1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2022 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

GP surgery no longer carrying out diabetic annual feet checks

Discussion in 'Diabetes Discussions' started by Cook1e, Nov 18, 2021.

  1. Cook1e

    Cook1e Type 2 · Member

    Messages:
    5
    Likes Received:
    2
    Trophy Points:
    43
    My GP surgery has taken the discussion to no longer carry out the annul feet checks. They now expect patients to check their own feet and to contact them if they self diagnose an issue. This seems to be laziness by the GP surgery to be honest and part of the general avoidance they seem to have in having face to face appointments with patients! Have any other Diabetics experienced a similar approach from their local GP in avoiding carrying out annual feet checks ?
     
  2. bulkbiker

    bulkbiker Type 2 · Oracle

    Messages:
    18,962
    Likes Received:
    12,569
    Trophy Points:
    298
    To be honest in the 6 years since diagnosis I've only had the foot check at the surgery once.
     
  3. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

    Messages:
    25,218
    Likes Received:
    30,674
    Trophy Points:
    298
    My annual foot checks stopped when I was declared as in remission. I did ask the nurse at the time, and she explained it is no longer done for remission people. That was a few years ago now.
     
  4. Ushthetaff

    Ushthetaff Type 1 · Well-Known Member

    Messages:
    524
    Likes Received:
    389
    Trophy Points:
    123
    I’ve never had foot check done at my GP surgery but I do have regular foot checks with the podiatrist , at the local community hospital , I did have a problem a few weeks back with pains in my foot , and to be honest the service was excellent , had an appointment the next day and an x ray within 3 days , this might be because I only have 1 foot,, but if I remember correctly service was just as good when I had two
     
  5. Jo_the_boat

    Jo_the_boat Type 2 · Well-Known Member

    Messages:
    686
    Likes Received:
    518
    Trophy Points:
    153
    I'd gone in for a flu jab.
    'When was your last foot check?' asked the practice nurse (daughter of one of my wife's schoolfriends)
    I told her I didn't want or need one. I said it's the same every year, you have a real job finding a pulse, I'm sure the machine is knackered.
    'Lie down there!!'she yelled.
    So I did.
    Took her 10 minutes but she found a little pulse in both feet.
    She was so happy, you'd have thought she'd won the lottery.
    'Right, you can go home now,' she said.
     
    • Like Like x 2
    • Funny Funny x 2
    • Winner Winner x 1
  6. TriciaWs

    TriciaWs Type 2 (in remission!) · Well-Known Member

    Messages:
    1,062
    Likes Received:
    610
    Trophy Points:
    173
    My podiatrist told me that GPs were supposed to be doing diabetic foot checks here a couple of years ago after I didn't get one done that year, but then the nurse at the surgery did one early this year but not properly - I now have an extra podiatry appt next week for a proper foot check (I have nerve conduction issues).
     
  7. sleepster

    sleepster Type 1 · Well-Known Member

    Messages:
    691
    Likes Received:
    331
    Trophy Points:
    123
    My GP surgery are still doing foot checks, they're quite basic though.
    My hospital clinic do foot checks as part of your annual review as well, but I've only been there once and didn't need a foot check as I'd just had one at the GPs, so I'm not sure how thorough they are.
     
  8. NicoleC1971

    NicoleC1971 Type 1 · Well-Known Member

    Messages:
    3,287
    Likes Received:
    1,968
    Trophy Points:
    198
    I haven't had a face to face and I am type 1. The head of community diabetic nurse lead services in my area points out that they have an immense back log and are under resourced so are prioritising the most urgent patients. That's not laziness it is a consequence of the policy of closing the NHS during the pandemic and of course of patients not wanting to have face to face appointments.
    I suspect those that can (like me) will go privately and others who are unaware that their feet should be checked and don't do so will be lucky or end up with more serious conditions. There are many older people who can't check their own feet because they can't access them or see them!
    Here is the link from DuK:
    https://www.diabetes.org.uk/guide-to-diabetes/complications/feet/taking-care-of-your-feet
     
  9. NicoleC1971

    NicoleC1971 Type 1 · Well-Known Member

    Messages:
    3,287
    Likes Received:
    1,968
    Trophy Points:
    198
    The other method is to get whoever you live with to blindfold you and tickle your feet with a feather plus gently prick it with drawing pins. You can see why the DSns and docs don't relish foot checks.....Why did it take her 10 minutes to find a pulse!>
     
    • Funny Funny x 1
  10. hankjam

    hankjam Type 2 (in remission!) · Well-Known Member

    Messages:
    3,809
    Likes Received:
    13,822
    Trophy Points:
    198
    My GP's have a very poor rep, though for what ever reason there are only three, when there should be six....
    I have a full check up every year from my DN.
    I can't complain.
     
