Health: Diabetes

Baroness Young of Old Scone Excerpts

Tuesday 18th October 2016 Lords Chamber

[Baroness Chisholm of Owlpen]

The noble Lord is absolutely right: a key issue in dealing with diabetes is education. We have put together several packages. For instance, Public Health England, NHS England and Diabetes UK are working together on Healthier You, which seeks to educate people who might have type 2 diabetes. We are also looking at how we can get to these people in different ways, such as web-based approaches, apps and joined-up thinking. It is sometimes difficult for people to get to clinics, and it might be easier for them to look at digital or the web.

[Baroness Young of Old Scone (Lab)]

My Lords, in the face of investment in diabetes care and the strong priority being given by the Government to multidisciplinary teams for foot care, why can there not be a directive from the Government to ensure that all CCGs commission to that standard? Currently, two out of five patients are not seen within the recommended NICE guidelines on treatment for foot care. Unless local health economies are required to deliver to that standard, I believe that we will continue to see loss of feet as well as a huge increase in costs to the NHS. What are the Government going to do to make this a universal provision?

[Baroness Chisholm of Owlpen]

As I said, we are encouraging all NHS trusts to take up the multidisciplinary approach. We are disappointed in the take-up, and we think there are several reasons for it. The Department of Health and Diabetes UK are working together on ways to improve the take-up of structured education and considering more diverse provision in this area. It is also important to remember that a lot of people, when they go to see the doctor, do not say that they have a problem with their feet. We need to educate healthcare professionals to be able to ask the right questions, one of which should be not, “Have you got any problems?”, but, “Do you have a problem with your feet?”. A lot of people are embarrassed to say that they have a problem, so education could be done on both sides.