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PUTTING FEET FIRST

PUTTING FEET FIRST. September 2013. Overarching campaign objectives . To raise awareness of the importance of people knowing their risk status to empower them to take action to reduce risk of foot problems and amputations

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PUTTING FEET FIRST

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  1. PUTTINGFEETFIRST September 2013

  2. Overarching campaign objectives • To raise awareness of the importance of people knowing their risk status to empower them to take action to reduce risk of foot problems and amputations • To improve access of people with diabetes to quality foot checks and appropriate referral by competent practitioners in primary and secondary care • To increase the proportion of localities delivering the integrated footcarepathway, including provision of Foot Protection Teams and Multidisciplinary Specialist Footcare Teams to provide a structured programme of care

  3. Integrated footcarepathway

  4. Risk stratification tool

  5. The first year: what we achieved • Getting the footcare pathway used throughout the UK − over 3,000 ordered • Campaign Narrative downloaded 1,197 times and 1,716 ordered • Nearly 9,000 Top ten tips were ordered • 22 PCTs/CCGs committed to reviewing their footcareservices

  6. Parliamentary success in 2012 – 13 • Think tank and parliamentary reception Oct 12 • Lords debate – Nov 2012 – campaign mentioned four times including by Earl Howe who said the Government supported it • Commons debate Jan 2013 – campaign mentioned three times • Times 26th January 2013 – Jeremy Hunt says “we want to reduce levels of amputations by 50 per cent over the next five years”

  7. 2013:Targeting high risk groups And poor outcomes

  8. 2013 objectives and focus • To raise awareness amongst those at high risk of foot ulcers and amputations about what to look out for and how and where to seek help • To raise awareness of those caring for people with high risk feet (including in community, hospitals and care homes) about what to look out for and how/where to seek help/refer • To increase the number of people with diabetes accessing specialist multi-disciplinary footcare team within 24 hours of presenting with an acute foot problem • To increase the number of people with diabetes who have their feet checked when in hospital

  9. The audiences we are targeting: • People with high risk feet and those who care for them in various settings • Commissioners and providers (CCGs and NHS hospital trusts) with high numbers of amputations • Healthcare professionals (working in primary and community services as well as hospitals) • Government, parliamentarians and NHS key decision makers (in all nations)

  10. Multidisciplinary footcareteams • There is evidence that rapid access to MDfTs can lead to faster healing, fewer amputations and improved survival • But, 30% of hospitals don’t have such teams in place (an improvement on previous years) • Nearly half of diabetes specific admissions are for foot disease (44%) but over half of these (53%) are not seen by a multi-disciplinary team within 24 hours

  11. Targeting CCGs Report of Policy Think Tank – Fast track for a foot attack published February 2013 www.diabetes.org.uk Recommendations for CCGs including: • Root cause analysis for every amputation • Supporting footcarenetworks • Using footcareprofiles to target improved care

  12. Targeting CCGs with high amputation rates • Engagement with CCGs highlighting high amputation rates and poor aspects of care in local hospitals • Media focus to highlight CCGs with high amputation rates and any action being taken − focus on 24 hour access to MDT and foot checks in hospital • Following up on commitments made by CCGs with high amputation rates

  13. What we have achieved so far in 2013 • Over half of the 50 CCGs with high amputation rates have committed to action to reduce these • NHS Trusts in high amputation rate areas have told us about changes made since last year’s audit which should show improvements in this year’s performance • The media coverage has again focused attention on the issue in areas of high amputation rates

  14. Next Steps: 2013 • Launch of red card for people at high risk of foot ulcers and amputations and those with active foot disease (expected Winter2013) • Working with Vascular APPG on inquiry into diabetes related amputations and PAD • Following up on commitments made by CCGs in high amputation rate areas (through Diabetes Voices and Diabetes UK regional teams and media)

  15. Next Steps: 2014 • Exploring and highlighting impact of vascular surgery reorganisation on MDTs and amputations • Focus on community support for medium and high risk – Foot protection teams, podiatry and peer support • Focus on quality foot check in primary care

  16. Working with healthcare professionals • The Putting Feet First Campaign is supported by healthcare professionals and is advised by a group including the Society of Chiropodists and Podiatrists, RCN and ABCD • Diabetes UK are continuing to work closely with partner organisations to make a real impact on the devastating effects of amputation.

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