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.
Diagnose and manage conditions such as plantar fasciitis, Achilles’ tendinopathy, forefoot pain, bunions, and flat feet
Identify and escalate red flag symptoms such as diabetic foot complications, vascular
disease, or suspected infection
Assess gait and biomechanics, provide orthotic advice or issue temporary devices
Support management of chronic foot conditions like arthritis, or postural complications
linked to other MSK or neurological issues
Refer to community podiatry, MSK physiotherapy, orthopaedics, or diabetes care teams
where appropriateThey play a crucial role in falls prevention, wound care triage, and diabetic foot health pathways.
| 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 |
All of our First Contact Podiatrists:
Are registered with the HCPC
Operate within the FCP competency framework set by Health Education England
Undergo regular clinical supervision and case review
Are skilled in recognising urgent podiatric red flags (e.g., Charcot foot, sepsis, vascular
compromise)
Work closely with Diabetes Leads, GPwERs, and MSK servicesDirect access to a podiatry specialist through their GP surgery
A full assessment of their foot or ankle issue, often in their first appointment
Advice, treatment, or a clear referral to a relevant service if needed
Support to manage symptoms, prevent deterioration, and remain active
Xcel Health delivers FCP Podiatry services in partnership with PCNs across the country.
Fully managed clinical service
No VAT, no management fees
Experienced, roadmap-aligned clinicians
Data-driven outcomes reporting
Embedded supervision and governance
Heel pain (plantar fasciitis)
Morton’s neuroma
Metatarsalgia
Hallux valgus (bunions)
Diabetic neuropathy or poor foot circulation
Ingrown toenails (initial triage and signposting)
Achilles’ tendon issues
Biomechanical pain
Lower limb postural issues