EXTOD Healthcare Professionals National Conference 2026

EXTOD Healthcare Professionals National Conference 2026
CPD Credits
Birmingham Conference & Events Centre
Tue 17 Nov 2026 08:15-18:00

Taking place across Tuesday 17th November and Wednesday 18th November 2026 in Birmingham, this EXTOD Healthcare Professionals National Conference will be delivered by EXTOD and organised by SBK Healthcare. 


This unique forum will equip Diabetologists, Diabetes Specialist Nurses, Resident Doctors, Dietitians and Paediatricians with the knowledge, inspiration, and practical understanding of how to support Type 1 patients to undertake safe and effective exercise.


Sponsored by:                 

Two days of practical education

Dedicated adult and paediatric CYP learning pathways across both days


Designed specifically for multidisciplinary teams working with adults and children and young people (CYP), this national conference offers dedicated parallel learning streams throughout the programme, allowing delegates to tailor sessions to your clinical area and patient population.


Join healthcare professionals from across the UK for two days of practical education, expert-led workshops, and peer networking focused on exercise and Type 1 diabetes care. Key themes include:


  • Understanding the physiology and glucose responses to different types of exercise
  • Real-world lived experience of exercising with Type 1 diabetes
  • Practical strategies before, during, and after exercise
  • Exercise management using pumps, CGM and hybrid closed-loop systems
  • Sport nutrition for adults and children and young people
  • Managing nocturnal hypoglycaemia and post-exercise recovery
  • Tailoring exercise plans for schools, coaches, travel, climate and competition
  • Managing technology failure during exercise
  • Female athlete considerations including pregnancy
  • Sport-specific approaches including running, football and endurance training


 

Build confidence in exercise care

Practical strategies, peer learning and expert guidance for supporting exercise in type 1 diabetes


Through interactive workshops, case-based discussions, technology updates, and real-world lived experience, delegates will gain practical strategies to support people with Type 1 diabetes to exercise safely and confidently. Advance your confidence, practical skills and clinical approach with:


  • Dedicated adult and CYP learning streams tailored to your practice
  • Learn from leading national experts in diabetes and exercise care
  • Gain practical tools and real-world strategies you can apply immediately
  • Share experiences and challenges with multidisciplinary peers
  • Extensive networking opportunities with peers, faculty and industry partners

CPD accredited

The EXTOD Healthcare Professionals National Conference will be applying for CPD credits from The Federation of the Royal College of Physicians and certificates will be provided to all attendees.

With thanks to the sponsors

We would like to thank Abbott DiabetesCare, Minimed and Insulet, maker of Omnipod for sponsoring this unique forum. 

Invitation to sponsor

If you would like to be part of these leading events attended by over 250 healthcare professionals in 2025, there are a limited number of sponsored presentation opportunities. Please email vanessa.pearce@sbk-healthcare.co.uk or call 01732 897788.


8.15
Registration and refreshments
9.00
Welcome
Miss Anne-Marie Frohock, Chair of EXTOD and Lead Paediatric Dietitian, Oxford University Hospitals NHS Foundation Trust
9.10
Challenges people with Type 1 diabetes face around exercise

This session will cover the effect of different types of exercise on physiology, the variability of glucose response to exercise and effect on insulin levels and the physiological changes post exercise.

9.50
Lived experience: The reality of exercise with Type 1 diabetes

Two people who exercise will explain the problems they have with exercise and their solutions.

10.30
Networking Break
11.00
Industry partner showcase: Exercise, diabetes, technology and therapeutics

In small groups attendees will rotate around the networking area, as directed. 

Each presentation lasts 10 minutes and everyone will have the opportunity to hear all the sponsors’ presentations.

12.00
These workshops are for CYP and adult focused groups.
ADULTS: Keeping safe: pre-exercise assessment and complications for adults with T1DM

This session will present clinical cases to highlight key medical questions to ask and important signs to look for during patient assessment. It will also cover the main contraindications to exercise.

Prof Rob Andrews, Founder of EXTOD & Honorary Consultant, University of Exeter & Somerset NHS Foundation Trust
CYP: Children and adolescents are not just small adults – what is different around sport and exercise?

This session will discuss the changes in physiology as a child progresses through to adulthood and relate this to the concerns of parents, families and young people. 

