To ask the Scottish Executive, in light of the higher prevalence of type 2 diabetes among Scottish South Asians compared with the population as a whole, what steps it is taking to ensure earlier diagnosis and better access to treatment for these groups and what evidence there is that any such measures have been successful in reducing this health inequality.
We want to ensure that heath care outcomes for people living with diabetes from minority ethnic communities are comparable to general Scottish population outcomes. The Diabetes Minority Ethnic Group (DMEG), a sub-group of the Scottish Diabetes Group, was re-established in 2008, in recognition of the need to address both the significantly higher prevalence of diabetes among some minority ethnic communities and ensure access to the best possible care.
Part of DMEG''s remit is to improve the dissemination of information to minority ethnic people about the prevention and early detection of diabetes. In January 2010, DMEG published a diabetes education package for minority ethnic groups in English, Urdu and Chinese. This resource will shortly be augmented by the development of a DVD focussing on diabetes in South Asians. The DVD will incorporate an educational approach which focuses on improving knowledge and changing behaviour. Healthcare professionals and community groups will be able to use these resources to help raise awareness of the additional challenges diabetes presents to black and minority ethnic communities and improve outcomes.
Research from NHS Tayside shows evidence of equity of access and quality of care for South Asians, but marginally poorer outcomes. This is something which will be addressed in the revised Diabetes Action Plan due to be published in the near future, drawing on current work in NHS Fife on reviewing service provision for black and minority ethnic groups.
The Prevention of Diabetes and Obesity in South Asians (PODOSA) study, being carried out by a research team from Edinburgh and Glasgow Universities, is working with people at high risk of developing diabetes to encourage weight loss and increased physical activity, in order to find out if this approach can prevent or delay the onset of diabetes. So far, over 1,300 people have been screened. The study will finish in October 2012 and is expected to report in early 2013.
Our Keep Well and Well North programmes assess people''s risk of cardiovascular disease in our most deprived communities, using the ASSIGN risk calculator, which has been designed to be as accurate as possible in Scottish circumstances by factoring in family history as well as deprivation. Those found to be at risk are offered lifestyle advice, referred on to further services, or prescribed suitable medication.
The Scottish Public Health Network is, at the request of the Scottish Diabetes Group, currently looking at early detection of Type 2 diabetes.