Dose Adjustment for Normal Eating (DAFNE)


DAFNE is a cost-effective and cost-saving structured education programme (SEP) for adults with Type 1 Diabetes (T1D), proven to improve biomedical and psychological outcomes. 

The developed infrastructure enables off-the-peg access to a high-quality SEP, which fully meets national criteria; it is recognised as delivering on QIPP (Quality Improvement Productivity and Prevention) agenda and is included in the NHS Evidence database.

Delivered in 133 localities, by more than 1000 DAFNE trained HCPs. There have been more than 3,300 courses delivered to over 24,000 adults with TID – numbers increase weekly.

Research is ongoing to refine DAFNE and understand the benefits of SEPs.


Despite evidence that tight glycaemic control in Type 1 diabetes (T1D) – achieved through engaging patients in skills-based structured education programmes (SEP) in intensive self-management therapy (IIT) – reduces the risk diabetes related complications, such programmes were not adopted into UK general diabetes practice, resulting in worse biomedical and quality of life (QoL) outcomes compared to those in Europe.

There was a need to demonstrate the effectiveness of SEP in IIT and embed this approach into routine T1D management in the UK. 

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Gillian Thompson

Job title:
National Director – DAFNE Programme
Place of work:
Northumbria Healthcare NHS Foundation Trust

Quality In Care Diabetes

  • 2020 KEY DATES
  • Open for entry: Wednesday 18 March 2020
  • Entry deadline: Thursday 2 July 2020
  • Judging day: Thursday 10 September 2020
  • Awards ceremony: Thursday 15 October 2020
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