Podiatry (foot disorders)

The Diabetes and Tissue Viability Team, work in the community and as part of the Multi-disciplinary Diabetes Footcare Team (MDFT.) The service supports people diagnosed with Diabetes and/or Peripheral Arterial Disease (PAD). People with Diabetes who have active, high or moderate foot risk according to NICE Guideline 19 (2015) and patients with PAD are at risk of developing severe foot complications.

Patients with neuropathy and/or impaired circulation or one or more risk factors, should be referred to the Podiatry Department for triage, screening, advice and care plan. Active foot problems including ulceration with or without infection or suspected Charcot arthropathy, should be referred immediately for urgent triage, assessment and treatment. (National Wound Care Strategy Foot Ulcer Recommendations 2023)

Please download the Diabetes Referral Pathway.

The Podiatry Rheumatology Team run specialist clinics for patients with an active Rheumatology or Connective tissue disorder. These patients are usually under the care of a Rheumatology consultant and should be referred to the department for triage and screening.

The Podiatry Neurology Team offer assessment and advice to patients with Neurological conditions. Aiming to provide lower limb stability, mobility and the prevention falls. Offering footwear advice and simple orthotics if required.

A specialist minor surgical procedure provided in the community setting for the treatment of ingrowing toenails in both children and adults. This may involve permanent removal of the ingrown toenail using a local anaesthetic.

The Podiatry MSK Team provide advice and / or treatment for foot related Musculoskeletal problems. Children and adults with pain or deformity in their feet or legs stemming from muscle, bone, joint and related soft tissue problems should be referred to the department for triage and screening.

Podiatry care is provided on medical and foot health need. Packages of care will be provided following assessment to the following groups:

People with:

• Diabetes at active, high and moderate foot risk - According to NICE Guideline 19 (2015)
• Mental health problems affecting ability to selfcare
• Neurological or neuropathic lower limb & stability issues
• Peripheral arterial disease
• Rheumatoid/connective tissue disorders (not osteoarthritis)
• Lung disease
• Kidney disease - Stage 4 & 5 (formally End Stage Renal Failure)
• Foot ulceration associated with a long-term condition
• End of Life Care
• Infected ingrowing toe nails
• Musculoskeletal conditions of the foot

Please note:

Individuals who require routine nail care, will be advised regarding self-care and signposted to other agencies. Our service is not based on any means testing criteria.

Patients who attend GP or outpatients will be offered an appointment at one of our community podiatry clinics. Should they choose not to travel, despite being able to, we are unable to offer an alternative to a clinic appointment.

Online Self-Referral Form

If you are unable to complete our referral form - please call our Single Point of Access (SPA) team on 01926 600818 Option 4 who will arrange a call back from a member of our team.

For general enquiries please call us on 01926 600818 Option 4 or email us on podiatryreferrals@swft.nhs.uk.

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01926 600818 Option 4

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