Prior to referral consider / screen to exclude:
Key Clinical Observations of concern:
Acute infection or suspected new traumatic injury should be sent to A&E.
Urgent appointments can be made for patients in consultant led orthopaedic F&A fracture clinic.
Urgent appointments can be made in consultant orthopaedic foot and ankle elective clinics for patients with:
Urgent appointments can be made with podiatrists for:
Consider diagnosis (discuss within peer review)
If no improvement; suggest self referral or refer on to Physiotherapy or Podiatry Service for diagnosis (if not already ascertained) and treatment.
AP/Mortise and lateral standing foot X-ray prior to onward referral if first line actions fail or if patient reports sharp catching or locking.
If no improvement after 3 months of comprehensive management refer to Interface team.
No referrals to secondary care unless the following criteria are met: