Kerr M, et al. - Researchers estimated the annual cost of health care for foot ulceration and amputation in people with diabetes in England in 2014–2015 using patient-level data sets at a national and local level and evidence from clinical studies. The cost of diabetes ulceration and amputation health care in 2014–2015 is estimated at between £ 837 million and £ 962 million; 0.8% to 0.9% of the National Health Service budget for England. Findings revealed that more than 90% of expenditure was related to ulceration, and 60% was for care in the community, outpatient and primary settings. Diabetic foot care accounts for a significant proportion of England's healthcare expenditure, more than the combined cost of breast, prostate and lung cancers. Much of this spending is caused by prolonged and severe ulceration. If the NHS were to reduce by one-third the prevalence of diabetic foot ulcers in England, the gross annual savings would exceed £ 250 million. Diabetic foot ulceration is a large and growing problem worldwide, and potential for improving outcomes and reducing spending in many countries is likely to exist.