Feet For LifeFeet For Life Viliami Tutone, Catherine Tracy, Roger Grech, Shannon & Gina

Wetere, Sally Fox, Pauline Sanders-Telfer, Rowena Scofield, Fakaola Otuafi, Jubedah Shah, Frances Reid, Babu Ramalingam, Lawrence Kingi,

Anthony Ng, Penny Wilkings, Ian Hutchby, Jacqueline Schmidt-Busby

Beyond 20,000 Days Campaign

Podiatrist led wound care team Renal Physician and nurse Diabetiologist and nurse Vascular surgeon Orthopaedic surgeon Radiologist Plaster nurse District nurse

43 year old male patient on dialysis Type two diabetic with a 10 year duration Hypertension - dyslipidaemia Dense Peripheral Neuropathy History of Foot ulceration Right foot Cellulitis and Right toe

gangrene Multiple cutaneous infections Chronic Osteomyelitis – septic arthritis Recurrent foot trauma

Plastic surgical debridement Vascular surgical debridement Orthopaedic surgical debridement IV therapy maximum of 6 weeks 18 outpatient clinics June 2011 to Oct 2013 50% DNA Total 28 days admission between 2011

and 2013 Admission Cost per day $850 Total Cost $23,800

Average 2-6 week referral process for Diabetes Foot clinic

Diabetic patients only with active wounds

Multiple appointments Clashed with dialysis or unwell Transport - family support & around

work Unaware of Primary Podiatry Care

577 renal patients Immediate access to a podiatristALL renal patients have accessReduced outpatient appointmentsCare that fits in with patientsKnowledge of Primary Podiatry Care Extensive foot care education

provided