Hospital Doctor Awards 2007 Diabetes Winners:

Consultant Diabetologist:
Prof. Michael Edmonds

Orthopaedic surgeon:
Mr Venu Kavarthapu

Vascular surgeon:
Mr Hisham Rashid and Team




Diabetic Foot Service

The diabetic foot is one of the most devastating complications of diabetes: progression is rapid and quickly reaches a 'point of no return'. The clinic faced ever-increasing severe presentations, especially from poor blood supply, infection and bone destruction. Prof. Edmonds said: 'There was no particular problem with the service but we wanted to go one step further for our patients.'

Action Taken

The diabetic foot clinic - which sees 6,000 patients per year - aims to provide rapid multidisciplinary treatment for patients with active foot problems and then to follow them up to prevent recurrence.
It operates throughout the working week, providing open access for people with urgent foot problems, and briefs A&E to cover out-of-hours. The team aims to provide a one-stop diagnosis and treatment service and has developed several innovations on top of the foot clinic, including a joint vascular fast-track service, joint orthopaedic clinics, painful neuropathy clinics and patient group directions for prescribing antibiotics.
The diabetic foot practitioners have developed a vacuum assisted closure therapy service for large postoperative diabetic foot wounds. To facilitate early discharge, patients continue therapy at home, led by community nurses who been trained by the diabetic foot practitioners.

Achievements

  • The team has received two King's College Hospital commendation awards for outstanding contribution to patient care.
  • Fifty per cent reduction in major amputations and subsequently almost no major amputations of neuropathic feet.
  • Modern techniques to revascularise ischaemic legs and active management of early infection have further reduced major amputations of the diabetic ischaemic foot by 50%.


Meet the Team

Consultant diabetologist: Prof. Michael Edmonds; Orthopaedic surgeon: Mr Venu Kavarthapu; Vascular surgeon: Mr Hisham Rashid; Radiologist: Dr Paul Sidhu; Podiatrists: Maureen Bates and Tim Jemmott; Diabetic foot practitioners:
Elizabeth Pendry and Melanie Doxford;


Judges Comments

'Dr Edmonds leads a most impressive multidisciplinary team for the management of patients with diabetic foot problems. They have influenced the management of foot disease both locally and nationally'