The Scottish Government is taking action to tackle the growing prevalence of type 2 diabetes in Scotland. 'A Healthier Future - Framework for the Prevention, Early Detection and Early Intervention of type 2 diabetes.' was published by the Scottish Government in July 2018. The Framework was developed to provide guidance to delivery partners on the implementation of a specific weight management pathway for those 'at risk' or those diagnosed with type 2 diabetes.

NHS Tayside is one of three early adopter sites that are leading the way in implementing the framework. Tayside has taken a public health transformation and design-led approach to identify the changes needed to deliver whole system sustainable change.

The DHI Insights Team was engaged to support NHS Tayside in this work, and to identify areas for improvement and innovation, through interviews, workshops, and mapping new care pathways for the service.

Image credit: Hannah Laycock

Type 2 Diabetes Framework

Impact and Value

Our aim is to:

  • Identify the national Type 2 Diabetes journey in NHS Tayside;

  • Identify opportunities for innovation and improvement of current national Type 2 Diabetes Framework in NHS Tayside;

  • Strive for improvement in the experience for a Type 2 Diabetic service user in NHS Tayside.

Our Approach

The DHI's Insights Team was commissioned by NHS Tayside to help them to co-produce new and improved services by:

  • Identifying population need including inequalities within current provision in Tayside;

  • Identifying digital approaches to type 2 diabetes diagnosis and management;

  • Mapping current service pathways;

  • Gathering experiences of current services from people living with type 2 diabetes;

  • Highlighting key issues with current service design;

  • Prioritising opportunities for innovation;

  • Identifying key challenges;

  • Developing recommendations for whole system change.

With the right support and guidance, individuals can be empowered to mitigate their risk of developing type 2 diabetes and, for those recently diagnosed with type 2 diabetes, to improve management of their condition to delay and avoid complications. This pathway will complement the wider work taking place to deliver effective, person-centred weight management services to support the people of Scotland achieve healthier lives.

Joe Fitzpatrick MSP

Minister for Public Health, Sport and Wellbeing, Scottish Government

Progress to date

The pathways visualised in our report have been replicated in the subsequent adoption of the Oviva service.

Our collaboration with NHS Tayside continues in the exploration of other clinical areas.

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