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Diabetes care in Reading, Wokingham and West Berkshire

Foot care in Berkshire West

Update of foot care services in Berkshire West as of April 2015

Foot Care update

The management of diabetic foot care in the West of Berkshire involves multiple professionals working across primary, community and secondary care, with the aim to provide high quality services for patients with diabetes. This is being achieved through providing an integrated foot care pathway, aiming to get the right treatment at the right time in the right place.

People with diabetes need to know how to look after their feet and what to expect from their local foot health services and this is achieved through annual foot screening which forms part of the Care Planning process. Patients are assessed for their foot risk status, provided with written information, given basic foot health education and advised who to contact for a foot emergency.

A total of 71 Health Care Professional attended for foot screening training or a refresher last year, including Health Care Assistants, Practice nurses and District nurses. Data from the 2012-13 National Diabetes Audit shows that 85.4% of patients received their annual foot check which was better than the average for England. Raw data from ECLIPSE  shows the breakdown of foot risk within the locality.

 

  • LOW RISK 71%
  • MODERATE RISK 22%
  • HIGH RISK 7%

 

Health Care Professionals also receive information about the integrated foot care pathway on the Foundation Course, and are made aware that those at moderate and high risk of foot complications need to be referred to their locality community foot protection team (CFPT) (figure 2) for further assessment, treatment and management of their complications.

The aims of these teams are to prevent episodes of new ulceration that may require hospital admission and enable patients to continue with quality of life. Data from the latest diabetic foot activity profiles show hospital admissions between the CCGs range from 8.8 to 9.0 per 1,000 people with diabetes each year, this is significantly lower than the national rate of 18.6 per 1,000.

Locality CFPTs contact details:

The multidisciplinary footcare team (MDFT) is based at the Royal Berkshire Hospital and manages acute diabetic foot complications ranging from foot ulceration, infection, ischaemia and Charcot foot. The team is led by Anne Sparke (Acute Clinical Lead Podiatrist) and Dr Aparna Pal (Consultant Endocrinologist) who hold a weekly MDFT clinic but during the last year the following changes have occurred:

  • fortnightly joint clinic with a Vascular surgeon
  • monthly X-ray MDT with radiology and vascular surgeon
  • orthopaedic urgent access appointments from the foot clinic to orthopaedic clinic the following week
  • joint guidelines with microbiology for antibiotics used in the MDFT
  • monthly renal MDT
  • participation in the National Diabetes Footcare Audit
  • involvement in national research studies

Amputation rates locally remain below average for England.

RBH Footcare team

The decommissioning of NHS Diabetes lead to a break-up of the South Central Diabetes foot care network, but the newly formed Thames Valley Strategic Clinical Network has formed a new Diabetic foot reference group with the aims to reinvigorate a network approach to the management of diabetic foot care and work with providers and CCG commissioners on the steps to achieving excellence.

 

 

NEWBURY

Podiatry Clinic

West Berkshire Community Hospital

London Road,

Benham Hill

Thatcham

Berks RG18 3AS

Tel: 01635 273337

Fax: 01635 273364

 

READING

Podiatry Department

Milman Road Health Centre

50 Milman Road

Reading

Berks RG2 0AR

Tel: 0118 918 5870

Fax: 0118 9450621

 

Podiatry Department

689 Oxford Road

Reading

Berks

RG30 1HP

Tel: 0118 918 5870

Fax: 0118 959 5507

 

WOKINGHAM

Podiatry Clinic

Wokingham Hospital

Barkham Road

Wokingham

Berks RG41 2RE

Tel: 0118 9495114

Fax 0118 9775880