Page 0010

NEWS

NEWS

REPORT

Regarding footcare, a group of diabetes experts is urgently

calling for clearer signposting to speed up access to footcare

teams in order to reduce preventable amputations.

FANCY FOOTWORK

T

he Insights for Diabetes

Excellence, Access and

Learning (iDEAL) Group

group - specialists

spanning diabetes

management, medicine, pharmacy,

dietetics, technology, nursing, psychology,

commissioning and the perspective of

living with diabetes - produced the paper,

'Diabetes and Foot Care Assessment

and Referral', in collaboration with Kings

Podiatrist, Professor Mike Edmonds and

Chris Aldred, aka The Grumpy Pumper.

It comes after figures from Public Health

England 2019 show there were 7,545

major amputations in people with diabetes

in England between 2015 to 2018.

Foot care is a top priority for people

with diabetes. One in three people with

the condition may develop foot ulcers in

their lifetime. These are highly susceptible

to infection that can spread rapidly,

causing tissue destruction or gangrene

resulting in major amputation, and why

rapid access to the right treatment is

needed. To significantly improve foot

care, the paper specifies the following key

recommendations:

• Increased awareness of the risks to

all people living with diabetes to promote

foot health and avoid delays in seeking

help when facing any difficulties.

• Establish a national education

programme with practical information

in an illustrated practical handout for all

people living with diabetes about foot selfcare

and checks from diagnosis onwards.

• Increased access to education in

foot assessment and urgent referral for

ALL Health Care Professionals (HCPs)

working with people living with diabetes.

• Adoption of the 'ACT NOW' acronym

in urgent foot care referrals for people with

diabetes by all HCPs.

• Clarity of referral pathways

is essential for all HCPs to avoid

unnecessary delays and need techniques

to facilitate and enable clarity of pathways

for easy referral.

• For all NHS Trusts to enable people

living with diabetes to self-refer as required

to Multidisciplinary Foot Care Teams

(MDFT) to avoid unnecessary delays.

• NHS Standardisation of evidencebased

provision of MDFT in all NHS Trusts

and referral criteria to reduce postcode

lottery and fragmented services across

the NHS and to comply with the guidance

from The International Working Group of

the Diabetic Foot (IWGDF) (2019).

• Regular audit to assess the impact

on services and demonstrate the need to

increase access to MDFT.

• Call upon professional bodies to

review the annual data from NHS England

and the National Diabetes Audits to

assess the training and support needs for

HCPs to have the necessary capabilities

to address prioritised unmet needs.

Finally, for all Clinical Commissioning

Groups and Primary Care Networks

provide all three care structures of care for

people living with diabetes with diabetes

and foot disease, as recommended by

NICE Guideline, NG19 (2019):

1. Training for healthcare staff to carry

out routine foot examinations

2. A clear pathway for assessment

if someone has new, worsening or reoccurring foot ulcers (in 24hrs if needed)

3. A clear pathway for referral into

a specialist foot protection service

if someone is assessed as being at

increased risk of developing foot ulcers.

To read the paper in full CLICK HERE.

www.idealdiabetes.com

Index

  1. Page 0001
  2. Dexcom CGM, continuous glucose monitoring
  3. Page 0003
  4. Page 0004
  5. Abbott Freestyle Libre, Flash Glucose Monitoring
  6. Page 0006
  7. Medtronic Guardian Connect
  8. Page 0008
  9. Page 0009
  10. Page 0010
  11. BD, Becton Dickinson, injection technique, BD pen needles
  12. Page 0012
  13. Home test HbA1c, A1C Now Self-Check
  14. Page 0014
  15. Medtronic Minimed 670G hybrid closed loop insulin pump
  16. Page 0016
  17. Association of British Clinical Diabetologists, Diabetes Technology Network, Libre Flash education p
  18. Page 0018
  19. Page 0019
  20. Page 0020
  21. Page 0021
  22. NHS UK coronovirus information
  23. Second Nature lifestyle behaviour change
  24. Carbs & Cals, Chris Cheyette, Yello Balolia, Making Carbs Count
  25. Carbs & Cals, Chris Cheyette, Yello Balolia, Making Carbs Count
  26. Carbs & Cals, Chris Cheyette, Yello Balolia, Making Carbs Count
  27. Diabetes UK helpline
  28. Page 0028
  29. Page 0029
  30. Nemaura Medical, Faz Chowdhury, sugarBEAT, BEATdiabetes, glucose sensor, glucose sensor for Type 2 d
  31. Nemaura Medical, Faz Chowdhury, sugarBEAT, BEATdiabetes, glucose sensor, glucose sensor for Type 2 d
  32. Nemaura Medical, Faz Chowdhury, sugarBEAT, BEATdiabetes, glucose sensor, glucose sensor for Type 2 d
  33. Nemaura Medical, Faz Chowdhury, sugarBEAT, BEATdiabetes, glucose sensor, glucose sensor for Type 2 d
  34. Page 0034
  35. Page 0035
  36. Page 0036
  37. Page 0037
  38. Page 0038
  39. Omnipod Insulet insulin pump with insulin pods, podders
  40. Page 0040

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