London The Footcare Map Richard Leigh
Post on 24-Feb-2016
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London The Footcare Map
Richard Leigh
Working to improve Diabetes Footcare services in London
List of Hospitals (so far..)Thank you!
Central Middlesex HospitalCharring Cross Hospital Croydon University HospitalHomerton HospitalKing George HospitalKings College HospitalMile End HospitalNewham University HospitalNorth Middlesex HospitalNorthwick Park HospitalQueens HospitalRoyal Free HospitalRoyal London HospitalSt Helier HospitalWest Middlesex University HospitalWhipps Cross Unniverstiy Hospital
Out Patient Resources
Podiatry Chairs and Available Sessions (half days)
0 1 2 3 4 80
1
2
3
4
5
6
Number of Podiatry Chairs on Site
Total
Tota
l Site
s
Total podiatry chairs per site
0 1 2 3 4 5 6 7 8 90
10
20
30
40
50
60
70
80
90Total possible sessions per week
Num
ber o
f Ses
sion
s re
porte
d
Number of Podiatry Chairs
Maximum Capacity
Total Chairs 42 Total Sessions reported 278Total Sessions Possible (in a 5 day week) 400
Who is providing the service?
Community In house0
2
4
6
8
10
12
14
Podiatry Service Provider
Num
er o
f Site
s
no yes0
2
4
6
8
10
12
Is there a dedicted MDT clinic?
Num
ber o
f SIte
s
Multidisciplinary Teams
0
2
4
6
8
10
12
14
16
Members of the MDTs
Podi
atri
stD
iabe
tolo
gist
Dia
bete
s Spe
cial
ist N
urse
Vas
cula
r Su
rgeo
n
Vas
cula
r Sp
ecia
list N
urse
Ort
hopa
edic
Sur
-
geon
Mic
robi
olog
istIn
fect
ious
Dise
ases
Tiss
ue V
iabi
lity
Nur
sePl
astic
Sur
geon
Oth
er
Num
ber
of S
ites
0
2
4
6
8
10
12
14
16
Diab
etol
ogist
Diab
etes
Spec
ialis
t Nur
seVa
scul
ar Su
rgeo
nVa
scul
ar Sp
ecia
list N
urse
Orth
opae
dic S
urge
on
Micr
obio
logi
stIn
fecti
ous D
iseas
esTi
ssue
Via
bilit
y Nur
se
Plas
tic Su
rgeo
n
Othe
r (de
rmat
olog
y ,
Pod
iatri
ic su
rger
y)
Radi
olog
istRe
nal P
hysic
ian
Num
ber o
f Site
s
Who Else is Available to Podiatry outside the MDT?
Podiatry Facilities
Comment from two sites: Only specific Podiatrists have access to these results
0
2
4
6
8
10
12
14
16
Surg
ical S
hoe
Dar
co Sh
oe D
erby
Boo
t
A
ircas
tPr
eval
on
(hee
l pro
tect
ors)
AFO
PRAF
O
Types of 'off the peg' orthosis available
Num
ber o
f Site
s
no yes0
2
4
6
8
10
12
14
16
Is an orthotist available in the podiatry clinic?
Num
ber o
f Site
s
Inpatient Resources
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
CCGs reported to have Foot Protection Teams by 16 Hospitals
no yes0
2
4
6
8
10
12
14
16
Do It systems link between hospital and community?
Num
ber o
f Site
s
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.
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