The WH podiatry community service provides comprehensive assessments and treatments for lower limb problems, particularly focusing on the foot and ankle, and includes podiatric advice and self-care guidance. The services provides treatment for medical conditions requiring podiatric care.

Eligibility Criteria

Inclusions

Patients registered with an Islington or Haringey GP that have a podiatric need and a medical condition that puts their foot at risk - see service acceptance criteria (see Downloads), including:

• Biomechanical problems, injection therapy and bespoke orthotic provision
• Podiatric need e.g. callus/corns (must have medical condition that puts their feet at risk e.g. peripheral vascular disease) 
• Ulcers (not requiring MDT care)
• Ingrown toenails requiring surgery
• A limited housebound service is available for those that do not leave home for other medical/social reasons.

Exclusions

For severe infection and suspected critical ischaemia, escalate patient immediately to Royal Free Hospital (RFH) Hot Clinic (see Related Services).

• Basic nail care for patients with no relevant medical history (if nail care support is required, please refer to the Nail cutting services information sheet (see Downloads)
• Diabetic foot assessments where no podiatry need is present 
• Verruca/fungal toenail patients 
• Patients requiring bespoke footwear 
• Patients requiring walking aids 
• Ulcers requiring MDT care (ulcers which are infected requiring IV antibiotics, bone probable/visible, those requiring vascular intervention). These should be referred to Whittington Podiatry Clinic 3B on mdtpodiatry.whitthealth@nhs.net or RFH Hot clinic (see related services).

How to Refer