Speeches by McIntyre.

“I am sorry to keep coming back to my experience, but given that I am a service user myself, it is helpful context. I found out that I had type 2 diabetes through the NHS app. I saw my results—nobody had contacted me first. Then when I went to my meeting, there was a push to try to get me on the jabs. There was no infor…”

“Is part of the challenge, though, that on the programme they might, for example, refer you to a free resource like Couch to 5k? For anyone who is going through a running programme, they know that people hate it, but actually it helps to get people active; as part of a healthy lifestyle more broadly, being active is imp…”

“To be clear, is that being funded centrally, not by ICBs?”

“I can definitely attest to that. My wife was very supportive, although did not stop buying cakes and biscuits every week, sadly. But I have managed to stay on the course. To go back to the first point, access came up in our roundtable. People who have experienced the scheme said that there was a lack of knowledge of th…”

“The data shows that about a third of people drop off after the first 12 weeks. They go through the total diet replacement—I think quite a high number pass that—but a third of people who go through it then drop off before the end of the year-long programme. I guess that that aligns with my own experience of the programm…”

“Thank you. You might not have seen my New Statesman article this week on expanding health checks to younger people with other risk factors. I am speaking about that later this evening. On the behavioural support, we talked about the support of family, but what support does the programme offer, particularly in the food-…”

“I should say thank you to the panel for the work you have done on this issue. This first session is quite close to my heart, because last year I was diagnosed with type 2 diabetes, and I then went on the path to remission programme. I lost around about 7 stone initially, and put my diabetes into remission.”

“T2. Last Friday I met a constituent whose child was fatally stabbed five years ago. As a parent myself, I cannot begin to imagine what the family have gone through and the trauma they have faced since. Concerningly, the killer of that child has repeatedly accessed social media while in prison to cruelly taunt the victi…”

“Or in some cases they have just been elected to Parliament and do not know whether they are going to be in Westminster or their constituency.”

“On that point, I was offered the choice between digital and in person, and I chose digital for that reason. How many people is that not being offered to?”

“Thank you. It is testament to the programme. Professor Taylor, could you briefly describe the path to remission programme and the evidence of its effectiveness?”

“In terms of scaling it up, one of the biggest challenges with type 2 diabetes is the number of people living in the UK with undiagnosed type 2 diabetes. How could the Government improve the pathway so that we get more people diagnosed, straight on to the programme and working towards remission? What shift would the Gov…”

“To come on to the experience, it is great to hear that you have been working directly with people. As I would expect, you do a very good job of it. We have heard evidence that people are much more positive about this programme than, say, GLP-1s or bariatric surgery. Why do you think that is? What lessons could we learn…”

“What is the rough cost of a person going through the remission programme?”

“Do we know what a month costs on your GLP-1 inhibitor of choice?”

“So it is a very cost-effective way of tackling this.”

“So I guess that from £1,000 per person investing in their health now, the savings for the NHS in the long term are significantly greater.”

“We have not touched on exercise yet, but it is obviously part of the behavioural support changes that they try to encourage during the programme. It is quite difficult to take on. I appreciate that diet and food are the main focus, but in terms of that behavioural support and making those positive changes going forward…”

“Colette, what are some of the challenges that people with diabetes face when taking part in the programme, and how are they supported through that?”

“Tell me about it.”