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The diabetic vascular foot (a 20 week snap shot review) Martin Arissol Vascular podiatrist

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Diabetic Foot Referrals GP, community or tertiary referral Two vascular wards with a total of 44 beds + outliers Follow-up at local hospital with: Acute foot team Vascular surgeon Microbiologist Follow-up at GSTT out-patient MDT clinic: Out-patient antibiotic therapy reviews Follow-up at local hospital with: Acute foot team Radiology MDM followed by in & out patient ward round every Monday (up to 30 patient reviews)

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20 week review Number of contacts: 119 complex cases Age range: 40 - 93 Gender: Male 71% Female 29% Length of stay: 4 days to 109 days Deaths: 7

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Demographics

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Surgical procedures

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Surgical outcomes

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Re-admissions

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Organisms cultured

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Antibiotic cover

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Questions 1.Is the service offering enough post-discharge support? 2.Do we have a two way communication with your teams? 3.Do you have any issues referring patients to the service? 4.What support do you have locally, vascular, micro...? 5.Suggestions on how to improve the pathway?