Cornwall Io S Diabetic foot check referral pathway

Cornwall & Io. S Diabetic foot check & referral pathway Dec 2017 Contact with patient with diabetes. Inspect feetremove patients’ shoes, socks and any dressings YES Are any of these present? Evidence of foot problems ♦ Are any of these present? New ulceration ♦ ♦ Neglected feet Known ulceration with cellulites or infection Corns or Callus ♦ Known ulceration with deterioration in condition ♦ Suspected osteomyelitis/ulcer probing to bone ♦ Suspected acute Charcot foot ♦ Critical limb ischaemia, necrosis or gangrene Emergency admission NO * diabetic patients do not automatically qualify for routine toe nail cutting All patients should be referred, on diagnosis of diabetes, to podiatry for an initial assessment then on-going follow up as below. If this is not happening please arrange ♦ ♦ Toe nail problems* ♦ Peripheral vascular disease ♦ Peripheral neuropathy ♦ Structural foot deformity ♦ Painful feet/abnormal sensations Refer for urgent podiatry appointment podiatry. hotline@ nhs. net 01209 318093 Triaged phone & email 5 days a week, office hours Patients at low risk of foot ulceration should receive annual foot checks provided by their GP practice Patients at increased risk of foot ulceration should receive foot checks every 6 months provided by podiatry Patients at high risk of foot ulceration should receive foot checks every 1 -3 months provided by podiatry Refer to Community Podiatry clinic listing patient’s current foot problem. Patient will be contacted for appropriate appointment (18 week RTT, 13 week av wait) District hot foot clinic (access within 72 hours max )–specialist podiatrist in 1 of 3 area centres with informal access to M. D. T. Specialist podiatry clinic at RCHT (access within 72 hours max) with informal access to M. D. T. Diabetic foot clinic weekly M. D. T @RCHT to stabilise & prevent emergency foot