Publication, Part of National Diabetes Audit, Type 1 Diabetes

National Diabetes Audit, 2020-21, Type 1 Diabetes

Publication Date:: 16 Jun 2022
Geographic Coverage:: England, Wales
Geographical Granularity:: Regions, Clinical Commissioning Groups, Integrated Care Boards
Date Range:: 01 Jan 2020 to 31 Mar 2021

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16 June 2022 09:30 AM

Introduction

Type 1 cohort

The diagnosis validation process*, introduced for the first type 1 report (2019-20), has been repeated, and extended to include anyone extra who was identified by a specialist service as being on an insulin pump. Therefore the type 1 cohort used for this report will not be the same as the type 1 cohort used in the NDA Core Report 1 2020-21. The cohort used for this report consists of people:

recorded as being diagnosed with type 1 diabetes within the 2020-21 NDA core audit
aged 19 years and over
prescribed insulin treatment consistent with 1 of the following regimens between the period 01 January 2020 to 31 March 2021:
- Insulin pump
- Basal-bolus
- Fixed mix
or on an insulin pump according to a NDA submission from a specialist service

* This validation process should minimise the number of adults with type 2 diabetes inadvertently coded as type 1, but may exclude a few frail type 1 individuals who are treated compassionately with very simple insulin regimens.

Table 1: Number and percentage of people with type 1 diabetes age 19+ by available data sources, England and Wales, 2020-21.

	Type 1 Diabetes
	Number	Per cent
*Total*	223,600	-
GP practice and specialist service	85,305	38.2
GP practice only	137,765	61.6
Specialist service only	535	0.2

National Diabetes Audit Participation

Primary care participation stood at 99.3% in 2020-21 in England and Wales.

In all but 6 Clinical Commissioning Groups (CCGs) and Local Health Boards (LHBs) - 107 out of 113 - GP practice participation was 95% and over. Participation did not fall below 88% at any CCG/LHB.

108* specialist services participated in 2020-21 in England**.

• 51 services submitted both the NDA core dataset and the insulin pump dataset

• 9 services submitted only the insulin pump dataset

• 48 services submitted only the NDA core dataset

Altogether, there are 138 NHS Acute Trusts in England, some of which have more than 1 hospital providing specialist diabetes care. Specialist services generally take the lead in care for type 1 diabetes services and also often for younger people with type 2 diabetes. Their more comprehensive involvement is important as part of the drive to improve the poorer results for these patients.

For more information on the level of participation in 2020-21 by CCG and LHB please see National Diabetes Audit, Report 1- Care Processes and Treatment Targets 2020-21, Underlying data.

* 1 of the services had only a small number of adults with type 2 diabetes so is not included in this report

** 4 Welsh specialist services from 2 LHBs submitted insulin pump data to the NDA.

Specialist services participation

The map shows the percentage of adults with type 1 diabetes in each CCG for whom data was submitted by specialist services

• Only 39 CCGs had specialist services data submitted for at least half of the type 1 adults for whom there were primary care submissions

• Percentages ranged from only 1.5% in Stoke-on-Trent CCG to over 90% in North Tyneside CCG

Map 1: Percentage of adults with type 1 diabetes for whom there is a specialist services data submission, England, 2020-21*

Percentage of adults with type 1 diabetes for whom there is a specialist services data submission, England, 2020-21

*Wales specialist services only submit data for insulin pump users

Last edited: 3 October 2024 8:13 am

National Diabetes Audit, 2020-21, Type 1 Diabetes

Introduction

Type 1 cohort

Specialist services participation

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