Nene and Corby CCGs in Northamptonshire together received transformation funding of £657,000 in 2017-18 and £664,000 in 2018-19 to improve diabetic foot care.
Before the transformation funding, there was insufficient capacity to meet demand. Patients were waiting several weeks for key elements of foot care, and up to a year for access to the foot protection service.
Maria Mousley is a consultant podiatrist at Northamptonshire Healthcare NHS FT.
A key priority for the CCGs was the delivery of improved outcomes and cost savings through earlier intervention.
Sarah Barnes is the Transformation Manager for Diabetes at Northamptonshire CCGs.
The transformation funding was used to add 6.3 WTE podiatrists, plus pharmacist, vascular surgery, diabetologist, vascular nurse and administrative inputs to the diabetic foot care pathway.
Local data indicate that waiting times have come down substantially since the changes were made; patients can now access the foot protection service within 5 weeks, and there is faster access to vascular and other specialist inputs.
The CCGs have decided to provide funding for the vascular surgery and MDFT resources added during the transformation funding. They have not yet decided whether to fund the additional podiatrists. Decision-making on future funding is hindered by the lack of robust data on the early stages of the pathway, including the impact of the improved service on resource use in primary care.