Taking a STANCE on Patient Education



Angela Jones, Specialist Podiatrist


Cardiff & Vale University Health Board

Angela Jones, Specialist Podiatrist

AIM:


To provide foot health education and healthier lifestyle support to all patients with diabetes who are referred to podiatry.


The project was developed in partnership with patients and healthcare professionals: “My Healthy Feet” concentrates on diabetic foot health and foot pathology prevention. “Healthy Me” enables the patient to have the right knowledge and support to control their diabetes.


CONTEXT:

  • No structured delivery of foot health education or healthier lifestyle messages;

  • Informal education delivered at clinician's discretion;

  • Increasing numbers of patients with diabetes challenging NHS constraints;

  • Increasing complex caseload of patients with diabetes who are at risk of developing foot ulceration; and,

  • Strategic Drivers: NICE (NG19) 2015, All Wales Diabetes Delivery Plan.


GOALS:

  • Provide structured education to people with diabetes; and,

  • Provide structured access to support networks that enable healthier lifestyle choices.

TARGETS:

  • Increase patient knowledge and engagement in foot health;

  • Increase confidence to self-care; and,

  • Reduce dependency on podiatry for basic foot care.


DEVELOPMENT:

  • STANCE education for “My Healthy Feet”;

  • Support directory of local services and training for staff to support “Healthy Me”;

  • Collaboration with Diabetes UK and Pocket Medic - bespoke diabetes education;

  • Delivery of one-hour diabetes education 2 weeks prior to 1-to-1 consultation;

  • Consultation to identify “My Healthy Feet” and/or “Healthy Me” concerns; and,

  • Provision of additional support/empowerment to self-care and access to help when needed.


PLANNING:

  • Patient Focus Group: Co-development of group education session. What would patients like to know?

  • Swim Lane Method: To identify risk and inefficiencies for the care of patients with diabetes.

  • Plan, Do, Study, Act: To review methods, procedures, progress and outcomes.

  • Patient Reported Outcome Measures: Are we meeting the patient’s needs and expectations?


RESULTS:


Patient Reported Score Before & After Diabetes Education:





Part of cohort Bevan Exemplar Projects 2016-17