Priority 5 from the Foot Health PSP

UNCERTAINTY: Are current clinical pathways (treatment plans) fit for delivering high quality foot health provision? (JLA PSP Priority 5)
Overall ranking	5
JLA question ID	0092/5
Explanatory note	The need for efficient and effective foot health care pathways is paramount in ensuring that people are seen by the right person, at the right time and receive the most appropriate management/ interventions. It is not known if current assessment and treatment pathways in respect of foot health are ;'fit for purpose' or if there is any potential for developing a universal foot care pathway
Evidence	No evidence from systematic review found
Health Research Classification System category	Generic health relevance

Extra information provided by this PSP
Original uncertainty examples	Can the processes/systems be improved so long-term patients can stay as "dormant" patients of the specialist, rather than having to keep going through referral processes - e.g. to get new insoles done every few years. ~ Are there any national clinical guidelines for foot problems to help with assessment and diagnosis? ~ If foot health was integrated with the rheumatology appointment prevention of problems could be addressed?"
Submitted by	Healthcare professional x 13, Patient x 19, Other x 2

Extra information provided by this PSP

Original uncertainty examples

Can the processes/systems be improved so long-term patients can stay as "dormant" patients of the specialist, rather than having to keep going through referral processes - e.g. to get new insoles done every few years. ~ Are there any national clinical guidelines for foot problems to help with assessment and diagnosis? ~ If foot health was integrated with the rheumatology appointment prevention of problems could be addressed?"

Submitted by

Healthcare professional x 13, Patient x 19, Other x 2

PSP information
PSP unique ID	0092
PSP name	Foot Health
Total number of uncertainties identified by this PSP.	30 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	26 September 2019