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COVID-19 (Coronavirus info)

Information and guidance for public, NHSGGC staff, and community-based services.  Hospital visiting restrictions now in place.

Check, Protect, Refer (CPR) for Feet

What is it?

Check, Protect, Refer (CPR) for Feet is a national programme to promote patient safety and prevent harm by incorporating foot examinations into admission procedures.                

Check both feet

  • Are there any breaks in the skin?
  • Are the feet vulnerable to breakdown?
  • Is neuropathy present?
  • Is action required?

Protect feet if at risk due to:

  • Neuropathy
  • Previous ulcer or amputation
  • Fragile skin or immobile

Refer immediately to:

  • Refer Patient with grade 2 pressure damage
  • to Podiatry Foot protection team via
  • TrakCare/ SCi Gateway
  • Podiatry referral to [email protected]


Why is it needed?

Pressure Ulcer Prevention and Patient Safety are key objectives in the UK, with the NHS adopting a zero tolerance approach. According to the UK National Inpatient Audit (2015) 1 in every 100 patients developed a foot lesion during their hospital stay.  A 2014 audit of 12 NHS Scottish Boards (1,048 inpatients with diabetes) identified:

  • 1 in 20 in patients with diabetes developed a new foot ulcer during their hospital admission
  • 57% of inpatients had not had their feet examined
  • 60% of those at risk of developing a foot ulcer were not provided with ‘off-loading’ pressure care


Cost savings

It has been estimated that NHS Board-wide implementation of CPR for feet across Scotland could prevent 75% of new foot ulcers developed in hospital, save £15m per annum and reduce unscheduled bed days.


National Diabetes CPR Audit 2019

The audit was repeated in March 2019 and the results for NHSGGC were to be congratulated.

  1. Feet checked on admission were 96.1% this shows a 107% overall improvement rate since 2014
  2. Number of DFU referrals to Podiatry 76.1% a 33% improvement rate
  3. Foot protection in place 70.9% a 67.7% improvement since 2014

The results were considered an outlier in terms of national reporting due to positive change seen in our data.


Education and support



A range of free to use resources, including TURAS eLearning packages have been developed to support CPR for Feet.  Learn how to use the Touch Toes Test and more - Click here to complete the module.

If you would like a poster, leaflets or education sessions for your staff, please contact [email protected]  for further information.

CPR, pressure damage and red day reviews are all incorporated into the TVN link nurse study days, MCN study dates and world cafe events.


Product Support

The Footsafe prevention boot is advised by the national procurement panel for use 'as suitable for heel pressure prevention in 'at risk' patients. For product information and support please contact:

Email: [email protected]

Tel: 07506 712839

Care homes have a responsibility to ensure that they provide a form of pressure redistribution. TalarMade will be happy to help support all health care professionals in the implementation of CPR for Feet in partnership with the Podiatry Service.



 Mattress information

 Please refer to the TVN staffnet page for mattress and bed profiling information



New video from Duncan Stang, National Diabetes Foot Coordinator for Scotland


Last Updated: 09 June 2021