Understanding Salford Care Call – one of the national diabetes prevention programme’s demonstrator sites

Somebody using medical equipment to test their blood glucose level.

We’ve been working to provide an evaluation of the national diabetes prevention programme Salford demonstrator site, and our first report is now available.

Non-diabetic hyperglycaemia (NDH) is a term which covers terms previously used to describe the decreased ability of the body to regulate glucose effectively, such as impaired glucose regulation (IGR), impaired glucose tolerance (IGT) and impaired fasting glucose (IFG). It accounts for conditions where blood glucose levels are above the normal range but are not high enough for a diagnosis of type 2 diabetes mellitus (T2DM). People with NDH often have no symptoms, but every year 5-10% of those with NDH will go on to develop T2DM if left untreated. Around 80% of cases of T2DM could be delayed or prevented through making lifestyle changes. Once T2DM has developed the body can no longer regulate insulin effectively.

CLAHRC Greater Manchester has a long running association with the Salford Diabetes Care Call service. For those who are unaware of the service, it’s a telephone support service for people who are at risk of developing diabetes. During the first CLAHRC Greater Manchester funding cycle we worked with the Care Call service and the Salford Diabetes Centre to develop and evaluate the IGT and IGR care call projects.

NHS England, Public Health England and Diabetes UK have recently initiated a diabetes prevention programme. During 2015-2016 seven demonstrator sites, including one in Salford, were commissioned to test innovative approaches to programme delivery, with the expectation that the learning from those sites would shape the England-wide programme. Healthier You: The NHS Diabetes Prevention Programme  (NHS DPP) commenced during 2016 with a first wave of 27 areas covering 26 million people, half of the population, making up to 20,000 places available. This will rollout to the whole country by 2020 with an expected 100,000 referrals available each year after.

We’ve been working to provide an evaluation of the Salford demonstrator service, specifically looking at three areas:

  • Identify what role a community referral service can play in recruitment and retention for lifestyle support services for people at risk of diabetes.
  • Identify what role an enhanced GP referral service can play in recruitment and retention for lifestyle support services for people at risk of diabetes.
  • Describe the Care Call service model, present the evidence that underlies it, and look at the extent to which Salford’s telephone based intervention approach aligns with the service model and evidence underpinning DPPs.

Our first report has now been published. The second report will be available in September 2016 and will focus on the primary and community referral routes. A further report looking at the ‘before and after’ clinical indicators is due in Spring 2017.

More information

For more information about this work, please contact Michael Spence, Programme Manager.