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NDFA newsletter - August 2020

National Diabetes Foot Care Audit – Changes to the data we collect

National Diabetes Foot Care Audit – Changes to the data we collect

August 2020

Thank you again for all the feedback  and interest you have all shown since the last newsletter in June. This month we have two important messages for you –

Our partners at Diabetes UK are continuing to gather experiences, both positive and negative, of working during the Covid-19 pandemic. Please read below and get in touch with them if you would like to contribute.

The audit team have been working hard to update the data collection to ensure it remains relevant and the analysis we do has value. From Wednesday 19 August the data entry system will no longer require 24-week follow-up data items to be entered. In addition, we have added a ‘First ever diabetic foot ulcer’ data item. Please read below for further details.

As usual, thank you all for your efforts and please get in touch if you have any suggestions or questions. ndfa@nhs.net

Sharing experiences

We understand the immeasurable amount of work foot care teams working with people with diabetes have undertaken over the past few months and want to thank you for all you continue to do.

We’ve heard already that many changes have been made that have impacted the capability of teams to deliver care as they would normally, but we also know that in some places this has led to positive change and we want to understand how this can be sustained. We have also heard that these experiences have varied greatly across different areas. We hope that having a central record of this will allow us to share examples of good practice and call for change as we move towards the ‘new normal’ for foot care for people with diabetes.

To understand what this experience has been like for people with diabetes, and to inform what we can do as an organisation to respond this situation and support our colleagues in the system, we are formally gathering insight related to diabetes foot care and the COVID19 pandemic. To do this we are conducting informal interviews with health care professionals. Interviews will last up to 45 minutes and be with either me or another member of the DUK Healthcare Improvement team. Interviews and data will be rapidly analysed, with the hope that key learnings will be available for dissemination by mid-Autumn.

We are endeavouring to make this process as simple and time efficient as possible, so if you would like to be involved please just email alex.berry@diabetes.org.uk with your availability over the next month (including in the evenings and weekends) and we can work with you to find a time to speak.

Our plans for the audit for 2020

Data Quality reports were sent out ahead of schedule on Tuesday 21 July.
Please email nfda@nhs.net if your service did not receive a report.

Dataset changes

As mentioned in the last newsletter we have reviewed and revised the data items that need to be collected. Two changes have been made and these will affect the data entry system from Wednesday 19 August.

1.    CAP, the data entry system, will no longer record 24-week follow-up data items. This affects both manual and bulk upload formats. There is no longer a requirement to collect these data items.

2.    There is a new data item to record – ‘Is this the first ever diabetic foot ulcer?’ this includes either foot at any time. 

An updated manual collection form and bulk upload format will be available on the audit website from the 19 August. 

Historical records can still be entered by omitting the 24-week follow-up items. 24-week follow-up data will not be used in future analysis. For bulk uploads see the new format and guidance on the web site.

The ‘First ever ulcer’ field is not mandatory; you can still submit without selecting an answer.

As data will be sketchy to start with, we will not be incorporating it into the annual report until the next audit cohort – 01.04.21 to 31.03.22, therefore you have until 31 March 2021 to establish local systems to start collecting it and adjusting your file upload process to accommodate the changes.

Last edited: 13 October 2020 3:11 pm