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Prosthetics, Orthotics and Podiatry

Emergency Immediate transfer to the Emergency Department

Immediately refer systemically unwell patients to the nearest Emergency Department (ED) if clinically indicated

  • Foot ulcer with infection and patient systemically unwell or febrile
  • Invasive infection or rapidly spreading cellulitis (defined by peripheral redness around the wound > 2cm)
  • Acute/Critical limb ischaemia – Refer directly to Princess Alexandra Hospital (PAH) urgently
  • Wet gangrene

High Risk Foot

  • Acute/Critical limb ischemia and non-palpable pulses or necrosis – Refer directly to Princess Alexandra Hospital Emergency (PDF, 477.27 KB) urgently
  • Systemic inflammatory response symptoms (SIRS) or clinically unwell
  • Worsening pain and/or pain not in keeping with progression of the wound/ulcer
  • Progressive cellulitis despite initial treatment (defined by peripheral redness around the wound > 2cm)
  • Acute Charcot arthropathy if access to podiatry is not accessible within 48 hours
  • Wet gangrene
     

Are you referring to the right service?

For Prosthetics and Orthotics patients

  • If treating an amputee with a definitive/permanent prosthesis who is having issues, please ensure the patient is reviewed by their Prosthetic Service Provider (PSP) before referring the patient to the PAH Amputee Clinic
  • Custom made footwear is not available through our service. Refer the patient to a private Medical Specialist for accessing the ‘Medical Aids Subsidy Scheme’
  • Medical grade footwear and subsidy eligibility are available to patients who are in possession of a Pensioner Concession Card and/or Health Care Card and who meet the admission criteria of the Chronic Foot Care Clinic
  • Paediatric and Children’s (under 13yo) referrals should be directed to the appropriate outpatient medical speciality clinics of Queensland Children’s Hospital

For Podiatry patients

  • If your patient has significant Peripheral Arterial Disease and requires admission please refer to the Princess Alexandra Hospital (PAH) ED for access to Vascular Specialist
  • If your patient requires multi-disciplinary high risk foot clinic review please refer to the Prosthetics, Orthotics and Podiatry Service at the PAH. The multi – disciplinary high risk foot clinic has access to Orthopaedics, Infectious Disease, Endocrinologist, Vascular Specialist and Prosthetics and Orthotics
  • Referrals are accepted by General Practitioner, Medical Officer, Medical Specialist, Registered or Clinical Nurse and Allied Health Professionals 
  • Podiatry / High Risk Foot services provided by the Chronic Disease Brisbane South and Logan Service have access to a larger multiple disciplinary team including Respiratory nurse, Cardiac nurse, Diabetes Educator, Dietitian, Physiotherapist, Psychologist, Social Worker and Occupational Therapist

High Risk Foot

Urgent referrals Arranging urgent review

Urgent referrals are to be clearly marked as ‘Urgent’ and should clearly explain the urgency.

Alternatively, for urgent Prosthetics and Orthotics referrals, call the Department on 3176 2245 to discuss the case with a Senior Clinician.

Clinics/services

Clinic locations

FacilityClinics/Services
Beaudesert HospitalService not available at this facility
Logan Hospital
  • High Risk Foot Service
Princess Alexandra Hospital
  • High Risk Foot Service/Multidisciplinary High Risk Foot Clinic
  • Amputee Clinic
  • Chronic Foot Care Clinic
  • Orthotic Outpatient Services
QEII Jubilee Hospital
  • High Risk Foot Service
Redland Hospital
  • High Risk Foot Service
Beenleigh Community Health CentreService not available at this facility
Browns Plains Community Health Centre
  • High Risk Foot Service
Burke Street Clinic (Woolloongabba)
  • High Risk Foot Service
Eight Mile Plains Community Health Centre
  • High Risk Foot Service
Inala Community Health Centre
  • High Risk Foot Service
Logan Central Community Health CentreService not available at this facility
Marie Rose Centre DunwichService not available at this facility
Redland Health Service Centre
  • High Risk Foot Service

Important patient information

For Prosthetics and Orthotics patients

  • Patients dependent on assistance for toileting and care must be accompanied by a qualified carer.
  • Non ambulatory Bariatric patients cannot be treated in the Department.
  • Patients requiring hoist transfers and/or who are restricted to bed cannot be treated in the Department.

Out of scope services

Find assessment and management information on some out of scope conditions at Brisbane South HealthPathways.

Out of scope Prosthetics and Orthotics Services

  • Paediatric and Children’s (Under 13yo) for Orthotic Services
  • Paediatric and Children’s (Under 16yo) for Prosthetic Services.  Paediatric and Children who have previously been treated by the Queensland Children’s Limb Deficiency Clinic are still accepted by that clinic until the age of 18
  • Patients under WorkCover or other Compensable Schemes or disability funding supports i.e NDIS
  • Custom made surgical footwear
  • Category 2 and Category 3 patients who have already received Prosthetic and Orthotic Services to stabilise /correct their condition.

Out of scope Podiatry Services

  • At risk foot
    • Patients with:
      • No previous history of foot ulcer/amputation
    • And one of the following risk factors:
  • Low risk foot
    • Patients with:
      • Nil previous history of foot ulceration/amputation
      • Nil risk factors
  • Home visits are not offered by the Podiatry/High Risk Foot service
  • The performing of routine nail care will not be undertaken by a MSH Podiatrist unless there is a clear medical reason for doing so.  A diagnosis of diabetes without any secondary complication does not constitute a clinical reason for nail care
  • Please seek /arrange alternative podiatry services if your patient meets the above criteria
  • MSH does not offer Podiatry / High Risk Foot Service to Paediatric patients. Referrals should be redirected to Private Podiatrist or to QUT Podiatry Student clinic.

Notes

  • A change in patient circumstance (such as condition deteriorating) may affect the urgency categorisation and should be communicated as soon as possible.

For Prosthetics and Orthotics patients:

  • Patients attending for the treatment of lower limb conditions are required to wear appropriate closed in footwear.
  • Patients failing to attend two scheduled appointments will be removed from the wait list as per Qld Health Policy.

Out of catchment

Metro South Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service.  If your patient lives outside the Metro South Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

Last updated 19 December 2022