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CPRD/DECIDE Clinical Practice Research Datalink (CPRD) and Medicines and Health care products Regulatory Authority (MHRA) Study: Will determine the effectiveness of Dapagliflozin compared to Standard of Care for second line treatment. Practice Involvement (EMIS/Vision Practices): Step 1 Interested Practices need to join CPRD using online link http://www.cprd.com/generalpractitioner/ Send Expression of interest to [email protected] Step 2 Set up 1. Sign and return Investigator Agreement, protocol signature page, CV and online Site specific information (using IRAS account) 2. Complete a short eLearning module (GCP and Protocol training) on CPRD study platform when your site is activated 3. Store and maintain the supplied Site Investigator File Step 3 Patient Recruitment During the standard appointment Patient population: Type 2 Diabetes Mellitus; Uncontrolled on first-line metformin treatment 1. Identify potential participants (List is provided by CPRD which will be within EMIS WEB) 2. Consent (using online CPRD platform) 3. Randomise(using online CPRD platform) Reimbursement 1. £200/patient enrolled (Vision), £300 (EMIS) 2. £250 Site set-up and management 3. Additional drug reimbursement per patient per month is provided