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a person on scales imageJuly 20 2018

A new framework emphasising weight management as part of the drive to reduce the prevalence of type 2 diabetes in Scotland has been published.

The Scottish Government’s document, ‘A Healthier Future – Framework for the Prevention, Early Detection and Early Intervention of type’, provides national guidance on the implementation of an integrated weight management pathway for those ‘at risk’ or those diagnosed with type 2 diabetes.

It has been developed in part due to a recognition of concerns around the current limited referral route, predominately by GPs, to weight management services. 

At a national level, a number of awareness campaigns with targeted core messages along with resources will be developed on three themes: 

  • awareness of risks associated with the development of type 2 diabetes;
  • information for those ‘at high risk’;
  • advice on healthy lifestyle, behaviour change, weight loss and maintenance and physical activity.

At a local and individual level, the framework encourages opportunities for promoting risk assessment which need not take necessarily place in a GP surgery. “Other possibilities include community pharmacies, dental surgeries, NHS walk-in centres and opticians,” says the document.

“Assessments may also be offered in community venue for example workplaces, job centres, local authority leisure facilities, shops, libraries, faith centres, residential and respite care homes and day centres (for older adults and for adults with learning disabilities).”

The framework also proposes that individuals should have access to a local comprehensive weight management service with a single point of entry. “Individuals could choose to self-refer into weight management pathways or be referred to weight management by healthcare professionals such as GPs, practice nurses, physiotherapists and diabetes specialists.

“All referrals would be received by a central triage point, where individuals would then be referred to the weight management programme best suited to their needs. The referral to the appropriate programme would be carried out on a case-by-case basis by a trained clinician.”

As part of the implementation process, there will be monitoring and evaluation of services with use of the Scottish Care Information Diabetes Collaboration (SCI diabetes) and GP clusters. “With the new GP contract and, in time, the development on community care treatment centres, the potential for these hubs to play significant roles identifying at risk individuals could be highly beneficial,” it says.

Links:
Scottish Government announcement    
Scottish Government: ‘A Healthier Future – Framework for the Prevention, Early Detection and Early Intervention of type 2 diabetes’. July 2018             

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