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Diabetes atlas key headlines 2012

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This document is the NHS Atlas of Variation in Healthcare for People with Diabetes from May 2012. It summarizes that in 2010/11 there were over 2.4 million people in England diagnosed with diabetes, which is estimated to rise to over 3.8 million by 2020. It also discusses that treating diabetes is costly, with prescribing costs rising over 40% from 2005/06 to 2010/11. Additionally, it notes that many people with diabetes do not receive all recommended care processes and over 30% do not meet treatment targets for blood sugar and blood pressure levels.

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The NHS Atlas of Variation in Healthcare for People with Diabetes May 2012 Copyright 2011 Right Care
In the Europe Region (54 countries and territories), the United Kingdom is one of the countries with the highest number of people with diabetes, together with Germany, Italy, France and Spain. In 2010/11 in England, there were 2,455,937 people aged 17 years and older diagnosed with diabetes. There could be a further 710,000 adults who have not yet been diagnosed with the condition. The total number of adults with diabetes (diagnosed and undiagnosed) is estimated to increase to 3,822,900 by 2020, thereby affecting 8.5% of the population. (See Figure I.1.) International Diabetes Federation (2009) Diabetes Atlas. 5th edition. http://www.idf.org/diabetesatlas/5e/europe Quality and Outcomes Framework 2010/11. http://www.ic.nhs.uk/statistics- and-data-collections/audits-and-performance/the-quality-and-outcomes- framework APHO Diabetes Prevalence Model http://www.yhpho.org.uk/resource/view.aspx?RID=81090 and Quality and Outcomes Framework 2010/11 http://www.ic.nhs.uk/statistics-and-data- collections/audits-and-performance/the-quality-and-outcomes-framework 2
Diabetes is costly to treat. In 2010/11, prescribing for anti-diabetic items, including blood-testing items, cost £725.1 million and accounted for 8.4% of the total spend on prescriptions in primary care, representing an increase of 41.2% since 2005/06. The cost of prescribing for the treatment of diabetes is increasing faster than that for any other category of drugs. Prescribing for Diabetes in England 2005/06 to 2010/11. http://www.ic.nhs.uk/webfiles/publications/prescribing%20diabetes%2020 0506%20to%20201011/Prescribing_for_Diabetes_in_England_20056_to _201011.pdf 3
More than 60% of people of all ages with Type 1 diabetes and almost half of people of all ages with Type 2 diabetes did not receive all nine care processes essential for management and detection of early complications More than 70 % of people of all ages with Type 1 diabetes and over 30% of people of all ages with Type 2 diabetes did not have a most recent HbA1c measurement of 7.5% or less, making the long-term complications of diabetes more likely Two in 10 children aged 0-15 years have a most recent HbA1c of over 10%, making the long-term complications of diabetes more likely More than 30% of people of all ages with Type 1 diabetes and almost 40% of people of all ages with Type 2 diabetes did not have a most recent blood pressure Variation in Inpatient Activity (VIA): Diabetes tool. http://www.yhpho.org.uk/resource/view.aspx?RID=105866 4
Follow Right Care online: - Subscribe to get a weekly digest of our blog in your inbox - Receive Occasional eBulletins - Follow us on Twitter @qipprightcare www.rightcare.nhs.uk 5

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Diabetes atlas key headlines 2012

  • 1. The NHS Atlas of Variation in Healthcare for People with Diabetes May 2012 Copyright 2011 Right Care
  • 2. In the Europe Region (54 countries and territories), the United Kingdom is one of the countries with the highest number of people with diabetes, together with Germany, Italy, France and Spain. In 2010/11 in England, there were 2,455,937 people aged 17 years and older diagnosed with diabetes. There could be a further 710,000 adults who have not yet been diagnosed with the condition. The total number of adults with diabetes (diagnosed and undiagnosed) is estimated to increase to 3,822,900 by 2020, thereby affecting 8.5% of the population. (See Figure I.1.) International Diabetes Federation (2009) Diabetes Atlas. 5th edition. http://www.idf.org/diabetesatlas/5e/europe Quality and Outcomes Framework 2010/11. http://www.ic.nhs.uk/statistics- and-data-collections/audits-and-performance/the-quality-and-outcomes- framework APHO Diabetes Prevalence Model http://www.yhpho.org.uk/resource/view.aspx?RID=81090 and Quality and Outcomes Framework 2010/11 http://www.ic.nhs.uk/statistics-and-data- collections/audits-and-performance/the-quality-and-outcomes-framework 2
  • 3. Diabetes is costly to treat. In 2010/11, prescribing for anti-diabetic items, including blood-testing items, cost £725.1 million and accounted for 8.4% of the total spend on prescriptions in primary care, representing an increase of 41.2% since 2005/06. The cost of prescribing for the treatment of diabetes is increasing faster than that for any other category of drugs. Prescribing for Diabetes in England 2005/06 to 2010/11. http://www.ic.nhs.uk/webfiles/publications/prescribing%20diabetes%2020 0506%20to%20201011/Prescribing_for_Diabetes_in_England_20056_to _201011.pdf 3
  • 4. More than 60% of people of all ages with Type 1 diabetes and almost half of people of all ages with Type 2 diabetes did not receive all nine care processes essential for management and detection of early complications More than 70 % of people of all ages with Type 1 diabetes and over 30% of people of all ages with Type 2 diabetes did not have a most recent HbA1c measurement of 7.5% or less, making the long-term complications of diabetes more likely Two in 10 children aged 0-15 years have a most recent HbA1c of over 10%, making the long-term complications of diabetes more likely More than 30% of people of all ages with Type 1 diabetes and almost 40% of people of all ages with Type 2 diabetes did not have a most recent blood pressure Variation in Inpatient Activity (VIA): Diabetes tool. http://www.yhpho.org.uk/resource/view.aspx?RID=105866 4
  • 5. Follow Right Care online: - Subscribe to get a weekly digest of our blog in your inbox - Receive Occasional eBulletins - Follow us on Twitter @qipprightcare www.rightcare.nhs.uk 5