The podiatry service treats a range of conditions from in-growing toe nails to foot ulcers.
Podiatry services don't just stop at the ankle as many problems affecting the hips, knees, back and neck can be attributed to mechanical problems in the foot and ankle.
The podiatry service is an open access service i.e. people of all ages. However, all referrals are triaged and packages of care will be offered according to clinical / medical need. The service is delivered from various health centre sites across the ICO and to patients at home if they are totally housebound.
A podiatrist is a qualified practitioner who has been trained to a high standard to deliver foot health education, treatment and advise on a diverse number of conditions affecting the feet and lower limb.
All qualified staff have a recognised degree in Podiatry and current Health and Care Professions Council (HCPC) registration. All senior staff have completed different advanced training in clinical skills and treatment methods at or equivalent to Master Degree level.
What we look after as a service:
Who is this service for?
People of all ages who are at risk of foot health complications if they do not receive treatment.
Due to the practicalities of providing treatment within the home environment, home visits are only made to those patients that are strictly housebound. Home visits are only made to those living within the Borough of Ealing.
The service is available to anyone registered with an Ealing ICO General Practice/ GP. (Patients residing in other boroughs who are registered to Ealing are expected to attend Ealing ICP clinics).
Podiatry is not generally an emergency service, however if a referral is marked urgent in cases such as an acute infection, we will endeavour to prioritise these referrals whenever possible.
Owing to high demand for the service, we regret we are unable to see people with the following conditions:
- patients with no foot or medical priority conditions requiring continued care
- non-pathological or normal nails
- patients able to undertake their own basic foot and nail care or those with carers or relatives able to do so
- minor calluses which are asymptomatic
- problems that are caused or aggravated by inappropriate footwear
- Minor fungal nail infections.
How to get an appointment
You can now be referred into the service by your GP, district nurse, social worker, other allied health professionals or by your health visitor. Please note that treatment will be subject to assessment and eligibility. We do not accept self-referrals.
Urgent treatment: for patients already registered with the service
We offer four dedicated walk-in (SOS) sessions in the community per week. If you need to cancel or rearrange an appointment please call 0208 383 5738 / 5783 / 5784.
Mattock Lane Health Centre
78 Mattock Lane
London W13 9NZ
Tel: 0208 383 5738 / 5783 / 5784
Please send referrals by post or fax to 0208 383 5735.
We can also be contacted via:
- Your GP
- Ealing Community Nursing Services for joint wound care of housebound patients
Services we look after:
General assessment and treatment
All referred patients will receive an initial assessment and the care that is provided is based on this assessment. Our trained podiatrists will do a comprehensive foot examination and take a full medical history.
Eligibility for treatment will then be assessed against a patient’s foot condition (podiatric need) and any medical or physical condition that may be an influencing factor (medical need), for example those with diabetes, rheumatoid arthritis or vascular disease who may be considered more at risk.
Care plans are based on clinical priorities and patients will be offered a care package based on their individual foot needs.
Patients assessed with little or no relevant foot problems or medical risk factors will be discharged with appropriate advice. Following assessment, a treatment plan is devised.
Patients may be treated for corns, callous nails or other general foot problems. As an integral part of their appointment with the Podiatrist, each patient is offered help and advice to minimise the risk of future foot health problems.
(Psoriasis, hyperkeratosis, tinea pedis, in-growing/ involuted and infected nails)
In-growing toenails are more prevalent in males than females and more often affect males between 16 and 30 years of age. The service provides corrective nail surgery under local anaesthetic.
The service provides assessment and diagnosis for a range of dermatological skin and nail conditions such as tinea pedis and hyperkeratosis. It provides advice and treatment using both mechanical debridement ie use of a scalpel to remove corns and callous and chemical therapies i.e. medicaments used specifically to relieve pain and irritation.
Back pain and foot care
Podiatry care does not just stop at the ankle. 72 to 80% of the population over pronate i.e. flat feet whilst walking which can lead to many long term and chronic problems such as hip and knee joint degeneration, ankle strains, back and neck pain. The service provides expert bio-mechanical assessment and provides a range of effective interventions to restore, maintain and improve foot function and gait, joint manipulation, strapping, exercise regimes.
Foot ulcers and wounds
An increasing number of patients have foot ulcers. Podiatrists provide treatment for ulcers until these are resolved. Patients who have complex non-healing ulcers associated with diabetes may be referred to a specialist podiatrist, a professional who works in a multidisciplinary team at the hospital site (this includes a diabetes consultant and district nurses). If foot ulcers are chronic and therefore require long term regular dressings, the department will provide joint care with Ealing’s district nurses and the patient’s GP.
Diabetes and foot care
Foot health can be affected by diabetes and may be more susceptible to foot ulcers. The podiatrist will make a special assessment and provide help with advice, prevention and treatment which can prevent more serious problems developing. Regular care from a podiatrist plays a critical role helping someone with diabetes manage their foot care. The podiatry team also link with Ealing’s dietetics team and Diabetes Specialist Nurses, to provide a comprehensive advice and education programme for patients with diabetes.
*Note on annual diabetic foot review
Please note that the patient’s GP will carry out a routine annual diabetic foot review for patients who have no previously assessed risk factors. The podiatry service only undertakes a diabetic foot review for patients with complications which have been already recognised by the patient’s GP.
Vascular disease and foot care
(Atherosclerosis, micro-angiopathy, cardio-vascular, thrombosis)
Patients who have vascular disease may result in enhanced foot care needs. The podiatry service will make an assessment and provide care accordingly.
(Strokes, motor neurone disease, multiple sclerosis, peripheral neuropathies)
On a national average 30% of post-stroke patients will be referred for podiatric care.
Patients are treated with a range of interventions, exercise programmes, strapping techniques, orthotics and footwear advice.
Arthritis and foot care
(Osteoarthritis, rheumatoid arthritis, gout, psoriatic arthritis)
Arthritis is particularly prevalent in the ageing foot and can be severely painful and debilitating.
Rheumatoid patients are at risk of developing deformities of the feet and as in the case of diabetic patients are susceptible to both ulceration and infection. Patients with these conditions will receive specialised care following their assessment.
Orthotics and insoles
Problems associated with foot, ankle, knee, hip, lower back and gait may be alleviated by orthotics (otherwise known as insoles). The podiatry service gives expert footwear advice to maintain comfort and help people who have painful or malformed feet and prescribe appropriate insoles/orthotics.
Care for older people
The service provides for the needs of many older people.
The consequences of neglected feet for an elderly person can be immense, leading to a lack of mobility, restricting independence, depriving them of contact with others and reducing mental wellbeing.
In addition to clinical services, the service provides education and practical training to both patients and their cares to promote self care and help support independence.
Over 30% of people aged over 65 years will suffer a fall in any one year and this percentage increases with age.
Podiatry makes a positive contribution to falls prevention, both working in rehabilitation and directly with the falls prevention team and on a daily basis in face-to-face contact with the patient.
The service offers continued support and provides advice on good footwear needed to maintain stability.
Care for children
In the average lifetime each individual will walk the equivalent of twice around the globe.
Foot health education and early treatment of walking difficulties is essential to prevent problems in later life.
The service provides biomechanical assessment and treatment for children (podo paediatrics) in addition to services for infections and painful conditions such as in-growing toenails.