Community Podiatry Service

Islington
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June 2021: service update

Whittington community podiatry service has resumed service for all patients who were previously on hold during the Covid-19 outbreak. The service is in process of contacting patients in a systematic way, ensuring those that confirm the need for podiatry are booked appointments. 

Existing community patients with any concerns can call the central booking team (t: 020 3316 1111/1600) if required, a new referral is not required for existing patients. Community and acute ulcer clinics are open.

Also note: the Acute Ambulatory Foot Service at the Royal Free remains open and is continuing to see diabetes patients with limb and life-threatening foot conditions. 


Virtual consultation support and advice phone line

The Royal Free podiatry team is also offering virtual consultation support and an advice phone line for NCL health care professionals (HCPs) in primary and community care to support management of patients with foot conditions that do not threaten life or limb.

How to use the service

  • HCPs can call the podiatry service directly for clinical advice t: 020 7794 0500 ext 34546
  • HCPs can request a video consultation with a podiatrist during a face-to-face appointment with a patient (patient video consent required) using this link www.royalfree.nhs.uk/video-appointments 
    • Click “Start Video Call”
    • Selecting waiting area “Podiatry”
    • First Name put  “CLINICIAN’S NAME” + “GP” or “HCP”
    • Accept Terms and Conditions
    • "Continue", and "Start Call"
    • "Allow Access"
    • You will be in a virtual queue and a podiatrist will join you

The podiatry service can also be contacted via the phone line to pre-arrange a podiatry video call. The video consultation can be scheduled for when the HCP will be seeing the patient in a face-to-face appointment (patient video consent required)

The virtual service is available Mon-Fri 8.45am-4.15pm, Sat-Sun 10am-3pm.


Service description

The Whittington Health Podiatry Service is a community-based clinical service for adults and children. The service aims to improve the foot health of the local population by providing a comprehensive range of podiatry advice and treatment according to assessed clinical need.

The service specialises in assessing and treating problems of the lower limb particularly of the foot and ankle. Podiatrists aim to maintain and promote good foot health within the population of Islington and Haringey in order to help sustain mobility, independence and reduce pain.

The team can assess a patient’s foot problem and provide treatment and self-care advice as appropriate to their individual needs. The service strives to support patients to self-manage their foot problems in order to improve and increase control over their foot health.

Services include:

  • treatment of foot pain
  • treatment of the high-risk foottTreatment of skin and nail conditions of the foot
  • toenail surgery
  • injection therapy

Eligibility criteria

Inclusions

Patients registered at an Islington or Haringey GP, regardless of where they live, with a foot condition meeting the acceptance criteria of the service including:

  • routine/in-grown toenail 
  • biomechanics (plantar fasciitis, Achilles tendonitis, limb-length discrepancy, neuromas, hallux valgus and limitus, posterior tendon dysfunction, in toeing, pes planus and pes cavus foot types) 
  • diabetic foot health education 
  • diabetic foot annual review (for patients classified as ‘increased’ or a ‘high risk’ of foot ulceration, NICE Quality Standards Statement 10) with a need for podiatry care
  • paediatrics: need to be referred by their GP, self-referrals not accepted 
  • home visits: for housebound patients only 
  • foot health education 
  • foot ulceration which does not require multi-disciplinary team (MDT) care.

Exclusions

The following foot conditions are excluded:

  • basic nail care for patients with no relevant medical history 
  • diabetic foot assessments where no podiatry need present 
  • verruca patients 
  • patients requiring radiosurgery 
  • patients requiring bespoke footwear 
  • patients requiring walking aids only and no assessment (to be referred by the Islington GP directly to occupational therapy
  • ulcers requiring MDT care (ulcers which are infected requiring IV antibiotics, bone probable/visible, uncontrolled diabetes, suspected ischaemia requiring vascular intervention) 
  • suspected ischaemia requiring vascular intervention: please refer directly to hospital-based vascular clinic.

How to refer

The following clinicians can refer to this service: GPs

EMIS form

Referral methods: Email

A referral form for non-urgent community podiatry can be found in ISL EMIS under
ISL global documents > MSK & Podiatry  > GP Podiatry Referral Form - Whittington

Referral forms should be emailed to The Central Booking Service:
e: arti.centralbooking@nhs.net 
t: 020 3316 1111 / 020 3316 1600

Self-referral

Patients aged 18+ can self-refer via the service website, or they can complete the Podiatry Self-Referral Form, available on EMIS.

The service does not accept self-referrals from patients under 18. Children under the age of 18 will need to be referred by GP or health care professional. 


w: https://www.whittington.nhs.uk/mini-apps/default.asp?page=Podiatry/Podiatry.aspx


Locations

Bingfield Primary Care Centre
City Road Medical Centre
Finsbury Health Centre
Highbury Grange Health Centre
Holloway Community Health Centre
Hornsey Rise Health Centre
River Place Health Centre