Diabetes Prevention Week - 1-7 April 2019

Know your risk of Type 2 diabetes

Norfolk and Waveney residents are being encouraged to know their risk of developing Type 2 diabetes, as part of Diabetes Prevention Week.

Diabetes Prevention Week runs from 1-7 April 2019, and the focus of the week is #PreventingType2. There are two main types of diabetes – Type 1 diabetes and Type 2 diabetes. Type 2 diabetes is far more common than type 1.

In the UK, around 90% of all adults with diabetes have Type 2. There are 3.8 million people diagnosed with diabetes in the UK, and this figure has more than doubled in the last 20 years. In Norfolk and Waveney, around 60,000 people are living with Type 2 diabetes and many more are likely to be at risk.

Type 2 diabetes risk factors:

• Age. The older you are, the more at risk you are.
• Family history. You’re two to six times more likely to get Type 2 diabetes if you have a parent, brother, sister or child with diabetes
• Ethnicity. You’re more likely to get Type 2 diabetes if you’re Chinese, South Asian, African-Caribbean or Black-African
• Weight. You’re more at risk if you’re overweight, especially if you’re large around the middle
• Blood pressure. You’re more at risk if you’ve ever had high blood pressure.

Anyone can find out if they are at high risk of developing Type 2 diabetes by visiting www.diabetes.org.uk/knowyourrisk

Dr Clare Hambling, a GP and West Norfolk CCG’s clinical lead for diabetes, said: “It is very important that you find out if you are at risk of developing Type 2 diabetes because then you can get support to lower your risk. Using Diabetes UK’s online tool to measure your risk takes just a couple of minutes, and you can be sent useful tips on reducing your risk.

“If you think you might be at risk of developing Type 2 diabetes, visit your GP practice. You may be eligible to join the Healthier You NHS Diabetes Prevention Programme. This programme is in place across Norfolk and Waveney, and supports you to make changes to your weight if appropriate, your levels of physical activity, and your diet. You will get advice from professionals and be able to talk to other people using the Healthier You service. We know making changes can be tough, but with our support you can take control of your health and significantly reduce your risk of developing Type 2 diabetes.”

Shelley Ames, Inactivity and Health Development Manager at Active Norfolk, said: “Being physically active can reduce your chances of developing Type 2 diabetes by as much as 40%. Reducing time spent sitting and taking regular exercise helps to lower blood pressure and manage weight, which all help cut the risk of developing diabetes. Finding ways to incorporate activity into your day, from simple things like taking the stairs where possible, brisk walking, through to taking up aerobic and strength building exercises, can make a real difference.”

Rebecca Jones, East of England Improving Care Manager for Diabetes UK, said: “Type 2 diabetes is a serious condition and it is on the rise. There are 12.3 million people at risk of Type 2 diabetes, but it could be delayed or prevented by healthy eating, being more active and losing weight if overweight.

“The dramatic increase in obesity rates is the main driver behind the rise in Type 2 diabetes. Three in five adults in England are overweight or obese, and while not every case of Type 2 diabetes is caused by excessive weight, it is the single greatest risk factor for the developing the condition.

“We urge people people over 40 to get an NHS Health Check and advise everyone to find out their risk of developing Type 2 diabetes with our Know Your Risk tool.”

Funding boost for new GP Assistants

Norfolk and Waveney Sustainability and Transformation Partnership (STP) has been successful in its bid for £100,000 to lead the roll out of General Practice Assistants across the area.

The year-long pilot will train 40 GP Assistants in Norfolk and Waveney, who will provide high level non-clinical support to GP practices and reduce the administrative burden on clinical professionals.

Recruiting more administration staff is part of Norfolk and Waveney STP’s primary care workforce strategy and through our work we have already identified that we will need an additional 120 admin staff over the next five years.

The GP Assistants programme is funded by Health Education England and will be led by Norfolk and Waveney’s five GP Provider organisations; OneNorwich; North Norfolk Primary Care; South Norfolk Healthcare; West Norfolk Health and Coastal Health.

