Publication, Part of National Diabetes Foot Care Audit
NDFA Interval Review: July 2014-March 2021
Audit
Updates to mapping of foot care services
This report was updated on 21 June 2022. The following updates to the specialist foot care service mappings used in the analysis have been applied:
• Service RW501a has been mapped to RW5, rather than RW4
• Service RW501d has been mapped to RW4, rather than RW5 (as intended)
• Service 7A3C7c has been mapped to 7A3, rather than 7A5
• Service 7A3C7d has been mapped to 7A3, rather than 7A5
• Service 7A3C7a/7A5B1a is still mapped to 7A5, rather than 7A3 (as intended)
• The name used for service R0B0Qa has been standardised to: "South Tyneside Inpatient Podiatry Team". R0B0Qa was previously listed with two names: "South Tyneside District Hospital" and "South Tyneside Inpatient Podiatry Team".
The updated mappings have affected:
NDFA Interval Review: July 2014-March 2021:
https://digital.nhs.uk/data-and-information/publications/statistical/national-diabetes-footcare-audit/2014-2021
• Text on tab "3. Findings": 3.4. Regional variation: Alive and ulcer-free at 12 weeks
https://digital.nhs.uk/data-and-information/publications/statistical/national-diabetes-footcare-audit/2014-2021/findings
• Text and Appendix 5.8 on tab "5. Appendices": https://digital.nhs.uk/data-and-information/publications/statistical/national-diabetes-footcare-audit/2014-2021/appendices
NDFA Interval Review 2014-21 - Main Report v1.1 (pptx and pdf):
• Text on Slide 11
• Text and Appendix 5.8 on Slide 24
NDFA Interval Review 2014-21 - Open Data v1.1.csv:
• Updated figures where Output_Reference = "Appendix 5.8"
NDFA Interval Review 2014-21 - Audit Participation v1.1.xlsx
• Text on tab: "Title sheet"
• Mappings on tab: "Data"
21 June 2022 09:00 AM
Update to Appendix 5.6
This report was updated on 12 August 2022.
Appendices 5.6a and 5.6b have been updated after an error was identified in the analysis code. The corrected figures for 5.6a still show a steep increase in heart failure, but rates of myocardial infarction and stroke are now flat, rather than upward. Updated figures for 5.6b are similar to those previously published.
The updated analysis has affected:
NDFA Interval Review: July 2014-March 2021:
https://digital.nhs.uk/data-and-information/publications/statistical/national-diabetes-footcare-audit/2014-2021
• Text and Appendix 5.6 on tab "5. Appendices": https://digital.nhs.uk/data-and-information/publications/statistical/national-diabetes-footcare-audit/2014-2021/appendices
NDFA Interval Review 2014-21 - Main Report v1.1 (pptx and pdf):
• Text on Slide 1
• Text and Appendix 5.6 on Slide 22
NDFA Interval Review 2014-21 - Open Data v1.1.csv:
• Updated figures where Output_Reference = "Appendix 5.6"
12 August 2022 14:53 PM
7. Further information
7.1. References
Abbott CA, Carrington AL, Ashe H, Bath S, Every LC, Griffiths J, Hann AW, Hussein A, Jackson N, Johnson KE, Ryder CH, Torkington R, Van Ross ERE, Whalley AM, Widdows P, Williamson S, Boulton AJM (2002) The North-West Diabetes Foot Care Study: incidence of, and risk factors for, new diabetic foot ulceration in a community-based cohort. Diabetes Medicine 2002; 19(5): 377–384: DOI.
Chamberlain RC, Fleetwood K, Wild SH, Colhoun HM, Lindsay RS, Petrie JR, McCrimmon RJ, Gibb F, Philip S; Sattar N, Kennon K, Leese GP (2021) Foot Ulcer and Risk of Lower Limb Amputation or Death in People With Diabetes: A National Population-Based Retrospective Cohort Study. Diabetes Care 2021; 45(1): 83–91: DOI.
Diabetes-UK Report on the National Diabetes Foot Care Audit (NDFA) Quality Improvement Collaboratives report 2018-2020 (2020) here.
Kerr M, Barron E, Chadwick P, Evans T, Kong WM, Rayman G ,Sutton-Smith M ,Todd G, Young B, Jeffcoate WJ (2019) The cost of diabetic foot ulcers and amputations to the National Health Service in England. Diabetes Medicine 2019; 36(8): 995-1002 :DOI.
GIRFT Programme National Specialty Report: Diabetes (2020).
Ince P, Abbas ZG, Lutale JK, Basit A, Ali SM, Chohan F, Morbach S, Möllenberg J, Game FL, Jeffcoate WJ (2008) Use of the SINBAD classification system and score in comparing outcome of foot ulcer management on three continents. Diabetes Care 2008; 31(5): 964–967: here.
