Diabetic foot ulcers & DCH

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Presentation transcript:

Diabetic foot ulcers & DCH Adeel Ghaffar Consultant Diabetologist

Topics History of DCH service and developments National Diabetic Foot Audit Challenges Primary care/community care

New referrals to DCH Foot ulcer service

DCH Foot service timeline

DCH Foot service timeline

Numbers of amputations at DCH

Numbers of amputations at DCH

National Diabetes Foot Audit

National Diabetes Foot Audit DCH 6% >14/7 DCH 63%

NDFA Audit

NDFA data regarding ulcer healing

‘Every system is perfectly designed to get the results it gets.’ Don Berwick

Challenges 42 week podiatry agreement with Dorset Healthcare- workforce and financial constraints Improve time to access CSR re-percussions Clinic re-configuration Walk-in service?

Risk of ulcers Low Risk Active Ulcer High Risk

Advice for pts Simple measures prevent ulcers: footwear, moisturising Foot checks +/- referral promptly High risk if neuropathy + callus and/or deformity

Questions? Advice?

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