Miss Francesca Annan, Lead Dietitian CYP Diabetes Service, University College London Hospitals NHS Foundation Trust and Dr Renuka Dias, Assoc Professor & Consultant in Paediatric Diabetes, University of Birmingham and Birmingham Women’s and Children’s NHS Foundation Trust
12.30
WORKSHOP 1: Strategies BEFORE exercise (Part 1) - CYP and adult focused groups for this workshop

  • Assessing exercise type and intensity – understanding how different forms of exercise influence glucose response and inform preparation
  • Pre-exercise insulin adjustments – evidence-based guidance on modifying basal and bolus insulin, as well as insulin pump and closed-loop settings, to minimise the risk of hypoglycaemia
  • Carbohydrate planning – determining when and how much carbohydrate to consume before exercise, depending on timing, intensity, and recent insulin dosing
  • Glucose targets and monitoring – recommended glucose thresholds before starting activity and how to interpret CGM data in preparation
  • Practical tools– using decision aids to support individualised pre-exercise planning

1.15
Lunch and networking break
2.15
WORKSHOP 1: Strategies BEFORE exercise (Part 2)

Please return to your CYP and adult focused groups for this workshop.

3.00
Networking break
3.30
WORKSHOP 2: Strategies DURING exercise CYP and adult focused groups for this workshop.

  • Real-time glucose monitoring – interpreting CGM data to guide in-exercise decision-making
  • In-exercise carbohydrate strategies – how to calculate and deliver appropriate carbohydrate intake during different types and durations of exercise
  • Insulin management mid-exercise – guidance on temporary basal rates, suspension features, and manual adjustments for those on pumps and closed-loop systems
  • Exercise intensity to manage glucose – using sprints to manage glucose during exercise

4.40
Drinks and canapes

Served in the exhibition and refreshment area.

5.15
Guest speaker
Speaker to be confirmed. Introduced by Mr Ross Mallen, EXTOD Faculty and Competitive Multi-discipline Cyclist
6.00
Close of day 1
8.30
Collect badge and agenda for Day 2
9.00
Welcome
Prof Rob Andrews, Founder of EXTOD & Honorary Consultant, University of Exeter & Somerset NHS Foundation Trust
9.10
Update on HCL systems for activity

This session will cover exercise-specific features of commonly used insulin pump and closed-loop systems. Each system will be reviewed in detail, with practical guidance on how to optimise settings before, during, and after physical activity.

Miss Anne-Marie Frohock, Chair of EXTOD & Lead Paediatric Dietitian, Oxford University Hospitals NHS Foundation Trust and Dr Alistair Lumb, Consultant in Diabetes & Acute General Medicine, Oxford University Hospitals NHS Foundation Trust
10.00
These workshops are for CYP and adult focused groups.
ADULTS: Fundamentals of sport nutrition

This session will cover the role of nutrition and hydration in fuelling performance, recovery, and overall health. It will also cover nutrient timing and strategies for fuelling around training and competition to enhance energy availability, performance, and recovery.

Mrs Claire Foster, Diabetes Dietitian, Somerset NHS Foundation Trust and Miss Manyee Li, Diabetes/Sport & Exercise Medicine Dietitian, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust
CYP: Fundamentals of sport nutrition

This session will cover the role of nutrition and hydration in fuelling performance, recovery, and overall health whilst optimising growth and development.

Miss Anne-Marie Frohock, Chair of EXTOD & Lead Paediatric Dietitian Oxford University Hospitals NHS Foundation Trust and Miss Francesca Annan, Lead Dietitian CYP Diabetes Service, University College London Hospitals NHS Foundation Trust
11.00
Networking break
11.30
WORKSHOP 3: Strategies AFTER exercise

Split into CYP and adult focused groups.

