Direct to an emergency department for:

  • Sepsis or acutely unwell due to foot infection
  • Critical lower limb ischaemia with necrosis, pain or ulceration
  • Suspected acute limb ischaemia
  • Rapidly deteriorating ulceration or necrosis
  • Suspected foreign body in the foot.

Criteria for referral to public hospital specialist clinic services

  • Non-healing foot ulceration present for more than one month with no reduction in size despite medical management
  • Red hot swollen foot (active Charcot foot)
  • Foot osteomyelitis with ulceration
  • Chronic ischaemic signs and symptoms of the lower limb with foot ulceration
  • Neuropathic symptoms associated with deranged function and structure.

Information to be included in the referral

Information that must be provided:

  • History of diabetes (e.g. year of onset, type)
  • Current medication list including any antibiotics
  • Wound history and location
  • Current management
  • Recent HbA1c and creatinine blood test
  • Recent vascular imaging.

Provide if available:

  • Medical history
  • Recent pathology tests including wound swabs
  • X-rays or other imaging
  • Current podiatry treatment.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Note: there are also endocrinology statewide referral criteria for Diabetes-related foot complication.

Referrals should only be directed to a vascular specialist clinic if a high-risk foot service is not available.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

Not applicable.