Pre-Diabetes “Healthier You” Referral

You have been sent a letter inviting you to participate in the Healthier You NHS Diabetes Prevention Programme (NDPP). If you would like to take advantage of this opportunity, please complete and submit this form.

For more information on the Programme please visit

Please use this date format: DD/MM/YYYY.
If you don't provide an email address we won't be able to respond to you by email

Please note: By registering your consent to be referred into the NDPP, relevant information key to this process will be provided by your GP practice to ‘ICS Health & Wellbeing’, the service provider commissioned by NHS England. ICS Health & Wellbeing will hold your data to NHS security standards and only for the period that is contractually and legally necessary. Your GP practice will remain responsible for your data. Further detail, including types of information used, your rights and how information may be shared, can be found at: