High risk

Definition

Previous ulceration or previous amputation or on renal replacement therapy or neuropathy and non-critical limb ischaemia together or neuropathy in combination with callus and or deformity or non-critical limb ischaemia in combination with callus and /or deformity.

Action

Tell people that they are at high risk of foot ulceration and refer to the foot protection service for first assessment (within 2-4 weeks). The foot protection service should; assess the feet and give advice and care (as detailed below), frequently (1-2 months) or very frequently (1-2 weeks) where there is immediate concern. People in hospital should be given a device to offload heel pressure.