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Providing care for people with diabetes in the West Suffolk area

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West Suffolk Diabetes Service

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The Diabetic Foot Clinic

  What is the Diabetic Foot Clinic?

  When/where is it held?

  How can I get an appointment?

  Who am I likely to see?

  What happens at the clinic?

  My foot is getting worse!

  I have difficulty getting to the clinic

  There are times when we would like you to stay...

  Once my ulcer has healed - what then?

What is the Diabetic Foot Clinic?

An Ankle-foot Orthosis (splint)

The Diabetic foot clinic is a specialised clinic for treatment of foot problems arising in people with diabetes. It draws on the expertise of a team of people with skills and knowledge in managing these problems. Foot ulcers (wounds) due to neuropathy or poor circulation, Charcot joints are some of the conditions managed at this clinic. Access to vascular investigations and special devices for pressure relief, advice on foot care and prevention of ulcers are some of the ways we can help keep your feet healthy as well as achieve healing of chronic ulcers.

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When/where is it held?

This takes place on the 4th Wednesday afternoon of the month in the Chiropody department at the West Suffolk Hospital. We plan to increase the frequency of this clinic to twice monthly if staffing levels permit.

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How can I get an appointment?

You require a letter of referral by your doctor.  Since the clinic is held once a month there is likely to be a delay in obtaining an appointment unless you need to be seen urgently.

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Who am I likely to see?

Staff at this clinic include

  • Dr Nishan Wijenaike Consultant Physician
  • Mrs Nena Jukes - Podiatrist
  • Mr Dave Slocombe - Orthotist

We also have access if necessary to Mr Michael Gaunt, Consultant Vascular Surgeon who conducts a clinic on Wednesday afternoons at the West Suffolk Hospital.

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What happens at the clinic?

You will be examined by the Doctor and Podiatrist. It is likely that your circulation and sensation will be assessed. If necessary a photograph will be taken for our records. We will decide on a plan of management and you may be required to have further tests such as blood tests, wound swabs, an X-ray or scan. If you have an ulcer or open wound, a dressing may then be applied.

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My foot is getting worse!

If you have not received an appointment and your foot is deteriorating, do get in touch. You can contact Nena Jukes on a Wednesday morning on 01284 713048 or Dr Wijenaike on 01284  712857. Please do NOT phone these numbers if you have not already been referred to the service as we do have to observe the requirement for a request from your doctor.

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I have difficulty getting to the clinic

Let us know if you have difficulty making it up to the foot clinic. We do not expect you to walk all the way from the car park with a painful or ulcerated foot. If you require transport, this can be arranged, either via your GP or through our service. If you need a wheelchair from the main entrance, this can also be arranged.

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What do I need to bring?

Bring a book or magazine in case you have to wait. If your mobility is poor, ask a member of your family or friend to accompany you. DO bring your usual footwear with you as this provides useful information. If you have been started on antibiotics by your doctor bring these with you. If you monitor your blood sugar, please bring your record book with you. If your doctor or Practise Nurse has provided you with any dressings, brings these as well.

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There are times when we would like you to stay...

We try to manage the majority of our patients as 'out-patients'. There are times, however when we may require you to stay in hospital for example when you require intravenous antibiotics.

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Once my ulcer has healed - what then?

Once your ulcer has healed we will give you advice on how to prevent a recurrence. Dave Slocombe, who specializes in making special footwear may be asked to measure you up for bespoke footwear  so as to minimise the impact of pressure on your feet.

 

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West Suffolk Hospitals NHS Trust, Hardwick Lane, Bury St Edmunds, Suffolk IP33 2QZ, tel:01284 713000