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    A prospective audit of the impact of additional staff on the care of diabetic patients in a community podiatry service.

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    Authors
    Ryan, Alexandra
    Uppal, Meenakshi
    Cunning, Imelda
    Buckley, Claire M
    Issue Date
    2015-06
    Keywords
    DIABETES MELLITUS
    PODIATRY
    FOOT CARE
    COMMUNITY CARE
    
    Metadata
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    Citation
    A prospective audit of the impact of additional staff on the care of diabetic patients in a community podiatry service. 2015, 6:25508 Diabet Foot Ankle
    Publisher
    Diabetic foot & ankle
    Journal
    Diabetic foot & ankle
    URI
    http://hdl.handle.net/10147/559187
    PubMed ID
    26048860
    Abstract
    The purpose of this study was to evaluate the impact of the employment of additional podiatry staff on patients with diabetes attending a community-based podiatry service.
    An audit was conducted to evaluate the intervention of two additional podiatry staff. All patients with diabetes referred to and attending community podiatry services in a specified area in the Republic of Ireland between June 2011 and June 2012 were included. The service was benchmarked against the UK gold standard outlined in the 'Guidelines on prevention & management of foot problems in Type 2 Diabetes' by the National Institute of Clinical Excellence (NICE). Process of care measures addressed were the number of patients with diabetes receiving treatment and the waiting times of patients with diabetes from referral to initial review.
    An increase in the number of patients with diabetes receiving treatment was seen in all risk categories (ranging from low risk to the emergency foot). Waiting times for patients with diabetes decreased post-intervention but did not reach the targets outlined in the NICE guidelines. The average time from referral to initial review of patients with an emergency diabetic foot was 37 weeks post-intervention. NICE guidelines recommend that these patients are seen within 24 hours.
    During the life cycle of this audit, increased numbers of patients were treated and waiting times for patients with diabetes were reduced. An internal re-organisation of the services coincided with the commencement of the additional staff. The improvements observed were due to the effects of a combination of additional staff and service re-organisation. Efficient organisation of services is key to optimal performance. Continued efforts to improve services are required to reach the standards outlined in the NICE guidelines.
    Item Type
    Article
    Language
    en
    ISSN
    2000-625X
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