Risk stratification – Moderate risk

Diabetic foot risk stratification and triage

Risk stratification and triage traffic light - moderate risk

These risk categories relate to the use of the SCI-Diabetes foot risk stratification tool

Moderate risk

Definition

One risk factor present e.g. loss of sensation or signs of peripheral arterial disease or significant callus or significant structural deformity or unable to or has no help to self care or an eGFR <30.

Action

  • Annual screening (rather than every 2 years) by a trained Healthcare Worker recorded on the SCI-Diabetes foot screening page.
  • Foot assessment by podiatrist when first identified as moderate risk (which may be a one off appointment) with the implementation of a treatment/management plan agreed with the individual if required.
  • Foot assessment by podiatrist when first identified as moderate risk (which may be a one off appointment) with the implementation of a treatment/management plan agreed with the individual if required.
  • Provide written and verbal education including information on how to
    access podiatry (urgent or otherwise) as required
  • Provide cardiovascular risk reduction information, encourage and signpost all smokers to a smoking cessation programme.