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Lammy announces new diabetes screening pilot areas

  • Published date:
    26 February 2003

National Clinical Director for Diabetes appointed

Health Minister David Lammy today announced nine pilot areas that will speed up diagnosis and treatment for people most at risk of developing diabetes, helping to reduce the number of those who go blind, have limbs amputated or develop complications of the disease such as coronary heart disease.

Clinicians working in the pilots, based in inner city areas, will increase the identification of people at risk of Type 2 diabetes - those who are over 40, overweight, have heart disease or who have had a stroke - by introducing blood sugar level screening.

The pilots in Liverpool, Bradford, Leicester, Haringey, Portsmouth, Coventry, Bristol, Luton and Sunderland will be at the forefront of implementing a radical diabetes National Service Framework (NSF) delivery strategy launched last month.

Speaking at a diabetes clinic at Crouch End Road Surgery in Haringey Mr Lammy said:

"With the number of people living with diabetes increasing every year, it is important that people at risk of developing the disease are identified before they develop symptoms of the disease and suffer a poor quality of life. Everyone at risk must have the opportunity to make lifestyle changes, such as losing weight and increasing physical activity, to delay or prevent the onset of both diabetes and heart disease.

"Our goal in setting up these screening pilot sites is to make the best diabetes services already offered in some places the norm. We are determined to improve the quality of care for people with diabetes, or at risk of developing the disease, regardless of where they live or who they are. There is strong evidence that by helping people manage their care in partnership with clinicians, and supported by good information, life expectancy can be increased, illness and disability reduced, and inequalities tackled. I am very pleased that Haringey is to be one of these pilot sites as I'm well aware of the high rates of diabetes in Haringey.

"As we outlined in our diabetes delivery strategy last month, we expect all local health services, not just these pilot areas, to set themselves challenging, measurable targets that result in tangible service improvements. This approach is in keeping with our aim of devolving responsibility to front line services. Over time, as the diabetes NSF is delivered locally, people with diabetes should expect better services and greater involvement."

Mr Lammy also announced today that Dr Sue Roberts, a consultant physician based at the Diabetes Resource Centre of the Northumbria Health Care Trust has been appointed as the new National Clinical Director for Diabetes. Dr Roberts will:

  • will spread good practice and provide professional leadership at a national level;
  • support local NHS clinicians and managers in reaching eye screening and check-up targets of the diabetes NSF; and
  • work with the NHS Modernisation Agency, the National Institute for Clinical Excellence (NICE), the Commission for Health Improvement (CHI) and the Commission for Healthcare Audit and Inspection (CHAI) when it is established in 2004.

Welcoming her appointment Dr Roberts said:

"I am delighted to have been chosen to lead the changes that will happen over the next ten years to make a real difference to the lives of people with diabetes. The Delivery Strategy gives us a clear route to implement the standards that were set at the end of 2001. These plans are good for everyone - for those living with diabetes and those working with them to improve their everyday lives. The NSF recommends things that have been shown to work and really make a difference to services for people with diabetes.

"This is a real and exciting change in priorities for diabetes services. All these things are actually happening somewhere in the UK right now. They can be adopted much more widely with the training and support underpinning the diabetes NSF.

Commenting on Dr Roberts appointment, Mr Lammy said:

"Sue Roberts brings with her a real understanding of the problems that people with diabetes can face, and practical experience of organising services to ensure that those problems do not affect their quality of life. This is good news for people with diabetes, and those who provide the care and support they need."

Paul Streets, Chief Executive of Diabetes UK said:

"This is another significant step forward in delivering better diabetes care. A well supported National Clinical Director for diabetes can provide the lead required for those helping people with diabetes in their communities. The launch of the pilot sites for finding the million people who have diabetes but don't yet know it, will also ensure that all will benefit, not just those lucky enough to have already had their diabetes discovered early. We look forward to working with Dr Roberts to ensure the promise of the National Service Framework is realised."

Sue Cradock, Consultant Nurse in Diabetes Care for Portsmouth Hospitals NHS Trust and Portsmouth City Primary Care Trust, said:

"Portsmouth City PCT is pleased to be one of the screening pilot sites. Identifying people earlier who are at high risk of diabetes and CHD are important steps to reducing the burden of the disease on individuals and the health service. The redesign of diabetes services to better serve the local population is one of our priorities. It is good news for diabetes services and people with diabetes that Dr Sue Roberts has been appointed to the position of National Clinical for Diabetes.

"Sue is well known for her leadership and passion for improving local services by integrating primary and secondary care services more effectively. She is also known for her work and drive in supporting the development of structured self management education for people with diabetes - a key part of improving outcomes for the increasing population with diabetes."Mr Lammy also announced new research programmes for screening of Type 2 diabetes, as recommended by the joint Department of Health and the Medical Research Council Review of research. One programme will look at the benefits of screening populations at high risk of diabetes and the other will look at the practicalities of screening for both diabetes and cardiovascular disease in the nine pilot sites in disadvantaged areas."

Notes to editor

  1. The diabetes NSF is available on the Department of Health and can be ordered from: Department of Health Publications, PO Box 777, London, SE1 6XH, fax 01623 724 524 email doh@prologistics.co.uk.
  2. A guide for people with diabetes, 'Diabetes Care - Your future health and wellbeing' is available from Department of Health Publications, PO Box 777, London SE1 6XH, tel: 08701 555 455, fax: 01623 724 524, email: doh@prolog.uk.com - quote 29335 and the title.
  3. Diabetes is a condition where blood glucose levels are too high the body cannot convert starchy and sugary foods into energy. There are two types of diabetes.Type 1 Diabetes - which develops when the body's insulin cells have been destroyed. It develops mainly in children and adults under 40.Type 2 Diabetes - which happens when the cells in the body cannot use insulin properly. It can develop at any age, but is more common in people who are overweight and over 40.
  4. More than one in forty people have diabetes, one in twenty of those aged 65 or more, and mortality rates from coronary heart disease are up to five times higher in people with diabetes. Diabetes is also an important health issue in terms of resource use and has been estimated to consume up to 10 per cent of hospital resources.
  5. Dr Sue Roberts BSc, MSc, MB,BS (Hons), MSc, FRCP qualified in 1969 at the Middlesex Hospital Medical School London. Between 1970-1974 she held junior medical posts in London and Newcastle upon Tyne. Between 1975-1977 she was Lecturer in Medicine, Memorial University of Newfoundland, Canada. In 1993 Dr Roberts was awarded 'Hospital Doctor of the Year' and was part of the 'Diabetes Team of the Year'. In 1993, she was Co-Chair of the Clinical Care Sub-Group of the Joint Department of Health /British Diabetes Association St Vincent Task Force for Diabetes. Between 1994-1998 she was Chair of the Education Advisory Committee, Education and Care Section and Member of the Board of Trustees BDA (Now Diabetes UK). Since 1980 she has been leading the development of comprehensive District wide diabetes services, initially in North Tyneside and latterly as Clinical Coordinator, general manager and budget holder for Northumbria HCT. Dr Roberts will work part-time for the Department of Health on a secondment basis.
  6. Current and Future Research on Diabetes : a Review for the Department of Health and the Medical Research Council is available on the Department of Health website.
  7. For media enquiries only contact Malcolm Fawcett on 020 7210 4984 or Erica McAlpine 020 7210 5229 in the Department of Health Media Centre.
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