High Risk Foot Service - Royal North Shore Hospital

The high risk foot service provides treatment and management of high risk lower limb pathology.

Our goal is to reduce hospitalisation and foot amputation for people experiencing diabetic foot disease. The service involves podiatry, microbiology, orthotics, physiotherapy, endocrinology, vascular and orthopaedic surgery.

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
   

• Images or scans
• Blood results
• Test results
• List of current medications

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

Patients must live either in the Lower North Shore, Ryde or Hunters Hill local government areas or referred by the Brookvale Community Health Centre podiatry service.

• GP referral

Can transport be organised for people to attend?

The high risk foot service does not provide a transport service for patients attending appointments.

Is there a cost to patients to attend the clinic?

There is no cost to attend the high risk foot service, however patients may purchase devices or products from the service which will aid their ongoing care.

• High Risk Foot Service Referral Pathway