Figure 1
Overview of NWL MDFT Transformation project in terms of interventions in relation to Busetto’s model of integrated care for long term conditions.
Table 1
NWL MDFT objectives and associated goals.
| PROJECT OBJECTIVES | ASSOCIATED GOALS |
|---|---|
| Reduce the rate for diabetic foot amputation in NWL | 50% reduction in amputation rates by 2021 |
| Improve patient care pathways by increasing referral rates and foot checks, reducing time from referral to presentation | Integrated pathways across primary, community and acute care services |
| Reduce unscheduled hospital admissions for diabetic foot and the length of stay | Reduction of the unscheduled hospital admissions |
| Reduction of the length of stay by 1.5 days | |
| Reduce inequalities in access to care and related health outcomes | Equitable service provision to ensure areas of greatest need are adequately resourced |
| Improve expertise, awareness, and confidence in managing diabetes foot complications among service users | Improve staff expertise via training on identification of foot emergencies |
| Cultural change amongst key stakeholders regarding knowledge and importance of diabetes foot problems and commitment to sustainable quality improvement |
Figure 2
Logic model summarising the NWL MDFT Foot project.