This dataset presents the percentage of individuals with type 2 diabetes who have successfully achieved all three key treatment targets recommended by the National Institute for Health and Care Excellence (NICE). These targets include maintaining an HbA1c level of 58 mmol/mol or lower, a blood pressure level of 140/80 mmHg or lower, and, for those at high cardiovascular risk, being prescribed a statin. The dataset provides a valuable measure of effective diabetes management and supports analysis across different population groups and healthcare settings.
Rationale
Achieving all three treatment targets is associated with better health outcomes and reduced risk of diabetes-related complications. This indicator helps assess the quality of diabetes care and supports efforts to improve clinical management and patient outcomes for people living with type 2 diabetes.
Numerator
The numerator includes the number of individuals with type 2 diabetes who have met all three NICE-recommended treatment targets: HbA1c ≤ 58 mmol/mol, blood pressure ≤ 140/80 mmHg, and statin prescription for those at high cardiovascular risk. Data is sourced from the National Diabetes Audit (NDA) and NHS England.
Denominator
The denominator includes all individuals aged 12 and over who are registered with type 2 diabetes at GP practices participating in the National Diabetes Audit. This ensures a consistent and comprehensive population base for calculating the indicator.
Caveats
Data is collected over a 15-month period, from January 1st of the first year to March 31st of the following year. This extended reporting window may affect comparability with other datasets that use different timeframes.
External references
For more information, visit the Public Health England Fingertips Diabetes Profile.
Localities Explained
This dataset contains data based on either the resident locality or registered locality of the patient, a distinction is made between resident locality and registered locality populations:
- Resident Locality refers to individuals who live within the defined geographic boundaries of the locality. These boundaries are aligned with official administrative areas such as wards and Lower Layer Super Output Areas (LSOAs).
- Registered Locality refers to individuals who are registered with GP practices that are assigned to a locality based on the Primary Care Network (PCN) they belong to. These assignments are approximate—PCNs are mapped to a locality based on the location of most of their GP surgeries. As a result, locality-registered patients may live outside the locality, sometimes even in different towns or cities.
This distinction is important because some health indicators are only available at GP practice level, without information on where patients actually reside. In such cases, data is attributed to the locality based on GP registration, not residential address.
Click here to explore more from the Birmingham and Solihull Integrated Care Partnerships Outcome Framework.