Standard operating procedure

Diabetic Foot Screening SOP

Step by step through the structured screen, from the booking question to the risk category, the review interval and the same-day referral

For Podiatry & ChiropodyRef BS-POD-SOP-004See a sample (PDF) →
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  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This standard operating procedure is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Definitions and abbreviations
  • 4. Responsibilities
  • 5. Procedure
  • 6. If you find an active problem
  • 7. Away from the clinic
  • 8. Training and competence
  • 9. Monitoring and audit
  • 10. Version control and review
  • 11. Appendix A - Screening record
  • 12. Appendix B - Booking triage script
  • 13. Related documents
  • 14. Disclaimer

CQC fundamental standard

Regulation 9 (Person-centred care)
This document is written to evidence that standard. Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - in particular Regulation 9 (Person-centred care), Regulation 12 (Safe care and treatment), Regulation 17 (Good governance) and Regulation 20 (Duty of candour)
  • National Institute for Health and Care Excellence guideline NG19, Diabetic foot problems: prevention and management
  • National Institute for Health and Care Excellence guidance on peripheral arterial disease: diagnosis and management
  • Health and Care Professions Council standards of proficiency for chiropodists and podiatrists

Who it applies to

All podiatrists and clinical staff screening patients with diabetes, reception staff who book them, and the clinical lead of [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

ABPI
A comparison of the blood pressure at the ankle with that in the arm, used to check the blood supply to the leg.
Callus
Hard, thickened skin caused by pressure. On a numb foot it is a warning sign.
Capillary refill
Pressing the skin and timing how quickly the colour returns.
Charcot foot
A condition where the bones of a numb foot weaken and collapse, usually looking hot, swollen and red.
Claudication
Cramping pain in the leg brought on by walking and relieved by rest.
Doppler
A handheld device that listens to blood flow in the arteries.
HbA1c
A blood test showing average blood glucose over the past two to three months.
Maceration
Skin that has gone soft and white from being damp, often between the toes.
Monofilament
A small nylon filament pressed against the foot to test whether the patient can feel it.
Multidisciplinary foot service
A specialist team, usually in hospital, that treats serious diabetic foot problems.
Offloading
Taking pressure off part of the foot so it can heal.
Probes to bone
Being able to touch bone through a wound with a probe, which strongly suggests bone infection.
Protective sensation
Enough feeling in the foot to notice damage and react to it.
Red flags
The specific changes that mean a patient should contact us the same day.

How it works

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  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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