The programme will also involve working with key partners in the East of England, such as primary care networks, Clinical Commissioning Groups and training hubs, to support the spread of the GP Assistant role across the region.

Norfolk and Waveney STP will be one of seven ‘lead’ Primary Care Training Hubs across the country.

The GP Assistant role will include:

• Acting as a focal point for patient/carer enquiries
• Providing an in-depth understanding of health demographics and the cultural needs of patient groups
• Signposting patients to the most appropriate services where the GP surgery may not be the best option
• Where appropriate, acting on test results in line with local policy and procedures
• Managing referrals and prescriptions
• Sorting clinical post and prioritising directly
• Taking accurate minutes of complex and sensitive meetings
• Transcribing and preparing medical reports
• Using patient related electronic systems

Tracey Bullard, Head of Transformation at the GP alliance OneNorwich, said: “We are thrilled to be supporting and leading on this new and very exciting GP Assistant role for Primary Care. The role will be a very welcome enhanced addition to an ever busy and changing workforce and practice environment.”

Dr Emma Brandon, a GP at Paston Surgery in North Walsham and Chair of the Norfolk and Waveney STP Training Hub, said: “This is really exciting news. We know from earlier pilot projects that GP Assistants can help relieve pressure on busy GPs by helping to reduce the burden of clinical correspondence and day to day tasks. We are delighted to have been chosen as the only area in the Eastern region to pilot this scheme and look forward to welcoming the GP Assistants in our practices.”

Kirstie Baxter, Head of Workforce Transformation, Health Education England, said: “Health Education England is supporting local Primary Care Training Hubs with the introduction and spread of General Practice Assistants. General Practice Assistants will be great additions to GP teams, easing the administrative workload, releasing highly-qualified staff to concentrate on patients with complex conditions, and improving patients’ experience. We are looking forward to supporting Norfolk and Waveney Training Hub as they host and co-ordinate this exciting development in the East of England as part of our wider Workforce Transformation programme.”

New future for SOS Bus

The Norich city centre SOS Bus which offers a vital resource to the bustling nightlife In Norwich city centre on Friday and Saturdays nights is to have a new future.

The volunteer-run service has for the past 11 years been managed by city centre youth charity, OPEN Youth Trust (OPEN) and during that time has helped more than 11,500 people.

From April 2019 the SOS bus will be managed by volunteering charity Voluntary Norfolk, which in addition to running the Friday & Saturday night SOS service, has plans to take the bus out and about into the county during the week to promote and support other health & wellbeing and voluntary activities. Voluntary Norfolk will also support and mentor the volunteer group to increasingly take an active role in the management of the SOS Bus and all its activities.

More investment in children's speech and language service

An extra £510,000 is being invested in speech and language therapy services in Norfolk each year, to help boost children’s communication skills.

Norfolk County Council and Norfolk’s NHS Clinical Commissioning Groups have agreed the extra funding, to help cope with increased demand on the service and ensure more children can get the help they need.

Online GP consultations

The NHS Clinical Commissioning Groups in Norfolk and Waveney are currently procuring a new IT system which will enable local GP practices to offer online patient consultations. It is expected that the new system would be available to practices in the early summer and already 30 practices across Norfolk and Waveney have expressed an interest. Whilst it is not possible to say when any particular practice will offer online consultations to its patients, any practice that chooses to do so will advise its patients in good time.

Online consultations involve patients contacting their GP surgery securely by using its websites or even an app. Their message is read and passed to the right member of staff to deal with, such as a pharmacist, nurse, therapist or GP. In some cases the patient can be helped or advised by responding securely online - otherwise they might be asked to come in for a face to face appointment or to pick up medicines.

One practice already offering online consultations since September is The Hollies in Downham Market. It is called “AskMyGP”, accessible via the practice website, and it has had a very positive response from patients.  The system allows people to submit a message which is managed during surgery opening hours. Patients receive a response online or by telephone or appointment.

