In the year 2007-08 the number of finished consultant episodes for amputations due to diabetes mellitus was 2,114.
Reducing the number of amputations due to diabetes mellitus relies on good self-management of diabetes and good services to support people with diabetes. The Diabetes National Service Framework sets out the overall strategy for preventing long-term complications of the condition. This has also been supplemented by the National Institute for Health and Clinical Excellence guidance, which recommends that people with diabetes should be offered foot examinations by trained personnel as part of their annual review. It also recommends that local national health service organisations have systems in place to identify people who may be at risk of developing foot complications and to offer them preventative foot care.
Commissioning guidance “Putting feet first” was published by NHS Diabetes and Diabetes UK on 12 June and is to assist national health service organisations in developing services for the management of foot complications and the prevention of amputations.
It is for local NHS organisations to commission a comprehensive service for people with diabetes that includes podiatry services, in accordance with best practice guidance.