Diabetes | Boltons Health Matters
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This is the JSNA chapter on Diabetes. Theme chapters summarises implications for commissioning, who is at risk and why, the level of need in the population, service provision and use, unmet needs, what works in terms of evidence, community views and priorities, any related equality impact assessments, unmet service needs/gaps and recommendations for further needs assessment work. 

Healthier Lives: Diabetes created by Public Health England is an interactive ‘heat map’ that includes information on prevalence of the conditions and their complications, levels of care provided and the quality of care achieved in each area by local authority (LA), clinical commissioning group (CCG) and general practice, compared to the England average. This resource can be accessed by clicking here: http://bit.ly/13j6XCh

This document provides the background to Bolton’s diabetic retinopathy screening service, local drivers relevant to diabetes in our town, and the first equity profile of the service.  As the service moves forward, these have been combined to identify local action to tackle current inequity in access and uptake with a view to improving outcomes for Bolton’s diabetic population.

This evidence briefing examines the economic costs of physical inactivity (sedentary behaviour) in relation to:

  • Cardiovascular Disease - CHD & Stroke
  • Cancer - Bowel & Breast Cancer
  • Type 2 Diabetes
  • Obesity
  • Falls

Whilst this report is brief, it provides a snapshot of costs and is a good starting point for any commissioning activity related to above topics

This is a collection of evidence that is supplemental and supportive to the JSNA Chapter: Diabetes. It brings together all the most relevant intelligence, research and evidence to ensure best practice in decision making.

Please use the contents options to navigate the document, and then click on the title of any document that is of relevance.

The Public Health Outcomes Framework Healthy lives, healthy people: Improving outcomes and supporting transparency sets out a vision for public health, desired outcomes and the indicators that will help us understand how well public health is being improved and protected. The framework concentrates on two high-level outcomes to be achieved across the public health system, and groups further indicators into four ‘domains’ that cover the full spectrum of public health. The outcomes reflect a focus not only on how long people live, but on how well they live at all stages of life. This profile currently presents data for the first set of indicators at England and upper tier local authority levels, collated by the public health observatories in England. The profile allows you to:

  • Compare your local authority against other authorities in the region
  • Benchmark your local authority against the England average

Public Health Outcomes Framework baseline data will be revised and corrected in accordance with the general DH statistical policy on revisions and corrections. This profile should be a must read for all those involved in the commissioning and management of services associated with public health and health inequalities.

NICE's formal guidance on preventing type 2 diabetes risk identification and interventions for individuals at high risk.

Follow the link for full details: http://guidance.nice.org.uk/PH38

This is the Diabetes JSNA Indicator Sheet from the Disease and Ill Health section. JSNA Indicator Sheets summarise the current position and recent trends for Bolton, comparators to Bolton, and inequalities across population groups and geographical areas of Bolton.


  • Bolton's prevalence of diabetes is higher than both the national and regional averages;
  • QOF prevalence only shows those diagnosed with diabetes by a GP. We know this is an underestimation and a more accurate picture is given by the Modelled Estimate and our local Bolton Health & Wellbeing Survey;
  • Diabetes is increasing locally, regionally, and nationally;
  • Diabetes is very strongly associated with ethnicity - the South Asian groups have by far the highest prevalence in Bolton;
  • In some areas of Bolton with large South Asian communities prevalence is over 16%.

NICE's formal guidance on strategies to prevent type 2 diabetes - risk identification and interventions for individuals at high risk. 

Follow the link for full details:  guidance.nice.org.uk/PH38

This profile presents data on inpatient mortality for patients with recorded diabetes in Royal Bolton Hospital NHS Foundation Trust between April 2009 and March 2011.

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