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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


Here at the Cannon Hill Clinic, we are now open to see and treat some podiatry patients.
We still have to limit this service to urgent treatments and are not offering non-urgent or routine care at this time.
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