The Hollies says “AskMyGP” has made a significant change in the way the practice team works. The new service has relieved a lot of stress regarding appointments, reduced telephone queues and allowed more choice in the way patients can interact with the practice.

Patients who have used the service have provided feedback on their experiences and since the launch, data shows a satisfaction rate of 93%, with patients agreeing that this new service has improved contact with the practice and patients are very pleased that a system is in place that suits their needs.

Video consultations

Video consultations require significant investment in IT, and the current IT infrastructure used by the NHS (called the ‘N3’) is not sufficient in Norfolk and Waveney. This is why we are working to upgrade systems with the new ‘Health and Social Care Network (HSCN) which has a greater bandwidth.
It will be some time before this is ready. When it is, GP practices will be invited to trial video consultations. We do not expect this to happen in the short term.

Cash boost for Heartsease healthy living schemes

Community organisations are celebrating a cash boost after a healthy living project awarded them all funding following a “fantastic” response from local residents who rallied behind the schemes.

People living in Heartsease were asked to vote for their favourite healthy living project with seven ideas put forward to help people get active, eat well and live better.

The project brought local organisations and businesses together to create projects that mattered and voting boxes were situated in community spaces such as Café 33, St Francis Church, Thorpe Wood Medical Practice and Vape Lounge. There was also an opportunity to vote online.

Organisers said the response to the vote which ran between December 15 and January 18 was fantastic, with over 200 residents taking part in the voting process.

Councillor Matthew Packer, Norwich City Council cabinet member for health and wellbeing, said: “The response was fantastic. The community of Heartsease showed overwhelming support for each of the projects.

“As a result, funding has been awarded to all of the proposed projects so that they can get started in the coming months.

“The community has also put forward suggestions for other things they would like to see happen in Heartsease, such as more activities for families. This is particularly important feedback that we can look into further.”

Norwich Clinical Commissioning Group (CCG) provided funding for the healthy living projects which was overseen and supported by Norfolk Community Foundation.

Tracy Williams, Queens Nurse and Chair of NHS Norwich CCG, said: “We are delighted with the response and support from the residents of Heartsease.

“Keeping active, eating well and reducing fat and sugar in your diet are some of the key factors leading to a more healthy lifestyle. Taking these positive actions can be really good for your physical health and mental health and wellbeing.

“Making some healthy lifestyle changes, particularly that are as a part of a community and involve social activities, as these healthy living projects are, can really make a difference.”

The projects which have been awarded funding are:

  • Hot meals for the vulnerable and elderly at Cafe 33 – to provide hot meals, company and support for people who might benefit, on Mondays and Thursdays for 10 weeks. Award: £1,000
  • Table tennis taster sessions at Frere Road Community Centre – a series of free sessions open to anyone interested in learning how to play or improving their skills. Award: £400
  • Bushcraft sessions for children at Heartsease Primary Academy – a free after-school club which will provide sessions from Bushcraft instructors for 100 children, allowing them to develop skills, be active and improve wellbeing. Award: £1,000
  • Fortnightly cycling group run by Mind and Pushing Ahead – free, fun and friendly cycle rides for beginners and more experienced cyclists, helping alleviate stress and boost physical fitness. Award: £1,000
  • Free complementary therapy tasters and sessions from Mind – to feel pampered, tackle muscular pain or emotional difficulty with Mind’s experienced massage, reiki and reflexology therapists. This project would provide sessions for up to 60 people and is aimed at people who may not otherwise be able to afford to access these therapies. Award: £1,000
  • Healthy Hive drop in session at St Francis Church – relaxed, regular drop in sessions over 10 months, where people can come together to support each other’s mental and physical health and wellbeing. Award: £990
  • Family community meals at St Francis Church with Food Cycle – weekly community meals for families to eat a healthy evening meal together and explore a variety of new foods. Award: £1,000