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Foot Care update

As a result of the latest NDFA (National Diabetes Foot Audit) publication in 2017, we are reviewing the Foot Care Pathway in Berkshire West. Although we feel that good diabetes foot care is provided by Primary Care, the Podiatry Team & the Multidisciplinary Foot Care Team, the data collection process does not give a clear view primarily as there is no data collection from Community Services. We are looking to rectify this and are currently reviewing the whole pathway to ensure it is fit for purpose. Dr George Farah, Consultant Endocrinologist at the RBFT is the Lead Clinician.

The management of diabetic foot care in Berkshire West 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.

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) 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.

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.

RBFT 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.

West Berkshire Community Hospital
London Road
Benham Hill
RG18 3AS

Tel: 01635 273337
Fax: 01635 273364

Milman Road Health Centre
50 Milman Road

Tel: 0118 986 2286
Fax: 0118 9450621

Wokingham Hospital
Barkham Road
RG41 2RE

Tel: 0118 9495114
Fax 0118 9775880

689 Oxford Road
RG30 1HP

Tel: 0118 918 5870
Fax: 0118 959 5507