Copyright 2011 Right Care

The NHS Atlas of Variation

in Healthcare for People

with Diabetes

May 2012

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In the Europe Region (54 countries and territories), the United Kingdom is

one of the countries with the highest number of people with

diabetes, together with Germany, Italy, France and Spain.

In 2010/11 in England, there were 2,455,937 people aged 17 years and

older diagnosed with diabetes. There could be a further 710,000 adults

who have not yet been diagnosed with the condition. The total number of

adults with diabetes (diagnosed and undiagnosed) is estimated to

increase to 3,822,900 by 2020, thereby affecting 8.5% of the population.

(See Figure I.1.)

International Diabetes Federation (2009) Diabetes Atlas. 5th edition.

http://www.idf.org/diabetesatlas/5e/europe

Quality and Outcomes Framework 2010/11. http://www.ic.nhs.uk/statistics-

and-data-collections/audits-and-performance/the-quality-and-outcomes-

framework

APHO Diabetes Prevalence Model

http://www.yhpho.org.uk/resource/view.aspx?RID=81090 and Quality and

Outcomes Framework 2010/11 http://www.ic.nhs.uk/statistics-and-data-

collections/audits-and-performance/the-quality-and-outcomes-framework

APHO Diabetes Prevalence Model.

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Diabetes is costly to treat. In 2010/11, prescribing for anti-diabetic

items, including blood-testing items, cost £725.1 million and accounted

for 8.4% of the total spend on prescriptions in primary care, representing

an increase of 41.2% since 2005/06. The cost of prescribing for the

treatment of diabetes is increasing faster than that for any other category

of drugs.

Prescribing for Diabetes in England 2005/06 to 2010/11.

http://www.ic.nhs.uk/webfiles/publications/prescribing%20diabetes%2020

0506%20to%20201011/Prescribing_for_Diabetes_in_England_20056_to

_201011.pdf

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More than 60% of people of all ages with Type 1 diabetes and almost half of

people of all ages with Type 2 diabetes did not receive all nine care

processes essential for management and detection of early complications

More than 70 % of people of all ages with Type 1 diabetes and over 30% of

people of all ages with Type 2 diabetes did not have a most recent

HbA1c measurement of 7.5% or less, making the long-term

complications of diabetes more likely

Two in 10 children aged 0-15 years have a most recent HbA1c of over 10%,

making the long-term complications of diabetes more likely

More than 30% of people of all ages with Type 1 diabetes and almost 40% of

people of all ages with Type 2 diabetes did not have a most recent blood

pressure Variation in Inpatient Activity (VIA): Diabetes tool.

http://www.yhpho.org.uk/resource/view.aspx?RID=105866

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