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Publication, Part of

National Diabetes Foot Care Audit, 2014-2018



The National Diabetes Foot Care Audit (NDFA) is a continuous audit of diabetic foot disease in England and Wales. The audit enables all diabetes foot care services to measure their performance against NICE clinical guidelines and peer units, and to monitor adverse outcomes for people with diabetes who develop diabetic foot disease. All organisations which provide a diabetic foot ulcer treatment service are eligible for inclusion in the audit.

The audit reports on the following:

Structures: are the nationally recommended care structures in place for the management of diabetic foot disease?

Processes: does the treatment of active diabetic foot disease comply with nationally recommended guidance?

Outcomes: are the outcomes of diabetic foot disease optimised?

The NDFA is part of the National Diabetes Audit (NDA) portfolio within the National Clinical Audit and Patient Outcomes Programme (NCAPOP), commissioned by the Healthcare Quality Improvement Partnership (HQIP)

As well as a national report, which provides information about foot care across England and Wales, separate local reports are also available. The comparative local reports show data at service (specialist foot care teams), provider (Trust/Local Health Board), commissioner (Clinical Commissioning Group) and network (Strategic Clinical Network) level.

8 January 2020: text in glossary section on page 91 for questions 5 and 6 updated to correctly match the questions in the 2018 NDFA Provider Survey.

Key Facts

The number of ulcer episodes submitted to the audit increased by 57 per cent between 2016 and 2017 - 18.

The fourth annual report includes data on • 27,700 patients • 33,155 new ulcer episodes • 221 specialist foot care services.

Last edited: 8 January 2020 2:27 pm