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Pain / deformity in forefoot and hind foot


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)

    • Suspected malignancy
    • Refer directly to fracture clinic, where available, if associated with any of the following:
      • trauma
      • infection
      • ulceration/threatened ulceration
      • suspected fracture
  • Category 2
    (appointment within 90 calendar days)

    • If associated with diabetic or other progressive neuropathy
  • Category 3
    (appointment within 365 calendar days)

    • Functional impairment and pain persists despite maximal management

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • History of - symptoms, rate of deterioration of the condition
  • Aggravating and relieving factors
  • Pain assessment –waking up at night, analgesic consumption
  • Interference with activities of daily living and working ability
  • Neurological deficit
  • Nerve irritation signs
  • XR results - AP and lateral ankle/foot including weight bearing/standing views

3. Additional referral information Useful for processing the referral

  • Management to date (including insoles and physiotherapy)
  • High risk foot clinic or podiatrist reports

4. Request

Last updated: 13 June 2023