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National Diabetes Foot Care Audit

The National Diabetes Footcare Audit (NDFA) enables all diabetes footcare services to measure their performance against NICE clinical guidelines and peer units, and to monitor adverse outcomes for people with diabetes who develop diabetic foot disease.

The submission deadline for 2024 - 2025 data will be 4 August 2025. 

This audit is part of the National Diabetes Audit Programme where you will find information on the legal basis and governance of the audit.

The NDFA data dashboard and NDFA 7th National Report: July 2018 – March 2023 are now available to view. 


Access the data entry system (CAP)

SystmOne uploading to the NDFA

Sheffield Teaching Hospitals NHS Foundation Trust has developed a template that allows users to directly enter audit data into SystmOne and bulk upload the results into the NDFA database. Instructions on how to download the template and carry out bulk uploads are in the link below. If you need advice or support on downloading or using the template, contact [email protected].


Overview of the audit

This national audit enables all services that treat diabetic foot ulcers to measure their performance against NICE guidance, to monitor patient outcomes and to benchmark against peer units. NDFA has been designed to limit the burden of local data collection by making use wherever possible of data that is already collected from other sources. The NDFA looks at the following key areas:

  1. Structures: are the nationally recommended care structures in place for the management of diabetic foot disease?
  2. Processes: does the treatment of active diabetic foot disease comply with nationally recommended guidance?
  3. Outcomes: are the outcomes of diabetic foot disease optimised?

When to collect data

The NDFA is a continuous collection and data can be collected throughout the year. Data can be input at any time during the year into the online collection tool.

The data items to collect can be found in the NDFA Hospital User Registration Form.

A cut of the data is taken each year to include in the annual report, the audit team will announce the cut-off date each year for foot ulcers to be included in the next annual report.


How to participate

1. Identify an audit lead for your organisation or treating service.

2. Start data collection using the NDFA Data Collection form

3. Register all staff who will submit NDFA data by completing the NDFA Hospital User Registration form

4. Submit data using the Clinical Audit Platform (CAP) this can only be done by staff once they are confirmed as registered.


Reports

The NDFA 7th National Report in 2018 – 2023 has now been published. A PowerPoint version of the report is also available to download from the main page for the report. You can also access previous versions of the report

Diabetes UK produces patient-friendly versions of the audit reports.

The audit has recently released an interactive dashboard, which provides service level data. This is also available from the main page of the report.

We would appreciate your feedback on any improvements that can be made to future dashboards and have added a link to a short survey on the landing page of the dashboard.

If you are interested in finding out more about the audit, please email the audit team at [email protected]


Contact Us

For further information about the audit, email [email protected]

For general enquiries, email [email protected] or contact 0300 303 5678. Lines are open Monday to Friday 9am to 5pm.


Guidance for patients


User documents


Support videos


Further information

Last edited: 16 June 2025 10:42 am