I recently attended the Middle East and North Africa (MENA) Diabetes Forum, which was held in Dubai in December 2010. The countries in the MENA region have amongst the world's highest prevalence of diabetes, driven by rapid changes in income, lifestyle, diet and physical activity. The forum covered a range of issues, from prevention, early diagnosis, and effective treatment. There were also sessions in which policies from other countries, such as the UK, USA and Italy, were discussed so that these policies from other health systems could be examined to see what lessons they might offer the countries of the MENA region. Amongst the speaker were Professor Tawfik Khoja, Professor Jean-Claude Mbanya, Professor Salman Rawaf, Professor Ala Alwan and former US President William (Bill) Clinton. I spoke about the UK experience of implementing screening programmes for diabetes and the UK pay for performance framework that encourages primary care physicians to provide high-quality care to people with long-term illnesses such as diabetes. You can view articles on diabetes prevalence, diabetes management and on risk factors for diabetes in the Gulf in the journals PLoS One, PLoS One and JRSM Short Reports respectively.
As part of a session on primary care data in the Health Informatics module on the Imperial Master of Public Health Programme, I asked students to work in two groups to present arguments for and against the NHS Care.Data programme. Care.Data is an NHS programme that will extract data from the medical records held by general practitioners (GPs) in England. The Care.Data programme takes advantage of the very high level of use of electronic medical records by GPs in England. After extraction, data will be uploaded to the NHS Health and Social Care Information Centre (HSCIC). The data will then be used for functions such as health care planning, monitoring disease patterns and research. The programme has been controversial with proponents arguing that the programme will bring many benefits for the NHS and the population of England; and opponents arguing it is a major breach of privacy. You can view the two presentations to help inform you further about these arguments: Arguments fo...

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