Demo · sample data only

Talipes Tracker

RCH

Good afternoon, Amy

Riverside Children’s Hospital · 24 patients in 2025

Total Patients
24
Jan–May 2025
Feet Treated
38
14 bilateral
Correction
94%
full correction achieved
Tenotomy Rate
87%
33 of 38 feet

Quick Actions

Recent Patients

See all
AH
AH-02022024-01
Right unilateral · In B&B · skin check due
B&B
JS
JS-15032024-01
14 weeks · Bilateral · 3 casts
Casting
RP
RP-28012024-01
20 weeks · Bilateral · 5 casts
Tenotomy
MK
MK-11012024-01
22 weeks · Left · Atypical
Complete

Patients

24 patients · Riverside Children’s Hospital · 2025 cohort
AH
AH-02022024-01
Right unilateral · In B&B · skin check due
B&B
JS
JS-15032024-01
14 weeks · Bilateral · Initial Rx
Casting
RP
RP-28012024-01
20 weeks · Bilateral · 5 casts
Tenotomy
MK
MK-11012024-01
22 weeks · Left · Atypical
Complete
EL
EL-04122023-01
28 weeks · Bilateral · 4 casts
B&B
TB
TB-19112023-01
30 weeks · Right · Idiopathic
Complete
NM
NM-03112023-01
32 weeks · Bilateral · Syndromic
B&B
DR
DR-22102023-01
34 weeks · Left · Initial Rx
Complete

Patient Record

AH-02022024-01

Right unilateral · Idiopathic

Initials AH DOB 02/02/2024 Sex M
Age at start 2 weeks Pirani (R) 5.5
Appointment today?Add scores and notes for this visit.
Stage 1 — Initial Assessment
Treatment started
Initial Pirani (R)5.5
Initial Pirani (L)—
DiagnosisIdiopathic
Atypical / complexNone
Stage 2 — Casting
Cast series complete
Casts applied (R)6
Slips (R)1
Pre-tenotomy Pirani (R)1.0
Stage 3 — Tenotomy
Completed — right
VenueClinic
AnaesthesiaLocal injection
Casts post-tenotomy1
Stage 4 — Boots & Bar
In boots & bar
Started19 Apr 2024
Boots & bar brandLazarus Ponseti
Pirani into B&B (R)0.5
Stage 5 — Correction Outcome
Pending
Progress and notes
Pirani score by visit
Right foot Left foot unaffected
Last visit
All visits

Optional. Lets a parent send skin photos to your team from home.

Today's visit

AH-02022024-01

Seen by A Carter

Casting
Tenotomy
Boots & bar
No problems
Log a problem

Skin & Bracing

B&B
AH-02022024-01 · Right unilateral · In B&B since 19 Apr 2024
Boots & bar: Lazarus Ponseti · No skin checks recorded yet
Correction at brace entry: Pirani (R) 0.5 · all 3 criteria met · 1 slip in casting
Grading follows international pressure injury staging, adapted for bracing. Redness that fades within 30 minutes of boot removal is a normal pressure response. Grade 3 and above flags the record for clinical review. Skin events are always shown alongside correction quality at brace entry — an under-corrected foot fights the boot, whatever the brand.

1 · Select grade

1
2
3
4
5
Grade 1 — Blanchable redness

Redness that fades within 30 minutes of boot removal. A normal pressure response — monitor.

2 · Tap the location

Viewed from behind — calf & heel

The crosshair marks the centre of the heel pad. Use it as your reference point when marking.

UNAFFECTED
Left · unaffected
Right

Viewed from above — toes & dorsum

UNAFFECTED
Left · unaffected
Right

Log

No skin checks recorded yet
Select a grade and tap the foot diagrams above — entries will appear here.
Capturing side and location systematically is what makes patterns measurable — for example, whether blisters in unilateral patients occur more often on the unaffected foot.

New Patient

Step 1 of 5 Demographics

Patient identification

Use initials and date of birth only. Your local system handles the link to NHS Number.

2–3 letters · never the full name
Female
Male
Initial Rx
Secondary Rx
Initial = first course of treatment with us. Secondary = continuing from elsewhere.
Patient ID will be generated as LR-18022025-01

New Patient

Step 2 of 5 Diagnosis & Initial Pirani

Diagnosis

Select all that apply. Diagnosis may evolve over time — it can be updated on later visits.

