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Diabetes foot care project

01 November 2013 Case study

Topics and programmes

Working with the Point of Care team at the King’s Fund, Aneurin Bevan University Health Board initiated a project focused on improving the care experience for patients admitted with diabetic foot problems. Using the PFCC methodology, the team began by shadowing patients during admission. This enabled the team to then form their ideal patient experience, and noting where the gaps lay between observed care and ideal care, the team developed their driver diagram to guide the project.

To help the implementation of the driver diagram, three project teams were formed, focusing on admission, inpatient care, and discharge planning respectively. During the project, the number of patients admitted to the diabetes ward improved (from 25% in April 2014 to 100% in September 2014), and the number of patients receiving a review by the diabetes team within 24 hours of admission improved from 50% in April 2013 to 100% in September 2014.

Additionally, during the project patient education and involvement in their care also improved, for example through staff facilitating self-administration of insulin. Furthermore, staff experience surveys reflected improvements in staff engagement between the beginning and end of the project.