Buying health services for local people

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Metatarsus Varus (Metatarsus Adductus) – Information for GPs

Referral criteria / commissioning position

Refer to secondary care if:

  • after the child reaches the age of 5 years the in-toeing is still evident as surgery may necessary

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

Information to include in referral letter

  • Description of symptoms and duration
  • Details of treatments and measures tried including outcomes
  • Drug history (prescribed and non-prescribed)
  • Relevant past medical/surgical history
  • Current regular medication
  • BMI
  • Smoking status
  • Alcohol consumption
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