    • Winner Winner x 1
  11. lucylocket61

    lucylocket61 Type 2 · Expert

    Messages:
    6,094
    Likes Received:
    2,648
    Trophy Points:
    178
    my dn didnt offer a foot check last year. I didnt think to question her.
     
  12. JohnEGreen

    JohnEGreen Other · Master

    Messages:
    12,004
    Likes Received:
    23,258
    Trophy Points:
    298
    I had a foot check at my GP's a couple of months ago including a doppler ultrasound check.
     
  13. lovinglife

    lovinglife Type 2 · Well-Known Member

    Messages:
    3,004
    Likes Received:
    2,561
    Trophy Points:
    198
    I had my foot check a couple of months ago - was phoned by surgery to make a specific appointment for it
     
  14. Outlier

    Outlier · Well-Known Member

    Messages:
    320
    Likes Received:
    262
    Trophy Points:
    83
    No mention of it came my way, nor the eye check.

    My friend in the next county has one every year.
     
  15. StewM

    StewM Type 1 · Well-Known Member

    Messages:
    385
    Likes Received:
    163
    Trophy Points:
    83
    Slightly different in my area, because it was the Consultant that would carry them out. But since they have moved all Consultant appointments to phone calls, no alternative arrangements have been made.

    I did flag this concern to my GP, who carried out an examination himself, and said he'd carry out another (if I felt it necessary, but otherwise would wait for my Consultant to come up with something else).
     
  16. Ryhia

    Ryhia Type 2 · Well-Known Member

    Messages:
    2,347
    Likes Received:
    5,892
    Trophy Points:
    198
    When I have my annual eye check, a nurse also checks my feet. This is done at a primary care centre rather than the GP although at my last diabetic review at my surgery, the DN did ask if was having any issues with my feet, didn't physically check though.
     
  17. zand

    zand Type 2 · Master

    Messages:
    10,481
    Likes Received:
    16,358
    Trophy Points:
    298
    The nurse usually does the foot check but this year it was my doctor who did it.
     
  18. Riva_Roxaban

    Riva_Roxaban Type 2 · Well-Known Member

    Messages:
    2,247
    Likes Received:
    3,759
    Trophy Points:
    198
    The GP practise I go to does not do diabetic feet checks, instead they give you five visits on a health care plan to a podiatrist that specialises in diabetic foot care.

    After she checks my feet out she will give my toenails a trim up.

    All the rest of my diabetic checks are done away from the GP's, eye tests at the optometrists, blood tests at a pathology lab.

    The only thing my GP does diabetes wise is sign my NDSS subsidised test strips form, which has not been done since covid started. He did read the blood test reports, and recommended if I was to take Metformin or not.
     
  19. Daibell

    Daibell LADA · Master

    Messages:
    12,389
    Likes Received:
    7,350
    Trophy Points:
    298
    I still have foot checks but to be honest I've never really understood the real need for them. There are far more important checks needed by all of us. If your HBA1C remains in good range the checks aren't needed and waste surgery time.
     
  20. EllieM

    EllieM Type 1 · Moderator
    Staff Member

    Messages:
    6,112
    Likes Received:
    2,812
    Trophy Points:
    198
    Yes, that's what I got when I lived in Australia (Sydney). But since the podiatrist found no evidence of diabetic neuropathy I just used to go for a single check up per year, no point in using resources that I didn't personally need.

    I don't think my UK 91 year old dad has had a foot check since covid, which is a problem as he has foot issues (some kind of rash/itch on the top of one foor that disappears with antibiotics and then reappears). His doctor won't look at it, just prescribes over the phone. But I think his surgery is very short staffed, so they are probably prioritising their in person visits.
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook