A Healthier Future: type 2 Diabetes prevention, early detection and intervention: framework

How we will measure success?

We recognise the importance of using evidence to support the national adoption of this framework and the benefits of taking an improvement approach to implementation. We will be carrying out an evaluation of its implementation in the first year, working closely with early adopter health boards and other key stakeholders. This will inform future refinements and developments of the framework, and help us identify opportunities to further the agenda for reducing health inequalities. For this purpose, board areas will be required to record progress against a number of indicators including but not limited to:

• Progress towards identification of those with undiagnosed diabetes
• Identification and recording of those with pre-diabetes, ‘impaired fasting hyperglycaemia’ or ‘impaired glucose tolerance’
• Identification and recording of those with gestational diabetes
• Referral rates to weight management services for specific groups – at risk, with pre – diabetes, with gestational diabetes and with recently diagnosed type 2 diabetes.
• Uptake rates
• Completion rates
• Dropout rates
• Weight loss monitoring
• Weight gain monitoring
• Sustained weight management
• Remission rates for those attending a level 3 targeted weight management intervention
• Progression rates of those with pre-diabetes states to type 2 diabetes
• Monitoring of complications for those with type 2 diabetes

We will also explore avenues to ensure people with lived experience including seldom heard voices inform our learning from the early adopter period.

In the longer term, we will monitor key outcome indicators and assess whether the framework achieves its intended outcome of improving population health by reducing the incidence of type 2 diabetes associated with obesity.

Success criteria

• A comprehensive provision of services across all boards in line with the framework
• Reduction in the estimates of people with undiagnosed type 2 diabetes
• Increased number of people with an up to date BMI record in SCI diabetes
• Increased uptake of weight management interventions from referrals
• Increased completion rates by individuals of interventions
• Reduction in the number of people recorded as obese/overweight in SCI diabetes
• Reduction in the number of people experiencing diabetes related complications at point of diagnosis.
• Reduction in the rate of prescribing type 2 diabetes medications.