Using findings from the National Diabetes Foot Care Audit to shape treatment and care is one of the topics to be discussed at the upcoming EDFN National Conference.
The National Diabetes Foot Care Audit of England and Wales was established in 2014 as part of the family of audits conducted under the umbrella of the National Diabetes Audit (NDA) of England and Wales.
Its overall aim is to measure factors associated with adverse ulcer outcomes, for use by service providers, local commissioners and national policy makers, aiming to share information relating to best clinical practice to enable the highest quality of care for people with diabetes and foot ulcers in England and Wales.
It has now collected data on over 100,000 ulcer episodes in over 76,000 people with diabetes and is thus the largest continuous audit of diabetes related foot ulcers in the world. Over the seven years of outcome data collected, it has consistently linked time to first expert assessment, with the severity of ulcers at first expert assessment and outcome at 12 weeks, in terms of being alive and ulcer free.
This has supported local systems to ensure that they have funding for multi-disciplinary diabetic foot clinics and, as a result, outcomes at 12 weeks have improved overall. There remains however, unacceptable variation in outcome across NHS regions and providers.
The new local on-line dashboard should enable systems to benchmark themselves against national data sets and this will be discussed during the conference session, which is being delivered by Professor Fran Game.
Professor Game is a Consultant Diabetologist and Clinical Director of R&D at the University Hospitals of Derby and Burton NHS Foundation Trust. She is also Clinical Lead for the National Diabetes Foot Care Audit, England and Wales.
Her session will enable delegates to:
- Understand the aims of the National Diabetes Foot Care Audit
- Understand what the data are telling us in terms of links between variables and outcomes
- Understand how to access a local data set and how this can be used to improve services.