Our Podiatry Service provides assessment, education and treatment of disease and conditions affecting the foot and lower limb.
Our team of Podiatrists and Podiatry assistants provide a range of interventions and treatments across Dumfries and Galloway to people who have a medical need and related foot problem. This can be in the community or any of the hospitals or health centres in the region.
We recognise that poor foot health has a direct impact on an individual’s independence, quality of life and overall health and well being.
The aim of the podiatry service is to provide high quality treatment and advice to help patients maintain their independence and mobility. We aim to reduce the risk of ulceration, infection and amputation in those at high risk of developing foot problems due to medical complexities, such as vascular (circulation-related) complexities and diabetes.
We work as part of a multi-disciplinary team. With mutual respect and understanding of each other’s professional skills, expertise across departments are often combined as we aim to meet the foot care needs and reasonable expectations of the local population.
Podiatrists are regulated under the Health Care Professions Council.
Examples of treatment undertaken
- Wound care (ulcerations)
- Biomechanics – Musculoskeletal (including gait analysis and the provision of prescriptive insoles)
- Corn and callus reduction (painful accumulations relating to disability/dysfunction)
- Complex nail care and corrective nail surgery (for conditions such as painful deformed nails or ingrowing toenails, fungal infections)
- Diabetic screening
- Foot health education (prevention and self-management)
PLEASE NOTE: NHS podiatry does not provide simple nail cutting.
Who should be seen?
The Service is available, regardless of age, for those with a problem affecting the foot and lower limb, especially those complicated by a medical need.
Accessing the service
You can refer yourself directly (between 10:00 am – 3:30 pm) by phoning the Podiatry department on 01387 220 031.
You may also be referred by any healthcare professional involved in your care, such as your GP, Nurse or Consultant.
PLEASE NOTE: you must be over 18 years of age to self-refer
What happens next?
When we receive a referral, we will read over all the details provided to determine if you are eligible for the service (in a process called triage).
- Scenario 1: Eligible and urgent
If your referral suggests that you will need to be seen urgently, we will make contact with you on the telephone number provided on the referral and arrange for you to be seen at the earliest availability.
- Scenario 2: Eligible and non-urgent
If your referral is accepted and your problem is non-urgent, you will receive a letter in the post advising that you phone the department to book an appointment. If you do not make contact with us within 2 weeks of our letter inviting you to make an appointment, we will assume that you no longer require our services and will as such discharge you from the service.
- Scenario 3: Ineligible for podiatric management
If you are not eligible for further assessment, we will be in contact to inform you of the reason or to ask for more details. We will also offer you advice.
All eligible new patients must attend an initial appointment where a full assessment will be carried out and an individual treatment plan will be agreed with you. A treatment plan may consist of education/advice leading to discharge, a one-off intervention, a short course of treatment leading to discharge or the provision of ongoing acute and chronic management for high risk patients.
Patients with diabetes who have been categorised as having Medium, High and Active Foot Disease are screened annually in order to monitor their risk status.
Patients who are housebound may be able to receive treatment at home. However this service is only for patients who are unable to leave their home.
If you are able to leave your home with the assistance of a friend or relative or on your own to attend:-
- Your doctor
- Out-patient appointments at the hospital
- The hairdresser
- The shops or other local amenities
your treatment will be provided at one of our many clinical locations.