DIABETES ACTION PLAN 2010

DIABETES ACTION PLAN 2010
QUALITY CARE FOR DIABETES IN SCOTLAND
3.3 Foot care
Where we want to be:
We wish to see a progressive reduction in the
incidence of ulcers and amputations in people with
diabetes as recorded in the Scottish Diabetes Survey.
Why we want to be there:
Foot disease risk has recently been the subject of a
campaign by the Scottish Diabetes Group’s Foot
Action Group. This is against a backdrop, established in
the Diabetes UK Scotland survey, that just over a
quarter knew their foot risk score. However, many
other people said that they did not know what their
risk score was but would like to know.
High quality and accessible foot care is seen by people with diabetes as a real priority.
Work over the past few years, including the launch of the National Foot Screening
Programme, has started to deliver this priority.
Over the lifetime of this Action Plan we need to see this priority embedded in the
delivery of diabetes care across NHS Board areas and to see this evidenced in new
programmes, clinical outcomes and patient feedback. The Foot Action Group and others
are considering the training and skill mix required to deliver a quality foot service. Quality
foot care should include timely access to an orthotist with diabetes competencies.
People with diabetes should have access to specialist multi-disciplinary services, delivered
by healthcare professionals with the appropriate competencies, when they have active
foot disease and access to a podiatry treatment/management plan, including
reinforcement of education, formulated in consultation with the patient and tailored to
suit the patient’s needs.
25