  • Post-exercise glucose trends – understanding delayed hypoglycaemia and how different types of exercise affect glucose levels in the hours following activity.
  • Insulin adjustments after exercise – evidence-based guidance on modifying bolus and basal insulin (including overnight settings) to reduce hypoglycaemia risk.
  • Carbohydrate and protein requirements for recovery – role of macronutrients in glycogen replenishment, muscle repair, and maintaining glucose stability.
  • Managing nocturnal hypoglycaemia – prevention strategies for overnight lows, including food choices, insulin dosing, and CGM alerts

12.45
Lunch
1.45
Workshop 4

Delegates will be offered 2 workshops from a selection - workshop titles below are examples which may be offered:

CYP theme

  • Adapting plans for CYP - working with schools & coaches

Clinical themes

  • Activity to optimise glucose management
  • Managing technology failure during exercise
  • Managing female athletes incl. Pregnancy

Exercise and sport specific themes

  • Different training regimens
  • Managing unplanned or spontaneous exercise
  • Special circumstances incl. travel, climate & altitude
  • Sport specific e.g. football, running

2.45
Workshop 5

Delegated will attend their second choice of workshop from the above list.

3.45
Networking break
4.15
EXTOD Fellowship Lecture
Speaker to be confirmed. Introduced by Miss Anne-Marie Frohock, Chair of EXTOD & Lead Paediatric Dietitian, Oxford University Hospitals NHS Foundation Trust
5.00
Summary and close of day

Expert line-up

The programme features leading national experts in diabetes, dietetics, paediatric care, exercise physiology, and sport and exercise medicine, alongside opportunities for delegates to share experiences and practical challenges in a highly interactive learning environment.

Miss Anne-Marie Frohock

Chair of EXTOD & Lead Paediatric Dietitian
Oxford University Hospitals NHS Foundation Trust

Dr Matt Cocks

Reader in Exercise Physiology
Liverpool John Moores University

Prof Rob Andrews

Founder of EXTOD & Honorary Consultant
University of Exeter & Somerset NHS Foundation Trust

Miss Francesca Annan

Lead Dietitian, CYP Diabetes Service
University College London Hospitals NHS Foundation Trust
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Dr Renuka Dias

Associate Professor & Consultant in Paediatric Diabetes
University of Birmingham and Birmingham Women’s and Children’s NHS Foundation Trust

Mr Ross Mallen

EXTOD Faculty
Competitive Multi-discipline Cyclist

Dr Alistair Lumb

Consultant in Diabetes & Acute General Medicine
Oxford University Hospitals NHS Foundation Trust
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Mrs Claire Foster

Diabetes Dietitian
Somerset NHS Foundation Trust

Miss Manyee Li

Diabetes/Sport & Exercise Medicine Dietitian
University Hospitals Birmingham NHS Foundation Trust

Who came in 2025?

2025's EXTOD National Conference brought together over 180 attendees to Liverpool, each of whom benefitted from a unique and engaging learning environment. This forum illustrated the practicalities of managing exercise in individuals living with diabetes, with case study presentations and interactive scenarios.


We were joined by attendees with the following job titles:

  • Advanced Dietetic Practitioner
  • Advanced Dietetic Practitioner, Paediatric Diabetes
  • Assistant Professor in Exercise Prescription
  • Associate Nurse Specialist Diabetes
  • Associate Professor, Consultant
  • Associate Professor of Diabetes and Endocrinology
  • Associate Specialist
  • Children's Diabetes Nurse
  • Clinical Education Manager
  • Clinical Educator
  • Clinical Lead
  • Clinical Lead for Adult Diabetes Services
  • Clinical Lead Paediatric Diabetes Dietitian
  • Clinical Midwife Specialist Training
  • Clinical Specialist Paediatric/Adolescent Diabetes Dietitian
  • Community Partnerships and Events Lead
  • Consultant
  • Consultant Diabetes and Endocrinology and General Medicine
  • Consultant Diabetologist
  • Consultant in Diabetes & Endocrinology
  • Consultant in Diabetes and Acute General Medicine
  • Consultant in Endocrinology & Diabetes
  • Consultant Paediatrician
  • Consultant Paediatrician with diabetes interest
  • Consultant Physician
  • Customer Service Specialist
  • Diabetes  Dietitian
  • Diabetes & Endocrinology Registrar
  • Diabetes Clinical Specialist Nurse
  • Diabetes CNS
  • Diabetes Dietitian
  • Diabetes Dietitian & Insulin Pump Educator
  • Diabetes Educator Nurse Facilitator
  • Diabetes Fellow
  • Diabetes Network Manager
  • Diabetes Research Unit and Type 1 Diabetes Clinical Service Lead
  • Diabetes Specialist Dietitian
  • Diabetes Specialist Nurse
  • Diabetes Specialist Practitioner
  • Diabetes Specialty Doctor
  • Diabetes Training and Education Specialist
  • Healthcare Engagement and Systems Change Manager
  • Lead Diabetes Specialist Nurse
  • Lead Nurse, Children's Diabetes Team
  • Lead Paediatric Diabetes Dietitian
  • Lead PDSN
  • Lead Pump Diabetes Specialist Nurse
  • NHS Engagement Officer
  • Nurse Practitioner (Diabetes Lead)
  • Paediatric Consultant
  • Paediatric Diabetes Specialist Dietitian
  • Patient with lived experience
  • Reader in Physical Activity and Mental Health
  • Regional Medical Manager
  • Regional Sales Manager
  • Registered Nurse and Diabetes Lead
  • Resident Doctor
  • Senior Diabetes Account Specialist
  • Senior Diabetes Dietitian
  • Senior Dietitian
  • Senior Regional Medical Advisor
  • Specialist Diabetes Dietitian
  • Specialist Diabetes Dietitian - Children and Young people
  • Specialist Diabetes Nurse
  • Specialist Dietitian
  • Specialist Dietitian, Diabetes/Sport & Exercise Medicine
  • Specialist Paediatric Dietitian RD
  • ST5 Paediatric Registrar
  • Technical Consultant
  • Territory Manager
  • Young Person and Technology Lead
  • Youth Worker

