How I would integrate and run a Diabetic Foot Service

Derek Park

August 2013

Outline

• “Patients, People, Pathways”• The case for change

• Proposal

• Current service

• Summary

Patients: The case

• 30,000 patients

• Ulceration & Amputation

• 50% 2 year survival

People: Proposal

• Multi-disciplinary team

• Outpatient & Inpatient service

• Primary & Community care pathways

• Fellowship experience

Heat maps

People & Pathways: Proposal

• Chase Farm pilot - ?post BEH

• Patient User Involvement

• Diabetic Podiatrist

• Orthotics

People & Pathways

• Establish three goals:– Central phone line– Diabetic Foot Care Team– Named Consultant MDT Foot Care Team

People & Pathways

• Resources

• Timeframe

• Outcome:– National Audit Tool– Dashboard

Summary

• The case for change

• Proposal

• Building on current service

• “Patients, People, Pathways”

Thank You