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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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NHS Diabetes Prevention Programme is expanding in England

19 Jun 2017

NHS Diabetes Prevention Programme is the program in England, which connects existing elements of health care system focused on prevention of diabetes and additional element of behavioral intervention for nondiabetic hyperglycaemia into a comprehensive program aimed on prevention of diabetes type II.

The program is collectively developed by NHS England, Public Health England (PHE) and Diabetes UK. It is expected that within 3-5-year time the Program will cover entire England. The Program is funded by NHS England. This Program is aligned with existing Weight Management Services (WMS) in England (4-level of care system).

The NHS DPP provides a behavioural intervention for individuals with nondiabetic hyperglycaemia (defined as having an HbA1c of 42 – 47 mmol / 6.0 - 6.4% or fasting plasma glucose (FPG) of 5.5 – 6.9 mmol/l) and therefore high risk for progression to Type 2 diabetes. Those with normal blood glucose levels (HbA1c < 42 mmol / 47 mmol or FPG ≥ 7mmol/l) are not be eligible for the NHS DPP intervention.

The intervention consists of a series of predominantly group based sessions delivered in person across a period of at least 9 months. There are at least 13 sessions and 16 hours of contact time. Sessions last between 1 and 2 hours and cover topics geared towards the programme’s main goals of dietary improvements, increased physical activity and weight reduction.

The first Wave of the Program has included 27 areas covering 26 million people. About 50,000 people referred in Wave 1 and more than 18,000 have been on the programme at the end of April 2017.

Wave 2 areas will cover another 25% of the population, with an estimated 130,000 referrals and up to 50,000 additional places made available thanks to the expansion.

Read more about NHS Diabetes Prevention Programme here.

Read more about Wave 2 of the Programme here.

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