Leading Better Value Care

LBVC Portfolio Highlights 13 INITIATIVES | PATIENT REPORTED MEASURES | LBVC DASHBOARD

Diabetes High Risk Foot Service

Two Teams

Foot ulceration is one of the leading causes of hospitalisation for people with diabetes and in serious cases, can lead to amputation. Diabetes-related foot complications are serious and best managed by multidisciplinary high risk foot services. The target of this service is the identification and management of neurological and vascular pathologies that can impede wound healing. The service aims to provide multidisciplinary interventions to prevent amputations and improve the quality of life for patients attending the Foot Wound Clinic.

Endocrinologist & Podiatrist as Team Leads

Podiatrists

Nurses

Diabetes Educator

Vascular Surgeons

Infectious Disease

Clinical Psychologist

Administration Assistants

Achievements

Challenges

Goals 2023-2025

• Junior Podiatrists supervision to ensure evidence practice • Training - total contact casting to ensure gold standard offloading • Aboriginal podiatrist recruitment

• Bariatric plinths to manage obese patients • Lack of vascular consultant/ registrar staffing

• Recruitment of a Senior Podiatrist for Rapid Assessment, Intervention and Discharge – Emergency

Department (RAID-ED) • Training program for total contact casting • Accreditation by the

National Association of Diabetes Centers • Decreasing amputation rates

10

Western Sydney Local Health District