Matthew is the current Consultant Podiatrist and Clinical Lead for Podiatry in Salford. It is an integrated service and he believes that a whole systems approach to high risk lower limb care can lead to better outcomes for patients and that extending the scope of what is done can achieve better results over time.

Presentation at The SoTV/EWMA 2024 Conference, London

How Greater Manchester made wound care a system wide priority in their 5 year plan

Objectives

After attending this session, persons will be able to:

• To understand implementation process models and theoretical frameworks
• To understand barriers and facilitators to implementing integrated leg ulcer pathways, vascular assessment training and vascular assessment quality improvement initiatives in Greater Manchester

Abstract

Greater Manchester ICB has made wound care part of its’ 5 year strategy. This was developed using data provided by The Manchester Amputation Reduction Strategy (MARS).

We delivered a 42% reduction in amputation number over a six year period in our pilot area of 220 000. We advanced a ‘whole systems’ approach routed in reducing inequality and allowing all lower limb wounds the same multi-disciplinary care enjoyed by diabetic foot ulcer patients.

We created capacity, within existing resource, through co-designing change and integrated working across podiatry, nursing teams and vascular teams facilitated by the harmonisation of pathways and culture.

We built lasting relationships across traditionally siloed teams and upskilled wider team members to order duplex, CT and MR scans.  We are now scaling up this work across the region.