Ambulatory Acute Foot Service (AAFS)

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Podiatry service for patients with acute diabetic foot disorders. 

Patients should present to A&E for triage. If they attend out of clinic hours they will be booked to the service the next day, unless systemically unwell.

A specialist podiatrist will assess, treat and refer the patient to the correct foot care pathway.

Eligibility criteria


Patient has Diabetes and:

  • hot, swollen foot
  • foot infection (sepsis, cellulitis)
  • new foot ulceration
  • sudden onset of foot pain
  • burn to the foot
  • gangrene
  • puncture wound


  • non-diabetes patient
  • routine nail care
  • routine callus/corn removal
  • missed routine community podiatry appointment 
  • Systemically unwell (should attend ED who can call podiatry to attend if a foot problem or see on ward if patient admitted)
  • Critical ischaemia (see hypertension pathway)

How to refer

Editable PDF / Word document Download Form

Referral methods: Email

GP referrals are encouraged – complete referral form and send by email.


Opening hours: Monday-Friday, 8:30am-4:30pm and Saturday-Sunday, 9am-11:30am.


Patients can self-refer by attending RFH A&E.

Patients should present to A&E directly for triage – if out of clinic hours they will be booked to the service the next day (unless systemically unwell).

Opening hours: Monday–Friday, 08:30–16:30 (last patient 15:30) and Saturday–Sunday, 09:00–11:30 (last patient 11:30).