Diabetes: Rising NHS Cost Of Treating Illness May 'Bankrupt' Health Service

PA/Huffington Post UK  |  Posted: 25/04/2012 07:29 Updated: 25/04/2012 07:33

Diabetes
The cost of treating diabetes is expected to rocket

Diabetes will cost the NHS more than a sixth of its entire budget by 2035, a report has found.

The disease and its complications account for 10% (£9.8 billion) of NHS spending, but this is projected to rise to £16.9 billion over the next 25 years, or 17% of the health service's funds.

Barbara Young, chief executive of Diabetes UK, said: "This report shows that without urgent action, the already huge sums of money being spent on treating diabetes will rise to unsustainable levels that threaten to bankrupt the NHS.

"But the most shocking part of this report is the finding that almost four-fifths of NHS diabetes spending goes on treating complications that in many cases could have been prevented.

"The failure to do more to prevent these complications is both a tragedy for the people involved and a damning indictment of the failure to implement the clear and recommended solutions. Unless the government and the NHS start to show real leadership on this issue, this unfolding public health disaster will only get worse."

Researchers at the York Health Economic Consortium, in partnership with charities Diabetes UK, the Juvenile Diabetes Research Foundation and Sanofi Diabetes, also found that up to four-fifths of the cost of treating complications such as kidney failure, nerve damage, and amputation could be avoided by investing in better preventative measures and management of the condition once it is acquired.

The Impact Diabetes report, which appeared in the Diabetic Medicine journal, also considered the indirect costs to individuals living with the condition, including those related to increased death and illness, the loss of income from stopping work, and the need for informal care.

It found the total associated with these extra burdens in addition to direct patient care in the UK stands at £23.7 billion and is predicted to rise to £39.8 billion by 2035/36, emphasising the human and financial incentives to better manage the disease.

There are around 3.8 million people living with diabetes in the UK and this is expected to increase to 6.25 million in just over two decades.

A Department of Health spokeswoman said: "We agree that diabetes is a very serious illness and one that has a big impact on the NHS.

"That's why we are tackling the disease on three fronts.

"First, through prevention of Type 2 diabetes - encouraging people to eat well and be more active. Second, by helping people to manage their diabetes through the nine annual health care checks performed in primary care. And by better management of the condition in hospital."

