​​​​​​​​​​​​​​​​Education Courses




Below you will find information about the DESMOND, DAFNE and BERTIE programmes for people with diabetes. If you think you are a suitable candidate to attend please speak to your GP or Practice Nurse.


DESMOND (diabetes Education and Self-Management for Ongoing and Newly Diagnosed) is a structured education programme for patients with newly diagnosed type 2 diabetes or those who have been diagnosed in the last year.

DESMOND is evidence based, undertaken in a group and provides 6 hours of education divided into two sessions. DESMOND promotes self–management and empowerment by allowing people with diabetes to address the issues relevant to them. 

Patients can access DESMOND education at 3 sites in Wandsworth; Queen Mary’s Hospital, St John’s Health Centre and Tooting Health Centre.

For more information please see DESMOND-project.org.uk​


DAFNE (The Dose-Adjustment for Normal Eating) and BERTIE (Bournemouth Type 1 Intensive Education) are for people with Type 1 diabetes. DAFNE and BERTIE are ways of managing Type 1 diabetes and provide people with the skills necessary to estimate the carbohydrate in each meal and to inject the right dose of insulin.


DAFNE is a 5-day training course with a follow-up session around 8 weeks later. The structured teaching programme covers topics including carbohydrate estimation, blood glucose monitoring, insulin regimens, hypos, illness and exercise.

The DAFNE course is about learning from experience. During the week the patient practices the skills of carbohydrate estimation and insulin adjustment under the supervision of DAFNE-trained nurses and dieticians. There are opportunities for each person to speak to a doctor, nurse or dietician individually. DAFNE allows people to fit diabetes into their lifestyle, rather than changing their lifestyle to fit in with their diabetes.

For more information please see DAFNE.uk.com


BERTIE is a four day course run at Queen Mary's Hospital.  The programme uses a multi-disciplinary team and takes a proactive approach in enabling people to self-manage their diabetes and maintain better control, which may in turn lead to fewer long term complications.

Ask your GP of Practice Nurse if you are a suitable candidate to attend the DESMOND, DAFNE or BERTIE programmes

DESMOND and DAFNE are evidence based national programmes and are peer reviewed, quality assured and audited nationally to develop a patient centred model of care. For people with diabetes who are not eligible for DESMOND, DAFNE or BERTIE please refer to your local diabetes unit for one to one education.


St Georges Hospital Cardiac Rehabilitation Group

The cardiac rehabilitation programme and classes are aimed at patients who have had a heart attack, heart surgery, angioplasty, heart failure or other cardiac problems. After an individual assessment patients may attend a programme of classes to improve their physical activity and understanding of cardiac risk factors and lifestyle changes. The cardiac rehab physiotherapist runs the classes and an individualised programme is agreed and progressed during the course of the programme.

The class consists of:

  • Cardiovascular warm-up exercises
  • Individualised exercise circuit
  • Cool-down and stretches
  • Talk or relaxation

At the end of the programme patients are encouraged to continue exercising and can join an ongoing cardiac exercise class at the Bader Gym.

Please speak to your GP or Practice Nurse to find out if you are suitable to attend.

For information and advice on heart conditions please see the British Heart Foundation website at: www.bhf.org.uk


Integrated Falls and Bone Health Service

The Integrated Falls and Bone Health Service (IF&BHS) is a team that comprises of a variety of health professionals with a special interest in Falls and Bone Health. These are primarily physiotherapists working in conjunction with podiatrists, exercise facilitators and rehabilitation assistants. An open access and self-referral service, it seeks to reduce the risk of falling and fracturing, by providing clinics and classes in accessible community based locations or at home if more appropriate. At the clinics, a group of health professionals assess the individual’s risk of falling and their bone health status.

Once the individual is assessed and their specific needs identified IF&BHS provides advice and completes all the necessary referrals to the relevant services, such as Dieticians, diabetes specialist nurses and community support services such as Shopmobility.

Guideline criteria -

  • Have had a fall, are concerned about falling or are at risk of falling
  • Have a diagnosis of osteopenia/osteoporosis or a previous fracture over the age of 50 as a result of low trauma.

For more information please visit the website at: https://www.stgeorges.nhs.uk/service/senior-health/integrated-falls-and-bone-health-service/


Pulmonary Rehab

Pulmonary Rehabilitation is a 16 session course of education and physical activity designed to help patients with long term respiratory disease learn more about their condition, improve their fitness and strength making them feel less breathless.

Experienced healthcare workers, including qualified physiotherapists, tailor an exercise programme that is appropriate to each person’s level of ability. For some this means gentle walking and some seated exercises; for others it means faster walking, step ups and using an exercise bike.

After rehabilitation most people:

  • can walk further and faster
  • feel less breathless during routine daily activities
  • feel more positive and better in themselves
  • sleep better and have more energy
  • have fewer chest infections and fewer admissions to hospital

If you would like more information about Pulmonary Rehabilitation Services in Wandsworth please speak to your GP or Health Care Professional.


If you have any questions you can call our
Community Navigators on 0203 880 0366
or waccg.wandsworthhub@nhs.net
(Mon-Fri 9am-5pm)