A patient consults with their GP

Non-healing or chronic lower leg ulcers

Statewide referral criteria

Specialty: Vascular
Age group: Adult

Direct to an emergency department for:

  • Sepsis or acutely unwell due to infection
  • Critical lower limb ischaemia with necrosis, pain or ulceration
  • Suspected acute limb ischaemia
  • Rapidly deteriorating ulceration or necrosis.

Criteria for referral to public hospital specialist clinic services

  • Non-healing ulceration present for more than one month with no reduction in size despite medical management
  • Chronic ischaemic signs and symptoms with ulceration
  • Excessively painful ulcers.

Information to be included in the referral

Information that must be provided:

  • Current medication list including any antibiotics
  • Wound history and location
  • Current management, including the dressings being used
  • Recent wound swabs
  • Recent vascular imaging.

Provide if available:

  • Medical history
  • Recent pathology tests
  • X-rays or other imaging
  • Current podiatry treatment.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

Referrals should only be directed to a vascular specialist clinic if a lower leg ulcer service is not available.

Note: there are vascular statewide referral criteria for High-risk foot ulcers, dermatology statewide referral criteria for Chronic skin ulcers and endocrinology statewide referral criteria for Diabetes-related foot complication.

Where appropriate and available, the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

Not applicable.

Updated

Where to get help

Patients
For information about your specific medical condition, care pathway and/or wait times, please contact your GP or health service that you have been referred to.

General Practitioners
If your query relates to a referral for a specialist clinic, please contact the relevant health service directly or refer to their website for guidance.

For all other queries
Email plannedcare@health.vic.gov.au.