1. London The Footcare Map Richard Leigh Working to improve Diabetes Footcare services in London

2. List of Hospitals (so far..) Thank you! Central Middlesex Hospital Charring Cross Hospital Croydon University Hospital Homerton Hospital King George Hospital Kings College Hospital Mile End Hospital Newham University Hospital North Middlesex Hospital Northwick Park Hospital Queens Hospital Royal Free Hospital Royal London Hospital St Helier Hospital West Middlesex University Hospital Whipps Cross Unniverstiy Hospital

3. Out Patient Resources

4. Podiatry Chairs and Available Sessions (half days) Maximum Capacity Total Chairs 42Total Sessions reported 278 Total Sessions Possible (in a 5 day week) 400

5. Who is providing the service?

6. Multidisciplinary Teams

11. Podiatry Facilities

12. Comment from two sites: Only specific Podiatrists have access to these results

14. Inpatient Resources

17. NHS Brent NHS Barnet NHS City and Hackney NHS Croydon NHS Hammersmith and Fulham NHS Harrow NHS Lambeth NHS Newham NHS Southwark NHS Tower Hamlets CCGs reported to have Foot Protection Teams by 16 Hospitals

19. In Summary 16 Hospitals have contributed to ‘the map’. There are 42 podiatry chairs in acute settings but 1/3 of the time they are not used. The majority of hospital podiatry is provided by the community service. Nearly 1/3 of hospitals have no foot MDT. The make up of MDT is various, but many hospitals have the right mix of HCPs but not necessarily in the same place at the same time. Only 2 hospitals have a radiology MDT. 2/3 hospitals have urgent access for GP patients. The majority of hospital podiatrists have access to tests/results. Casting is available in the majority of hospitals. Less than 1/2 hospitals have an orthotist available in clinic. Nearly all hospital podiatrists have access to offloading devices. Only 1/2 hospitals have an inpatient MDT which are limited in number of sessions. Topical negative pressure is available across most hospitals and community services. The 16 hospitals could only identify 10 CCGs with Foot Protection Teams. IT systems link 1/3 hospital to community services.