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12:02 PM on 04/25/2012
Although Type 2 diabetes is for the most part related to obesity, thereby lowering your glucose tolerance, the worrying thing, which is going to make the incidence of the disease shoot to astronomical figures, is the increased incidence of severe obesity in children and teenagers. We are already seeing a huge increase in Type 2 diabetes in teenagers and people in their twenties (this was practically unheard of 20 years ago), condemning them to a life of diabetic complications and early death. Parents should have some control over the calorie intake of their children. If authorities treated overfeeding of a child as abuse (which it undoubtedly is) in the same way as they treat starvation of a child, then this problem could be taken under control.
11:59 AM on 04/25/2012
Most Type 2 diabetes is diet related. Over eating of over-processed foods/ready meals/takeaways and lack fresh food in our diets has only increased the problem. Supermarkets continue to sell high fat/sugar/salt products cheaply to unsuspecting - ill-informed,- customers. Things will continue to slide. This health "time bomb", has been ticking for years! Why now this "Oh God we're up 'crap creek' " hand wringing??? Perhaps the £165pa each to cover the costs of diabetes related health issues???
Type 1 isn't preventable as most suffers are either born with it, or, as in my wife's family case, have a genetic pre-disposition to it.
We can though go some way to stopping the spread of Type 2 by increasing healthy eating awareness. By having compulsory Home Economics/Healthy Eating - Food Prep classes in ALL schools..
Further by making sure that there are no "Fresh Food Deserts" - places with no fresh food shops for miles!! and yes there a lot in the UK's poorer areas!!!!
Education is "key" in my view, start teaching healthy eating, good diet, early!!
Jamie Oliver demonstrated the mess our school meals system was in. Schools should have a "duty of care" to feed our children properly - by compulsion if necessary - and have regard to the long term effects of what they are feeding our children.
Unless there is a strong move for a cultural change then we are indeed faced with a truly dire future..
majdf18148
I have nothing to declare but my curiosity
12:47 PM on 04/25/2012
Much of what you say is true. But, there is always a but "n'est pas" rather like smoking cessation, where people have to really want to stop smoking for the process to succeed, people really have to have the impetus to WANT to change their lifestyle. All they need is the desire and self determination to adopt a healthy diet and get a bit of exercise. We live in a society that will not accept a "nanny state" dictating to us ergo the drive to change has to come from within, from us. We have to take responsilbility for ourselves.Sadly, this isn't about a lack of education, a lack of knowledge about what's good and what's bad, people know only too well but they choose to continue binge drinking, smoking and eating themselves into at best a wheelchair at worst an early coffin. Like I said it's a lifestyle CHOICE.
06:55 PM on 04/25/2012
I'm minded to agree with most of yr reply - and thanks for it!! - but I take issue over the whole area of 'choice'.. It seems to me that this has now gotten out of hand. When I worked in Brighton we used to talk about the 'eight deadly words'.... "I know my rights and I'll sue you!"
I do firmly believe that it is largely a matter of education because we've now a second generation of 'binge drinking, crap eaters' on our hands..sadly...
If - I say IF - we can get to them early enough, then we may just avert the looming crisis. It's the same with young people and intervening/educating them away from criminal behaviour/activity..
Freedom of choice, is all well and good, so long as it is exercised responsibly..
11:47 AM on 04/25/2012
We all know why the NHS has major problems, uncontrolled immigration will the NHS still be alive when the UK population reaches 70 million? I doubt it
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Phytoresearcher
11:16 AM on 04/25/2012
If medicine were more orientated towards prevention and less focused on expensive chronic treatments that make pharmas wealthy and deprive the people of a decent quality of life, alternative but highly effective natural chemo preventatives such as bioforte resveratrol would be adopted as part of the NHS health regimen. In a study, which was later replicated successfully, at Albert Einstein Med College a daily dose of 500mg (two capsules) of bioforte prevented pre diabetes from progressing to Type 2 Diabetes, by increasing glucose tolerance, and improving insulin sensitivity. Each person who is prevented from contracting diabetes is hundreds of thousands saved in drugs, practitioner visits, early death and treatment for the serious health consequences of diabetes.
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ccraiglamont
Sometimes funny, other times...not!
10:07 AM on 04/25/2012
Everyone has a duty of care to themselves and those around them, too many people have no self discipline nor respect for the amazing thing that is their body and THAT is inexcusable. By all means treat those with Diabetes and other weight related illnesses that are caused by genuine medical complaints but give the obese a diet plan and an ultimatum that if they carry on piling on the pounds through shear lack of effort, they willbe charged for future treatment.
09:27 AM on 04/25/2012
Oh i forgot to say although im T2 my weight is 161lbs ,thats 11.5 stone and at 5ft 11 not all T2,s are porkers . I cant see my previous post so read the content label on everything inn the way of food supermarket own backed bread is not labeled you have to ask for the content list and its law that they have to have one and show you .

Why would anyone put 15 spoons worth of sugar into a bottle of cola ,buts thats what they do
how to slow down diabetes go to a school find out what they eat and drink then show them the sugar content ,they can then work out how cool it will be to have diabetes !

oobuc5
09:09 AM on 04/25/2012
It could be me but if you take the trouble to look at the sugar content of of everything you buy in the way of processed food ,and i mean everything you will see the problem ,for some reason they put sugar in everything from so called healthy foods to things like meat and soups .

just look at the content off kids drinks a bottle of cola =15 spoonful of sugar , food advertized as low fat = sugar .until your a diabetic you dont have the knowledge supermarket own baked bread contains sugar but there is no content label you have to ask and if your lucky they pull one out from under the counter ,but they dont label it .

