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Innovative diabetic foot pathway launched

07 March 2019

A pathway for management of patients presenting with an acute diabetic foot problem has been developed for use in the Emergency Department (ED). It has been developed collaboratively between the Wound Management Team and ED Consultants Dalip Kumar and Michael Acidri.

There is a clear evidence base for having a diabetic foot pathway in place (NICE NG 19 2016). The introduction of the pathway into Southend ED will ensure patients receive safe, clinically effective and person centred care in relation to their foot problem.

The pathway is supported by an information poster for staff and a patient information leaflet. In addition to this if a patient requires admission there is now an in-patient acute diabetic foot pathway to support clinicians working across the Trust.

Dr Dalip Kumar, ED Consultant, said: "The purpose of the pathway is to ensure that all patients who present at ED with a diabetic foot problem receive appropriate and timely care.

Historically, anecdotal evidence from patient experience feedback suggests this has not always been the case. The introduction of the pathway will address this problem."

Sarah Charlton, Wound Management Team Lead, said: "It is clear and concise and provides the clinicians with step-by-step guide on how to manage the patient and how to provide appropriate on-ward care. This will ensure these patients are correctly assessed in A&E and are signposted to the Wound Management Team for urgent assessment and on-going care if clinically indicated."