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<p>Clinical commissioning groups are responsible for assuring timely access to dietetic
services, both in hospitals and community settings.</p><p>In addition, the NHS Long
Term Plan makes several direct commitments to support timely intervention for specific
conditions such as weight management services in primary care for people with a diagnosis
of type 2 diabetes or hypertension with a Body Mass Index of 30+ (adjusted appropriately
for ethnicity), where it is known that significant impact can be made on improving
health, reducing health inequalities and reducing costs.</p><p>The Long Term Plan
commits to test a National Health Service programme supporting very low-calorie diets
for obese people with type 2 diabetes. Additionally, the Long Term Plan commits to
fund a doubling of the NHS Diabetes Prevention Programme over the next five years,
including a new digital option to widen patient choice and target inequality.</p><p>Nutrition
training, and an understanding of what is involved in achieving and maintaining a
healthy weight, varies between medical schools. The Long Term Plan commits to working
with academic institutes to increase focus across the professional bodies and universities
to ensure nutrition has a greater place in professional education and training.</p><p>Additionally,
NHS England’s nutrition quality improvement collaborative programme, 41 NHS provider
organisations have focussed on gaining improvements in the accuracy of nutritional
screening and subsequent appropriateness of nutritional care. These organisations
have introduced a range of interventions to directly improve care locally.</p>
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