The NHS Type 2 Diabetes Pathway to Remission (T2DR) Programme (formerly the NHS Low Calories Diet Programme) is an innovative and free service for people who are overweight and living with type 2 diabetes. From the 1st February 2024 the programme will include both the existing 1:1 digital offer and a NEW (1:1) face-to-face offer.
[NOTE: Name change of NHS Low Calorie Diet Programme to T2DR]
The one year programme supports healthier lifestyles, weight loss, and remission of type 2 diabetes by combining specialist nutrition, behaviour change strategies and physical activity to support rapid weight loss and long-term lifestyle changes.
It works by offering 12 weeks of a low calorie diet (shakes and soups) followed by four weeks of gradual food reintroduction and eight months of weight maintenance, achieved through healthy eating, movement and online support.
The new two year contract is limited to 500 patients across West Yorkshire. For the programme to be successful, we need help from GP practices to support potential patients who fit the criteria and are motivated. To help tackle health inequalities across our area, the focus will be on improving access to patients from deprived and ethnic minority communities. If patients opt for the digital offer but do not have their own digital devices such as computers, laptops or smartphones, support to join the programme may be available. Please see the digital access pages on the Healthier Together website to find the nearest services that offer digital devices, or refer to your local social prescriber service who can find local support.
Packs designed for all general practice staff detailing how to identify eligible patients, adjust their medication, and refer them to this service along with other useful resources are available in the next section of this page.
Resources
Xyla T2DR introduction video
Xyla T2DR introduction video for GP practice waiting room screens
NHS Type 2 Diabetes Pathway to Remission Programme WY GP pack
NHS Type 2 Diabetes Pathway to Remission Programme GP pack - Calderdale, Kirklees and Wakefield
NHS Type 2 Diabetes Pathway to Remission Programme GP pack - Leeds
NHS Type 2 Diabetes Pathway to Remission Programme GP pack - Bradford and Craven
Supporting documents referenced in the GP pack
1. Referral pathway
NEW T2DR service user pathway and programme model
2. Eligibility criteria and referrer responsibilities
T2DR Eligibility criteria and referrer responsibilities
3. Marketing materials
Xyla patient information leaflet (English)
Please note that the Xyla website is due to be updated with Google Translate from April 2024. The English patient information leaflet will be automatically available in different languages.
Xyla patient information leaflet (Urdu)
Xyla patient information leaflet (Romanian)
Xyla patient information leaflet (Punjabi)
Xyla patient information leaflet (Polish)
Xyla patient information leaflet (Bengali)
Anthony's T2DR Jouney case study
4. Template invitation letter
NEW GP Template invitation letter
5. Example referral conversation script
Example referral conversation script
6. Guidance for GP practice and referrers
NHS Guidance for GP practice and referrers
Xyla GP_referrers information sheet
7. Referral form and local clinical system guidance
NEW Calderdale, Kirklees and Wakefield (CKW) SystmOne user guidance for T2DR referral
NEW Calderdale, Kirklees and Wakefield (CKW) EMIS user guidance for T2DR referral
NEW Leeds EMIS and SystmOne user guidance for T2DR referral
NEW Bradford and Craven local T2DR ASSIST pathway guidance
8. Xyla communication to practices SNOMED codes
Xyla communication to practices SNOMED codes
Letters to GP practice templates
9. Adverse event protocols
NEW T2DR adverse event protocols
10. Deprescribing video resource
In this video, Dr Marlon Morais, Medical Director for Yxla, explains safe deprescribing.
11. Case studies: Deprescribing
We received feedback at the T2DR training events that you wanted examples of case studies around deprescribing.
12. Referral form video resource
In our video, Dr Waqas Tahir, the Clinical Diabetes Lead for the West Yorkshire Health and Care Partnership explains how to fill in the referral form to the NHS Type 2 Diabetes Pathway to Remission Programme.
13. Integrated T2DR patient information sessions: Upper Calder Valley T2DR pilot patient information sessions evaluation
Prevalence of type 2 diabetes is rising year on year in West Yorkshire. The NHS Path to Remission programme (T2DR) is an evidence based behaviour change intervention which supports diabetes remission. We have a responsibility to enable people eligible for T2DR to take it up. Uptake to T2DR is facilitated by providing information about the programme from trusted health and care professionals. Local delivery of information sessions provides opportunity for peer support and confidence building. In addition, sampling of the total diet replacement products which are taken as part of the intervention helps individuals understand what is involved. The report below describes one of the approaches used in West Yorkshire to increase T2DR update. The learning highlights how partnership working between primary care, commissioners, and providers to deliver tailored care and support for people with type 2 diabetes results in improved programme uptake and empowerment through more person-centred approaches.
Upper Calder Valley T2DR pilot patient information sessions evaluation
Primary Care Diabetes Society Upper Calder Valley T2DR patient session 'evaluation on a page'.
14. Presentation and recordings from training sessions
These are the recordings from the one-hour training events aimed at GPs, nurses, practice diabetes leads, medicine management colleagues, dieticians and anyone who does medication reviews:
Here is the slide deck used at each of the presentations.
15. Useful resources
Please note that NHS Type 2 Diabetes Path to Remission Programme (T2DR) is the new name for the former NHS Low Calorie Diet (LCD) programme.
NHS Low Calorie Diet Programme - a short video resource explaining what the NHS T2DR is and how it works.
Review into diets for weight management in adults with type 2 diabetes
Xyla: What is the NHS Type 2 Diabetes Path to Remission Programme summarises the T2DR programme, and provides insights on who, why and how to join the programme.