    From these organisations:

  • Alder Hey Children's NHS Foundation Trust
  • Bedfordshire Hospitals NHS Foundation Trust
  • Betsi Cadwaladr University Health Board
  • Birmingham Community Healthcare Trust
  • Birmingham Women's and Children's NHS Foundation Trust
  • Bolton NHS Foundation Trust
  • Bradford Teaching Hospitals NHS Foundation Trust
  • Breakthrough T1D
  • Buckinghamshire Healthcare NHS Trust
  • Cambridge University Hospitals NHS Foundation Trust
  • Children's Health Ireland at Crumlin
  • Cornwall Healthcare Trust
  • Cornwall Partnership NHS Foundation Trust
  • Countess of Chester Hospital NHS Foundation Trust
  • Diabetes UK
  • Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust
  • Dorset County Hospital NHS Foundation Trust
  • East Lancashire Hospitals NHS Trust
  • Essex Partnership University NHS Foundation Trust
  • Guy's and St Thomas' NHS Foundation Trust
  • Hertfordshire Community NHS Trust
  • HSC
  • HSE
  • Imperial College Healthcare Trust
  • Lansdowne Surgery
  • Liverpool University Hospitals NHS Foundation Trust
  • Loughborough University
  • Maidstone and Tunbridge Wells NHS Trust
  • Manchester University NHS Foundation Trust
  • Mersey and West Lancashire Teaching Hospital NHS Trust
  • NHS Grampian
  • NHS Lanarkshire
  • NHS Lothian
  • NHS University Hospitals of Liverpool Group
  • North Cumbria Integrated Care
  • North East London NHS Foundation Trust
  • Northern Health & Social Care Trust
  • Nottingham University Hospitals NHS Trust
  • Oxford University Hospitals NHS Foundation Trust
  • Royal Free NHS Trust
  • Royal United Hospitals Bath NHS Foundation Trust
  • Somerset NHS Foundation Trust
  • South Eastern Health & Social Care Trust
  • South Tyneside and Sunderland NHS Foundation Trust
  • South Warwickshire University NHS Foundation Trust
  • South West Yorkshire Partnership NHS Foundation Trust
  • South Eastern Health & Social Care Trust
  • Southern Health Social Care Trust
  • St George's University Hospital NHS Foundation Trust
  • St James's University Hospital
  • Stockport NHS Foundation Trust
  • Students Health Service
  • Surrey & Sussex Healthcare NHS Trust
  • Tabuk University
  • The Princess Alexandra Hospital NHS Trust
  • The Shrewsbury and Telford Hospital NHS Trust
  • Université de Montréal, Canada
  • University College London Hospital's NHS Foundation Trust
  • University Hospitals Sussex NHS Foundation Trust
  • University Hospital Southampton NHS Foundation Trust
  • University Hospitals Birmingham NHS Foundation Trust
  • University Hospitals Bristol and Weston NHS Foundation Trust
  • University Hospitals of Leicester NHS Trust
  • University Hospitals of North Midlands NHS Trust
  • University Hospitals Plymouth NHS Trust
  • University of Exeter Medical School
  • Vernova Healthcare CIC
  • Walsall Manor Hospital
  • Warrington & Halton Hospital
  • West Suffolk NHS Foundation Trust
  • Western Health & Social Care Trust
  • Wirral University Teaching Hospitals NHS Foundation Trust
  • Worcestershire Acute Hospitals NHS Trust
  • Wrightington Wigan & Leigh NHS Foundation Trust
  • Wye Valley NHS Trust

