1. New referral pathway for the Foot in Diabetes Caroline Leith Podiatry Team Leader
I just want to say a few words about the new diabetic foot pathway
The new mdft and in-pt diabetes care is currently being funded with money from our successful bid for a 2 year project funded by NHSE.

2. Benefits of new integrated diabetes service single point of access for referrals working in partnership with WHHT seamless care for pts increased MDFT clinic new podiatry / MDFT ward rounds
This is an exciting time and the new pathways will bring benefits to our patients.
The main benefits
will be a single point of contact for referrers
Working in partnership between with WHHT staff
A seamless pathway for patients
Much increased Multi disciplinary foot clinics
And most exciting of all is that we have started in patient podiatry and MDFT ward rounds twice a week

3. Low Risk Adequate vascular supply No neuropathy May have light callus
Do not refer to podiatry
A reminder of the care pathways
There is no change to the low risk pathway.
These people do not need to see podiatry

4. Increased/Moderate Risk 1 risk factor present
Neuropathy OR
Ischaemia OR
Deformity OR
Other risk factors
Only refer to podiatry if there
is a foot care need
The change to this pathway is that you should only refer moderate risk patients to Podiatry IF they have a foot care need.
We do not need to see people just because they have a risk factor so your referral needs to make it clear what their foot problem is please.

5. High Risk More than one risk factor (eg neuropathy, ischaemia,
deformity)
Refer for podiatry
These patients DO still need a referral

6. Ulcerated/Charcot Ulcer Infection Osteomyelitis? Red, hot foot
Suspected Charcot
Urgent referral to MDFT via HIDS
This is the new and exciting part of the pathway.
We now have MDFT clinics every day across Herts Valley.
As I mentioned previously we also have in patient podiatry and MDFT ward rounds at WGH.
These patients need referral within 24 hours. The new service aims to offer them an appt within a further 24 hours
Patients who are medically unwell need admission

7. How to refer for Podiatry
All diabetic foot referrals are to be sent via the electronic referral system to
All non diabetic foot referrals come directly to Podiatry at Sandridge Gate
All diabteic foot referrals will go to the new diabetes address and will then be allocated the appropriate clinic or MDFT appt
The pathway for non diabetic Podiatry referrals remains unchanged