Incentivising general practitioners through the Quality and Outcomes Framework to ensure patients receive the National Institute for Health and Care Excellence (NICE) care processes will increase the number of annual foot checks delivered so that patients at risk will be picked up earlier. The latest data published in the National Diabetes Audit report shows that over 85% of all those with diabetes in England and Wales received a foot examination in 2012-13. However, there is still room for improvement.
NHS England has launched the National Diabetes Footcare Audit (a new module to be incorporated into the National Diabetes Audit) which will enable all diabetes foot care services to measure their performance against NICE clinical guidelines and peer units.
According to the National Diabetes Inpatient Audit, in 2011, 58.3% of trusts had a multidisciplinary foot team, and in 2013, 71.8% of trusts had one.