Our Partnership is made up of organisations working closely together to plan services and address the challenges facing health and care services across the area.
In this section you will find links to useful information and publications about our partnership.
We are committed to meaningful conversations with people, on the right issues at the right time. We believe this is an important part of the way we work.
Engagement gives people an opportunity to have their say on services. By gathering people's views, it helps us understand what matters to people.
In this section you will find all Freedom of Information (FOI) requests made to our Partnership. You can also ask a question of your own.
Here’s the latest news about the Diabetes Network and activities to support people in being aware, active, healthy and in control of their own lives.
Around 90 social prescribers, wellbeing coaches, link workers, health champions and support workers attended our online Let’s DiaBEAT this event on 12 May 2021 to find out the crucial role they can play in preventing type 2 diabetes. We held the event as part of a range of activities to support Type 2 Diabetes Prevention Week which runs from 10 to 16 May 2021. There’s been some great initial feedback and the format is being adapted by other regions.
Typical comments included:
“The event has given me more confidence about discussing the NHs Diabetes Prevention Programme with patients and everything that it offers.”
“Good informative session with lots of info crammed in!”
“Excellent session - as a GP currently developing an interest in diabetes this has been really useful.”
Attendees heard from a fabulous range of speakers as outlined below. We've also provided the links to the presentations we used.
We asked attendees to let us know what they'd do differently as result of attending the event and captured these in our list of pledges.
Here's a reminder of the key messages.
On the day attendees took the opportunity to ask questions which we've now responded to. We've put these together in our questions and answers document.
Attendees who filled in an evaluation survey rated the event an average of 9.4 out of 10. See the evaluation summary for more information.
We are working with GP practices across West Yorkshire and Harrogate to identify and write to all patients at risk of developing type 2 diabetes to offer them a free place on the NDPP. To make things as easy as possible we have developed a pack with all the information practices need to identify eligible patients, do a mail merge, download template letters etc. We have seen an increase in referrals in those areas where practices have issued letters. See the evalaution report for more information.
We have published our latest performance figures on a page. This includes:
The data that we collect and use comes from different sources and is available at different times.
A smartphone app and home test kit enabling people to test themselves for chronic kidney disease (CKD) using their mobile phone camera is being rolled out across GP practices in West Yorkshire and Harrogate. A collaboration with health technology partner Healthy.io and the Accelerated Access Collaborative (AAC), NHSx and the National Institute of Health Research (NIHR has made this possible.
As GP surgeries continue to face immense pressures as a result of the Covid-19 pandemic and ongoing vaccination roll-out, we join a growing number of NHS organisations across the country who are using this digital innovation to reduce the burden on the primary care workforce and enable at-risk patients to complete urine tests safely from home.
This follows a successful trailblazing project in Leeds CCG, that saw 1,000 patients perform a home urinary albumin to creatinine ratio (ACR) test and identified 235 previously untested patients as having clinically significant results (13% of the eligible patient cohort). The expansion across West Yorkshire and Harrogate signifies a step towards enabling more at-risk patients to complete urine tests safely and easily from home and reduce the pressure on primary care.
The chronic kidney disease early detection service uses image recognition and computer vision technology to turn the smartphone camera into a clinical-grade medical device, allowing people with diabetes to complete their annual ACR urine test at home, without needing to visit their GP practice.
Katherine Ward, Chief Commercial Officer and UK Managing Director of Healthy.io said: “Chronic kidney disease is a silent killer and has a major impact on society yet very few people are aware of its dangers. If our test can help to prevent people reaching that stage, it will mean a huge cost saving for the NHS and more importantly can help some people avoid dialysis or transplant”.
Urine testing for kidney health has the least uptake of all nine tests which are recommended by NICE and NHS England as part of the annual diabetes review. Whilst the test is clinically critical, 60% of people living with diabetes do not engage in the care process through the traditional models of care. It is estimated that 78,964 people across West Yorkshire and Harrogate do not complete their annual urine ACR test. Now, all patients with diabetes who have not completed a test in the last 12 months, are being invited to take part in the new home testing programme.
Why is the service important?
