The North Middlesex University Hospital (NMUH) provides an acute diabetic foot service. The service operates five days a week, Monday to Friday, from 9am to 5pm.

The service will:

• reduce major and minor amputations
• reduce A&E admissions and length of stay
• improve patient outcomes, including morbidity and mortality

Eligibility Criteria

Inclusions

Diabetic patients with:

• hot, swollen foot
• foot ulcer with sepsis, cellulitis
• new foot ulceration
• sudden onset of foot pain (Charcot foot)
• gangrene/ischaemia
• puncture wounds

Exclusions

• non-diabetic patients
• routine nail care
• routine callus/corn removal
• missed routine community podiatry appointment
• critical ischaemia (see vascular pathway)

How to Refer