Working to improve Diabetes Footcare services in London
London
The Footcare Map
Richard Leigh
List of Hospitals (so far..)
Thank you!
Central Middlesex Hospital
Charring Cross Hospital
Croydon University Hospital
Homerton Hospital
King George Hospital
Kings College Hospital
Mile End Hospital
Newham University Hospital
North Middlesex Hospital
Northwick Park Hospital
Queens Hospital
Royal Free Hospital
Royal London Hospital
St Helier Hospital
West Middlesex University Hospital
Whipps Cross Unniverstiy Hospital
Out Patient Resources
Podiatry Chairs and Available Sessions (half days)
Number of Podiatry Chairs on Site
Total possible sessions per week
90
Total Sites
5
4
3
Total
2
1
Number of Sessions reported
6
80
70
60
50
40
30
20
10
0
0
0
1
2
3
4
Total podiatry chairs per site
Total Chairs 42
8
0
1
2
3
4
5
6
7
8
9
Number of Podiatry Chairs
Total Sessions reported 278
Total Sessions Possible (in a 5 day week) 400
Who is providing the service?
Podiatry Service Provider
Is there a dedicted MDT clinic?
14
12
12
10
Number of SItes
Numer of Sites
10
8
6
4
8
6
4
2
2
0
0
Community
In house
no
yes
Multidisciplinary Teams
Members of the MDTs
16
14
12
Number of Sites
10
8
6
4
2
0
Who Else is Available to Podiatry outside the MDT?
16
14
Number of Sites
12
10
8
6
4
2
0
Podiatry Facilities
Comment from two sites: Only specific
Podiatrists have access to these results
Is an orthotist available in the podiatry
clinic?
Types of 'off the peg' orthosis available
16
16
14
14
12
12
10
Number of Sites
Number of Sites
10
8
6
8
6
4
4
2
2
0
0
no
yes
Inpatient Resources
CCGs reported to have Foot Protection Teams by 16 Hospitals
NHS Brent
NHS Barnet
NHS City and Hackney
NHS Croydon
NHS Hammersmith and Fulham
NHS Harrow
NHS Lambeth
NHS Newham
NHS Southwark
NHS Tower Hamlets
Do It systems link between hospital
and community?
16
14
Number of Sites
12
10
8
6
4
2
0
no
yes
In Summary
•
16 Hospitals have contributed to ‘the map’.
•
There are 42 podiatry chairs in acute settings but 1/3 of the time they are not used.
•
The majority of hospital podiatry is provided by the community service.
•
Nearly 1/3 of hospitals have no foot MDT.
•
The make up of MDT is various, but many hospitals have the right mix of HCPs but not necessarily in the same place at
the same time.
•
Only 2 hospitals have a radiology MDT.
•
2/3 hospitals have urgent access for GP patients.
•
The majority of hospital podiatrists have access to tests/results.
•
Casting is available in the majority of hospitals.
•
Less than 1/2 hospitals have an orthotist available in clinic.
•
Nearly all hospital podiatrists have access to offloading devices.
•
Only 1/2 hospitals have an inpatient MDT which are limited in number of sessions.
•
Topical negative pressure is available across most hospitals and community services.
•
The 16 hospitals could only identify 10 CCGs with Foot Protection Teams.
•
IT systems link 1/3 hospital to community services.