Angela Jones
Cardiff & Vale University Health Board
Aim:
To provide foot health education and healthier lifestyle support to all patients with diabetes who are referred to podiatry.
The project was developed in partnership with patients and healthcare professionals: “My Healthy Feet” concentrates on diabetic foot health and foot pathology prevention. “Healthy Me” enables the patient to have the right knowledge and support to control their diabetes.
Context:
- No structured delivery of foot health education or healthier lifestyle messages;
- Informal education delivered at clinician’s discretion;
- Increasing numbers of patients with diabetes challenging NHS constraints;
- Increasing complex caseload of patients with diabetes who are at risk of developing foot ulceration; and,
- Strategic Drivers: NICE (NG19) 2015, All Wales Diabetes Delivery Plan.
Goals:
- Provide structured education to people with diabetes; and,
- Provide structured access to support networks that enable healthier lifestyle choices.
Targets:
- Increase patient knowledge and engagement in foot health;
- Increase confidence to self-care; and,
- Reduce dependency on podiatry for basic foot care.
Development:
- STANCE education for “My Healthy Feet”;
- Support directory of local services and training for staff to support “Healthy Me”;
- Collaboration with Diabetes UK and Pocket Medic – bespoke diabetes education;
- Delivery of one-hour diabetes education 2 weeks prior to 1-to-1 consultation;
- Consultation to identify “My Healthy Feet” and/or “Healthy Me” concerns; and,
- Provision of additional support/empowerment to self-care and access to help when needed.
Planning:
- Patient Focus Group: Co-development of group education session. What would patients like to know?
- Swim Lane Method: To identify risk and inefficiencies for the care of patients with diabetes.
- Plan, Do, Study, Act: To review methods, procedures, progress and outcomes.
- Patient Reported Outcome Measures: Are we meeting the patient’s needs and expectations?
Results:
Patient Reported Score Before & After Diabetes Education:
