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Podiatry. Aim. Impact of Intermediate Care Pathway. Timeline. Amputation ... Podiatry Intervention. Classification. Grade 0. Grade 1. Grade 2. Grade 3. NSF, NICE, NDST ...

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Presentation Transcript
slide2
Aim
  • Impact of Intermediate Care Pathway
timeline
Timeline

Diagnosis of Diabetes

Outcome

Amputation

Mortality

Hospitalisation

Podiatry Intervention

classification
Classification
  • Grade 0
  • Grade 1
  • Grade 2
  • Grade 3

NSF, NICE, NDST

patient referral
Patient Referral

Community

JKDC

G.P

&

HCP

patient referral6
Patient Referral

A&E

Community

I.C

JKDC

Wembley &

Willesden

G.P &

HCP

packages of care
Packages of care

Community

Intermediate Care

Secondary Care

Basic

Advanced

Acute

Subjective and Objective Podiatric condition discussion and examination

Basic neurovascular assessment

Basic conditions management

Basic management plan

Foot deformity and severity assessment

Risk category and Grade allocation

Pathology Treatment

Nail Surgery Referral

Biomechanics Referral

Consultant and MDT Intervention

Advanced neurovascular assessment including Doppler & ABI

Advanced Holistic Assessment eg smoking cessation, cardiovascular risk profiling,

Intensive high risk management plan

Advanced Biomechanics assessment and treatment

Minor Ulceration wound management

Intensive 1 – 1 health education

Fast track to secondary care

Acute Emergencies: acute ischaemia, cellulitis, new deformity

Chronic or complicated ulcer management

MDT Input: Diabetologist

Vascular Surgeons

Microbiologist

Orthapaedics

Orthotist

C.C.T

Radiologist

audit
Audit
  • Method – manual count
  • Sample Size - 106
  • Results
conclusion
Conclusion
  • No new patient data
  • No previous data to compare
  • No database
  • Refine and continue
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