Diabetic Foot Screening

Our team developed a diabetic foot screening, risk stratification, and education program based upon research evidence and international consensus guidelines. This program is designed to identify diabetic patients who are at risk of developing foot ulceration that is visually illustrated by a “traffic light” system: Green = low/no risk, Orange = Moderate risk, and Red = High risk. The outcome of screening will determine which interventions are required to lower ulceration risk in the moderate and high-risk categories. All screened patients are invited to watch an educational video and a one-to-one consultation. The screening process is designed to be a repetitive process with review intervals set according to risk status.

Patient Pathway

When a patient attends for diabetic foot screening they are tested for loss of protective sensation, foot pulse palpation, thorough foot and joint examination together with a review of their diabetes and co-morbidities status. Using a specifically designed algorithm their risk status is determined and recommendations are made for target risk-reducing interventions/treatments. A review date is set dependent upon their risk status.

Every patient is invited to watch a -20 minute health education video, that covers aspects of foot healthcare related to their screening visit. Finall y, a one to one consultation is given to consolidate the information from their foot screening allowing any questions or queries to be answered and a follow-up screening appointment is made.