said: ‘You need to have more than the evidence, you need to be more than right. You have to win the consent of the people and in a parliamentary democracy that means Parliament and Government in a negotiation.

‘What I’m trying to convey is, please don’t see that as failure because it’s more than any other country in the world is doing.’

Mr Selbie said the concessions the obesity strategy had already won had been a ‘big ask’ and that the public health community needed to know ‘when to say thank you’ to the Government.

Halting the type 2 diabetes tide

GPs have been told they will be at the forefront of the flagship scheme which aims to get 20,000 people at risk of diabetes to lose weight and take more exercise this year.

The programme is being rolled out across 27 areas of England starting today from March this year, at a cost of £7m for the first year and covering around half of the population. Patients are identified by their GP, who would refer them for the scheme, or via NHS Health Checks.

In the first year, NHS England is targeting 20,000 people going through the scheme, which will see patients offered 13 education and exercise sessions lasting 1-2 hours over a nine-month period, 16 hours of which must be face-to-face or one on one.

NHS England has said it aims for 100,000 people to have gone through the programme by 2020, with 100,000 coming through every year after that when it is rolled out nationally.

Readers' comments (15)

  • Dear All,
    Banning smoking had an immediate effect. Getting GPs to encourage their patients to do more exercise over a 14 years timeframe.........
    Obviously not going to work, what we need, and we do need it, is hard hitting legislation on sugar and processed foods.
    Paul C

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  • Vinci Ho

    Dumping to GPs is always the easiest policy for politicians while more radical legal measures cost controversies amongst their voters . While I am not saying this should not be encouraged , there is a real crisis going on in general practice , not even enough GPs to cover everyday workload . This requires real time new money investment and a proper cost calculation .
    Truth is still out there . If one tries to twist the truth and defend a government like this , I suggest one should go home and check whether one's own reflection is still in the mirror.....,.

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  • Vinci Ho

    ''We have now sunk to a depth at which the restatement of the obvious is the first duty of intelligent men.''

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  • I don't understand how sending endless 80 somethings on expensive courses to 'prevent diabetes' because they have an HBA1C of 43 makes any sense at all. Yes diabetes is a national crisis but if it takes 14 years before you get any payback why waste money preventing diabetes in people who have a life expectancy no more than 5 years.

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  • Type 2 diabetes is a dietary disease with a dietary solution. Until carbohydrate restriction is promoted by NICE the situation will continue to deteriorate until the health service becomes bankrupt

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  • This is public health issue .Why should GP be referring to Zumba classes or Cookery lessons .Patient should be self referring.

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  • David Unwin saved his practice £45,000 with his low carbohydrate pilot study.

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  • Dear John,
    "Type 2 diabetes is a dietary disease with a dietary solution"
    no its not
    Type 2 diabetes is a societal disease with a societal solution
    Paul C

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  • The Unwin stuff is very impressive. Put money into this and a lot can be achieved. Also rationing of care to encourage losing weight or stopping smoking has been suggested. I want somewhere to try it. I suspect those people who are "bullied" into lifestyle changes will be become it's biggest proponents.

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  • Maybe in 14 years we might get a pay rise

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