Risk classification level	Management
No added risk:	▫ Provide structured foot-care education and annual review.
No risk factors; no previous history of foot ulcer or amputation
At risk:	▫ Foot-care team to regularly review every 6 months.
One risk factor; no previous history of foot ulcer or amputation	▫ At each review:
	‣ Inspect both feet - ensure provision of local management as indicated
	‣ Educate patient to wash feet daily (with careful drying, particularly between the toes), use emollients to lubricate dry skin, cut toe nails straight across, and avoid using chemical agents or plasters or any other technique to remove callus or corns
	‣ Evaluate footwear - provide appropriate advice
	‣ Enhance foot-care education
High risk:	▫ Foot-care team to frequently review every 3-6 months.
≥2 risk factors; previous ulcer or amputation (very high risk)	▫ Educate patient to self-monitor foot skin temperatures once per day to identify any early signs of foot inflammation to prevent a first or recurrent plantar foot ulcer.
	▫ At each review:
	‣ Inspect both feet - ensure provision of local management as indicated
	‣ Evaluate footwear - provide advice and specialist insoles and shoes if indicated
	‣ Consider need for vascular assessment or referral, if indicated
	‣ Evaluate and ensure appropriate provision of intensified foot-care education