1. How I would integrate and run
a Diabetic Foot Service
Derek Park
August 2013

2. Outline
• “Patients, People, Pathways”
• The case for change
• Proposal
• Current service
• Summary

3. Patients: The case
• 30,000 patients
• Ulceration & Amputation
• 50% 2 year survival

4. People: Proposal
• Multi-disciplinary team
• Outpatient & Inpatient service
• Primary & Community care pathways
• Fellowship experience

5. Heat maps

6. People & Pathways: Proposal
• Chase Farm pilot - ?post BEH
• Patient User Involvement
• Diabetic Podiatrist
• Orthotics

7. People & Pathways
• Establish three goals:
– Central phone line
– Diabetic Foot Care Team
– Named Consultant MDT Foot Care Team

8. People & Pathways
• Resources
• Timeframe
• Outcome:
– National Audit Tool
– Dashboard

9. Summary
• The case for change
• Proposal
• Building on current service
• “Patients, People, Pathways”

10. Thank You