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CCG hba1c stats/analysis.

slip

slip

Well-Known Member
Messages
3,523
Location
Oxford
Type of diabetes
Type 1
Treatment type
Insulin
Does anyone analyse CCGs hba1c data? does this data even exist?

So some CCGs like the Lothians have embraced the Libre with open arms, others have just towed the party line with restrictive criteria and some haven't even decided.

I'm just wondering how easy it is to get hold of each CCGs T1 hba1c data - I wonder what the average is for specific regions? and how that might change with the use of the Libre - it would be good to see the Lothians in say 6 months time if their average has gone down at all or the variance narrowed compared to the rest.
 
slip said:
Does anyone analyse CCGs hba1c data? does this data even exist?

So some CCGs like the Lothians have embraced the Libre with open arms, others have just towed the party line with restrictive criteria and some haven't even decided.

I'm just wondering how easy it is to get hold of each CCGs T1 hba1c data - I wonder what the average is for specific regions? and how that might change with the use of the Libre - it would be good to see the Lothians in say 6 months time if their average has gone down at all or the variance narrowed compared to the rest.
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Slip, I'm commenting without making specific reference to it, but the National Diabetes Audit might be a starting point. They obviously "talk about" HbA1c, but maybe not in the granularity you would care to see.
 
DCUKMod said:
Slip, I'm commenting without making specific reference to it, but the National Diabetes Audit might be a starting point. They obviously "talk about" HbA1c, but maybe not in the granularity you would care to see.
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Not heard about the national diabetes audit - I’ll look it up thanks.

I was hoping someone would say yeah the nhs publishes that sort of info regularly and they actually look at it, analyse it and form decisions and stuff......
 
999 calls for hypos and complication rates should start to show a reduction if CGM truly benefit lots of people.

I don't now low long their rollout will take, and if only the most committed people will sign up. I expect the real benefit will come alter a few ears when the less committed people start to use CGM.
 
In england the A1c data is accessable at the GP practice level, sorry I can't remember were to find it. If I correctly remember it combined all diabetes so you can't just see type1 hence may not be that useful.
 
@slip - The National Diabetes Audit is here: http://content.digital.nhs.uk/nda They are currently collecting data for the 17-18 audit.

If I recall, a member called Sam (sorry can't recall the full user name, but he's T1) was involved in some capacity. I know that hardly narrows things down much, but in this place, you never know who remembers what. :)
 
And this is what the distribution of Hba1C by CCG looks like for 2016/2017 across England and Wales @slip . It's pretty consistent across all CCGs, with the big outlier being Hull.

upload_2018-3-9_8-1-48.png
 
tim2000s said:
And this is what the distribution of Hba1C by CCG looks like for 2016/2017 across England and Wales @slip . It's pretty consistent across all CCGs, with the big outlier being Hull.

View attachment 25600
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Hi Tim - Do you perchance have a link for that data please? I'd be interested to look at it in more detail.
 
Something that really stands out to me about that report is the different attitudes per CCG to the education programmes. For instance, in the CCG I lived in before I went to university, they basically aren't bothering to do anything for Type 1s, whereas rates are much higher where I live now, but they have more with Hba1c below target where I used to live. Not a terribly solid comparison though, because the numbers are so much greater where I live now.
 
The data is from before I was diagnosed but I punched in my CCG and GP code and noticed exactly 0% of Type 1s were offered structured education within 12 months which correlates with my experience. Devil's advocate for a second I understand they have to account for honeymoon so is it totally fair for the criteria to be within 12 months for Type 1s - would 6-18 months after diagnosis be more appropriate?
 
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