HEREFORDSHIRE & WORCESTERSHIRE
Living Well Taking Control (LWTC) has been delivering the Healthier You: NHS Diabetes Prevention Programme (NHS DPP) throughout Herefordshire & Worcestershire since 1st December 2020. We are the only non-profit national provider and have been proudly delivering the programme since its inception in 2016. During this time we've worked across more than 24 locations of England to support patients at high risk of developing Type 2 diabetes.
About the Healthier You Programme
Eligible patients referred onto the Healthier You NHS Diabetes Prevention Programme will be invited to participate in a 9 month intervention aimed at reducing their diabetes risk level. Patients have a choice of accessing the programme in a face-to-face peer group setting alongside participants from their community, or by 1-2-1 app-based coaching provided by our digital partner Liva Healthcare. An identical curriculum is delivered regardless of the pathway chosen by the service user.
Patients will be able to remotely join group sessions using the Internet or by telephone whilst Covid-19 social distancing measures are in place. The patient’s Coach will support them in making sure they can access the sessions. Where necessary hardcopy materials will be sent out to the patient to avoid them being disadvantaged.
While Type 2 diabetes is a serious condition, with support around three in five cases of Type 2 diabetes can be prevented or delayed by maintaining a healthy weight, eating well and being active. This programme aims to improve service users' knowledge, ability and confidence to make better lifestyle choices, helping them towards:
A healthier diet
Emotional wellbeing and ways to manage stress
How to refer
The main mechanism for referring to the NHS DPP is directly through the General Practice clinical system. Our referral form template is available on your clinical system. We also support a range of other referral pathways to support primary care in referring eligible patients:
Retrospective case finding: When a register of eligible patients has been identified through the clinical system. We can accommodate both single instances and bulk referrals.
Open sessions: Targeted outreach to work with practices to encourage referral generation. Health Care Professionals would also be welcome to attend open sessions for their own benefit and understanding of the service offer.
Self-referral: Up to the end of September 2021, members of the public can complete an online tool which scores their diabetes risk level based upon factors including age, ethnicity, and BMI. Those eligible for the programme who are found to be at high risk can refer themselves by completing an online form.
For support on referring, please contact us at firstname.lastname@example.org
The patient is aged 18 and over at the time of referral
The patient is not pregnant at the time of referral
The patient has ‘Non-Diabetic Hyperglycaemia’ (NDH) identified by blood test within 24 months of referral
HbA1c of 42-47mmol/mol or fasting plasma glucose of 5.5-6.9mmol/l; or has a history of Gestational Diabetes Mellitus (GDM) and normoglycaemia (HbA1c < 42 mmol/mol (< 6.0%) or FPG < 5.5mmol/l)