We provide treatment, care and support for people with diabetes-related foot problems.
Key points
- Assessment and management of patients with diabetes-related foot problems
- Acute and community-based services
- Short-term service supporting a transition to a suitable community or private service
What we do
Our Diabetic Foot Unit provides care, treatment and management for patients with diabetes-related foot problems.
We care for people who are in hospital, have been in hospital or need to come to hospital for conditions such as:
- Foot ulceration
- Charcot foot
- Cellulitis
- Osteomyelitis
- Acute lower limb ischaemia
The Diabetic Foot Unit implements evidence-based assessment and management of patients with diabetes-related foot problems, aiming to reduce amputation rates, reduce length of stay, and ensure cost-effective and appropriate use of hospital investigations and resources for this patient group.
Our unit includes acute and community-based services with integrated staffing. The team is led by an endocrinologist and podiatrist, and is supported by staff from:
- Diabetes & Endocrinology
- Podiatry
- Vascular Surgery
- Infectious Diseases
- Medical Imaging
- Psychology
- Prosthetics & Orthotics
- Nutrition & Dietetics
- Care Coordination
- Nursing
The Diabetic Foot Unit is a Hospital Admission Risk Program (HARP) Partnerships in Health (PIH) service representing a partnership between the Royal Melbourne Hospital (RMH), Merri Community Health Service (MCHS), cohealth and Bolton Clarke.
The key objectives of the HARP PIH program are to:
- Improve patient outcomes
- Provide integrated seamless care within and across hospital and community sectors
- Reduce avoidable hospital admissions and Emergency Department presentations
- Ensure equitable access to health care
What to expect
When you are in hospital
If you need to stay in hospital for your foot problem, the treating team will visit you at your bedside.
You will stay in hospital until the team consider your foot problem to be stable enough for you to go home.
After you leave hospital
The team will continue to treat your foot wounds/problems when you are discharged home from the hospital. We usually do this at several clinics:
- Diabetic Foot Clinic - you will be treated in the clinic if you need further medical testing, medication or footwear:
- Podiatry Clinic - if you no longer need medical input but need ongoing foot wound care. You will have access to further medical testing if required and footwear.
- Community Clinics - hospital podiatrists also work at cohealth in Niddrie and Merri Health in Coburg and Fawkner. You will be treated in the community clinic when your foot is stable. The podiatrist will work with you and your GP.
Once your foot condition has healed and remained stable for six months, we aim to transition you to a community or private podiatrist.
You can be referred back to the Diabetic Foot Unit by any health professional.
If you develop a severe foot problem and you cannot contact your podiatrist or local doctor, you should attend an emergency department.
Referrals
Direct Access Unit
We accept GP and specialist referrals:
- Use the RMH Community Services referral form, the RMH referral form or a template from your own system
- Complete and fax your referral to Direct Access Unit on (03) 8387 2217
DAU welcomes phone enquiries. Contact us on (03) 8387 2333 to discuss potential or existing referrals.
Referrals should include:
- Relevant clinical history
- Reason for referral
- Patient details including address, date of birth and contact phone numbers
- Your details and provider number
- Name of the consultant (for Medicare clinics)
- Investigation reports related to the referral
Referrals are triaged based on priority. In an emergency, patients can go to the Emergency and Trauma Service at any time.
For advice, urgent referrals and out of hours support, call The RMH Switchboard on (03) 9342 7000 to page our registrar on call.
HealthPathways Melbourne provides guidance on best practice assessment and management of common medical conditions, including when and where to refer patients.
Parkville Connect is a secure web-based portal providing GPs, specialists and other health professionals with information in the Parkville electronic medical record (EMR).
Appointments
For all new appointments, contact the Hospital Admission Risk Program (HARP) liaison on (03) 9342 4530
To change or cancel a booked appointment, contact the HARP liaison on (03) 9342 4530 or email diabetesfoot@mh.org.au
What to bring
Every time you come
Every time you come in for a test, day procedure, surgery or treatment, you should bring:
- Medicare card
- Health Care card (if you have one)
- Concession card (if you have one)
- Adverse drug alert card (if you have one)
- Medications you are currently taking, including any that you have bought without a prescription
- X-ray films, scans, ultrasounds or any other test results you have which are related to your procedure
- Private health insurance card (if you want to use it)
- Aids (glasses, hearing aid, walking frame)
For a clinic appointment
If you come for a clinic appointment, you should also bring:
- Your appointment letter
- Any special items listed on your letter
- Your appointment book (if relevant)
- TAC or WorkCover claim number
If you have diabetes
If you have diabetes, you should also bring:
- Your blood glucose meter
- Your blood glucose diary/record book
- Your favourite hypo food
- A friend or relative
Links & documents
Level 1 Centre
300 Grattan St, Parkville, Victoria
We provide qualified, professional interpreters to help you communicate with us at any time during your stay and at your clinic appointments.
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