If you have patients at risk of developing type 2 diabetes, the Healthier You: NHS Diabetes Prevention Programme provides dedicated, evidence-based support proven to reduce their risk of type 2 diabetes and related conditions, while improving overall health outcomes.
Eligible patients you refer will be invited to take part in a nine-month behaviour change programme designed to prevent or delay the onset of type 2 diabetes. Patients can choose to access the programme either through face-to-face peer group sessions in their local community or via 1:1 app-based coaching delivered by our digital partner, Liva Healthcare. The same NHS-approved curriculum is delivered across both pathways.
With the right support, around three in five cases of type 2 diabetes can be prevented or delayed through healthy weight management, improved diet and increased physical activity. The programme equips patients with the knowledge, skills and confidence to make sustainable lifestyle changes, supporting them to achieve:
- A balanced diet
- Regular physical activity
- Effective stress management
- Improved sleep
- Emotional wellbeing
Referral criteria and pathways
Our services are tailored to local needs and delivered across 13 regions in partnership with Integrated Care Systems (ICSs), Primary Care Networks (PCNs), and local authorities.
Patient eligibility criteria:
- HbA1c between 42-47 mmol/mol (6.0-6.4%) or FPG between 5.5-6.9 mmol/I within the last 12 months
- Aged 18 years and over
- Not pregnant
- No active eating disorder
How to refer
Referring a patient to our NHS Diabetes Prevention Programme is quick and straightforward. We accept referrals from GPs, practice nurses, diabetes specialists, midwives, and other healthcare professionals.
The main route for referral is directly through the General Practice clinical system, using the referral form template pre-loaded onto your clinical system.
To refer a patient:
- Confirm they meet the eligibility criteria outlined below
- Complete the referral form within your GP clinical system
- Submit the referral electronically via the system
Once a referral is received, our team will contact the patient directly to arrange an individual assessment and enroll them onto the most appropriate support pathway.
In addition to standard referrals, we also support a range of alternative referral pathways to help primary care identify and refer eligible patients:
Bulk referrals – we have tools in place to reduce administrative burden and ensure patients are contacted promptly and effectively. Please contact us directly for more information.
Open sessions – targeted outreach with practices to support referral generation. Healthcare professionals are also welcome to attend these sessions to better understand the service offer.
Select your area for local referral contacts, service details, and availability
Birmingham and Solihull
Black Country
Bristol, North Somerset and South Gloucestershire
Buckinghamshire, Oxfordshire and Berkshire West
Dorset
Herefordshire and Worcestershire
Hertfordshire and West Essex
Kent and Medway
North Central London
Northamptonshire
Nottingham and Nottinghamshire
Shropshire, Telford and Wrekin
Surrey Heartlands
FAQs
How soon will patients be contacted?
LWTC will make first contact with your patient within 5 working days of receiving the referral. Patients may be contacted via text message, email, or telephone. Where possible, we will leave a voicemail that includes a direct contact number for their dedicated coach, supporting smooth and timely communication.
Please note that our team works remotely while delivering behaviour change intervention sessions, so a patient’s designated coach may not always be available to answer calls immediately.
If we are unable to successfully contact a patient after a minimum of three attempts over a 28-day period, LWTC will send a written letter to the patient’s home address requesting that they get in touch. Failure to respond may result in discharge from the programme.
To support effective communication, please ensure that all patient contact details are accurate at the point of referral, and inform patients that LWTC may contact them using multiple methods.
Can patients self register?
Healthier You: NHS Diabetes Prevention Programme
Yes, patients can self-register for the programme.
Please note that only individuals aged 79 and under are eligible to self-register. Any patient aged 80 or over must be clinically reviewed and referred by their GP practice.
Only patients who meet the programme eligibility criteria will be accepted following self-registration.
To self-register, patients must provide the following information to LWTC:
- Personal details (name, date of birth, age, and contact details)
- NHS number
- Most recent blood test result
- Date the blood test was taken
Patients can self-register by:
- Completing the online self-registration form: here.
- Calling LWTC on 0300 302 0652 quoting ‘Diabetes Prevention’
- Emailing LWTC at info@lwtcsupport.co.uk quoting ‘Diabetes Prevention’
Patients with a history of gestational diabetes (GDM) can self-register for the NDPP without providing a blood test. LWTC has a dedicated self-registration form for individuals with a history of GDM, available here: www.lwtcsupport.co.uk/gdm-form
Healthier You: NHS Behavioural Support for Obesity Prescribing Programme
No, patients cannot self-register for this programme.
This programme forms part of the Wrap Around Care offer for individuals prescribed Tirzepatide for weight management as part of the NHS rollout. Alongside the behavioural support provided by LWTC, clinical prescribers are required to deliver Wrap Around Care to ensure prescribing is safe, effective, and appropriately monitored.
Patients are referred directly by their clinical prescriber using approved clinical systems.
Healthier You: NHS Long Term Conditions Prevention Programme
Yes, patients can self-register for the programme.
Please note that this NHS pilot is currently only available to patients registered with participating GP practices, and there are limited registration windows each year.
Only patients who meet the programme eligibility criteria will be accepted following self-registration.
