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
2. Introduction
2. Introduction
2.1. Aims and background
Ulceration of the foot in diabetes presents significant challenges to people with diabetes, including emotional, physical and financial costs, and is associated with increased risk of both amputation and of death. It affects between 1 and 2% of all people with diabetes each year (1) (2) and its management accounts for approximately 1% of the total NHS budget (3).
The National Diabetes Foot Care Audit (NDFA)
The NDFA was established in July 2014 as part of the family of audits conducted under the umbrella of the National Diabetes Audit (NDA) of England and Wales (4).
The overall aim of the NDFA is to measure factors associated with increased risk of ulcer onset and adverse ulcer outcomes, for use by service providers, local commissioners and national policy makers. It aims to share information relating to best clinical practice, and to enable the highest quality of care of diabetic foot ulcers in England and Wales.
2.2. Data collection
The NDFA invites all services providing specialist care for the management of diabetic foot ulcers to register simple details at the time of presentation of each ulcer episode, as well as details of the outcome 12 weeks later.
Findings
- A total of 108,450 ulcer episodes in 76,310 people with diabetes have been registered with the NDFA over 7 audit years (April to March) (5).
- There has been a steady increase in ulcer episodes each audit year, from about 5,000 to about 25,000, with over 21,000 in each of the last 3 years (see Chart 1).
- There was a decrease in ulcer episodes registered in 2020-21 (13% fewer than 2019-20), coinciding with the COVID-19 pandemic (Chart 1).
- Overall, there is considerable variation in the rate of ulcer registrations between clinical commissioning groups (CCGs) and local health boards (LHBs) in England and Wales (see Appendix 5.1), ranging from 0.0 to 1.9 per 100 person years.
Notes: (1) Chamberlain et al (2021). (2) Abbott et al 2002. (3) Kerr et al 2019. (4) NDA homepage. (5) The 1st NDFA audit year 2014-15 is shorter than subsequent audit years because data collection started on 14 July 2014. (6) A single person may have more than 1 ulcer episode.
Last edited: 9 January 2023 9:55 am