Lorraine Harrison and Gemma Ptak, Hartlepool Borough Council

1. E.D.A.N (Escape Diabetes Act Now)
30th September 2015
Lorraine Harrison
Health and Exercise Coordinator
Gemma Ptak
Sport and Physical Activity Manager

2. Escape Diabetes Act Now (E.D.A.N)
• Lifestyle prevention programme to reduce risk of developing Type 2 Diabetes
for Hartlepool residents.
•Originally piloted after a successful programme in Middlesbrough called New
Life New You.
•Significantly lower budget sourced and programme began in October 2012,
with a small group of six patients from Gladstone House Surgery.
•Patients are diagnosed as being Pre Diabetic, through clinical tests at their
surgery, or identified through the EDAN risk score.

3. EDAN referral criteria
• Diabetes Risk Score Screening is an additional tool used to help identify
appropriate patients .
•Clinical referral based on recent HbA1c blood test that clearly shows they are
at risk of developing Type 2 Diabetes.
•If a patient has between 42-48mmol result this indicates ‘pre diabetes’ or a
fasting blood glucose measure that also categorises the target group.

4. EDAN Risk Score

5. EDAN Programme offer
•Physical Activity and Dietary Support
•Two sessions per week over the first 12 week referral period
•Six healthy eating workshops with educational elements for healthier
food choices.
•After the initial 12 weeks a review meeting will be held with the
patient to develop an action plan for the next 12 weeks.

6. EDAN Programme offer
•Motivational Interviewing will be used to support patients to remain
engaged and a person centred approach to action planning. 1-2-1
sessions are available throughout to address any barriers that
transpire.
•Ongoing supervised exercise is offered to continue their healthier
active lifestyle.
•Six month review at GP surgery is requested for those who are
compliant with the EDAN programme.
•Additional assessment is done at 12 months to identify sustained
lifestyle changes and their long term impact on the risk of diabetes.

7. EDAN Programme offer
•A small fee applies to access the service which is £1.90 for
concessionary rate and £2.30 for others.
•For every exercise session paid a complimentary pass is received to
attend a second session for free (this is for the initial 12 week
programme to support patients to establish a regular routine of
exercise)
•Home programmes are available for those who are unable to access
supervised sessions twice a week.

8. EDAN Programme offer
•Alternative activities can be accessed for those who have been
sedentary for a long period of time. They are lower intensity to allow
gradual progression.
•All patients receive a free Active Card (allows subsidised access to all
HBC leisure facilities for 12 month period.)
•Patients continually monitored and given a key contact person to
support them through the programme.
•Any patients who lapse from the programme can re-engage at any
point with the support of key officers.

9. Data Collection
•Baseline data is collected for every patient that engages in the
programme. This includes:
Waist Circumference
Weight
Cholesterol
Glucose
Blood Pressure
•This data is then collected again at 6 months and 12 months to
identify change and therefore any change in the risk of Type 2
Diabetes.

10. Data Collection
0
1
2
3
4
5
6
7
clients
Glucose Start
Glucose 12 months
0
1
2
3
4
5
6
7
8
Clients
Cholesterol start
Cholesterol 12 month

11. Key Findings
•In most instances the risk factors for Type 2 Diabetes reduced, for
those participants who had long term compliance to lifestyle change
they reversed the risks completely.
•Weight management was a key factor to support the patients to see
significant changes. Some participants lost over 3 stone through
engaging with the programme.
•Gradual behaviour change is a key part of the programme as
compliance rates are low amongst those who were referred due to
their ambivalence to lifestyle change.

12. Summary
•Greater cooperation with GP Surgeries would improve the impact of
this programme, including data collection.
•Increase in staff capacity would support greater retention of those
who are referred as many of them need intensive support through
motivational interviewing before they engage in any sessions.
•Transport and poverty remains a barrier for some people to engage
effectively.
•The pilot has shown that a flexible approach focusing on lifestyle and
behaviour changes is effective to reduce the onset of Type 2 Diabetes.

13. Thank you
Lorraine Harrison
Health and Exercise Coordinator
Lorraine.harrison@hartlepool.gov.uk
01429 284363
Gemma Ptak
Sport and Physical Activity Manager
Gemma.ptak@hartlepool.gov.uk
01429 523441