1. Diabetic foot ulcers & DCH
Adeel Ghaffar
Consultant Diabetologist

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

3. New referrals to DCH Foot ulcer service

4. DCH Foot service timeline

5. DCH Foot service timeline

6. Numbers of amputations at DCH

7. Numbers of amputations at DCH

8. National Diabetes Foot Audit

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

10. NDFA Audit

11. NDFA data regarding ulcer healing

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

13. 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?

14. Risk of ulcers
Low Risk
Active Ulcer
High Risk

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

16. Questions? Advice?