Attendee feedback

EXTOD National Conference has taken place since 2017, providing attendees with knowledge, inspiration, and a practical understanding of how to support Type 1 patients to undertake safe and effective exercise. Over 1,300 people have benefited from this unique education to-date, and here are just a few quotes from their experience at EXTOD 2025 forums:

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“The presentations offered an invaluable patient perspective. The stories were powerful and inspiring.”
- Imperial College Healthcare NHS Trust, EXTOD Healthcare Professionals National Conference 2025
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“Very good conference, great structure and information. Networking with lots of people, I enjoyed the event and would recommend it”
- Guy's and St Thomas' NHS Foundation Trust, EXTOD Healthcare Professionals National Conference 2025
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“Excellent conference, definitely thought provoking and will have a positive effect on my practice”
- Maidstone and Tunbridge Wells NHS Trust, EXTOD Healthcare Professionals National Conference 2025
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“I have learned a lot. There is a lot of valuable information to reflect on and try to incorporate into clinical practice”
- Leeds Teaching Hospital NHS Trust, EXTOD Healthcare Professionals National Conference 2025
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“Great speakers, I feel more confident to support athletes with more tailored information/advice”
- Betsi Cadwaladr University Health Board, EXTOD Healthcare Professionals National Conference 2025
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“High quality information and knowledge. Experiences of those with T1D produced great insight and realism”
- University Hospitals Plymouth NHS Trust, EXTOD Healthcare Professionals National Conference 2025
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”Really great. Very informative and lots of notes taken!"
- South West Yorkshire NHS Foundation Trust, EXTOD Healthcare Professionals National Conference 2025
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“Absolutely brilliant! I learned a lot and can see how to fit it into my practice”
- Betsi Cadwaladr University Health Board, EXTOD Healthcare Professionals National Conference 2025
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"It was really excellent. Well organised. The food was great. I enjoyed the workshops too."
- South West Yorkshire Partnership NHS Foundation Trust, EXTOD Healthcare Professionals National Conference 2025

Two-day education forum

  • £335 + VAT - two day price for consultants and registrars
  • £295 + VAT - two day price for resident doctors
  • £245+VAT - two day price for nurses and dietitians

We expect this conference will be very popular and so if you are planning on attending, we would encourage you to book or reserve a place as soon as possible. If you have any questions about attendance please email grace.hillery@sbk-healthcare.co.uk or call 01732 897788.


Commercial companies are invited to sponsor this conference, please email sarah.kemm@sbk-healthcare.co.uk for details.


The EXTOD Healthcare Professionals National Conference 2026 will be applying for CPD Credits from the Federation of the Royal College of Physicians and certificates will be provided to all attendees

Venue and travel

Venue: Birmingham Conference & Events Centre

Address: Hill Street, Birmingham, B5 4EW

Telephone: 0121 634 6211


Ideally located just a one-minute walk from Birmingham New Street station, with direct access to Birmingham International Airport in under ten minutes, the BCEC is the perfect venue for regional, national and international events.


Train – Opposite Birmingham New Street, main train station
Grand Central Station (Southside exit)
Exit at Southside exit
Follow the steps down to the traffic lights and cross the road
To the right is a second set of traffic lights, cross the road and head to the left
Walk left, past the NCP St Jude’s open air car park
The BCEC is located just on the right-hand side (next to NCP open air car park/Holiday Inn Birmingham City)


Driving - SAT NAV - B5 4EW
From the North- exit the M6 motorway at junction 6 and follow the signs for the A38 – Birmingham City Centre
From the South west- exit the M5 motorway at junction 3 and follow the signs for A456, Hagley Road
From the South- exit the M40 onto the M42 heading north, following signposts for the NEC and Birmingham Airport.  Exit the M42 at Junction 6 and follow signs for the A45 Birmingham Airport and City Centre. 

