Understanding the Model of Care for the Diabetic Foot in Ireland: A Nationwide Survey #DiabeticFoot #ALPSlimb #ActAgainstAmputation


The Model of Care for the Diabetic Foot in Ireland aims to provide an integrated approach to diabetic foot care by involving various healthcare services. A recent study by Pallin et al. explored podiatrists’ experiences with this model, offering invaluable insights into its effectiveness and areas for improvement. This blog post aims to delve into the key findings and implications of this study for healthcare professionals and policy-makers alike. A helpful nationwide model of care in Ireland written in 2011 can be found here.

Methodology and Scope

The study is based on a survey of podiatrists, capturing their experience and satisfaction levels with various components of the diabetic foot care model. It’s important to note that the study’s data was collected five years prior to its publication, with the aim of understanding the model’s impact as of 2018.

Key Findings

  1. Lack of Integration: The study found that the goal of establishing a system of integrated care across primary, secondary, and tertiary services was not met in every setting.
  2. Podiatrist Satisfaction: Although the podiatrists reported educating people with diabetes about lower limb risks, the study didn’t delve into why they were unsatisfied with certain elements of care.
  3. Policy Implementation: The results indicate that merely developing a policy is insufficient. There needs to be a systematic examination of how policies are implemented, involving all relevant stakeholders.

Implications for the Future

Need for Further Research

The authors suggest that future interviews or focus group discussions could help explore issues like podiatrist satisfaction and patient education more deeply.

Policy Refinement

The findings call for a re-examination of the Model of Care for the Diabetic Foot, especially concerning its implementation across various healthcare settings.

Interdisciplinary Collaboration

The study underlines the need for improved communication and collaboration among GPs, practice nurses, diabetes nurse specialists, orthotists, and administrative staff.


The study by Pallin et al. provides an essential critique of the Model of Care for the Diabetic Foot in Ireland. While the aim was to establish an integrated system of care, the findings show that there is still room for improvement. As professionals committed to advancing diabetic foot care, it is crucial to take these findings into account and work collaboratively to develop more effective models of care.

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