Further, there are already many questions being
generated amongst colleagues designing the
programme on the pioneer side: is it
appropriate and acceptable in the English
context?; what are we doing to identify
individuals at risk?; and what are the key
structural and contextual issues that those who
are pre-diabetic are faced with, so that the
programme can take account of this?
Such questions are already emerging as we are
considering implementation in England. Having
a parallel research track to stimulate
understanding of the issues is going to be
important. We are hoping that by building in
research alongside implementation we will be
able to contribute to the global literature, and
especially the European literature, which we
think will be of enormous benefit to our
Amidst worrying signs that the
diabetes epidemic will continue to
worsen, are you confident that it
can potentially be brought under
control in the future?
The reality is that the diabetes epidemic is
being driven by obesity in the population. With
prescriptive in having the same programme in every locality across the
country and to instead set overarching parameters, core principles and
outcomes, then let local partners look at local assets and local
relationships to design a programme that can reach those outcomes.
We are also looking to use performance management or support systems
to help the localities reach the result outcomes. That is a key lesson that
we have been able to bring to the design of the programme that will
enable greater ownership and then a greater level of effectiveness.
We are also developing a suite of structured process outcome indicators
to help us understand how the programme is being designed, developed
and implemented. This will help us to understand if we are meeting the
key indicators for success. That systematic evaluation is a part of what
we do for all of our prevention programmes.
In terms of research, how important a role does this
play in helping to combat Type 2 diabetes and develop
public health policies?
Our academic partners are key for us as we embark on this programme.
We didn’t want to simply take the American and Australian approach and
move towards implementation; there is a huge research agenda here.
We use research to inform the implementation of the programme and
have some approaches that we can use to structure this in a phased
way. That will enable us to learn about the effectiveness of the
programme in the real world setting.
That application of good science methodology can help us to carry out
a better job of implementation.
I S S U E S E V E N
H O R I Z O N 2 0 2 0 P R O J E C T S : P O R TA Lwww.horizon2020projects.com
M E TA B O L I C D I S E A S E S
Increased activity in
the population is key
to curbing diabetes