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Integrated Diabetes Services

Evaluating the process, performance and effectiveness of integrating diabetes services (The Transformation Study)

What we are doing:

Diabetes services in Leicester City and Leicestershire have been recently redesigned to support greater collaboration between community, primary and acute care with the intention of improving outcomes for patients. The study will evaluate the new services in order to support policy makers and other stakeholders in implementing the programme locally and nationally. It will assess how good the service redesign is in reducing blood sugar, hospital admissions, and other health indicators in people with type 1 or type 2 diabetes and if overall care is improved. The study will also look into whether primary care staff have been upskilled.

Why are we doing it:

Diabetes is a highly prevalent, long-term condition, making it one of the biggest and most expensive challenges for the NHS. Diabetes affects 3.9 million people in the UK and a recent study concluded that a third of the population could be at risk. Diabetes accounts for approximately 10% of total NHS expenditure, mainly due to largely avoidable complications. Urgent action is vital to meet this challenge and deliver patient care as close to home as possible.

What the benefits will be:

The new way of caring for people in Leicester, Leicestershire and Rutland has the potential to reduce the demands on out-patient clinics, deliver care in the community and save NHS resources. If we can confirm that it is producing the benefits that are anticipated then we can support and inform other NHS organisations planning similar programmes. This will lead to improved patient outcomes, save NHS resources and align with the NHS Quality, Innovation, Productivity and Prevention (QIPP) priorities.

Who we are working with:

  • Community care: Leicestershire Partnership NHS Trust who provide integrated mental health, learning disability, and community health services across Leicester, Leicestershire and Rutland (LLR)
  • Primary care: the three Clinical Commissioning Groups (CCGs) that cover LLR which are Leicester City CCG, West Leicestershire CCG, and East Leicestershire and Rutland CCG
  • Acute care: University Hospitals of Leicester NHS Trust

Study lead:

Professor Melanie Davies, Professor of Diabetes Medicine, University of Leicester


Carol Akroyd,​