The outreach group-reaching high risk patients in a remote and rural area

This article will discuss the issues of delivery related to remote and rural services for the foot in diabetes. Access to specialist treatment can be affected by remoteness from clinics and by pressure on services as a result of the increasing prevalence of diabetes. The use of telemedicine, telehealth and telecare continues to expand within NHS Highland and Western Isles (Audit Scotland, 2011). Access to continuous professional development can be challenging for healthcare professionals and the State of the Nation (2015) document by Diabetes UK calls for urgent action.