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Background: Despite the Disabled Living
Foundation report Footwear a quality issue
(1991), examples of poor usage of provided
NHS footwear continue to be reported (1). For
footwear to be worn, designed and fit to meet
clinical needs plus the patients non clinical
criteria have to be addressed (2).
Locally a specialist footwear service provides
semi-bespoke and stock footwear to people
with Rheumatoid Arthritis (RA) related foot
pathology. Patients are fully included within
decisions concerning provision. Service
delivery is jointly by Shoefitter and Podiatrist.
Results: All were very satisfied / satisfied with the clinic. Mean
score of footwear characteristics achieved (fitting; comfort;
leather, colour, fastening and style choice) was 86.12/100. Mean
footwear comfort was 8.65/10.
20 subjects reported using footwear most/everyday. Since
provision, 5 reported reduced podiatry need, 19 indicated
changes in foot problems and 18 indicated improved activity
Method: A postal questionnaire was
sent to 34 patients receiving footwear in
2009-10. Data from the 27 replies
relating to the overall footwear service,
quality and choice aspects to the
provision, its usage and impact of
provision is reported.
1.Otter S.J et al . Foot pain in rheumatoid arthritis prevalence, risk factors and management: an epidemiological study. Clinical Rheumatology. 2010; 29:255-
2.Williams A.E., & Nester C.J.(2006), Shoes in the cupboard: the fate of prescribed footwear? Prosthetics and Orthotics International. 2010; Vol 25, pp 53-59.
Footwear: a quality issue: provision of prescribed footwear within the National Health Service. Report of the Disabled Living Foundation, Chartered Society of
Physiotherapy, King's Fund and Society of Chiropodists working party. London: Disabled Living Foundation, 1991.
Conclusions: Results indicate high
level of satisfactions with the footwear
service and suggest a positive impact
on individuals participation in
The trainers are a joy to
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step with everyone else.
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Robert Field, Lead Podiatrist (Rheumatology Services)
& Professional Lead for Podiatry
Tel: 01202 705364 E-mail: