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August 7th 2012

Medical Negligence

Specialist diabetes foot care teams are urgently required to prevent unnecessary and avoidable amputations

Specialist diabetes foot care teams are urgently required to prevent unnecessary and avoidable amputations

Diabetes UK has commented on the Government failing to invest in diabetic foot care. It has been reported that over 80 hospitals in England and Wales do not have specialist multidisciplinary foot care teams (MDTs) for patients with diabetes, despite being recommended by the National Institute for Health and Clinical Excellence (NICE) . Specialist diabetes foot care teams are urgently required to prevent unnecessary and avoidable amputations.  BBC News has reported that the probability of a patient, with a form of diabetes, having an amputation is 20 times higher than someone with normal control over their blood sugar.  Amputation is generally preceded by the formation of ulcers on the foot however, treatment by a MDT can assist resolve the wounds before an amputation is needed . NHS Diabetes  reported that the cost of diabetic foot ulcers and amputations to the NHS in England in 2010-11 was estimated at £639-662 million, and approximately £1 in every £150 the NHS spent was for diabetic foot ulceration and amputation.  It is anticipated that rapid access to MDTs will lead to faster healing, fewer amputations and improved survival.  Furthermore, savings to the NHS are said to far exceed the cost of setting up foot care teams. Diabetes UK are calling for the hospitals without an MDT to establish one and are in the process of writing to the Chief Executives of said hospital trusts to make the case. Unfortunately we have dealt with many clients’ who have suffered unnecessary and avoidable amputations.   We therefore welcome the implementation of additional MDTs in hospital trusts to improve the standard of care provided to patients with diabetes. It is our view that rapid access to multidisciplinary foot care teams can lead to faster healing, fewer amputation and improved survival.  It can also reduce NHS expenditure on diabetic foot problems.

Diabetes UK has commented on the Government failing to invest in diabetic foot care.
It has been reported that over 80 hospitals in England and Wales do not have specialist multidisciplinary foot care teams (MDTs) for patients with diabetes, despite being recommended by the National Institute for Health and Clinical Excellence (NICE) .
Specialist diabetes foot care teams are urgently required to prevent unnecessary and avoidable amputations. 
BBC News has reported that the probability of a patient, with a form of diabetes, having an amputation is 20 times higher than someone with normal control over their blood sugar.  Amputation is generally preceded by the formation of ulcers on the foot however, treatment by a MDT can assist resolve the wounds before an amputation is needed .
NHS Diabetes  reported that the cost of diabetic foot ulcers and amputations to the NHS in England in 2010-11 was estimated at £639-662 million, and approximately £1 in every £150 the NHS spent was for diabetic foot ulceration and amputation.  It is anticipated that rapid access to MDTs will lead to faster healing, fewer amputations and improved survival.  Furthermore, savings to the NHS are said to far exceed the cost of setting up foot care teams.
Diabetes UK are calling for the hospitals without an MDT to establish one and are in the process of writing to the Chief Executives of said hospital trusts to make the case.
Unfortunately we have dealt with many clients’ who have suffered unnecessary and avoidable amputations.   We therefore welcome the implementation of additional MDTs in hospital trusts to improve the standard of care provided to patients with diabetes.
It is our view that rapid access to multidisciplinary foot care teams can lead to faster healing, fewer amputation and improved survival.  It can also reduce NHS expenditure on diabetic foot problems.

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