Community Podiatry Service
(Vascular Triage – see Leg Circulation Service)
All new referrals to the service are triaged to ensure that patients with increased and high medical and podiatric needs are prioritised in accordance with Local Commissioning and NICE guidelines.
Routine nail cutting and hard skin and corn removal are not provided except for patients with increased or high medical and podiatric needs.
The department has a wide skill mix of staff from an assistant practitioner to specialist podiatrists providing assessment, diagnosis and treatment of conditions of the foot with the aim of reducing hospital admissions, preventing deterioration in ‘at risk patients’, improving patient well- being and quality of life, reducing pain and discomfort and maintaining independence and mobility.
Services are offered by appointment only – there are no ‘drop-in’ facilities.
The scope of practice includes:-
- All new patients are assessed for inclusion on an appropriate pathway which can include discharge from the service
- Community Multidisciplinary Foot Protection Team dealing with complex high risk feet
- High risk foot assessment and management
- Specialist High Risk Foot ulcer clinics
- Diabetes specialist foot assessment and treatment in line with NICE guidelines
- Treatment of complex long term chronic foot conditions
- Nail surgery under local anaesthetic
- Musculoskeletal limb function assessment and management of gait problems
- Prescription and manufacture of foot orthoses
- Foot health promotion education and self-care advice
- Home visiting service (only for patients who are completely housebound)
- Services are also provided at Intermediate Care locations and Manchester Prison
The Community Multidisciplinary High Risk Foot Team works to NICE guidelines with the aim of triaging new referrals of patients with foot ulcer within one working day of referral.
Currently there is a process of re-profiling of the existing caseload in order meet commissioning requirements of targeting patients with highest needs with discharge of low risk patients.
Referrals are accepted from all health care professionals and patients can self-refer.
- Non urgent new patients are seen 6-8 weeks from referral.