make it law and take the bulk of sugar out of products ,why do we need 15 spoonfuls of sugar in a bottle of coke kids breakfast contain masses of sugar ,sweets foods soft drinks you name it its loaded with it.check the labels of of everything you buy for 1 week then add up the sugar content ,it will certainly make you think .
Me im a T2 it happened when i was 61 that was a surprise.
09:08 AM on 04/25/2012
The NHS is a British institute that is funded by US and gives US medical care ,since it was set up all and sundry from all over the world have been draining our resources ,and with the increasing obesity problem we are seeing a rise in type 2 diabeties which is adding to an all ready over burdened NHS It is all down to the poloticians letting this happen in the first place !
majdf18148
I have nothing to declare but my curiosity
09:34 AM on 04/25/2012
Politicians can be blamed for many things but not for people getting fat! It is simply absurd to suggest otherwise. Everyone knows too much food, not enough exercise equals weight gain, there heve been enough sustained national campaigns on the subject. The 5-a-day campaign, the healthy heart series, and a plethora of other TV and media campaigns have literally bombarded us with advice on diet and exercise. This problem of obesity and diabetes is mainly the fault of us, the nation, those who are eating too much, of the wrong food, not doing any exercise and then moaning that it's the politicians fault! We need to wake up and learn to take responsibility for ourselves instead of this whining reluctance to do so; preferring to blame others instead. I almost couldn't believe you were serious in your assertion at first!
01:35 PM on 04/25/2012
I was reffering to the fact that the politicians were allowing imigrants in to the country and abusing OUR NHS, therefore the money needed to treat the rise in obesity ( which would not be a problem if the money was not dipped in to by non british patients and unnecesary sugery ,breast implants ,botox and such ) within OUR own country isn't there, so in retrospect ,it is the Politicians fault
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Lawyer13
retired Lawyer, General and Psychiatric Nurse, wit
09:05 AM on 04/25/2012
When will people learn that type II diabetes is under their control, if they get ir or not, why do people not look after their diet and weight, I would suggest charging these people for treatment which is self inflicted, perhaps the message will then get through.
09:16 AM on 04/25/2012
Sorry but you are missinformed there m8. I have type two & am underweight & fit as a fiddle the Doctors say its caused my the slow down of my Pacrias, So stop being so critical od People who have this illness its not allways their fault and cant be reversed only treated!!!
majdf18148
I have nothing to declare but my curiosity
09:42 AM on 04/25/2012
Lawyer13 we both know, despite the odd exception to the rule (above), that you are entirely correct. The overwhelmimg percentage of people with type2 diabetes are overweight and mainly inactive. It is a well reseached fact that about 10 years ago the number of age related type2 diabetic cases recorded showed an expotential increase almost directly related to increased longevity, poor diet and lack of exercise amongst the older generation. Since then the overall rate in the population at large has also dramatically increased; for the same reasons! we also both know that appropriate weight loss and a realistic regime of exercise spread out over the week can dramatically reduce the effects of type2 diabetes in MOST people and has, in some cases, cleared the condition entirely. You can lead a horse to water............!!
09:51 AM on 04/25/2012
In full acceptance of Rickywak's comment, which is correct, I also agree with Lawyer13 - In the instances of proven self inflicted illness it would be acceptable I think if the initial treatment is provided on the NHS with advisories and if those advisories are not followed (ie weight loss, cessation of smoking/drinking etc) then any further treatment which becomes necessary becomes chargeable.
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virtusfides
09:04 AM on 04/25/2012
I am a diabetic, if only just. The reason is that when diagnosed with diabetes, I consulted a dietician, adjusted my food intake and created an alined exercise program. I lowered my level and stabilized it at an controllable level without medicines. It is what all the ones diagnosed with diabetes should do, instead of leaving it to the doctor. A doctor is not a wizard he cannot remove illnesses if the patient does not is willing to do the mean actions needed. I have grave doubts about the figures, but diabetes is a risk special if people getting older. Prevention by taking action before it goes out of control is the patients own duty waiting for the Doctor-Wizard to cure is just irresponsible.
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Saint wright
Dyslexic old chippy
08:53 AM on 04/25/2012
what has the 3.5 million immgrants from outside the UK since 1997 cost the HNS, and what has the Eurpeon Immigrants cost us since we had to let all EU people in.

Over the last 6 months i have spent a lot of time in hospitals and at doctors, the waiting rooms are full of asians, poles and Romanians, and out number by 70% the English people, its got to be costing us a fortune?
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coady12
10:25 AM on 04/25/2012
you are correct its the same everywhere especially in ealing and acton, we were warned years ago but knowone listened
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08:47 AM on 04/25/2012
more made up guff
08:35 AM on 04/25/2012
If doctors did more to educate people about the correct diet and the food industry was held accountable for the damage they do with the chemical adulterated rubbish they have the nerve to call food - there would not be a diabetes epidemic. Cut out Corn sugar (High Fructose Corn Syrup) and Aspartame and watch the figures go down. If you cannot understand the label - it isn't food.
08:48 AM on 04/25/2012
I'm a T1 diabetic and therefore this is linked to a dodgy pancrease rather than poor diets. I'm a size 8 and frequently do 10k races. Why do people assume I have diabetes coz of the food they think I eat??
If the hospital provided better treatment and support for me, then they would be able to reduce their costs.
I agree that unfit people are more likely to get T2 and that kids need more education on keeping fit and reducing their risks but please don't lump us all together!! We get enough of that from the media!!
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08:27 AM on 04/25/2012
No its far too many health tourists that what will create the strain