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:
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 only if injury suspected.
If no improvement after approximately 3 months of comprehensive management refer to the Interface Team.
If patient does not wish to explore surgical option consider referral to Pain Consultant for advice regarding analgesia.
No referrals to secondary care unless the following criteria are met:
No referrals relating to concerns about the cosmetic appearance of feet will be accepted.
Individual Funding Requests
Bunions are listed on Gloucestershire CCG's Effective Clinical Commissioning Policy. Please the attached link for details of access criteria and funding arrangements.