North West London

Eight CCGs across North West London, six acute providers, plus community providers and GP practices, are working together to develop a new foot care pathway for people with diabetes.

They began in mid-2017, with a mapping exercise to understand the services that are currently commissioned, to identify gaps in the pathway, and establish priorities for improved care.

A key finding was that current pathways were confusing and lacked a single triage point, contributing to delays in treatment.        


Dr. Raquel Delgado is a GP and diabetes commissioner at Hounslow CCG.

NHS Transformation Funding has enabled delivery of a footcare improvement project through the creation of a team of six diabetes specialist podiatrists and two foot coordinators. 

The project has

  • Established a diabetes foot care network of service users, providers and commissioners to improve services and the pathway

  • Set up a diabetes foot hub to improve communication between providers and patients

  • Developed a footcare dashboard to provide real-time data on care and outcomes at patient-level

  • Developed training resources and delivered training to podiatrists and other healthcare staff 

Local data indicate improved outcomes across North West London, and an 8% reduction in hospital admissions for foot problems.


This project is part of the wider North West London Diabetes Transformation Programme, which has recently been awarded the Quality in Care 2019 award for best practice in 'Dissemination and Sustainability'.