Standards for High Risk Foot Services (HRFS) in NSW


“The Standards” will be used to:

  • Provide a consistent definition for HRFS
  • Reduce clinical variation, aligning existing services to
  • state, national and international guidelines
  • Guide the implementation of new HRFS
  • Identify services with the capacity to provide Telehealth services to support areas without a comprehensive high risk foot clinic


  • Facilitate equity of access to an appropriate level of foot care for all patients in NSW by supporting a basis for standardising the clinical services
  • Improve care co-ordination and strengthen the multi-disciplinary approach to management of the high risk foot


Standards have been released to all LHDs (except Sydney Children's Hospitals Network).  Phase 1 has provided an opportunity for interested sites to complete a self-assessment of their services against the Standards.  Phase 2 (proposed for Q3/4 2015) will link locations without a comprehensive high risk foot service to robust sites identified in Phase 1.



  • Endocrine Network members
  • HRFS working group

Key Dates

March 2015

Standards released to all LHDs

June 2015

Phase 1 completed.  Self-assessment of 18 sites completed to compare existing service against Standards.

Lismore Community Health/Northern NSW LHD

Grafton Community Health Podiatry and High Risk Foot  Clinic/Northern NSW LHD

Ballina Community Health/Northern NSW LHD

Casino Community Health/Northern NSW LHD

Tweed Heads Community Health/Northern NSW LHD

Liverpool/South Western Sydney LHD

Bankstown/South Western Sydney LHD

MacArthur/South Western Sydney LHD

Westmead/Western Sydney LHD

Blacktown/Western Sydney LHD

Wollongong/Illawarra Shoalhaven LHD

Shoalhaven/Illawarra Shoalhaven LHD

RPA/Sydney LHD

Concord/Sydney LHD

Greater Newcastle Cluster/Hunter New England LHD

Royal North Shore Hospital/Northern Sydney LHD

Gosford/Central Coast LHD

St Vincents/St Vincent’s Health Network

Pilot Sites

Implementation Sites


Evaluation plan in development.

Related Initiatives

Further Details


Dr Kerry Newlin
Endocrine Network Manager
02 9464 4626

Daniel Comerford
Director, Acute Care
02 9464 4602

Page Top | Added: 18 June 2015 | Last modified: 18 June 2015

Dr Kerry Newlin
Endocrine Network Manager
02 9464 4626