Specialist Footwear Service – Referral required
The specialist footwear service is dedicated to providing stock, modular, and bespoke footwear for patients with a specific clinical need. This service is primarily focused on those “at risk” due to underlying health conditions where standard high-street shoes are no longer suitable or safe.
Eligibility and Referrals
Access to specialist footwear is based on clinical necessity rather than comfort or preference. You may be eligible for this service if you have:
- Significant foot deformities that prevent the use of off-the-shelf shoes.
- Severe swelling (oedema) that is persistent and medically managed.
- High-risk conditions, such as advanced diabetes or peripheral vascular disease, where protecting the feet is vital to prevent ulcers or infections.
- A requirement for footwear that accommodates complex orthotics or callipers.
To access this service, you will typically need a referral from a GP, podiatrist, or hospital consultant. They will assess your condition against local Integrated Care Board (ICB) criteria.
Types of Footwear Provided
The service offers three main levels of footwear depending on your requirements:
- Stock Footwear: High-quality, extra-depth, or extra-wide shoes that are kept in stock.
- Modular Footwear: Factory-made shoes that can be adapted or modified by a technician to suit your specific foot shape.
- Bespoke Footwear: Custom-made shoes manufactured from a unique “last” (a model of your foot) for patients with complex shapes or severe deformities.
Your Responsibilities
Once you have been issued specialist footwear, it is important to maintain it to ensure it continues to protect your health.
- Break-in Period: Always follow the “wearing-in” instructions provided by your orthotist to avoid blisters or pressure sores.
- Regular Checks: Inspect your feet daily for any redness, marks, or broken skin, especially if you have reduced sensation.
- Repairs: Specialist footwear should only be repaired by the approved NHS contractor. Attempting to repair them yourself or taking them to a high-street cobbler may invalidate the clinical effectiveness of the shoe.
Further Information and Support
For more advice on maintaining healthy feet and understanding how specialist services can help, please visit the following resources:
- NI Direct provides comprehensive guides on foot care and how to manage common conditions at Foot care and footwear.