Diabetes JSNA

The Department of Health and Social Care have a Diabetes Profile on their “Fingertips” data tool where the latest information can be viewed. Diabetes | Fingertips | Department of Health and Social Care

The following information is a summary of key findings from this information when viewed in 2025.

• The percentage of patients aged 17 or over with Diabetes Mellitus, as recorded on practice disease registers was 8.7% in Hartlepool in 2023/24. This is higher than the regional rate (8.5%) which itself is higher than nationally (7.7%). In 2012/13 Hartlepool mirrored the national rate at 6.0% and till 2017/18 saw similar year on year increase to those seen nationally. Since 2017/18 the rate has increased at a faster pace than the national rate.
• Estimated prevalence of diagnosed and undiagnosed Type 2 Diabetes (16 years +) was 8.5% (2021) higher than regional and national.
• Mortality rate for deaths involving diabetes (Type 1 and 2), all ages (2021-23): 117.1 per 100,000 which is slightly lower than regional (120.1) and national (118.2) rate. The mortality rate for deaths involving diabetes has increased steadily over the last 20 years, mirroring regional and national trends.
• National Diabetes Audit data for Hartlepool PCNs shows the break down by age, gender, deprivation and ethnicity. The highest percentage of Type 1 registrations is in the Under 40 age group. The highest percentage of Type 2 registrations is within the 40 to 64 years group. Males have the highest percentage of both Type 1 (56.9%) and Type 2 registrations (55.6%). Both Type 1 and 2 registrations are highest within the most deprived IMD group, with 55.2% of Type 1 and 44.4% of Type 2.
• For Type 1 Diabetes, 27.6% of patients in Hartlepool received all 8 care processes which is lower than England’s 39.5%, with low values (compared to England) in HbA1c, Cholesterol, Serum creatinine blood tests and urine albumin test. Type 2 Diabetes is also worse than the national for patients receiving all 8 care processes at 43.3% compared to England’s 57.6% with poor values (compared to England) in urine albumin test and foot surveillance.
• Of those newly diagnosed with Type 1 Diabetes, 75% were offered structured education within 12 months of diagnosis with 25% attendance within 12 months of diagnosis. This is higher than the national percentage. Of those newly diagnosed with Type 2 Diabetes, 92.2% were offered structured education within 12 months of diagnosis however just 2.6% attended within 12 months of diagnosis, in comparison to 9.8% of England’s newly diagnosed attending within 12 months of diagnosis.

Risk Factors

The percentage of patients over 18 years old with a record of Non-Diabetic Hyperglycaemia (NDH) is lower than the region and national prevalence at 7.7% (2023/24) with the trend increasing but remaining lower than the national since 2021/22. Overweight, including obesity, prevalence in adults (18yrs+) is higher than both the national and regional prevalence at 77.2% (2023/24). The prevalence has been significantly higher than the national picture since data is available in 2015/16 and as of 2023/24 it is rising. A similar picture is seen with obesity prevalence in adults (18yrs+) with 37.9% of Hartlepool’s population classed as obese compared to 32.5% of the North East and 26.5% of England (2023/24). Hartlepool had the highest rate for both overweight and obesity prevalence out of all local authorities in England in 2023/24. The percentage of physically inactive adults is 30.5% in Hartlepool compared to 24.9% and 22.0% for the North East and England respectively (2023/24). Adult weight and activity rates are based on a sample survey so are subject to sampling error. The smoking prevalence in adults was higher in Hartlepool in 2023 than the North East and England with 13.5% of adults aged 18 and over.

Non-modifiable risk factors:

The population in Hartlepool is ageing with 20% of the population over 65 years. Deprivation is high in Hartlepool with the 2019 IMD score at 35.0.

Complications & Mortality:

Diabetic eye disease which causes preventable sight loss is higher in the North East in comparison to the country at 4.1 per 100,000 in 2023/24, Data for Hartlepool is currently unavailable. Mortality for deaths involving diabetes for men of all ages was 136.6 per 100,000 and for women of all ages 100.2 per 100,000. Mortality for males is lower in Hartlepool than the national and regional rates however, mortality for females is higher in Hartlepool than nationally and regionally.

Future Projections

The Institute of Public Care at Oxford Brookes University have a system named the Projecting Older People Population Information which uses population data and prevalence rates to predict the future prevalence of conditions including Diabetes. Projecting Older People Population Information System

The total population aged 65 and over in Hartlepool with a BMI of 30 or more is predicted to increase by 15.22% from 2023 to 2030 and 24.79% by 2040. The total population aged 65 and over predicted to have diabetes is predicted to increase by 15.6% by 2030 and 25.52% by 2040.

Their system named the Projecting Adult Needs and Service Information System also predicts that, the total population aged 18-64 predicted to have diabetes (either Type 1 or Type 2) is predicted to decrease between 2023 and 2030 by 6.0% and decrease by 7.68% by 2040.