Amputations caused by diabetes are "a burgeoning problem" and health systems are partly to blame, a Ministry of Health official warned colleagues.

The ministry says improvements have been made, amidst a wider push to stem the tide of amputations - legs, feet and toes - that topped 1000 last year.

That includes making sure proper assessment systems are used to check feet when diabetics turn up to their GP.

Documents obtained under the Official Information Act reveal frustration from health workers about prevention efforts.


Sian Burgess, the ministry's programme manager for diabetes, outlined the situation in a memo, prepared in