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Service transformation in Sheffield

Sheffield received transformation funding of £112,000 in 2017-18 and £185,000 in 2018-19 to improve diabetic foot care. Before the transformation funding there was insufficient capacity in the foot protection service, leading to excess demand for the MDFT, late referrals and delays to healing.

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The transformation funding was used to add 3.4 WTE podiatrists to the foot care service, plus administrative support and equipment.

 

Reported impacts include:

  • more frequent review of at-risk patients

  • more podiatry care for inpatients with diabetes

  • educational outreach to primary care.

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The service reports a reduction in the proportion of ulcers that are severe when first seen by the MDFS, and that this has led to faster healing and cost savings.

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Rajiv Gandhi is a consultant diabetologist at Sheffield Teaching Hospitals.

©2023 Insight Health Improvement Ltd.

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