CVD prevention: preventing, detecting and managing diabetes

How NICE resources can support local priorities

Making the case for action

Around 5 million people in England have non-diabetic hyperglycaemia and are at risk of developing type 2 diabetes. Most of these people are undiagnosed. But intensive interventions to change people’s behaviour reduce the risk by 30 to 60%.

Around 5 million people in England have non-diabetic hyperglycaemia and are at risk of developing type 2 diabetes. Most of these people are undiagnosed. But intensive interventions to change people’s behaviour reduce the risk by 30 to 60%.

The NHS Long Term Plan includes a commitment to expand the NHS diabetes prevention programme so that it supports 200,000 people at high risk of type 2 diabetes each year. The plan also commits to reducing variation in access to footcare and specialist nursing teams.

We've published guidance and quality standards on preventing type 2 diabetes and managing type 1 and type 2 diabetes, and tools to help with putting them into practice. Our guidance is aligned with the NHS England RightCare and Public Health England cardiovascular disease (CVD) prevention pathway and will support delivery of the NHS Long Term Plan.

Use data about your area

Getting data on what’s happening in your area helps you compare how you're doing with other areas, and make decisions on how to improve care. These resources from Public Health England and RightCare include data on cardiovascular disease, including diabetes:

  • CVD primary care intelligence packs look at prevention, diagnosis, care and outcomes and allow for comparison between clinical commissioning groups (CCGs) and between GP practices.
  • PHE's cardiovascular disease profiles for each CCG cover coronary heart disease, diabetes, kidney disease and stroke.
  • RightCare's ‘where to look' packs include headline opportunities, improvement opportunity tables and pathways on a page showing how CCGs in each sustainability and local area differ from their peers.

Dr Matt Kearney, National Clinical Director for CVD Prevention, explains how we can help you tackle CVD in your area.


Finding the right information

The easiest way of finding our products on diabetes prevention, detection and treatment is to go to our topic page on diabetes.

The bullet points on the right of the page list all the types of guidance we have on a topic.

Prevention

Our guideline on type 2 diabetes: prevention in people at high risk contains recommendations on identifying people at risk and giving advice to help them change their lifestyle. Behaviour change: individual approaches has recommendations on setting up behaviour change programmes, including training for health and social care practitioners.

For recommendations on prevention in populations and communities at high risk, see type 2 diabetes prevention: population and community-level interventions.

These quality standards include quality statements that will help you identify ways to improve type 2 diabetes prevention locally:


NICE Pathways

For prevention

NICE Pathways are interactive flowcharts showing how all our guidance and advice on a topic fit together. The main pathways relevant for preventing type 2 diabetes are:

The following video explains how to use NICE Pathways.

Detection and management

The following guidelines support improvements in detecting and managing diabetes:

Our quality standards on diabetes in adults and diabetes in children and young people help you identify priority areas for improvement and measure progress. See how to use quality standards for more information.

The guidance listed below may help with adopting clinically and cost-effective technologies rapidly and consistently.

Medical technologies guidance covering new and innovative medical devices and diagnostic tools:

Diagnostics guidance covering new and innovative diagnostic technology:

Medtech innovation briefings with objective information on device and diagnostic technologies to aid local decision-making:

Key therapeutic topics summarising the evidence base to support medicines optimisation:


NICE Pathways

For detection and management

NICE Pathways are interactive flowcharts showing how all our guidance and advice on a topic fit together. There are several Pathways that relate to detecting and treating diabetes:

The following video explains how to use NICE Pathways.

Support for improving quality

Illustration showing three cogs that fit together.

We publish a range of tools and resources to help you use our guidance and quality standards to improve diabetes prevention and management.

You can find these on the ‘Tools and resources’ tab for any guidance (such as preventing type 2 diabetes: prevention in people at high risk and type 1 diabetes in adults: diagnosis and management).

Useful tools include:

Our impact report on CVD prevention highlights the progress made by the healthcare system by implementing NICE guidance.

A multidisciplinary network set up to provide more integrated care for people with diabetes in West Berkshire has resulted in improved care pathways, a better patient experience and more effective use of resources. The network, comprising commissioners, providers, healthcare professionals and patients, has also reduced prescription costs.

Staff training and patient education programmes on diabetes have been introduced as part of the changes. A community-based diabetes specialist visits GP practices to support staff, carries out virtual consultations and helps manage referrals to secondary care. A care planning tool and a web-based system mean people can look up their own records and results, giving them the opportunity to self-manage their condition.

An older man in a red shirt tests his blood glucose level at home.


Other resources

NICE indicators

We’ve developed a set of outcome indicators for diabetes. Visit https://www.nice.org.uk/Standards-and-Indicators/index and select diabetes from the ‘filter by subject’ dropdown menu.

Indicators can be particularly useful to integrated care systems when:

  • creating local performance dashboards
  • benchmarking performance against national data
  • developing local quality improvement scheme
  • measuring progress that local health systems aremaking on outcomes.

Endorsed tools

NICE has endorsed these tools produced by other organisations as supporting our guidance: