Diabetic Acute Foot Service: RFH

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Service update

The Diabetic Acute Foot Service at the Royal Free Hospital remains open and is continuing to see diabetes patients with limb and life-threatening foot conditions, during the Covid-19 outbreak.

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 primary and community care health care professionals (HCPs) 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, known as the acute foot video hotline, directly for clinical advice t: 020 7794 0500 ext 34546, ask switchboard to bleep 71 2317
  • 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 hotline service is available Mon-Fri 8.30am-4pm, Sat-Sun 9am-12 midday.


Service description

Podiatry service for patients with acute diabetic foot disorders. 

Patients should present to A&E for triage. If they attend out of clinic hours they will be booked to the service the next day, unless systemically unwell.

A specialist podiatrist will assess, treat and refer the patient to the correct foot care pathway.


Eligibility criteria

Inclusions

Patient has diabetes and:

  • hot, swollen foot
  • foot infection (sepsis, cellulitis)
  • new foot ulceration
  • sudden onset of foot pain
  • burn to the foot
  • gangrene
  • puncture wound

Exclusions

  • non-diabetes patient
  • routine nail care
  • routine callus/corn removal
  • missed routine community podiatry appointment 
  • Systemically unwell (should attend ED who can call podiatry to attend if a foot problem or see on ward if patient admitted)
  • Critical ischaemia 

How to refer

The following clinicians can refer to this service: GPs

Editable PDF / Word document Download Form

Referral methods: Email

GP are encouraged to complete the referral form and send by email.
e: rf-tr.rf-podiatryfax@nhs.net

Patients should present directly to A&E for triage (see How to self refer for further detail)

Self-referral

Patients can self-refer by attending RFH A&E.

Patients should present directly to A&E for triage; if out of clinic hours they will be booked to the service the next day (unless systemically unwell).

Opening hours: Mon-Fri, 8.30am-4.30pm (last patient 3.30pm) and Sat-Sun, 9am-12.45pm (last patient 11:30am).


t: 020 7794 0500 2317

e: rf-tr.rf-podiatryfax@nhs.net


Locations


External Links