Diabetes High Risk Foot Service - Information for Health Professionals

Our services include:

• Diabetes-related foot wound management
  • debridement
  • wound dressing
  • total contact casting
  • other pressure reducing techniques/devices that prevent foot injury and enhance wound healing
  • investigations such as wound swabs and imaging referrals
• Charcot’s neuroarthropathy foot immobilisation and temperature monitoring.
• Foot care for diabetes-related wound and /or infection prevention for people with very high risk foot status*.
• Walking foot-pressure and gait assessment.
• Neurovascular assessments including toe-pressure readings.
• Supporting applications to Enable NSW for medical grade footwear by submitting equipment requests, where appropriate.
• Knowledge sharing with patients and staff.
• A multi-disciplinary clinic for patients with diabetes and Charcot’s neuroarthropathy, reoccurring foot wounds and/ or diabetes related foot wounds that are not progressing towards healing with conservative treatment.

*Patients at risk of diabetes-related food wounds must meet the following inclusion criteria:

 Very High risk/ High priority: A confirmed diagnosis of diabetes + any one (1) of the following:

• Foot wound
• Healed diabetes related leg, foot or toe amputation
• Charcot’s neuroarthropathy foot
• A healed foot ulcer with skin or foot shape changes

High Risk/ Lower priority: A confirmed diagnosis of diabetes + any two (2) of the following:

• Peripheral arterial disease (PAD)
• Loss of Sensory perception (neuropathy)
• End stage renal disease (ESRD)
• A healed foot wound
• Callus, or toenail problems.

Review the referral criteria above. To refer your patient use the electronic referral via Healthlink. See this webpage for further information around electronic referrals. If you cannot access Healthlink, please send a fax to Diabetes Centre at 02 9382 4612.

If the patients condition is urgent, please phone us on: 02 9382 2307.