Podiatry Template

This is a dictation template to provide a reminder of the information required to complete the referral. The fields in red are mandatory and must be completed on the referral protocol.

Presenting Complaint

Which service is this referral aimed at:

  • General Podiatry
  • MSK Podiatry
  • Diabetes
  • Nail Surgery

Is this a request for a domicilliary visit:

  • Yes
  • No

Main Presenting Complaint: [Text – 98 character maximum]

Reason for Referral: [Text]

Date of Onset: [Date]

Priority:

  • Routine
  • Urgent

Priority Reason: [Text – 98 character maximum]


Podiatry Guideline

Podiatry Referral

MSK Podiatry (Biomechanic Clinic)

MSK podiatry provides diagnosis and treatment for a range of muscle and joint related foot and lower limb problems which may be due to development, posture, occupation and exercise, or due to long-term conditions such as Rheumatoid arthritis, Osteoarthritis.

Diabetes

The Podiatry Diabetes service provides assessment, diagnosis and treatment of low, medium and high risk patients with pathologies directly related to their Diabetes. This include active ulceration but excludes red flags such as Charcot foot, infection etc which should be directed to acute services which is found under the District Hospital in SCI Gateway.

General Podiatry

General Podiatry provides assessment, diagnosis and treatment for a range of foot pathologies and patients presenting with severe circulation problems with associated foot lesions.

Nail Surgery

General podiatry provides nail surgery procedures; partial or total nail avulsion.