1. 20th June 2014 Richard Leigh

2. What are FPT and MD(f)T? Foot Protection Team –Community Based –Also within hospitals with no MDT MultiDisciplinary (footcare) Team –Hospital based The aim of both Teams is to prevent foot pathology in people with diabetes.

3. Ulcer Formation due to Shearing Stress Callus formation Deep Tissue Rupture Ulceration Infection and Superficial Closure Cellulitis, Sepsis, Tracking, Osteomyelitis

4. Neuropathic ulceration secondary to callus formation

5. Spreading Cellulitis

6. To FPT –Patient has superficial lesion –Patient has neuropathy and another other foot pathology –If you are not sure Urgent ie same day to MD(f)T –Patient has a hot, swollen foot; FOOT ATTACK! –Neuropathic patient has sudden onset of pain –Any ulceration

7. To FPT –Claudication –Nocturnal Waking Cramps –Monophasic/No Flow –You suspect ischaemic changes Urgent ie same day to MD(f)T –The above with any ulceration –The above with gangrene

8. Time is Tissue Lateness costs Limbs and Lives