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First Contact Podiatry

First Contact Podiatrists (FCPs) are HCPC-registered autonomous clinicians working within general practice to assess, diagnose, and manage lower limb and foot-related conditions—without the need for prior GP referral.

They operate as part of the Additional Roles Reimbursement Scheme (ARRS) and are embedded within Primary Care Networks (PCNs) to provide early intervention, reduce onward referrals, and support people living with long-term or progressive foot conditions.

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FCP Podiatrists see patients with foot, ankle, and lower limb concerns that would otherwise take up GP time.

What Does a First Contact Podiatrist Do?

  • check-iconDiagnose and manage conditions such as plantar fasciitis, Achilles’ tendinopathy, forefoot pain, bunions, and flat feet
  • check-iconIdentify and escalate red flag symptoms such as diabetic foot complications, vascular disease, or suspected infection
  • check-iconAssess gait and biomechanics, provide orthotic advice or issue temporary devices
  • check-iconSupport management of chronic foot conditions like arthritis, or postural complications linked to other MSK or neurological issues
  • check-iconRefer to community podiatry, MSK physiotherapy, orthopaedics, or diabetes care teams where appropriate

They play a crucial role in falls prevention, wound care triage, and diabetic foot health pathways.

Why Is This Role Valuable?

Benefit Impact
GP Appointment Reduction Absorbs non-urgent foot and ankle cases—freeing up GP time
Early Intervention Prevents deterioration, particularly in older adults or diabetic patients
Diabetic Foot Triage Supports QOF targets and reduces risk of ulceration or amputation
Patient Self-Management Offers education, prevention, and lifestyle interventions
Lower Limb MSK Expertise Manages biomechanical and structural foot problems effectively
Podiatrist

Training and Governance

All of our First Contact Podiatrists:

  • check-iconAre registered with the HCPC
  • check-iconOperate within the FCP competency framework set by Health Education England
  • check-iconUndergo regular clinical supervision and case review
  • check-iconAre skilled in recognising urgent podiatric red flags (e.g., Charcot foot, sepsis, vascular compromise)
  • check-iconWork closely with Diabetes Leads, GPwERs, and MSK services

What Patients Can Expect

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Direct access to a podiatry specialist through their GP surgery

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A full assessment of their foot or ankle issue, often in their first appointment

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Advice, treatment, or a clear referral to a relevant service if needed

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Support to manage symptoms, prevent deterioration, and remain active

Supporting PCNs and General Practice

Xcel Health delivers FCP Podiatry services in partnership with PCNs across the country.

Podiatrist

Common Conditions Seen by FCP Podiatrists

  • check-iconHeel pain (plantar fasciitis)
  • check-iconMorton’s neuroma
  • check-iconMetatarsalgia
  • check-iconHallux valgus (bunions)
  • check-iconDiabetic neuropathy or poor foot circulation
  • check-iconIngrown toenails (initial triage and signposting)
  • check-iconAchilles’ tendon issues
  • check-iconBiomechanical pain
  • check-iconLower limb postural issues