NDFA National Diabetes Foot Care Audit, 2014-2018 (2019): here.
NICE Guidelines: Diabetic foot problems: prevention and management; January 2016: here.
Valabhji J (2012) Foot problems in patients with diabetes and chronic kidney disease. Journal of Renal Care 2012; 38(s1): 99–108: DOI.
7.2. Acknowledgements
The NDFA team would like to thank all the teams who have worked hard to contribute to this unique and valuable insight into the care and outcomes of people with diabetic foot ulcers.
Development and delivery of the NDFA is guided by a multi-professional advisory group of clinicians and patient representatives, chaired by Professor William Jeffcoate. The NDFA Advisory Group members include:
William Jeffcoate | Retired Diabetologist, Nottingham University Hospitals NHS Trust (Chair) |
Bob Young | Specialist Clinical Lead, National Diabetes Audit |
Andrew Askey | Clinical Advisor in Diabetes, Walsall CCG |
Alex Berry | Head of Involvement and Healthcare Engagement, Diabetes UK |
Sue Brown | Expert by Experience |
Sheila Burston | Expert by Experience |
Scott Cawley | National Diabetic Foot Co-ordinator for Wales |
Mike Churchill | Patient representative |
Sophie Colling | NDA Project Support Officer, Diabetes UK |
Samantha Dottin | Engagement Lead, Diabetes UK |
Frances Game | Consultant, UH Derby and Burton NHS FT |
Rajiv Gandhi | Clinical Director & Consultant Physician, Department of Diabetes & Endocrinology, Sheffield Teaching Hospitals NHS Foundation Trust |
Catherine Gooday | Principal Diabetes Podiatrist, Norfolk & Norwich University Hospital |
Michelle Goodeve | Senior Diabetes Specialist Podiatrist, Provide. |
Alexandra Harrington | Head of Integrated Podiatry at Great Western Hospitals |
Naomi Holman | Methodology Advisor, University of Glasgow |
Kathryn Hopkins | Principal Information Analyst, NHS Digital |
Roy Johnson | Expert by Experience |
Peter Knighton | Principal Information Analyst, NHS Digital |
Wing May Kong | Consultant Diabetologist, London NorthWest University Hospitals NHS Trust. |
Jane Lewis | Specialist Podiatrist & Research Lead, Cardiff Metropolitan University |
Rebecca Mansoor | Audit Manager, NHS Digital |
Michael Mason | Information Analyst, NHS Digital |
Julie Michalowski | Audit Manager, NHS Digital |
Hena Mohmood | Audit Coordinator, NHS Digital |
Arun Pherwarni | Consultant Vascular Surgeon and Chair of the Audit & QI committee for the Vascular Society |
Gerry Rayman | Consultant Diabetologist, Ipswich Hospital NHS Trust |
Pradeep Solanki | Podiatry Team leader, Diabetes Specialist Podiatrist, Croydon Health Services Trust |
Michael Sykes | Quality Improvement Lead, Diabetes UK |
Andy Whitehead | Audit Coordinator, NHS Digital |
Dean Williams | Professor of Surgery, Betsi Cadwaladr University Health Board |
Emilia Woch | Senior Information Analyst, NHS Digital |
Corinne Wykes | Expert by Experience |
Arthur Yelland | Senior Information Analyst, NHS Digital |
Prepared in collaboration with:
The Healthcare Quality Improvement Partnership (HQIP). The National Diabetes Foot Care Audit (NDFA) is commissioned by the Healthcare Quality Improvement Partnership (HQIP) as part of the National Clinical Audit and Patient Outcomes Programme (NCAPOP). HQIP is led by a consortium of the Academy of Medical Royal Colleges, the Royal College of Nursing, and National Voices. Its aim is to promote quality improvement in patient outcomes, and in particular, to increase the impact that clinical audit, outcome review programmes and registries have on healthcare quality in England and Wales. HQIP holds the contract to commission, manage, and develop the National Clinical Audit and Patient Outcomes Programme (NCAPOP), comprising around 40 projects covering care provided to people with a wide range of medical, surgical and mental health conditions. The programme is funded by NHS England, the Welsh Government and, with some individual projects, other devolved administrations and crown dependencies www.hqip.org.uk/national-programmes.
NHS Digital is the new name for the Health and Social Care Information Centre. NHS Digital managed the publication of the 2022 interval report.
Diabetes UK is the largest organisation in the UK working for people with diabetes, funding research, campaigning and helping people live with the condition.
The National Cardiovascular Intelligence Network (NCVIN) is a partnership of leading national cardiovascular organisations which analyses information and data and turns it into meaningful timely health intelligence for commissioners, policy makers, clinicians and health professionals to improve services and outcomes.
National Diabetes Foot Care Audit
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Last edited: 9 January 2023 9:55 am