More than one may apply (e.g. syndromic with neurological involvement).
Idiopathic
Neurological
Syndromic
Atypical
Complex
None
Right
Left
Bilateral

Initial Pirani score

Score 0–6 in half-point increments.

Right foot
Left foot

New Patient

Step 3 of 5 Casting

Casting phase

Total casts applied and any cast slips during the casting series.

Number of casts
Right
Left
Cast slips
Right
Left
Pre-tenotomy Pirani
Right
Left

New Patient

Step 4 of 5 Tenotomy

Tenotomy

Record whether tenotomy was performed and the anaesthesia approach.

Tenotomy completed
Right
Yes
No
Left
Yes
No
Clinic
Theatre
Other
This list follows your venue choice. Theatre adds GA.

New Patient

Step 5 of 5 Boots & Bar · Correction

Boots & Bar phase

Pirani at the start of B&B and the three correction criteria.

Pirani into B&B
Right
Left
Recording equipment lets skin complications be analysed against brand and fit — data the current audit can't see.
Correction achieved
Yes
No
Yes
No
Yes
No

My Centre Report

Riverside Children’s Hospital

Jan–May 2025 · calculated live from your patient records

Cohort Overview

Total patients24
Total feet treated38
Mean age at start12.4 wks
Initial Rx21 (87.5%)
Secondary Rx3 (12.5%)

Side & Diagnosis

Bilateral
14
Right only
6
Left only
4
Idiopathic
21
Neurological
2
Syndromic
1

Casting & Tenotomy

Mean initial Pirani4.8
Mean casts pre-tenotomy5.2
Cast slip rate14% (5 pts)
Mean pre-tenotomy Pirani1.4
Tenotomy rate87% (33 / 38)

Correction Achieved

DF 15°
96%
Abduction 40°
92%
LTH reducible
94%
Auto-aggregation: these figures replace the old Excel rollup. They update in real time as patient records are added.

National & Regional

2025

East Midlands Network

6 sites · 89 patients · anonymised regional view

Sites Reporting
6 / 6
100% participation
Total Patients
89
Jan–May 2025

Sites in Network

Riverside Children’s Hospital
Patients24
Tenotomy87%
Correction94%
Trent Valley Hospitals
Patients19
Tenotomy84%
Correction92%
Fenland Hospitals
Patients17
Tenotomy91%
Correction96%
Northfield General Hospital
Patients14
Tenotomy86%
Correction93%
Eastbrook General Hospital
Patients9
Tenotomy89%
Correction91%
Dovedale University Hospitals
Patients6
Tenotomy83%
Correction89%

Regional Aggregates

Outcomes — East Midlands

DF 15°
93%
Abduction 40°
91%
LTH reducible
92%
Mean casts pre-tenotomy5.4
Tenotomy rate (region)87%
For national audit committees: regional rollups feed straight into the national dataset — no manual collation, no copy-paste, no duplicate submissions.

Profile & Preferences

AC
Amy Carter
Paediatric Physiotherapist
a.carter@riverside.example

Account

Display name
Shown across the platform
Amy Carter
Email address
a.carter@riverside.example
Password
Change
Two-factor authentication
On

Preferences

Email digest
Weekly summary of your centre's audit activity
In-app notifications
Regional benchmarking
Compare your centre to East Midlands averages
Date format
DD/MM/YYYY
Your account is provisioned by your hospital's audit lead. Contact s.okafor@riverside.example for role or access changes.

My Hospital

Riverside Children’s Hospital

Paediatric orthopaedics · East Midlands Network

Trust Details

Trust code
RWE
Lead clinician
Mr J Brousil
Audit lead
S Okafor
Network
East Midlands
Site joined
2019

2025 Activity

Patients submitted
24
Active in casting
3
Completed treatment
15
Last submission
2 days ago

Registered Users

AC
Amy Carter
Physiotherapist · Active today
JS
Jo Bennett
Senior Physiotherapist · 2 days ago
CM
Claudia MacCurvin
Audit Lead · 4 days ago
SD
Sarah Okafor
Consultant · 1 week ago
JB
James Brousil
Consultant Surgeon · 1 week ago

