Publication, Part of National Diabetes Foot Care Audit
National Diabetes Foot Care Audit 2020 to 2025
Audit
Inclusion of HES and PEDW data in publication
The detailed analysis file within this publication has been updated with data relating to hospital admissions and amputations, which are sourced from Hospital Episode Statistics (HES) and the Patient Episode Database of Wales (PEDW).
Tables 13 & 16 and Figure 14 have been updated.
12 February 2026 09:30 AM
Summary
The National Diabetes Foot Care Audit (NDFA) enables all services in England and Wales that treat people with diabetes related foot disease to measure their performance against National Institute for Health and Care Excellence (NICE) guidance, to monitor patient outcomes and to benchmark against peer units. The NDFA has been designed to limit the burden of local data collection by making use, wherever possible, of data that is already collected from other sources.
Highlights
The NDFA looks at the following key areas:
- Structures: are the nationally recommended care structures in place for the management of diabetes related foot disease?
- Processes: does the treatment of active diabetes related foot disease comply with nationally recommended guidance?
- Outcomes: are the outcomes of diabetes related foot disease optimised?
Key Facts
Time to first expert assessment (FEA) is key to achieving the positive outcomes of being alive and ulcer free (AAUF) at 12 weeks
There remains marked variation between providers in both the time to first expert assessment (FEA) and the proportion being alive and ulcer free (AAUF) at 12 weeks
The registration rates (per 100 person years) of diabetic foot ulcer episodes varies greatly between ICBs
The data files which support the dashboard can be downloaded from the 'Resources' section of this page. These data files include the measures presented in the dashboard, split by national, regional and provider level for foot care services; as well as ICB/LHB and PCN level for commissioners. To reduce file size, data has been split by financial year and demographics.
Disclosure control has been applied to mitigate the risk of patient identification. Zeros are reported, and all numbers are rounded to the nearest 5, unless the number is 1 to 7, in which case it is rounded to 5. This allows for more granular data to be made available. Rounded numbers are used to calculate percentages therefore numbers may not sum as expected. Percentages are not calculated where the rounded denominator is 20 or less, and where numbers are small percentages are volatile and should be treated with caution.
Change to NDA reporting
NHS England are currently reviewing the routine production of NDA State of the Nation reports. Please note that data will still be released via dashboards and standalone data files whilst this review is being conducted.
To help inform this review we would be grateful if users can provide feedback on their use of the State of the Nation reports using the feedback survey available in the ‘Related links' section of this page.
Resources
Last edited: 6 February 2026 3:47 pm