International Journal of Anesthesiology & Pain Medicine

Home Diabetic foot ulcer service: A safe and clinically effective model for managing patients with diabetic foot ulcers in the community

Joint Event on 7^th Edition of International Conference on Pain Management & 8^th Edition of International Conference on Internal Medicine & Patient Care
March 25-26, 2019 Rome, Italy

Leanne Price and Christopher Wilson

Dorset County Hospital, UK

Posters & Accepted Abstracts: Int J Anesth Pain Med

DOI: 10.21767/2471-982X-C1-006

Abstract

The National Diabetes Foot Care Audit (NDFA) estimates that the cost of diabetic foot disease to the NHS in England is £1 billion per annum. Our service manages patients with diabetic foot ulcers in the community. This should result in financial gains and improved patient outcomes whilst in accordance with the national objective of managing patients in the community. Our Acute Hospital at Home (AHAH) service is run by a multidisciplinary team including medical consultants, junior doctors, microbiologists, nurses’ physiotherapists and healthcare assistants. A virtual ward round occurs daily in addition to a flexible ability to review patients either in hospital or at home. We have performed a retrospective analysis from a snapshot of 20 patients to provide initial data and are currently analyzing an increased cohort of patients in this study. The primary clinical outcomes include length of hospital admission, amputation rates, readmission, patient satisfaction and potential cost implications. The snapshot study showed patients managed through AHAH had shorter length of inpatient stays: 4 days compared to 15. This results in a saving of £1980 per patient per admission. We are confident that our larger study will continue to prove equivalence in rates of amputations, readmissions and death. To date our results demonstrate clear benefits of managing patients with diabetic foot ulcers in the community. Not only clear cost advantages but also significantly improved patient satisfaction. We believe that the AHAH service is a safe and hugely valuable clinical service which could be widely applied across healthcare.

Biography

Leanne Price currently works for the Acute Hospital At Home (AHAH) department at Dorset County Hospital. C Wilson completed his Under Graduate Medical Degree from Bristol Univeristy in 2017. He currently works for the Acute Hospital At Home (AHAH) department at Dorset County Hospital.

E-mail: Leanne.Price@dchft.nhs.uk christopher.wilson@dchft.nhs.uk