Impact of a new foot care intervention programme in two haemodialysis units in Nottingham, UK
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Each year a significant number of individuals with diabetes undergoing haemodialysis suffer foot conditions that result in a hospital admission or, at worst, amputation of a limb. In light of this, a podiatry service was introduced on two haemodialysis units based on an acute hospital site in Nottingham, UK. The authors reviewed this service to establish whether its implementation had any impact on major and minor amputation rates, bed days, access to and frequency of preventative podiatry care, and patient satisfaction. The review also aimed to assess the cost of providing the service and monitor the level of referrals from the dialysis units to the local diabetic foot multidisciplinary team and other specialisms for foot problems.