To self-register, patients must provide the following information to LWTC:
- Personal details (name, date of birth, age, and contact details)
- Confirmation of a diagnosis of hypertension
- Confirmation that they do not have non-diabetic hyperglycaemia, type 2 diabetes, or a history of gestational diabetes (GDM)
Patients can self-register by:
- Completing the online self-registration form:
www.lwtcsupport.co.uk/ltc
- Calling LWTC on 0300 302 0652, quoting ‘Long Term Conditions’
- Emailing LWTC at info@lwtcsupport.co.uk quoting ‘Long Term Conditions’
LWTC Weight Management Programme:
Yes, patients can self-register for the programme.
Only patients who meet the programme eligibility criteria will be accepted following self-registration.
To self-register, patients must provide the following information to LWTC:
- Personal details (name, date of birth, age, and contact details)
- A valid weight measurement taken within the past 30 days
- A valid height measurement
- Their ethnicity
Patients can self-register by:
- Completing the online self-registration form: Click here
- Calling LWTC on 0300 302 0652, quoting ‘Weight Management’
- Emailing LWTC at info@lwtcsupport.co.uk quoting ‘Weight Management’
What happens if a patient declines?
Healthier You: NHS Diabetes Prevention Programme
After speaking directly to LWTC, a patient may choose to decline the service.
Where appropriate, patients will be signposted to alternative services that may better meet their ongoing health and wellbeing needs.
LWTC will send an automatic notification to the patients registered General Practice, advising them of the patient’s decision and providing the relevant SNOMED code for recording in the patient’s medical record.
If you wish to confirm or update the email address LWTC holds for your General Practice, please contact us at info@lwtcsupport.co.uk
Healthier You: NHS Behavioural Support for Obesity Prescribing Programme
After speaking directly to LWTC, a patient may choose to decline the service.
Where appropriate, patients will be signposted to alternative services that may better meet their ongoing health and wellbeing needs.
As behavioural support is a key component of the Tirzepatide prescribing pathway, patients will be informed that their prescriber will be notified of this decision. The prescriber is expected to review the patient’s case to determine the appropriateness of ongoing prescribing and to ensure safe, continued clinical support.
LWTC will send an automatic notification to the patients registered General Practice, advising them of the patient’s decision and providing the relevant SNOMED code for recording in the patient’s medical record.
If you wish to confirm or update the email address LWTC holds for your General Practice, please contact us at info@lwtcsupport.co.uk
Healthier You: NHS Long Term Conditions Prevention Programme
After speaking directly to LWTC, a patient may choose to decline the service.
Where appropriate, patients will be signposted to alternative services that may better meet their ongoing health and wellbeing needs.
LWTC will send an automatic notification to the patients registered General Practice, advising them of the patient’s decision and providing the relevant SNOMED code for recording in the patient’s medical record.
If you wish to confirm or update the email address LWTC holds for your General Practice, please contact us at info@lwtcsupport.co.uk
LWTC Weight Management Programme:
After speaking directly to LWTC, a patient may choose to decline the service.
Where appropriate, patients will be signposted to alternative services that may better meet their ongoing health and wellbeing needs.
At present, LWTC does not have an automated feedback mechanism in place to update General Practices on patient outcomes; however, this is being explored as a potential future development. If you require further information regarding a patient’s progress through the programme, please contact us at info@lwtcsupport.co.uk, quoting ‘Weight Management’.
How do I refer patients with language barriers or complex needs?
Healthier You: NHS Diabetes Prevention Programme
Patients with language barriers or complex needs should still be referred to the NHS Diabetes Prevention Programme where appropriate.
The referral form embedded within your clinical system includes dedicated fields to:
- Record a patient’s first language
- Indicate whether the patient is on the Learning Disabilities Register or Serious Mental Illness Register
- Identify any hearing or vision impairments
If there is additional information you believe would be helpful for LWTC to understand the patient’s needs, please include this within the referral to support appropriate planning and engagement.
LWTC is committed to providing reasonable adjustments for individuals, while ensuring the programme remains aligned with the NHS England service specification.
Prior to onboarding onto the programme, LWTC will hold an initial assessment phone call with the patient to discuss their needs and identify which available options are best suited to them.
Healthier You: NHS Behavioural Support for Obesity Prescribing Programme
Patients with language barriers or complex needs should still be referred to the Behavioural Support for Obesity Prescribing Programme where appropriate.
The referral form embedded within your clinical system includes dedicated fields to:
- Record a patient’s first language
- Indicate whether the patient is on the Learning Disabilities Register or Serious Mental Illness Register
- Identify any hearing or vision impairments
If there is additional information you believe would be helpful for LWTC to understand the patient’s needs, please include this within the referral to support appropriate planning and engagement.
LWTC is committed to providing reasonable adjustments for individuals, while ensuring the programme remains aligned with the NHS England service specification.
Prior to onboarding onto the programme, LWTC will hold an initial assessment phone call with the patient to discuss their needs and identify which available options are best suited to them.
Healthier You: NHS Long Term Conditions Prevention Programme
Patients with language barriers or complex needs should still be invited to self-register to the Long-Term Conditions Prevention Programme where appropriate.
LWTC is committed to providing reasonable adjustments for individuals, while ensuring the programme remains aligned with the NHS England service specification.
Prior to onboarding onto the programme, LWTC will hold an initial assessment phone call with the patient to discuss their needs and identify which available options are best suited to them.
LWTC Weight Management Programme
Patients with language barriers or complex needs should still be invited to self-register to the LWTC Weight Management Programme where appropriate.
Prior to onboarding onto the programme, LWTC will hold an initial assessment phone call with the patient to discuss their needs and identify which available options are best suited to them.