Putting Feet First

The campaign

There are more than 135 leg, foot or toe amputations each week. This is shocking, especially as four out of five of these amputations are preventable. This is where the Putting Feet First campaign comes in. We want to bring an end to the thousands of potentially preventable amputations affecting people with diabetes.

Find out how you can support the campaign
How healthcare professionals can get involved


Order or download new foot check leaflet

We've launched a leaflet to help people with diabetes improve the quality of their foot checks. It provides a checklist of the steps that a foot check should include, a space to record the date of your check and the result, as well as a useful list of danger signs to look out for that may indicate a foot problem. 

Download the What to expect at your annual foot check leaflet (PDF, 51KB) or order free copies in the post from our online shop.

What needs to happen

We're campaigning across the UK to make sure:

  • People with diabetes know how to look after their feet and know what to expect from their health service
  • Local health services provide an integrated footcare pathway – the right treatment at the right time in the right place
  • Healthcare professsionals are more aware of the risk of diabetic foot disease and provide annual checks.


What you can do to Put Feet First

We need you to help us. See below how you can be part of the solution:

People with diabetes

Do you want to get involved in our Putting Feet First campaign this year and help us raise awareness of diabetes-related amputations? Join our campaign and:

Share your story 

We want to hear your stories, whether you've been affected by foot problems or just want to tell us why you think the Putting Feet First campaign is so important. Share your story here.

Give some time

Whether you've got a few minutes to spare or an hour to give, there will be some way you can help. Visit our Diabetes Voices pages to find out more.

Look after your feet

Know how to look after your feet and know what care to expect from the health service.

  • Attend your annual foot check. It’s as important as your retinal screening appointment.
  • Make sure you take a copy of our new leaflet What to expect at your annual foot check leaflet (PDF, 51KB) so that you know you are getting a thorough, quality check. 
  • Know your risk of developing foot problems and make sure that you are referred if necessary.
  • Make foot-care a part of your daily routine, just like managing your blood glucose and diet.
  • Be aware of any loss of sensation in your feet.
  • Ask someone to assess the feeling in your toes by doing the Touch the Toes test.
  • Avoid using corn-removing plasters or blades.
  • Keep useful numbers handy, and know who to contact at the first sign of problems with your feet.

Healthcare professionals

You can support the campaign by:

  • Understanding the risk of diabetic foot disease.
  • Talking about it to people with diabetes.
  • Sending people with diabetes our leaflet about the importance of their annual foot check, providing quality foot checks, documenting the level of risk of developing foot ulcers, and telling people with diabetes what their risk is.
  • Quickly referring to specialists where necessary, and providing seamless transfer of care by following an integrated foot care pathway (PDF 343KB).
  • Participating in the National Diabetes Audit in England and Wales.
  • Participating in diabetes networks to influence the delivery of integrated care in your local area.

Commissioners and NHS healthcare planners

Local health services need to deliver the integrated foot care pathway (PDF, 348 KB) – that means providing the right treatment at the right time and in the right place for all people with diabetes:

  • Set up referral within 24 hours to a multidisciplinary specialist footcare team for those with ulcers.
  • Ensure appropriate referral to a foot protection team which has specialist expertise in assessment and management of disease of the foot.
  • Create local diabetes networks to join up and improve foot care for people with diabetes.

Campaign materials

All Putting Feet First materials are available via the online shop.