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High Risk Foot Service

High Risk Foot Service

The Nepean Blue Mountains High Risk Foot Service (HRFS) is a multidisciplinary clinic which includes Podiatrists, Pedorthist, Wound Care Clinical Nurse Consultant, Diabetes Nurse Educator and Endocrinologist, with access to Vascular and Orthopaedic surgeons.

The Nepean Hospital HRFS was established to manage foot ulcers and infections in people with diabetes with the aim of:

  • Providing access to specialist multidisciplinary care in an outpatient setting for people living in the Nepean Blue Mountains LHD
  • Reducing hospitalisations related to foot ulcers and infections
  • Improving the experience of care and quality of life for people with diabetes related foot ulcers and infections

Location and Contact

Facility: Nepean Hospital

Address: Outpatient Clinic, Level 1 West Block

Phone: 4734 2959

Fax: 4734 1122


Referral Criteria

Refer to NDSS ‘Active Foot Disease Pathway’ for guidance on immediate management of active foot disease. The NBMLHD Wound Care Clinical Nurse Consultant can be contacted for advice on urgent cases: 0408 180 627 (Monday to Friday during business hours).

For general guidance on the risk of developing diabetic foot disease, refer to NDSS ‘Diabetes Foot Risk Stratification and Triage’ pathway.

HRFS urgent referral

The following clinical conditions are considered urgent:

  • Active or suspected Charcot Neuroarthropathy
  • Suspected Osteomyelitis with or without a foot ulcer
  • Critical limb ischaemia

Please contact the HRFS directly via telephone on days of operation if you have a patient that needs urgent review. If the HRFS is not available for same day review, then please refer the patient to the Emergency Department.

HRFS non-urgent referral

The HRFS also sees the following high-risk foot conditions:

How to Refer

Referrals must be submitted using the NBMLHD HRFS Referral Form to ensure that the urgency of care is triaged appropriately. Any detail that you can provide to accompany the NBMLHD HRFS Referral Form will also help us to ensure that an appointment scheduled meets the patient’s clinical need. We suggest that you provide as much clinical detail as you can when referring, including results of relevant tests or recent procedures.

Referrals are accepted from GPs, Medical Specialists, NBMLHD Community Nursing and Podiatry.

Referrals are to be addressed to Dr Zheng (Endocrinologist) or to the High-Risk Foot Service and should include all available investigations as outlined on the referral form.

Fax referrals to 02 4734 1122

The patient will either be called or sent a letter regarding appointment details.

Clinic Days

Speciality Clinic Day(s) of Clinic
High Risk Foot Clinic Monday to Wednesday 08:30am - 04:00pm

Documents to be completed

Referral Form




Friday, 15 July 2022 2:12:38 PM