Determining local service levels for a patient education programme for people with type 2 diabetes
Benchmarks for a standard population
Available data suggest that the standard benchmark rate for new referrals to a structured patient education programme for people with type 2 diabetes is 0.23%, or 230 per 100,000 population, aged 15 years and older per year. This equates to approximately 75% of people aged 15 years or over who are newly diagnosed with type 2 diabetes per year.
Approximately 82% of the population in England is aged 15 years and older.
For the purpose of this commissioning guide the adult population has been defined as people aged 15 years and older.
For a population of 100,000 (around 82,000 people would be aged 15 years and older) the average number of people requiring a new referral to a structured patient education programme for people with type 2 diabetes would be around 189 per year (0.23% of the population aged 15 years and over)
The results of the 2006 National survey of people with diabetes. suggest that 90% of people with diabetes have not attended a structured patient education programme. This equates to over 3% of the adult population (based on quality and outcomes framework diabetes prevalence). When planning service capacity, commissioners will need to consider the number of people with an established diagnosis of type 2 diabetes who have not previously attended a structured patient education programme but who may wish to do so in the future, in addition to people newly diagnosed with type 2 diabetes.
Examine the assumptions used in estimating these figures.
Diabetes patient education is likely to fall under the programme budgeting category 4A (endocrine, nutritional and metabolic problems - diabetes).
Use the patient education programme for people with type 2 diabetes commissioning and benchmarking tool to determine the level of service that might be needed locally and to calculate the cost of commissioning the service using the indicative benchmark and/or your own local data.
Sources of further information to help you in assessing local health needs and reducing health inequalities include:
- National Diabetes Information Service (NDIS), where you can find a comprehensive range of diabetes data, tools and information via one web portal
- NHS Evidence is a service that enables access to authoritative clinical and non-clinical evidence and best practice through a web-based portal.
- NHS IC Indicator Portalwebsite gathers together a number of health and social care indicators.
- NHS Atlas of Variation 2011covers 71 indicators and 15 Programme Budget categories
- NHS Comparators provides comparator data for NHS commissioning and provider organisations to enable users to investigate aspects of local activity, costs and outcomes
- The Disease management information toolkit (DMIT) is a good-practice tool for decision-makers, commissioners and deliverers of care for people with long-term conditions
- Disease prevalence models produced by the Association of Public Health Observatories provides primary care trust-level prevalence estimates by topic. (including diabetes)
- The Diabetes Community Health Profiles bring together a wide range of data on diabetes in adults into a single source for the purposes of benchmarking. The tool allows you to download a diabetes profile for each PCT in England.
This page was last updated: 03 April 2012
- Commissioning a patient education programme for people with type 2 diabetes
- Specifying a patient education programme for people with type 2 diabetes
- Determining local service levels for a patient education programme for people with type 2 diabetes
- Assumptions used in estimating a population benchmark
- The commissioning tool
- Ensuring corporate quality assurance