Northern Sydney Local Health District (NSLHD) High Risk Foot Services treat people at high risk of developing foot problems.

The Hornsby High Risk Foot Service is one of two in NSLHD, with the other based at Royal North Shore Hospital.  Referrals to the Hornsby service can be made for people living in the Hornsby and Ku-ring-gai LGAs, as well residents of the northern part of the Northern Beaches who have been referred by the Mona Vale Community Health Centre podiatry service.

The goal of these services is to prevent hospitalisation and foot amputation. Appointments are only available to those who have been assessed as having the greatest clinical need and are at risk of serious foot complications. Services available include vascular and neurological assessment, care of skin and nails, nail surgery, wound care, footwear assessment and advice, biomechanical assessment and provision of orthoses.

There is an Orthotist available one day per week and a Vascular Surgeon one clinic per fortnight.  The clinic is located together with Diabetes Education, Dietetics, GP Unit and Aboriginal Health, and work very closely as a multidisciplinary team.



In order to be eligible for our service, patients must have one or more of the  following medical conditions which place the lower limb at high risk:

  • Diabetes
  • Foot ulceration / cellulitis / warm oedematous foot
  • Partial or total foot amputation due to vascular / neurological complications
  • Significant peripheral vascular disease (PVD or PAD)
  • Rheumatoid arthritis with significant foot deformity
  • Neuroarthropathy
  • Peripheral neuropathy / neuropathic symptoms
  • Renal failure – chronic / dialysis
  • Spina Bifida
  • Transplant recipients
  • Aboriginal or Torres Strait Islander

Patients must also live within Hornsby or Ku-ring-gai Local Government Areas , and for the high risk foot service, may also be referred by the Mona Vale Community Health Centre podiatry service.


To be eligible for our services, patients require a referral letter from their GP, clearly stating how they meet the above eligibility criteria.

Patients aged under 65 and urgent cases as listed below, can access the service directly by phoning 9485 6116

Patients aged 65 or older will be required to contact My Aged Care on 1800 200 422 to request access to services.

See the High Risk Foot Service Referral Map

Urgent Cases

Patients with current foot ulceration, infection or acute Charcot’s Neuroarthropathy will be prioritised for urgent attention – please phone 9485 6116

Other Information

Whilst all patients who meet our eligibility criteria will be able to access our services, appointment duration and frequency will be determined by level of risk and clinical need, determined after assessment by our podiatrists.

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High Risk Foot Service and podiatry service
Building 14, Gate 6a, Derby Road, Hornsby Hospital, Hornsby NSW 2077

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Opening hours: 08:00 to 16:30, Monday to Friday

Intake/ Referral/Clinical Coordination: via Reception on 02 9485 6116 or by emailing [email protected]

Inpatients from Hornsby Hospital Wards who meet high risk eligibility criteria can be referred via eOrder

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02 9485 6116