National Diabetes Foot Care Audit Report 2014-2015 England and Wales
This is the first report of the National Diabetes Foot Care Audit (NDFA), which provides measurements as to whether the NICE recommended clinical pathways are in place locally and how effective those pathways are in managing new diabetic foot ulcers. In addition to the National Diabetes Audit (NDA) which includes data on annual foot risk checks and rates of amputation, the NDFA shines a spotlight on key system challenges such as provision of expert teams, delays in reaching expert teams and the impact of delays on healing times, ulcer severity and amputation.
As this was the first time any data was collected there were challenges in getting patient consent and managing the additional time burden resulting in a low number of cases submitted. Those with a SINBAD score of >3 (severe ulcer) accounted for 77.5% (46.2% Nationally) of the cases which likely accounted for a poorer outcome of alive and healed at 12 weeks 16.2% (48% Nationally). Work has been done on the local pathway since this time which will hopefully show improved outcomes in the next report.
This audit is available in further details here.