The National Institute for Health and Care Excellence (NICE) has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. Clinical commissioning groups should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.
Our mandate to NHS England for next year includes an objective for NHS England “to lead a step change in the NHS in preventing ill health and supporting people to live healthier lives”.
There has been an increase in the provision of access to a Multidisciplinary Diabetes Foot care Teams and an indicator measuring performance is included within the National Diabetes Audit to enable progress to be tracked. The focus to date has been on improving access to assessment and treatment by a specialist team. In terms of the proportion of hospitals with a Multidisciplinary Diabetes Foot Care Team, this was 60% in 2011, 72% in 2013, and the figure for 2015 will be published soon as part of the National Diabetes Inpatient Audit 2015 report.