The PRCA Standards of Care for People with Musculoskeletal Foot Health Problems were launched at the BSR / BHPR Spring Meeting on the 22nd April 2008.


Funded by the Arthritis Research Campaign
Run by the Podiatry Rheumatic Care Association

A project led by the Podiatry Rheumatic Care Association has defined a comprehensive set of Standards of Care for people with musculoskeletal foot health problems. The project is driven by the needs of people living with musculoskeletal foot health problems and defines the services that should be available to them, as well as suggesting ways to provide these services effectively. A detailed rationale for each of the Standards draws on available evidence and examples of good practice furnished by providers of foot heath care across the country. The Standards affirm that people with musculoskeletal foot health problems need integrated services that provide timely advice and support covering all aspects of managing and living with their condition – including clinical, personal, social and employment/education issues.

These Standards are not prescriptive guidelines or algorithms of care, though they refer to these where available. The Standards acknowledge the fact that those planning and delivering foot health services around the UK face different demographic, geographic and economic factors which will affect how the Standards are implemented locally. We hope the Standards will act as a tool for all stakeholders – service users, providers, commissioners and policy-makers – to work together to review and improve their local musculoskeletal foot health services.

The Standards of Care for people with foot disorders supplement a suite of disease specific Standards published by the Arthritis and Musculoskeletal Alliance (ARMA), the umbrella body for the musculoskeletal community in the UK. Standards published to date by ARMA cover people with inflammatory arthritis, osteoarthritis, regional musculoskeletal pain, back pain, metabolic bone disease and connective tissue disease. These overarching standards can be accessed via the ARMA website.

The Standards of Care for people with musculoskeletal foot health problems were developed by an expert working group which included representatives from user organisations, and professional organisations. Twenty-eight Standard Statements have been developed, grouped under generic statements for overall provision of foot health services and disease specific statements covering inflammatory arthritis, osteoarthritis, connective tissue disease, metabolic bone disease and back pain.

For further information please contact the PRCA Project Lead, Anthony Redmond (a.redmond [AT] leeds.ac.uk) or Project Manager, Robin Waxman, (r.waxman [AT] leeds.ac.uk).

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Below are links to the Standards of Care for People with Musculoskeletal Foot Health problems document:

Black and white version:

[Download PDF – 512KB]

Full colour version:

[Download PDF – 712KB]

Useful leaflets:

Professional leaflet (for printers*):

[Download PDF – 1.7MB]

Home user leaflet:

[Download PDF – 1.6MB]

* Shows crop marks

Useful links to our partnership organisation ARMA:

ARMA Website

ARMA Standards of Care

ARMA Good Practice Database