Feet For Life Viliami Tutone, Catherine Tracy, Roger Grech, Shannon & Gina Wetere, Sally Fox, Pauline Sanders-Telfer, Rowena Scofield, Fakaola Otuafi, Jubedah Shah, Frances Reid, Babu Ramalingam, Lawrence Kingi, Anthony Ng, Penny Wilkings, Ian Hutchby, Jacqueline Schmidt-Busby Beyond 20,000 Days Campaign

Podiatrist led wound care team  Renal Physician and nurse  Diabetiologist and nurse  Vascular surgeon  Orthopaedic surgeon  Radiologist  Plaster nurse  District nurse

 43 year old male patient on dialysis  Type two diabetic with a 10 year duration  Hypertension - dyslipidaemia  Dense Peripheral Neuropathy  History of Foot ulceration  Right foot Cellulitis and Right toe gangrene  Multiple cutaneous infections  Chronic Osteomyelitis – septic arthritis  Recurrent foot trauma

 Plastic surgical debridement  Vascular surgical debridement  Orthopaedic surgical debridement  IV therapy maximum of 6 weeks  18 outpatient clinics June 2011 to Oct 2013  50% DNA  Total 28 days admission between 2011 and 2013  Admission Cost per day $850  Total Cost $23,800

 Average 2-6 week referral process for Diabetes Foot clinic  Diabetic patients only with active wounds  Multiple appointments  Clashed with dialysis or unwell  Transport - family support & around work  Unaware of Primary Podiatry Care

 577 renal patients  Immediate access to a podiatrist  ALL renal patients have access  Reduced outpatient appointments  Care that fits in with patients  Knowledge of Primary Podiatry Care  Extensive foot care education provided