Structured Education for Type 2 Diabetes

Scope

To provide a Northern and Eastern locality wide programme for provision of patients’ education for newly diagnosed Type 2 diabetes patients and to provide a good understanding of what their diabetes means for them, how to cope with their diabetes and increase their knowledge and understanding to reduce future diabetic related complications. This will be in line with current NICE guidance (NICE guidance NG28 Management of Type 2 diabetes) and support quality standards QS6 (Diabetes in adults quality standards).

Out of Scope

  • People that are pregnant
  • Children under the age of 18 years old
  • People with Type 1 diabetes
  • People who are at risk of diabetes but do not have a recorded diagnosis of Type 2 diabetes
  • People with a significant learning disability or untreated mental health condition that makes it difficult for them to engage in care
  • People who are under the current care of a dietitian
  • People who had previous bariatric surgery less than 2 years ago or have planned bariatric surgery which will occur during the course of the programme

Management

All newly diagnosed type 2 diabetes patients will be invited to attend Diabetes Structured Education provided by Oviva. Oviva Diabetes Support is digitally enabled, personalised type 2 diabetes structured education and behaviour change programme, led by a diabetes specialist dietitians combined with Oviva digital tools such as Oviva app and Oviva Learn available on smartphones, tablets or laptops. People without a smartphone can access the programme with phone calls.

At the start of the programme patients are enrolled into an Initial Assessment & onboarded to provide a personalised healthcare plan followed by initial consultation with a dietitian over the phone. Patients have a choice of one-to-one or group support sessions. The invitation to the group session will be promoted as an essential part of their diabetes care and an opportunity to meet people with the same condition as themselves.

Education sessions will be available for patients to bring a family member, friends, or support partner in order to promote the social support which has been evidenced to show patients manage their condition better if they have good social support. The appointments are available in 22 different languages.

All newly diagnosed patients will be offered at least 1 x 2 hour structured group education sessions covering various aspects of lifestyle change. Patients with more complex needs will receive an additional 6 weeks coaching sessions from a dietitian. Content on Oviva Learn platform appears in various formats to appeal to different learning styles and is divided into modules that unlock at various points throughout the programme which participants are guided through by their dietitian. Following the programme, all patients will be signposted to different services to support the continuation of their healthy lifestyle i.e. gyms, walking schemes, cooking groups, stress management, peer support, DUK website, and lifetime access to Oviva regularly updated learning materials which are NICE and Diabetes UK aligned.

Discharge Criteria and Planning

Patients are discharged if they:

  • Complete the programme - initial consultation with a dietitian and 1 x 2 hour group session. Where eligible attend additional 6 weeks of coaching.
  • Decide not to partake in the education programme.
  • Move out of area and register with a non Devon CCG GP.

Post course there will be a letter sent detailing the outcome to the GP within 2 weeks of completing or not attending the course.

Patients will continue to be under the care of their GP or secondary care hospital as their treatment requires.

Referral

Referral Criteria

  • Aged 18 or over
  • Type 2 diabetes patients registered with a Northern or Eastern Devon GP practice.
  • HbA1c taken within the last 24 months (before referral date).

Referral Instructions

Referrals are made through GP practices using the referral form for Northern and Eastern Devon GP surgeries.

Referral Form

Referral form

Discharge Criteria and Planning

Patients are discharged if they:

  • Complete the programme - initial consultation with a dietitian and 1 x 2 hour group session. Where eligible attend additional 6 weeks of coaching.
  • Decide not to partake in the education programme.
  • Move out of area and register with a non Devon CCG GP.

Post course there will be a letter sent detailing the outcome to the GP within 2 weeks of completing or not attending the course.

Patients will continue to be under the care of their GP or secondary care hospital as their treatment requires.

Supporting Information

Pathway Group

This guideline has been signed off on behalf of the NHS Devon CCG

Publication date: January 2022

 

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