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• Foot problems inolder people are associated with impaired balance and mobility and, patients who have a history of falls have greater foot impairment. Research suggests that foot problems are a significant risk factor in falls (Menz et al., 2007).

• Core podiatry is defined as, ’the assessment, diagnosis and treatment
  of common and more complex lower limb pathologies associated
  with the toenails, soft tissues and the musculoskeletal system with
  the purpose of sustaining or improving foot health’ (Farndon, 2006).

• Podiatrists working in NHS community clinics and in private practice
  frequently treat patients with long-term conditions such as diabetes,
  rheumatoid arthritis and neurological conditions such as stroke and
  Parkinsons Disease. 

• The treatment for these patient groups often involves the management and prevention of escalating foot problems and the provision of screening programmes and foot health education support (National Collaborating Centre for Primary Care, 2004). NICE guidelines for Diabetes (DH, 2004a) standard 10 clearly identifies the critical role for podiatry services in the foot health management of people with diabetes. 

• Core podiatry is vital in maintaining the integrity of the foot in patients whose medical condition places them at risk of developing complex problems. 

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