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Diabetic Footcare Pathway for the Western locality. A diagram of the guideline is available here.
The aim is prevention of foot ulceration by ensuring that risk status is identified and patients are educated and appropriately referred.
Primary care annual foot review
Foot examination with shoes and socks removed
Cases not requiring emergency admission refer to UHPNT Multidisciplinary Foot Team rapidly: email plh-tr.MultiDisciplinaryPodiatry@nhs.net or tel: 01752 439802
Manage infection according to formulary guidelines.
Severe neuropathic pain without ulceration
No risk factors other than callus:
Continue primary care annual review and provide education about foot protection and diabetic foot attacks
Discuss with Community Podiatry team member - Telephone 01752 434855 / 434848
University Hospitals Plymouth NHS Trust Multidisciplinary Referral Form
Diabetes UK foot screen leaflet – High Risk
Diabetes UK foot screen leaflet – Moderate Risk
Diabetes UK foot screen leaflet – Low Risk
Diabetes UK leaflet - Ten tips for Healthy Feet
Diabetes UK leaflet – Touch the Toes Test
Based on Diabetes UK/NICE "Putting Feet First", June 2012, revised May 2019
This guideline has been signed off by the Western Locality Diabetes Foot Group and Western Locality on behalf of NHS Devon
Publication date: September 2018
Updated: November 2022
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