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Where is the diabetes transformation funding being spent?

Where is the diabetes transformation funding being spent?
By Carolyn Wickware
27 June 2017



NHS England has allotted £36m to 37 out of 44 sustainability and transformation partnerships in an effort to improve diabetes care nationwide.

Earlier this month Healthcare Leader reported that NHS England had launched the second wave of its diabetes prevention programme, which has helped 18,000 patients with diabetes take up exercise and cookery classes in a bid to get control of their health.

NHS England has allotted £36m to 37 out of 44 sustainability and transformation partnerships in an effort to improve diabetes care nationwide.

Earlier this month Healthcare Leader reported that NHS England had launched the second wave of its diabetes prevention programme, which has helped 18,000 patients with diabetes take up exercise and cookery classes in a bid to get control of their health.

The programme is part of a national effort by NHS England to cut back on the cost of treating people with type 2 diabetes, which amounts to around £8.8bn each year.

According to figures from NHS England, there are currently five million people in England at high risk of developing type 2 diabetes and if these trends persist, one in three people will be obese by 2034 and one in 10 will develop type 2 diabetes.

To beat this trend, NHS England has promised to invest £42m this year in diabetes prevention for both type 1 and 2 diabetics.

Click here to see how the funding is being spent in your area.

'Robust plans'

According to NHS England, in order to access the money, sustainability and transformation partnerships had to show national leader that ‘robust plans’ were in place to spend the money on one, if not all, of four initiatives.

The initiatives include:

  • Increasing uptake of structured education
  • Improving achievement of the NICE recommended treatment targets (HbA1c, blood pressure and cholesterol for adults, HbA1c only for children)
  • Reducing the number of amputations by improving access to multi-disciplinary foot care teams
  • Reducing lengths of hospital stays by improving access to specialist inpatient support.

STP leaders were asked to bid for the funding late last year.

Benefits for patients

Successful bidders include North West London STP, which was awarded £2.35m across eight CCGs.

According to the STP, over a quarter of emergency overnight stays in hospital are currently for people with diabetes.

The partnership expects the funding to reduce hospital bed days by 24,000.

Dr Tony Willis, diabetes clinical director for the North West London Collaboration of CCGs said: ‘Over 25,000 people across North West London are living with poorly managed diabetes and around 55% of these are under the age of 60.

‘This new work will benefit our patients as better managed diabetes could lead to significant reductions in kidney disease, blindness, amputations, heart attacks, strokes and early deaths.’

Of the £42m, some £36m has been allocated to the relevant STPs, where ‘robust plans’ to implement some or all of NHS England’s initiatives have been put in place.

A further £4m has been invested in STPs were proposals that showed ‘merit’ but needed more work and another £2m to support areas ‘to support areas with significant inequalities in diabetes outcomes’.

Avoiding diabetes complications

Chris Askew, chief executive of Diabetes UK said this funding round is ‘the first time so many local areas will receive new money to help them improve diabetes services’.

He said: ‘With three million people diagnosed with diabetes in England, it is right that the NHS is helping them avoid complications such as amputations, heart attacks and strokes.’

Transforming diabetes care in numbers

Jump to your region:

In the North:

  • Lancashire and South Cumbria STP: £1.14m across 9 CCGs
  • South Yorkshire and Bassetlaw STP: £1.69m across 5 CCGs
  • West Yorkshire STP: £2.73m across 11 CCGs
  • Durham, Darlington, Tees, Hambleton, Richmondshire and Whitby STP: £529,000 across 5 CCGs
  • Cheshire and Merseyside STP: £2.02m across 10 CCGs
  • Humber Coast and Vale STP: £960,000 across 6 CCGs
  • Northumberland, Tyne and Wear and North Durham STP: £1.19m across 5 CCGs

In the South:

  • Somerset STP: £111,000 for one CCG
  • Surrey Heartlands STP: £1.78m across 4 CCGs
  • Kent and Medway STP: £1.75m across 8 CCGs
  • Frimley Health STP: £1.01m across 4 CCGs
  • Devon STP: £1.16m across 2 CCGs
  • Gloucestershire STP: £230,000 for 1 CCG
  • Cornwall and the Isles of Scilly STP: £212,000 for 1 CCG
  • Buckinghamshire, Oxfordshire and Berkshire West STP: £1.55m across 7 CCGs
  • Bath, Swindon and Wiltshire STP: £445,000 for 2 CCGs
  • Hampshire and the Isle of Wight STP: £214,000 for 2 CCGs

In the Midlands and East:

  • Staffordshire STP: £186,000 across 5 CCGs
  • Coventry and Warwickshire STP: £636,000 across 3 CCGs
  • Suffolk and North East Essex STP: £955,000 across 3 CCGs
  • Derbyshire STP: £1.16m across 4 CCGs
  • Northamptonshire STP: £23,000 for 1 CCG
  • Birmingham and Solihull STP: £906,000 across 3 CCGs
  • Lincolnshire STP: £644,000 across 4 CCGs
  • Mid and South Essex STP: £521,000 across 5 CCGs
  • Shropshire and Telford and Wrekin STP: £109,000 across 2 CCGs
  • Hertfordshire and West Essex STP: £776,000 across 3 CCGs
  • Herefordshire and Worcestershire STP: £132,000 across 3 CCGs
  • Norfolk and Waveney STP: £589,000 across 5 CCGs
  • Milton Keynes, Bedfordshire and Luton STP: £1.03m across 3 CCGs The Black Country STP: £375,000 across 4 CCGs
  • Cambridgeshire and Peterborough STP: £1.33m for 1 CCG
  • Leicester, Leicestershire and Rutland STP: £600,000 across 3 CCG

In London:

  • North East London STP: £786,000 across 7 CGGs
  • South East London STP: £1.45m across 6 CCGs
  • North West London STP: £2.35m across 8 CCGs
  • South West London STP: £1.14m across 6 CCGs
  • North Central London STP: £1.15m across 5 CCGs 

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