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<p>This Government is working hard to improve outcomes and quality of life for those
already living with diabetes and those who will develop it in the coming years. One
of our key goals in the mandate to the National Health Service is a measurable reduction
in variation in the management and care of people with the condition within the lifetime
of this Parliament. Funding has been secured through the spending review to help achieve
this and NHS England is developing a programme to ensure that those clinical commissioning
groups (CCGs) which need extra investment in this area, accompanied by sound plans
for delivery, receive it.</p><p> </p><p>In addition, the Clinical Commissioning Group
Improvement and Assessment Framework will play a key role in delivering this as it
contains two recognised evidence based measures of whether patients with diabetes
are being supported to successfully manage their condition (achievement of the National
Institute for Health and Care Excellence treatment targets and participation in structured
education programmes).</p><p> </p><p>Using data from the NHS Atlas of Variation, NHS
Right Care is also working with CCGs and other local partners to make improvements
in diabetes care and reduce variation by providing hands on practical support.</p><p>
</p><p>Since 2009/10, there has been an almost 70% increase in the proportion of people
newly diagnosed with diabetes recorded as being referred to structured education courses,
designed to help them manage their condition in the long term. However, whilst we
know that the data on take up needs improving, there is still much further to go in
enabling people with diabetes to access these programmes.</p><p> </p><p>The Department,
NHS England and Diabetes UK are working on ways to improve the take up of structured
education including exploring how more diversity of provision might be delivered through
digital and web based approaches. The Department recently held a seminar with key
stakeholders to identify actions that would facilitate improved access.</p><p> </p><p>CCGs
are primarily responsible for commissioning diabetes services to meet the requirements
of their population. In doing so, CCGs need to ensure that the services they provide
are fit for purpose, reflect the needs of the local population, are based on the available
evidence, taking into account national guidelines. This should include consideration
of access to continuous glucose monitoring for people with Type 1 diabetes who might
benefit from it.</p>
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