Understanding barriers and enablers of using the Living with Long Term Conditions scale as part of routine care for people from under-served groups living with type 2 diabetes.

Almost 5 million people in the UK are living with type 2 diabetes (T2D) and this number is expected to rise to 5.3 million by 2025. People from under-served groups, including those who are economically deprived or from ethnic minorities, are less likely to have access to resources to prevent T2D and are at higher risk for T2D. Understanding and evaluating in routine primary care how the person is living with T2D is paramount to provide an individualized and comprehensive care plan. Healthcare professionals are encouraged to use person-centred measures to collaboratively evaluate experience of living with T2D and focus on what matters to the person. The use of person-centred tools, like the Living with Long Term Conditions (LwLTCs) scale, could facilitate the development of comprehensive care plans, multidisciplinary referrals, regular monitoring, and initiate additional support through voluntary and community-led services. Before the tool’s implementation can be fully conducted, understanding barriers, enablers as well as contextual factors influencing feasible use of the LwLTCs scale within English primary care environments, particularly for people with T2D from under-served groups as an exemplar population, is needed.
The aim of this study is to determinate the enablers and barriers for introduction and operationalisation of the LwLTCs scale use in primary care for people living with type 2 diabetes, involving those from under-served groups. Identify and collaborate with implementation champions to facilitate the implementation of the scale and agree an implementation plan.