Derbyshire GP information
The new one-year programme to support a healthier lifestyle, weight loss, and remission of Type 2 diabetes.
What is it?
- A unique one-year programme combining specialist nutrition, psychology and physical activity
- Supports rapid weight loss and long-term behaviour change
- Support throughout from your Health & Wellbeing diabetes practitioner via regular contact, with online learning and supporting resources
- Supported by GPs, practice nurses, diabetes practitioners, dietitians, clinical psychologists and exercise specialists
How does it work?
12 weeks of low-calorie diet (shakes and soups) followed by reintroducing food, focusing on movement and maintaining a new healthy eating lifestyle.
The 12-month service will include:
- An initial one-to-one assessment
- 20 sessions with your Health & Wellbeing diabetes practitioner
- 39 online support modules
- Final one-to-one assessment
How to refer
This unique programme is being offered to patients across Derbyshire.
Healthcare professional requirements
After discussing the service with your patient and confirming eligibility for the pathway please complete the referral form which is embedded into your clinical system and send it to: firstname.lastname@example.org
For more information and resources on how to refer please click here.
To be eligible for the programme, you must be:
- Aged 18-65
- Diagnosed with Type 2 diabetes within the last 6 years
- A BMI of 27kg/m2 or higher (adjusted to 25kg/m2 or higher in people of Black, Asian and Minority Ethnic (BAME) ethnic original)BMI obtained from self-measured weight is acceptable for referral. If this cannot be obtained, a clinic-measured value within the last 12 months may be used, provided there is no concern that weight may have reduced since last measured such that the individual would not be eligible for the LCD programme at present.
- A HbA1c measurement taken within the last 12 months, with values as follows;
- If on diabetes medication, HbA1c 43 mmol/mol or higher
- If not on diabetes medication, HbA1c 48 mmol/mol or higher
- In all cases, HbA1c must be 87 mmol/mol or lower
- If there is any concern that HbA1c may have changed since last measured, such that repeat testing may indicate that the individual would not be eligible for the LCD programme at present, HbA1c should be rechecked before referral is considered
- Have attended a monitoring and diabetes review when this was last offered, including retinal screening, and commit to continue attending annual reviews, even if remission is achieved
- Current insulin user
- Pregnant or planning to become pregnant within the next 6 months
- Currently breastfeeding
- Has at least one of the following significant co-morbidities; active cancer, heart attack or stroke in last 6 months, severe heart failure (defined as New York Heart Association grade 3 or 4), severe renal impairment (most recent eGFR less than 30mls/min/1.73m2) or active liver disease (not including NAFLD) or active substance use disorder, active eating disorder, Porphyria, known proliferative retinopathy that has not been treated
- Has weight loss of greater than 5% body weight in the past 6 months, or is currently on a weight management programme
- Has had or is awaiting bariatric surgery (unless willing to come off waiting list)
- Health professional assessment that the person is unable to understand or meet the demands of the NHS LCD Programme and/or monitoring requirements (due to physical or psychological conditions or co-morbidities)
Service queries: Rebecca.Winbow@xylahealth.com
Patient specific queries: email@example.com
Download info sheet here