Thank you for your continued use and promotion of the NHS Diabetes Prevention Programme (NHS DPP). Whilst we are aware that 1 in 10 people have non diabetic hyperglycaemia (NDH), our NDPP provider, ICS, are commissioned by NHSE to provide a certain number of places and they are reaching capacity – NHSE is unable to fund additional capacity and we have been asked to prioritise patients with a higher clinical priority.
It is important to ensure good quality conversations take place with these patients to highlight the importance of engaging with the programme and to assess their individual motivation to take part and reduce their risk of developing diabetes. The new referral criteria based on NICE recommended guidance (PH38) from July onwards will be:
- Age over 18
- Not pregnant
- HbA1c in the range 44-47mmol/mol (6.2–6.4%) or FPG in the range 6.5-6.9mmol/l in the last 12 months
Please note that patients who have already been referred prior to July under the previous criteria will continue to be invited to an initial assessment and groups.
There are local weight management and physical activity schemes that lower risk patients can be referred to for lifestyle support. Lower risk patients still need to be motivated to engage in these services and meet the appropriate programme eligibility criteria. They also need to be kept on an impaired glucose regulation register and be monitored annually.
Further information about local assessment and group locations can be found here: www.preventing-diabetes.co.uk