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Timelines Interventions

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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Timelines Interventions

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  1. Timelines & Interventions Podiatry

  2. Aim • Impact of Intermediate Care Pathway

  3. Timeline Diagnosis of Diabetes Outcome Amputation Mortality Hospitalisation Podiatry Intervention

  4. Classification • Grade 0 • Grade 1 • Grade 2 • Grade 3 NSF, NICE, NDST

  5. Patient Referral Community JKDC G.P & HCP

  6. Patient Referral A&E Community I.C JKDC Wembley & Willesden G.P & HCP

  7. 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

  8. Audit • Method – manual count • Sample Size - 106 • Results

  9. Results - Gender

  10. Results - Age

  11. Results - Ethnicity

  12. Results - Grades

  13. Results – Patients Journey

  14. Results – Patients Journey

  15. Conclusion • No new patient data • No previous data to compare • No database • Refine and continue

  16. Questions or Comments

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