The role of the multidisciplinary team in the management of diabetic foot complications

Abstract

The effective management of the diabetic foot and its significant sequelae requires a multidisciplinary team (MDT) approach. This MDT, in combination with the foot protection team (FPT), provides a structured and integrated foot care pathway, which reduces the morbidity, mortality and associated financial costs of diabetic foot complications. The role of the FPT is preventative, providing education, risk stratification and active surveillance. The MDT enables timely specialist assessment of patients presenting with new symptoms or signs of a diabetic foot problem. These patients can then be managed appropriately by involving the relevant disciplines to address the individual patient’s requirements. To provide this gold-standard of clinical care, FPTs and MDTs must be comprised of professionals from each of the relevant disciplines and have access to the advice of a range of additional healthcare professionals. There must be clear sign-posting for patients and members of the FPTs towards the services of the specialist MDT when required. The MDT should have named first-line contacts that can facilitate rapid assessment and initiation of management. By forming and supporting an FPT and MDT-led foot care pathway, clinicians can provide optimal care in a timely fashion for patients with diabetes. Where the combination of FPT and MDT achieves these goals, it prevents complications, reduces amputations and saves lives.