About T2Day

We are seeking the support of General Practices in Northamptonshire to deliver the T2Day initiative, which focuses on early onset type 2 diabetes (EOT2D) in individuals under 40. This initiative aims to provide intensive, tailored care to optimise blood sugar levels, weight, cardiovascular risks, and, in women, discussion of contraception and planning for pregnancy in this patient cohort. By offering personalised support and new treatments, T2Day aims to reduce health inequalities and prevent complications. 
 
The Northants Integrated Care Board (ICB) has asked the Training Hub to support the implementation of this important initiative by ensuring practices have access to the necessary information and training materials. With your collaboration, we believe we can make a meaningful difference to the health and well-being of our community.

What does it involve?

Practices will identify and invite the EOT2D patient cohort for a T2Day review, which are in addition to the usual diabetes care processes. The review is a 20-30 minute contact with a suitably qualified healthcare practitioner. Completion of this intervention, recorded via the specific Ardens template will attract a payment to the practice of £54 per patient. It will also give the opportunity to ensure completion of any of the routine care processes that may have been missed. 
 

Payments will be made to the practice on a quarterly basis following submission of your T2Day review report. 

Why T2Day?

Evidence shows that the impact of developing EOT2D can be catastrophic:  

  • Higher lifetime risk of complications 
  • Greater relative risk of mortality 
  • Tendency for more rapid deterioration in glycaemia and a worse cardiometabolic risk profile than seen with older onset 

However, despite these vastly elevated risks associated with younger onset, objective measures of care tend to be worse for people with EOT2D than for older people with: 

  • Lower rates of completion of care processes  
  • Lower attainment of NICE standards for HbA1c and blood pressure 

The reasons for this are likely multifactorial, including complex biopsychosocial drivers in addition to systemic care-related barriers, such as timing of appointments, one-size-fits-all models of care delivery and competing pressures within time-constrained contacts. 

How to go about it?

  1. Identify your EOT2D patient cohort 
  1. Review completion status of their routine care processes – this will indicate whether individual patients are engaging (or not) with their diabetes care 
  1. Decide on the optimum way to achieve the T2Day reviews in your practice, some suggestions below: 
  • An extension to usual annual review appointment 
  • Offer evening/weekend/telephone appointments which may better suit working age patients 
  • Group clinics 

Resources and guidance

 Who do I contact?

Clare Rogers

GP Nurse Professional Development Lead

Email Clare