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Publication, Part of

National Diabetes Foot Care Audit - 2014-2017

Publication Date:
Geographic Coverage:
England, Wales
Geographical Granularity:
Strategic Health Authorities, NHS Trusts, Hospital Trusts, Community health services, Hospital and Community Health Services, Independent Sector Health Care Providers, Clinical Commissioning Groups
Date Range:
14 Jul 2014 to 31 Mar 2017


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.

Key Facts

Less than half of participating commissioners confirmed that all three care structures were in place (47 per cent)


Since starting in 2014, the NDFA has firmly established the relationships between time to first expert assessment and ulcer severity, healing outcomes and hospital admissions




Last edited: 25 April 2018 10:48 am