Building on the success of our Alliance and delivering an ambitious programme of Diabetes care 

Our West Suffolk Alliance has been established over the last 10 years, delivering Neighbourhood Health through a network of six Integrated Neighbourhood Teams, to a population of about 250,000 people, 31.7% of whom are living with long-term conditions.  To build on the success of the Alliance we are implementing an ambitious Diabetes care program for the population. 

Our cohort prioritises improved outcomes for people with Diabetes and those at risk, aiming to reduce inequalities, strengthen care coordination in primary and community settings, and enhance understanding and self-management through targeted interventions and education. 

West Suffolk Alliance has co-produced an Integrated Diabetes Service (IDS) aligned with three core shifts in the 10-year plan, offering implementation opportunities via NNHIP. 

Achievements: 

• Local coach appointed 

• Cohort selected: Diabetes, pre-diabetic, and at-risk individuals 

• Logic model completed 

• Short, medium, and long-term goals agreed by NNHIP Oversight Group 

• Left Shift Funding EOI submitted and to be progressed to business case 

• Three INT development days scheduled and started 

Next steps: 

• Business Case for EOI to be completed and submitted mid-March 2026. 

• Metrics and measures to be agreed and submitted to NHSE end of March 2026. 

• Bring the IDS to life and understand what change is required to implement. 

• Map current provision 

• Map against Integrated Diabetes Services identify gaps 

• Develop Commissioning plan for identified gaps 

• Develop PDSA cycles with the intention of progressing a maximum of 3 test and learn initiatives.