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National Diabetes Prevention Programme equalities review: July-August 2018

The CCG undertook an equalities review into the accessibility and inclusivity of the National Diabetes Prevention Programme (NDPP). This work was undertaken as there is higher prevalence of diabetes in disabled people, including people with learning disabilities and mental illness, and some black and minority ethnic groups (BAME), most notable are people from South Asian and African-Caribbean backgrounds.

We wanted to assess and understand how equitable participation in the NDPP programme was for BAME patients, and disabled patients, within Birmingham, Solihull and Sandwell. The review also looked at the experience of patients, in relation to access and inclusion.

We completed five patient experience site visits during July and August 2018, undertaken by the following people: the CCG’s senior manager for equality, diversity and inclusion; the NDPP programme lead; a consultant nutritionist; communications and engagement manager; a Diabetes UK patient advocate; and members of the NDPP programme board.

We spoke to a range of patients from diverse backgrounds, programme facilitators, and reception staff to understand what patients thought of the programme and how improvements could be made around access and inclusion.

The report went to the NDPP programme board in October 2018 and a number of changes have been made. Please see the ‘you said, we did’ information below.

You said

"You did not have enough information prior to starting the programme."

We did

We reviewed the information that is being sent out to patients by GPs, ensuring GPs have the correct links to leaflets and the provider web pages. We will send e-links to GP practices to more easily send patients pre-course information and raise awareness of GPs through the Practice News bulletin.

The provider is renewing all of its webpages and will be incorporating more accurate disability access information making it easier for disabled patients to make a choice about the suitability of venues when attending the programme.

You said

“There wasn’t access to the programme in all parts of Solihull.”

We did

We reviewed our locations and have introduced a new programme in Solihull to improve access for Solihull patients.

You said

“It would be helpful to have leaflets on healthy recipes for Asian diets.”

We did

The provider ran a best practice workshop with its facilitators so learning around meeting diverse cultural needs can be shared and delivered more consistently across the service. We are working with the provider to introduce handouts of recipes catering for a variety of cultural cuisines within the city.

You said

“The course booklet was not accessible for all patients, particularly those with disability or literacy needs.”

We did

The provider is reviewing all course materials and making them available in alternative formats, including easy read and large print. The provider has also flagged any disability needs earlier on so additional needs can be identified and met by the programme facilitators ahead of disabled patients starting the programme.

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