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High Risk Podiatry Service - public patients

Purpose

This document contains information for general practitioners (GPs) on how to refer patients aged 16 years and over to the High Risk Podiatry Service at Mater Hospital Brisbane.

Scope of Service

This service provides care to adult patients with diabetes who have been diagnosed as being at "High Risk" of developing foot complications such as:

  • Foot Ulceration
  • Foot or lower limb amputation
  • Hospitalisation due to foot complications
  • Peripheral Neuropathy
  • Peripheral Arterial Disease
  • Foot Deformity

Due to high demand, we do not accept referrals for general foot and nail care patients who have been diagnosed as being "low risk" of developing diabetic foot complications which are considered appropriate for community or private podiatry services.

Referral criteria:

Please include the minimum referral requirements and the following investigations relevant to the diabetic foot condition for which you are referring:

Foot Assessment  Required referral investigations and patient information
General referral details
  • Type of diabetes and duration of the disease
  • History of smoking
Vascular Assessment If Peripheral Arterial Disease has been previously diagnosed please include the details of the duration, any complications, details of previous screening and any previous treatment.
Neurological Assessment If Peripheral Neuropathy has been previously diagnosed plesae provide details of the duration, any complications, details of any previous screening and any previous treatment.
Foot deformity

If the patient has a foot deformity please provide a description of the deformity and its:

  • Origin, eg trauma, congenital, progressive
  • Duration, eg Acute, chronic
  • Results of x-rays, ultrasounds, CT scans and MRIs if appropriate
  • Any previous treatment, eg callous management, insoles, orthotic devices, footware, surgery
Current foot ulcer

Please provide details of:

  • The location of the wound
  • its origin if known
  • presence of the infection
  • previous treamtnet
  • history of peripheral arterial disease and/or peripheral neuropathyg
Charcot Neuroarthropathy

Please provide details of:

  • The current description of the affected foot—size, colour, change in shape, swelling, temperature
  • x-rays, CT scans or MRIs if appropriate
  • history of peripheral neuropathy
  • previous treatment
Previous ulceration

In addition to any history of previous arterial disease or peripheral neuropathy, if the patient has a history of foot ulceration please provide details of:

  • The site of the ulcer/s
  • duration of the ulcer/s
  • previous treatment
Acute ischaemia

In addition to any history associated with peripheral arterial disease, please provide details of:

  • Site
  • onset
  • duration
  • previous treatment
Dry gangrene

In addition to any history associated with peripheral arterial disease, please provide details of:

  • Site
  • onset
  • duration
  • previous treatment

Referral categorisation

Available appointments are provided to our patients based on clinical priority:

PRIORITY SEMI-URGENT ROUTINE
  • Current foot ulcer with or without infection or
  • Acute Charcot Neuroarthropathy or
  • Pre-ulcerative lesion or
  • recent foot ulcer
  • Foot deformity with Peripheral Neuropathy or
  • Foot deformity with Peripheral Arterial Disease or
  • Previous foot ulceration or
  • Previous foot amputation
  • Peripheral Arterial Disease or
  • Peripheral Neuropathy or 
  • Foot deformity

 

Mater endeavours to see all priority patients within 7 days from GP referral Mater endeavours to see all semi-urgent patiets within 1 month from referral Mater endeavours to see all routine referrals within 3 months from a GP referral

 

 

 

 

 

 

 

 

 

 

 

Mater Podiatrist

 Amy Jones Senior Podiatrist

 

Contact us

If you wish to discuss a referral with the podiatrist please contact the Mater Podiatry Clinic on telephone 07 3163 2500.

Referrals can be faxed to 07 3163 1543.

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