Annual Foot Check: Diabetes

Everyone with diabetes has the right to an annual foot check.

Your foot check is part of your 15 healthcare essentials, which means you’re entitled to it and it’s free on the NHS. This is because you’re more likely to have serious foot problems and these can lead to amputations.

Diabetes leads to 169 amputations a week.

That’s 24 amputations a day and 1 amputation every hour. Going to your foot checks and knowing the signs to look out for could prevent this from happening.

In most cases, serious foot problems can be prevented. You can do this by checking your feet yourself every day, and having a foot check at least once a year that’s arranged by your GP practice. Everyone with diabetes should have an annual foot check, so make sure you get yours – even if you’ve been referred to a foot specialist or clinic. They will check your feet but also tell you your level of risk of foot problems.

What happens at your foot check

It will usually be at your GP surgery as part of your annual diabetes checks

You’ll need to take off any dressings and footwear, including socks and tights. Your feet will be examined. Numbness or changes in sensation (also known as neuropathy) will be tested with a special piece of equipment. They’ll also check your shoes to make sure they’re not causing any problems.

You’ll also be asked lots of questions about your feet and how you manage your diabetes. Such as: 

  • Have you had any problems or noticed any changes like cuts, blisters, broken skin, corns?
  • Have you ever had any foot problems or wounds?
  • Have you had any pain or discomfort?
  • How often do you check your feet?
  • Do you have any cramp-like pains when walking?
  • How well are you managing your diabetes?

To help you get the best out of your foot check, we’ve made a short guide on your annual foot check (PDF, 41KB) that explains what you should expect and give you a space to record results. 

Know your risk of a foot problem

Your healthcare team will tell you your results and how much you’re at risk of a foot problem. These include:

  • Low – no risk, or a callus without any other problem.
  • Moderate – one sign of a foot problem, such as a loss of sensation or a change in foot shape.
  • High – more than one sign of a foot problem, or a previous ulcer or amputation.

You might also hear your healthcare professional say your level of foot problem is active. This means you have highly serious foot complications, such as a spreading infection or ulcer and you should be having treatment for it already.

You’ll get information that explains what your level of risk means, and be told what you need to do next. If your feet are moderate or high, you’ll be referred to the foot protection team where you’ll see a foot specialist.