Notifications

3 new
Patient JS-15032024-01 due for review
3 casts applied · pre-tenotomy Pirani assessment pending.
2 hours ago
Q2 2025 audit window closes in 6 weeks
21 of 24 records complete. 3 records have outstanding fields.
Yesterday
Regional network meeting · next month
Quarterly audit review · agenda attached.
2 days ago
Jo Bennett submitted record AH-02022024-01
Tenotomy completed bilaterally · local anaesthesia.
4 days ago
Dataset update applied
Multi-select diagnosis now supported · existing records unchanged.
1 week ago
Welcome to Talipes Tracker
Your account is active. Explore Help & Guidance to get started.
3 weeks ago

Export Data

Export your centre's data

Download a copy at any time · RCH only

Exports include all records visible to you. Patient identifiers (initials & DOB) are included so you can match back to your local system.

New Export

Excel (.xlsx)
All 27 fields · one row per patient
CSV
For analysis software (R, SPSS, Stata)
PDF report
Formatted summary for sharing
Anonymised research dataset
No initials or DOB · for publication

Recent Exports

RCH_Q1_2025.xlsx
24 records · 412 KB · today, 14:22
RCH_2024_FullYear.xlsx
61 records · 1.2 MB · 14 Jan 2025
RCH_Anonymised_2024.csv
61 records · 218 KB · 14 Jan 2025

Audit History

Every change is logged with timestamp, user, and field. Records cannot be silently edited or deleted.
Amy Carter updated cast count on JS-15032024-01
Today, 14:22 · IP 10.42.18.5
Amy Carter exported RCH_Q1_2025.xlsx
Today, 14:21
Jo Bennett created record AH-02022024-01
4 days ago, 09:14
Jo Bennett marked tenotomy complete on AH-02022024-01
4 days ago, 09:18
Claudia MacCurvin updated Pirani score on RP-28012024-01
5 days ago, 11:42
Claudia MacCurvin created record RP-28012024-01
2 weeks ago, 15:08
Sarah Okafor signed off Q4 2024 cohort 15 records
14 Jan 2025, 10:30
James Brousil corrected diagnosis on MK-11012024-01
9 Jan 2025, 16:51

Help & Guidance

How can we help?

Dataset definitions, platform guides & FAQs

Frequently Asked

How are patients identified without using names?
Each patient is given an ID built from their initials, date of birth, and a local sequence number — for example JS-15032024-01. The platform never stores the patient's name or NHS Number; your hospital keeps the link between this ID and the patient's clinical record on your own system.
What if a child has the same initials and DOB as another patient?
The trailing sequence number handles this — twins, for example, would be JS-15032024-01 and JS-15032024-02. The platform warns you when a possible match is detected, but the sequence number keeps every ID unique within your centre.
How does my data reach regional and national reports?
Automatically. Once you save a patient record, it's included in your centre's report, your regional rollup, and the national dataset in real time. There's no end-of-year collation, no spreadsheet upload, and no email attachments.
Can other hospitals see my patients?
No. Each hospital can only see its own patient-level records. Regional and national views show only aggregated, anonymised totals — never individual patient data from other centres.
Where is the data stored?
In the United Kingdom, on infrastructure that meets the NHS Data Security and Protection Toolkit (DSPT) standard. A Data Processing Agreement is in place with each participating Trust.
Can I edit or delete a record after saving?
Yes — but every change is logged with timestamp, user, and the specific field that changed. Deletion is soft (a record is hidden but retained in the audit history) and requires audit lead approval.
What if I lose internet connection mid-entry?
The wizard saves progress at the end of each step. If you lose connection, your partial entry is held locally and synced as soon as you're back online.

Guides

Dataset definitions
Pirani scoring, correction criteria, diagnosis categories
Getting started for new users
Information governance & data sharing
Adding users to your hospital

Contact us

Get in touch

Platform queries & support

Customer support
hello@talipestracker.com
0300 123 0000 (Mon–Fri, 9–5)
Technical Support
support@talipestracker.com
Response within 1 working day

Send a Message

For urgent clinical queries about a specific patient, contact your hospital's audit lead directly. Talipes Tracker does not hold patient-identifiable data.
Demo 1. Login