Diabetes Foot Clinic
This is a dedicated specialist multidisciplinary foot clinic for patients with acute diabetic foot complications.
The main team includes both medical and surgical consultants, specialist podiatrists, a clinic assistant and an orthotist. However, there are also microbiology and radiology specialists readily available if needed. Care is undertaken in both outpatient and inpatient settings.
The foot clinic can be found in the Elsie Bertram Diabetes Centre. This is a multidisciplinary centre with a variety of professions involved in diabetes care, covering central Norfolk, and the surrounding areas.
The Elsie Bertram Diabetic Foot Clinic is open Monday to Friday and runs by appointment but if you are an existing patient you can arrange for a follow-up in clinic by contacting them directly on 01603 288522, also if you are concerned about your foot condition you can contact the Foot Clinic by phoning the same number, if we are unable to answer your call immediately, please leave a message and we will get back to you as soon as possible.
Whilst the foot clinic is usually run by the podiatrists, the other members of the team are always available. We also run specialist foot clinics as well. These are the medical foot clinic that runs on alternate Thursday mornings run by Dr K Dhatariya, Consultant Diabetologist. There is a vascular foot clinic that runs on the other Thursdays with Dr K Dhatariya and Mr D Morrow, one of our vascular surgeons. In addition, Mrs R Hutchinson, Orthopaedic Surgeon holds an Orthopaedic Foot Clinic once a month one specialising in bone problems in the feet. Dr K Dhatriya is also present.
New patient referrals are accepted from all healthcare professionals. A new patient appointment will take approximately one hour; during this time you will be asked about your general health, diabetes control, current medication and history of foot problem. In order to help us complete our assessment we ask that you provide an up-to-date list of medication (ideally by bringing your most recent repeat prescription). We will assess the blood supply and nerves in your feet. Subsequent appointments will take 30-45mins.
The Norfolk and Norwich University Foundation Hospital is a teaching hospital, this means that there maybe student doctors, nurses or podiatrists in clinic, and we will discuss your foot problems with them, if you would rather not have a student present please let the podiatrist know.
We aim to be an academic unit, and as such, patients attending the foot clinic may be asked to participate in clinical studies being undertaken in the department if they are deemed appropriate. Patients are under no obligation to take part and will be made aware that if they decline participation their ongoing care within the foot clinic will not be affected.
Diabetes can lead to foot complications as a result of nerve damage, which can lead to loss of sensation in your feet and damage to the blood vessels that supply your feet. Diabetes can also increase your risk of developing an infection in your skin or bones. These three factors make your foot more susceptible to injury and can lead to other complications including:
- Charcot foot
- Bone infection
Referrals are accepted from all healthcare professionals for the acute foot conditions mentioned earlier. If you are concerned you have an acute foot problem please contact your regular healthcare professional.
If you have any other foot problems corn, callus, nail care issues etc you can self refer to:
Foot Health Services
Norwich Community Hospital
The treatment we provide is based on national and international guidance:
- National Institute for Clinical Excellence (NICE) Prevention and Management of Foot Problems (2008)
- The National Service Framework (NSF) for Diabetes
International Consensus on the Diabetic Foot (1999)
If you have an ulcer on the sole of your foot or a Charcot foot it is important to reduce the pressure. You may be offered one of a variety of sandals or boots to reduce the pressure on the affected foot. These off-loading devices include;
- Plaster Casts
- Off-the-shelf removable/non-removable walker
- Bespoke removable walker
- Temporary therapeutic walker
Total contact cast are non-removable and are made from polyester. They are the gold standard treatment for off-loading problem feet. Before you are offered a cast the podiatrist will advise you on the risks associated with the cast and how it will affect your mobility. If you are offered a total contact cast you will need to attend the weekly casting clinic for review.
In some instances it may be necessary for patients to be admitted to hospital, this occurs for two main reasons
- Infection not responding to treatment
- Reduction in blood supply threatening the viability of the limb.
If this is the case you will be reviewed by either a consultant or registrar to arrange emergency admission from the foot clinic. After discharge from hospital you will be reviewed in the foot clinic as an outpatient.
Medical/Vascular Foot ClinicIf your foot condition is failing to respond you will be seen in either the Medical or Surgical foot clinics, depending on the underlying reason for your foot condition. These are consultant led clinics, where your diabetes and foot condition.will be assessed further and a long term treatment plan agreed.
Once your foot problem has healed you will no longer need to attend the Foot Clinic. However ongoing podiatry care will be essential to reduce the chances of future foot problems. You will be offered an appointment in the Diabetic Outreach Clinic at Norwich Community Hospital or in one of the Community Podiatry Clinics.
2. Catherine Gooday, Principal Diabetes Podiatrist
3. Rachel Murchison, Podiatrist Diabetes
4. Grace Messenger, Podiatrist Diabetes
5. Karen Holland, Podiatrist - Diabetes
6. Kevin Panter - Orthotist
You may contact us either via the email address/contact telephone number below or by mail to:
Diabetic Foot Clinic
Elsie Bertram Diabetes Centre
Level 3 East Wing
Norfolk and Norwich University Foundation Hospital
|Monday||08:30 - 17:00|
|Tuesday||08:30 - 17:00|
|Wednesday||08:30 - 17:00|
|Thursday||08:30 - 17:00|
|Friday||08:30 - 17:00|
Contact DetailsMain Telephone Number: 01603 288522
Fax Number: 01603 287320
Email Address: firstname.lastname@example.org
Other Links in this section
- Department Home
- Consultant Team
- Endocrinology and Diabetes Research