Apologies if I appeared to denigrate the role of the diabetic specialist in
podiatry ( I was in full flow and should’ve taken a little more care with
my words!). Of course it is a complex role – and one of vital importance to
the profession and the public; the profession, because this more than
anything else has helped in establishing podiatry in the mainstream of
medicine; the public – well this is self explanatory I guess. I make the
point only as to illustrate that the NHS is drifting towards a single- area
specialty in many districts – with DM placing the greatest demand on
resources.
Interesting point here. The total podiatry caseload in England and Wales is
currently 2.19 million patients. It is estimated that there are some 2.6
million diagnosed diabetics and another 1 million undiagnosed diabetics in
the UK – which far exceeds NHS podiatry capacity. Given the
responsibilities of trusts to meet the standards in the NSF for Diabetes
how does the public service propose to maintain service to those other high-
risk patients who don’t present with DM? Another round of service redesigns?
Best wishes
Mark Russell
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