Provision of Dose Adjustment for Normal Eating (DAFNE) Educational Service Implementation and Delivery in Milton Keynes

The management of Type 1 diabetes requires people to adjust their insulin dose to the food they eat to maintain good blood glucose levels throughout their lives and reduces the risks of long term Diabetes complications. The DAFNE group educational approach is a nationally validated and quality assured five-day structured education package for adults with Type 1 Diabetes.

This education programme provides the skills necessary to estimate the carbohydrate in each meal and to inject the right dose of insulin. By empowering people with Type 1 Diabetes, providing them with appropriate skills, allows for effective integration of self-management into their daily lives.

Patient education is one of the key priorities within the Diabetes Commissioning Framework. Currently, 10,782 (5.2%) of adult population within Milton Keynes have been diagnosed with Diabetes.

Approximately 10% of these are diagnosed with Type 1 Diabetes. This figure will rise if current trends in population change and obesity persist the total prevalence of diabetes is expected to rise to 7.5% by 2020 and 8.6% by 2030 NHS Milton Keynes CCG would like to receive expressions of interest from appropriately experienced and qualified parties for the provision and delivery of the DAFNE education programme within the Milton Keynes geographical boundaries.

Providers would be expected to work closely with local GP Practices, community and secondary care services providers and service champions to ensure DAFNE is delivered as a part of a holistic self-management care plan. Due to the nature of the patient group requiring this education, the service will need to be delivered locally and must be easily accessible.

The service implementation would be expected to commence from autumn 2015, with the training delivery operational before end of 2015. MK Clinical Commissioning Group is a consortium of 27 GP practices in Milton Keynes and is responsible for commissioning local health services for the people of Milton Keynes. It has a registered population of 278,383.