National Diabetes Foot Care Audit 2020 to 2025
Summary: The NHS England National Diabetes Foot Care Audit (NDFA) 2020-2025 reports DFU episode registration rates varying from 0.5 to 2.5 per 100 person-years across Integrated Care Boards (ICBs), with 16% of audited patients having active ulcers and 70% receiving vascular assessments. Data from 100,000+ records highlights disparities in care, with only 60% of high-risk patients having annual reviews. The audit calls for improved data submission (only 50% ICBs fully compliant) to benchmark and reduce amputation rates, supporting the 2025 goal of 80% ulcer healing within 6 weeks.
Key Highlights:
- Episode Rates: 0.5-2.5/100 person-years; 16% active ulcers in audited cohort.
- Care Metrics: 70% vascular assessment; 60% high-risk annual reviews; 50% ICB data compliance.
- Variations: Urban ICBs higher rates; rural gaps in podiatry access.
- Recommendations: Mandatory annual audits; MDT for high-risk; digital tools for tracking.
- Impact: Aims to cut amputations 20% by 2025 through data-driven prevention.
Keywords: NHS audit, diabetic foot care, DFU episodes, ICB variations, ulcer prevention