One in ten people in the UK suffer from chronic kidney disease, a long-term condition where the kidney functions gradually decline, costing the NHS £1.5 billion annually to treat. It is often difficult to spot symptoms until it has reached an advanced stage. People with the condition have a greater risk of having a stroke or heart attack. It can also cause kidney failure, when sufferers will need to have dialysis and a possible transplant. However, lifestyle changes and medication can stop it getting worse if it's diagnosed at an early stage.
For high-risk populations such as people living with diabetes or hypertension, a yearly urine test to monitor ACR can detect early signs. Until now this has only been possible by providing a urine sample in person at a doctor’s surgery, medical centre or hospital.
Despite its importance 6.8 million people at risk in the UK don’t complete the annual test. The current Covid-19 pandemic has exacerbated the problem, as people who are at risk are often medically vulnerable and can be anxious to leave home. This means many cases of chronic kidney disease are not detected until they’re at an advanced stage, sometimes when a person is suffering from end stage renal disease and needs a transplant or dialysis.
According to research, the app could prevent more than 11,000 cases of end-stage kidney disease in the UK and save the NHS £660m in five years. The health economics evaluation of the original service pilot, delivered by York Health Economics Consortium, also suggested that offering home-testing to the at-risk population across West Yorkshire and Harrogate Health and Care Partnership could save the local NHS £4,276,885 over five years and help to detect over 1,169 new cases of CKD.
The service has been commended for how easy it is to use. In a recent deployment in Leeds, after six weeks of testing, 93% of participants were reporting the test “very easy” or “easy” to use. Patients up to the age of 94 have successfully downloaded the app and completed the test from home.
How does the service work?
After being identified by their GP or local health service as someone at high risk of chronic kidney disease who hasn’t had an ACR test in the last year, Healthy.io contacts patients to help them download the Minuteful - kidney test app and answer any questions they may have.
Patients receive the urine test by post, which includes a standard dipstick, a urine collection pot in which they dip the stick after giving a sample, and a patented colour board. The app guides them through the test, including how to scan the dipstick on the colour board with their mobile phone camera. Using artificial intelligence and colourimetric analysis, an algorithm reads the dipstick results with accuracy equivalent to a lab-based device. Then, the app sends a real-time clinical grade result to the patient’s GP or clinician directly, so they can follow up with the patient with a diagnosis and treatment plan.
Latest research highlights the risk factors linking type 2 diabetes and COVID-19. The Healthier You NHS Diabetes Prevention Programme continues to support current participants to reduce their risk of developing type 2 diabetes, as well as accepting new referrals into the programme. To date, over half a million people have been invited to attend the programme including around 12,000 from across West Yorkshire and Harrogate.
People who can’t currently access GP services and blood tests for referral in to the programme, can self-refer using the Diabetes UK Know Your Risk tool.
The NHS Diabetes Programme is also supporting a pilot using personalised video within the Healthier You programme pathway to assess the impact on service user engagement, retention and motivation levels particularly with Black and South Asian participants.
Healthy Living is an online, self-management support programme and accompanying structured education pathway for adults with type 2 diabetes. The tool provides information about type 2 diabetes and its treatments, offers emotional support, and helps with adopting and maintaining healthy behaviours, for example, diet and exercise.
The programme has been launched on a small scale to obtain feedback on the programme and its key features. We are one of the areas involved in the beta testing phase. If you are over 18 and living with type 2 diabetes, or are a carer for someone who is, you can also access the programme at www.healthyliving.nhs.uk.
Latest figures show that GP practices across West Yorkshire and Harrogate are referring more people to the Healthier You NHS Diabetes Prevention Programme than ever before. The increase in referrals is largely because practices have been writing to patients at risk of diabetes inviting them to take up a free place on the programme.
In December 2020, 861 patients signed up after being invited by their GP, compared to November’s 683 referrals. The increase means that more people are accessing the tailored and personalised support they need to help them get active and healthy and reduce the risks posed by diabetes.
Greater Huddersfield was the highest referring CCG, followed by North Kirklees and then Leeds. Special mention to the top six referring practices which are:
Diabetes project managers continue to work with practices to reach at risk patients whilst taking account of the constraints on primary care because of coronavirus and the vaccination programme.
See our case study pages to find out how Steve turned his life around by following the programme and making small changes to his eating and exercise habits.