Buying health services for local people

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Curly toes – Information for GPs

Referral criteria / commissioning position

Refer if:

  • deformity is severe, as is shown by either deformity of the growing nail of the toe or pressure on the adjacent toe or corn formation on the dorsum of the toe
  • there is significant pain

All patients to be referred to podiatry services prior to referral to secondary care.

Information to include in referral letter

  • Details of how the patient meets the above criteria
  • Treatments tried already and their effects
  • Past medical/surgical history
  • Current regular medication
  • BMI
  • Smoking status
  • Alcohol consumption
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