Digital Diabetes Prevention

Description

This Prior Information Notice (PIN) solely relates to early market engagement around the development of a once for Scotland: Digital Diabetes Prevention Programme. NHS Scotland wishes to notify potential providers about its intention to commence early market engagement in advance of a potential commissioning process to support its emerging Digital Diabetes Prevention Pathway. Potential providers will be required to work alongside NHS Scotland National Diabetes Team to deliver the Digital Diabetes Prevention Programme. The programme will seek to provide a proven clinical intervention using digital technology that will provide support over a 9 month period, using trained lifestyle coaches to enable participants to track progress against their own goals via a digital application. Type 2 Diabetes has a precursor condition called NDH (or prediabetes), which is diagnosed by HbA1c blood test (42-47mmol/mol). - It is estimated that up to a third of the Scottish adult population are living with NDH1 with the vast majority being unaware of this. - Approximately 220,000 people are estimated to have a diagnosis of NDH in Scotland. - Between 5-10% of those with NDH will progress to T2D every year, with rates of progression higher for younger patients, those with a high BMI and those who live in deprived communities. - Multiple longitudinal research studies have demonstrated that progression from NDH to T2DM can be prevented or delayed by an intensive behaviour change programme that delivers a modest weight reduction of c.74%. This has led to the establishment of large scale national diabetes prevention programmes (DPP) in countries including Finland, England, France, Australia and the USA. The National Digital Diabetes Prevention Programme would offer a proven clinical intervention using digital technology that will: - Offer intensive support over 9 months focused on enabling patients to take control of their own health and wellbeing. - Utilise trained lifestyle coaches who will help build participants’ skills and confidence to make lasting lifestyle change as well as peer groups. - Allow patients to track progress against their own goals. At this stage, the intention is that the programme will support up to 2000 participants in year 1, 4000 participants per annum in years 2 and 3. Interested participants are requested to complete the attached Questionnaire. Questionnaires will be reviewed and suppliers may be invited to an engagement session.