Risk stratification

The process of foot screening must lead to the individual with diabetes being assigned a risk category, and informed of and understand what that risk category means to them as an individual living with diabetes. According to the assigned risk category this will result in the introduction of a treatment/management plan according to that risk level formulated in consultation with the individual with diabetes, tailored to suit their needs.

The validity of diabetic foot screening is optimized if the process is carried out and recorded in a standardised manner wherever the individual is seen. It is recommended as an area of good practice within the sign guideline that:

‘The result of a foot screening examination should be entered onto an online screening tool, such as the Scottish Care Information – Diabetes Collaboration system (SCI-DC), (now known as SCI – Diabetes), to provide automatic risk stratification and a recommended management plan, including patient information’.