 

Parking
NCP – St Jude’s passage B5 4AN
Discounted rate £13.95 for 24 hours (normal price is £32 for 24 hours)
Please collect a ticket when you enter the car park and then on your departure hand the ticket in at the Holiday Inn reception to make payment and they will provide you with an exit ticket that you can use to leave the NCP. 

What happens next?

Once you have booked your place, SBK Healthcare will correspond with you using the email address you provided at the time of booking and you will be sent a formal confirmation. If you have not received this within 48 hours of making your booking please check your junk folder and then email bookings@sbk-healthcare.co.uk or call 01732 897788.


Approximately one week prior to the conference you will be sent an email which will include all the final details for attendance on the day, including a final agenda and venue information. 


Please inform us by writing to bookings@sbk-healthcare.co.uk if you have any special dietary or other requirements.


Terms and conditions

Registration fees
You will be sent an instant payment option or invoice on registration. Your payment is required in advance. If your fee has not been received prior to the event, and you are not able to provide a PO or proof of payment, you will be asked to make a credit or debit card payment on the day.
 
Modify registration

To let us know if your details are not correct when you have already registered, please email bookings@sbk-healthcare.co.uk.
 
Cancellations and substitutions

A full refund of fees will be made only for cancellations received within the first 48 hours of the booking being made. Notice of cancellation must be received in writing by emailing the bookings team at SBK Healthcare. Should you need to cancel your registration after this date, the registration fee remains payable in its entirety although a substitution will be accepted and conference documentation will be provided. Substitution attendees for delegates unable to attend after registering are acceptable at any time.
 
Conference changes

It may be necessary for reasons beyond the control of the conference organisers to alter the content, speakers or the timing of the programme. We will endeavour to keep you abreast of such changes but any unavoidable change to the format will not constitute a reason to refund the fee. Should the event be postponed, we will endeavour to reschedule the event. If, for reasons beyond the control of the conference organiser, the event is cancelled, a full refund will be made. We do not accept any liability for any incurred costs resulting from a postponement or cancellation.
 
Certificate of attendance

A certificate for Continuing Professional Development will be given to every attendee, as a record of continuing professional training and development.
 
Privacy notices

To view the details on how your data is being collected and used, please view our Privacy policy.


Confirmed sponsors


Abbott’s Diabetes Care Division is committed to helping people manage their diabetes and achieve their best health outcomes with innovative technology, such as the FreeStyle Libre 2 system.




Insulet Corporation, is an innovative medical device company dedicated to simplifying life for people with diabetes. The Omnipod DASH® System and Omnipod 5® Automated Insulin Delivery System, are alternatives to traditional insulin delivery. With its simple, tubeless and waterproof* design, the Pod provides up to 3 days of continuous insulin delivery. *The Pod has a waterproof IP28 rating for up to 7.6 m for 60 min



MiniMed is the complete insulin delivery company. Built around one belief: that technology should ease the burden of diabetes.


So that every day is a better day. Days when diabetes fades into the background and life takes the lead. Joyful, messy, fully lived days - when things feel lighter, easier, more possible. Those are the days we’re here to make real.

Why sponsor?

Our role at SBK Events is to bring industry together with healthcare professionals so that you can educate and inform your audience. These trail-blazing diabetes delivery forums offering dedicated presentation, Q&A, networking and discussion time, each sponsor will be full immersed into the event and able to effectively engage with your NHS audience.

Your event, managed by us

SBK Events also provides in-house forums. Working closely with you as the client we can research, produce, market and deliver the conference or online forum that best suits the audience and meets your goals.

Reach out today

If you would like more information on our sponsorship options an in-house forum or if you wish to discuss your needs and what solutions may be appropriate for your business, please contact:

Vanessa Pearce
Telephone: 01732 897788
Email: vanessa.pearce@sbk-healthcare.co.uk





Supported by:

SBK Healthcare would like to thank Breakthrough T1D and Diabetes UK for their continued support. 




Breakthrough T1D, the leading global type 1 diabetes charity, works every day to help people live better with the condition, prevent people ever developing it and one day, find cures.



Diabetes UK, the leading charity for people living with diabetes in the UK. Our vision is a world where diabetes can do no harm.