The annual check the guidance describes, with a written risk grade, £45, or £20 added to a routine visit

Diabetic foot checks

The full annual diabetic foot check: pulses with a doppler, sensation with a monofilament and a tuning fork, the skin, the nails, the footwear, and a written risk grade (low, moderate or high) with a copy for your GP. £45 on its own or £20 added to a routine appointment, and routine care tailored to the grade.

A podiatrist testing foot sensation on an older man's foot with a monofilament, the man seated in a mint-green podiatry chair, a handheld doppler on the side table

Diabetes can quietly reduce both the feeling and the blood supply in the feet, and a small blister nobody notices can become a serious wound. The annual foot check finds those changes early, while there is still time to act on them. GP surgeries do a version of it; ours is longer, includes the doppler, and comes with routine care from someone who will see you again.

The check takes about twenty minutes. Pulses in both feet are felt and listened to with a handheld doppler; sensation is tested at ten points on each foot with a monofilament and with a tuning fork at the big toe; the skin is examined for dryness, cracks, callus and colour; the nails for thickness and infection; and the shoes and socks you are wearing for fit and seams. Every result is written down.

You leave with a risk grade, low, moderate or high, as the national guidance defines it, a plain-English note of what it means, and a copy for your GP and your diabetes nurse if you want one. Low risk means good care at home and a check once a year. Moderate and high mean regular routine care with us, footwear advice, and a lower threshold for being seen when anything changes.

If we find anything that needs urgent attention (an ulcer, an infection, a cold or discoloured toe) we contact your GP or the hospital foot protection team the same day, and we tell you before we do. Patients at high risk are given a direct mobile number for the clinic. Routine visits for diabetic feet are the usual £42, and we never use a burr or a blade on a high-risk foot without saying so first.

What is included

  • Pulses with a doppler
  • Sensation with a monofilament and a tuning fork
  • Skin, nails and footwear examined
  • A written risk grade with a copy for your GP
  • Routine care matched to the grade
  • Same-day contact with your GP if anything is urgent

What it costs

The annual check with a written risk grade, £45; added to a routine visit, £20. Routine care for diabetic feet at the usual £42 for thirty minutes, as often as the grade suggests. The prices page has every price in the clinic and at home; the symptom finder says which appointment fits what is bothering you.

Questions about diabetic feet

My GP already checks my feet. Do I need this?

If your GP check is thorough and your feet are low risk, perhaps not. Many patients come because the GP check was quick, or because they want routine care from someone who knows their history. We send the GP a copy either way.

What should I do if I notice a change between visits?

Ring the same day: a new sore, a blister, a colour change, swelling or warmth. High-risk patients have a mobile number for exactly this. If it is out of hours and the foot is hot, red or smells, go to A&E.

The next free appointment is on this website.

A first appointment is forty-five minutes and £52: the history, the circulation and sensation checks, and the treatment itself. Book online from an hour and a half ahead or ring the clinic; two slots a day are kept for painful problems that should not wait.