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The strategy of the network is to reduce the regional variation by addressing diabetes prevention at three levels;

• Prevention of onset

• Prevention of worsening and

• Prevention of complications

The networks diabetes programme 2015/16 has a main focus of assisting people with the self-management of their health. The programme consists of 4 main projects to do this:

Improving Patient Information

This project aims to reduce the variation in patient information offered to people when diagnosed with diabetes. At present, the amount of information offered to someone diagnosed with diabetes can be very different depending on GP, Nurse or Practice. Yet this information is vital in helping someone understand their condition and what they need to consider and act upon.

The output is to define a minimum standard of information that should be offered to people with diabetes across the region. Through the help of commissioners and Practices, this could help people understand their condition and act upon it.

Improving Structured Education

Structured education is beneficial to people with or at high risk of developing diabetes but awareness, availability, invitation and uptake is poor. The courses currently offered vary and are not always accessible to different cohorts of people such as those with different cultural backgrounds or those with disabilities.

This project aims to review structured education locally and provide commissioners with a set of recommendations to outline the breadth of programmes available, and how to improve awareness, invitation and uptake to help more people self-manage their health.

Improving Diabetic Foot Care

Diabetic foot requires urgent attention and failure to get the right care can lead to the conditioning worsening to the point the person may require amputation or even die.

Amputations themselves are associated with high death rates and according Diabetes UK 80% of these is preventable if people receive the correct management.

One aim of the network is to review the provision of foot care across Greater Manchester, Lancashire and South Cumbria, highlight the regional variation and propose a strategy to reduce the variation. This will include proposal for the management of diabetic foot care, standardising access criteria and sharing best practice.

Project to Identify People at High Risk of developing type 2 diabetes

Having diabetes significantly increases the risk of cardiovascular events such as a heart attack, stroke, renal problems or circulation problems. However, evidence suggests that diabetes type 2 is preventable and people at risk can benefit from lifestyle advice, diet and exercise.

The aim of this project is to develop a model to increase the detection of those people at high risk of developing type 2 diabetes and to state what care they should be offered.