Diabetes UK continue to press for better results and that's right .There are some questions though.
Why do some areas have such high rates and others very low rates? Are they actually doing something different or is it something to do with the nature of their patients?
Some areas have improved rates by improving services. As here for example
http://www.diabetes.co.uk/news/2014...rop-in-diabetic-amputation-rates-91490562.htm
However, I suspect that there will also be areas where it is much more likely that people will present with advanced food ulcers. If you are a in an area where a lot of people are transient for example then I suspect that many will miss out checks and they won't have had diabetes education so won't see a doctor at the first signs. (those newspaper stories at least alert people to the risk)
I wonder also, what have these rates done over the longer term. In the US rates for amputations were as high as 9 per 1000 in the late 1990s, the rate ten years later was down to 3.2 (which is still higher than in the UK)
http://www.cdc.gov/diabetes/statistics/lea/fig3.htm
I think education plays a big part. When I was diagnosed and went on my first diabetes education course, the course had a lot of info both on complications and foot care. There was also a lot about diet and exercise was stressed (and no it wasn't a low carb diet , though food quality and amounts were ) The consultant proudly said that none of the patients at this hospital had required amputations for several years. That was ten years ago and is apparently still the case.
It is also in spite of podiatric care not being covered at 100% by the French health system .
(minor ulcers aren't covered at all but the hospital can give education; grade 2 ulcers get 4 'free' treatments a year, and grade 3, only 6 treatments. That's scary if they use the normal system of grading ) I suspect hospitals in cities here with far higher diabetic populations than my bit of rural France have very different outcomes.