The NHS is not giving enough priority to diabetes

Astonishingly, this isn't about a lack of money.

As someone who has run NHS bodies and been an NHS groupie for more years than I care to think about, I wept with joy at the tribute to our health service in Danny Boyle’s breathtaking opening ceremony for the London Olympic Games. For me, those that work tirelessly for our health services are an even greater pride to Britain than our amazing athletes.

But as brilliant as those working in the NHS undoubtedly are, the sad fact is that as an institution it is failing when it comes to diabetes healthcare. Diabetes is one of the greatest health challenges we face but its rise seems to be inexorable and the seriousness with which it is tackled simply doesn’t match the seriousness of the condition and its complications.

There are now 3.7m people with diabetes in the UK and 7m at high risk and the fact that rates of devastating diabetes complications such as kidney failure and stroke are now at record levels is one of the reasons that 24,000 people with diabetes die early every year. To put it simply, diabetes is big a big, growing and serious problem to which insufficient priority is being given. 

The astounding thing is that it is not about money. How often are these words heard? Not often. The NHS already spends 10 per cent of its annual budget on diabetes – that £10bn is more than the total amount of money spent on the London Olympics over the last seven years. For this kind of investment, you would expect Jessica Ennis-esque levels of healthcare performance but much diabetes spending is going on the wrong things.

About 80 per cent of NHS spending on diabetes goes on treating the devastating diabetes complications, such as blindness, amputations and kidney disease, the vast majority of which are basically avoidable, while not enough is being done to prevent complications from occurring in the first place. For example, less than half of the people who should have been screened for diabetes under the NHS Vascular healthcheck have been. 

Risk assessment and early diagnosis are key to giving people treatment as early as possible that can help prevent complications developing or help them avoid developing diabetes if they are at high risk. Barely half of people with diabetes are getting the basic checks they need to manage their condition. Fixing both of these things could save the NHS Olympic scale cash through fewer hospital admissions and less complex treatments. It would also ensure that those with diabetes have a better quality of life and in many cases mean the difference between life and death.

As the London Olympics comes to a close I hope one of the lasting legacies of these games will be greater participation in sport and physical activity. Not only would this lead to better health and well-being for people across the country, but could also play a crucial role in reducing risk of Type 2 diabetes.  But if the growing problem of diabetes is to be truly tackled – and the ticking time bomb at the heart of the NHS defused – then we need the NHS and Government to declare and make diabetes a priority in the way that as a nation we prioritised the effective delivery of a wonderful Games. 

Barbara Young is chief executive of Diabetes UK

 

Barbara Young is chief executive of Diabetes UK.

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Theresa May’s stage-managed election campaign keeps the public at bay

Jeremy Corbyn’s approach may be chaotic, but at least it’s more authentic.

The worst part about running an election campaign for a politician? Having to meet the general public. Those ordinary folk can be a tricky lot, with their lack of regard for being on-message, and their pesky real-life concerns.

But it looks like Theresa May has decided to avoid this inconvenience altogether during this snap general election campaign, as it turns out her visit to Leeds last night was so stage-managed that she barely had to face the public.

Accusations have been whizzing around online that at a campaign event at the Shine building in Leeds, the Prime Minister spoke to a room full of guests invited by the party, rather than local people or people who work in the building’s office space.

The Telegraph’s Chris Hope tweeted a picture of the room in which May was addressing her audience yesterday evening a little before 7pm. He pointed out that, being in Leeds, she was in “Labour territory”:

But a few locals who spied this picture online claimed that the audience did not look like who you’d expect to see congregated at Shine – a grade II-listed Victorian school that has been renovated into a community project housing office space and meeting rooms.

“Ask why she didn’t meet any of the people at the business who work in that beautiful building. Everyone there was an invite-only Tory,” tweeted Rik Kendell, a Leeds-based developer and designer who says he works in the Shine building. “She didn’t arrive until we’d all left for the day. Everyone in the building past 6pm was invite-only . . . They seemed to seek out the most clinical corner for their PR photos. Such a beautiful building to work in.”

Other tweeters also found the snapshot jarring:

Shine’s founders have pointed out that they didn’t host or invite Theresa May – rather the party hired out the space for a private event: “All visitors pay for meeting space in Shine and we do not seek out, bid for, or otherwise host any political parties,” wrote managing director Dawn O'Keefe. The guestlist was not down to Shine, but to the Tory party.

The audience consisted of journalists and around 150 Tory activists, according to the Guardian. This was instead of employees from the 16 offices housed in the building. I have asked the Conservative Party for clarification of who was in the audience and whether it was invite-only and am awaiting its response.

Jeremy Corbyn accused May of “hiding from the public”, and local Labour MP Richard Burgon commented that, “like a medieval monarch, she simply briefly relocated her travelling court of admirers to town and then moved on without so much as a nod to the people she considers to be her lowly subjects”.

But it doesn’t look like the Tories’ painstaking stage-management is a fool-proof plan. Having uniform audiences of the party faithful on the campaign trail seems to be confusing the Prime Minister somewhat. During a visit to a (rather sparsely populated) factory in Clay Cross, Derbyshire, yesterday, she appeared to forget where exactly on the campaign trail she was:

The management of Corbyn’s campaign has also resulted in gaffes – but for opposite reasons. A slightly more chaotic approach has led to him facing the wrong way, with his back to the cameras.

Corbyn’s blunder is born out of his instinct to address the crowd rather than the cameras – May’s problem is the other way round. Both, however, seem far more comfortable talking to the party faithful, even if they are venturing out of safe seat territory.

Anoosh Chakelian is senior writer at the New Statesman.

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