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Half of NHS services do not provide recommended care for diabetic foot ulcers, shows audit

BMJ 2017; 356 doi: (Published 13 March 2017) Cite this as: BMJ 2017;356:j1274
  1. Susan Mayor
  1. London

Fewer than half of NHS local service commissioners provide all three care structures that the National Institute for Health and Care Excellence (NICE) recommends for patients with active diabetic foot disease, an audit of services in England and Wales has shown.

The audit collected data on 11 073 patients (mean age 67 years) who underwent expert assessment for diabetic foot ulcers for the first time between 14 July 2014 and 8 April 2016.1 They represented just over 13 000 new ulcer episodes at 173 specialist foot care services.

Just over half (116 of 216, 54%) of clinical commissioning groups (CCGs) in England and local health boards in Wales responded to the audit. Fifty of these (43%) reported that they had …

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