Criteria for Podiatry Treatment during COVID-19
Catagory Red: Acute Conditions / Limb Threatening
• Ulceration/ non-healing foot wounds of any type
• Previous amputations (non-traumatic)
• Epidermolysis bullosa
• Critical limb ischaemia
• History of or an active Charcot foot
• People with diabetes or conditions that reduce tissue viability in addition to redness, heat or
swelling in the foot or leg
• Severe acute MSK problems suffered by key workers and affecting their ability to work who
cannot be treated by remote consultation
• Foot infection which requires or has required antibiotic treatment (excluding fungal nails)
Category Red: Acute Conditions / Limb Threatening
• Ulceration/ non-healing foot wounds of any type
• Previous amputations (non-traumatic)
• Epidermolysis bullosa
• Critical limb ischaemia
• History of or an active Charcot foot
• People with diabetes or conditions that reduce tissue viability in addition to redness, heat or
swelling in the foot or leg
• Severe acute MSK problems suffered by key workers and affecting their ability to work who
cannot be treated by remote consultation
• Foot infection which requires or has required antibiotic treatment (excluding fungal nails)
Category Amber: Debilitating or Life Affecting Conditions
• People with CKD 3 or above and foot pathology
• Key/Essential workers with foot/ankle pain that prevents them from working
• In-growing toenail with infection / inflammation
• People with neuropathy and significant foot deformity
• People with peripheral arterial disease and foot pathology
• People with inflammatory/rheumatic diseases, or connective tissue disorders and associated foot pathology
• People with diabetes (moderate/high risk foot) with foot pathology
• Severe foot deformities with a long-term condition and or pain that may require surgery
• People with poor tissue viability related to immunosuppressant/chemotherapy and associated foot pathology
• Neurological conditions with related foot pathology
• Vulnerable groups where mental health /congenital conditions require professional input as limited care is available from carers or family. If the feet are not cared for, this may lead to distress and or self-harm
• Painful corns and/or large area of a painful callus
• Adult and or paediatric MSK conditions with acute pain, where a delay of treatment may lead to worse outcomes e.g. bilateral foot/limb pains, severe foot/ankle sprains, tendon pathology, worsening foot/ankle or lower leg pain despite optimal self-management and
or rest
• Palliative care / end of life care where foot care is needed
• Dermatological conditions other than verrucae which are infected, inflamed or has the risk of breakdown or cancer
• Podiatric conditions exacerbating/causing falls