Management of the diabetic foot

Thank you for taking the time to view this webinar, we hope you find it informative.

RCPath CPD accredited

Co-presenters: Naomi Fleming, Dr Alberto Piaggesi, Robert Hicks, Rajesh Jogia, Mike Pierides, Paula Grannon and Deborah Modha.

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Hosted in collaboration with the European Wound Management Association (EWMA)


Speakers

Prof. Dr Alberto Piaggesi , Director, DF Section, Dept. of Medicine, University of Pisa

Alberto Piaggesi graduated in Medicine and Surgery in 1982 at the Medical School of the University of Pisa where he then specialised both in Internal Medicine and Endocrinology and Metabolism.
He is Consultant and Professor at the Medical School, and Director of the Diabetic Foot Section in the Department of Medicine at the University of Pisa.
He is membefr of the International Working Group on Diabetic Foot (IWGDF), Past President of the European Wound Management association (EWMA) and Founder of the Association of Diabetic Foot Surgeons (ADFS).
He authored more than 100 publications on Diabetic Foot in international peer-reviewed Journals.

Mr Rajesh M Jogia, Consultant Podiatric Surgeon University Hospitals of Leicester

Qualified from London Foot Hospital in 1986
Gained Fellowship in podiatric surgery in 1995
Working as part of the Multidisciplinary diabetes foot clinic at University Hospitals of Leicester for 34 years

Dr Naomi Fleming, Regional Antimicrobial Stewardship Lead for the East of England, NHS England and Improvement

Naomi has worked in many different pharmacy settings, most recently as an Independent Prescriber and senior clinical PCN pharmacist. Naomi’s previous experience includes working as the lead antimicrobial pharmacist for Kettering General Hospital, specialising in diabetic foot infection. Naomi is currently a member of the British Society for Antimicrobial Chemotherapy’s Council and Education and Training subcommittee. She also serves on the UK Clinical Pharmacy Association’s Pharmacy Infection Network committee, supporting education. She is a visiting lecturer at De Monfort University Leicester and at the University of Northampton, contributing to their Independent Prescribing courses.

Dr Mike Pierides, Consultant, Kettering General Hospital

Dr Pierides has been a consultant at Kettering General Hospital for the last 8 years and has been the lead diabetes consultant for the regional diabetic foot service. He has successfully got NHS England funding as well as funding from industry to improve local and countywide diabetic foot service. He has led and set up a variety of services for individuals with diabetic foot disease ranging from inpatient MDT ward rounds, outpatient virtual clinics (video/telephone/text) and a dedicated diabetic OPAT service with a joint microbiology diabetic foot MDT. He has built strong collaborations with vascular, orthopaedics and podiatric surgery enabling pre-emptive foot salvaging surgery as well as total contact casting and early vascular intervention as well as more efficient emergency access to vascular. He has also set up the only non research based Cold plasma Adtec SteriPlas clinic for chronic non healing wounds. He has chaired a regional team of specialists in coordinating and agreeing antimicrobial guidance across 4 organisations for seamless and uniform practise. Alongside his team he has attended local, national and international meetings with presentations on the teams local work and outcomes eg British Journal of Diabetes QIP award as well as and local quality and clinical excellence awards. He is the educational lead for the department which includes simulation training and is a faculty member of the ESMSC (Essential Skills in the Management of Surgical Cases). He also enjoys a special interest in sports medicine in diabetes. He is a keen general physician with ongoing collaborative diabetes plans with cardiology and renal medicine.

Dr Deborah Modha , Consultant Medical Microbiologist & Head of service for the Clinical Microbiology Department, University Hospitals of Leicester

Deborah works as a Consultant Medical Microbiologist and Head of service for the Clinical Microbiology Department at the University Hospitals of Leicester . She was previously a Consultant in Communicable Disease Control covering the southern Eastmidlands .
Deborah has been the clinical infection lead for the Leicester, Leicestershire and Rutland diabetic foot service for the last 12 years. She is a member of the Diabetic foot study group(DFSG) of the European association for the study of diabetes and a regular contributor to the DFSG meetings.
Deborah has a specialist clinical and research interest in fungal infections especially in adult and paediatric CF patients, infection prevention practice in outpatient and community settings and the management of infections in patients with diabetes.

Mr Robert Hicks, Consultant Vascular Surgeon, Northampton General Hospital

I have been a Consultant Vascular surgeon at Northampton General hospital since 2000, having trained at Charing Cross hospital and North West Thames.
For the last few years I am also a Deputy medical director with an interest in Quality.

From the beginning of my time I was interested in diabetic foot disease and started a multidisciplinary foot round with a diabetologist and Specialist Podiatrist, in 2001. Since then the service has progressed to be a full Multidisciplinary Countywide service for 2 hospitals and the county of Northamptonshire, with a podiatry delivered service feeding in to the diabetic foot service, Virtual ‘Rapid access clinics’ , and specialist high risk foot clinics with Orthopaedics, all supported by Specialist Pharmacists, Radiologists and a Microbiologist. This is a true Team Effort and I am pleased to be part of it.