Background: Ulcer classification systems can provide a framework for healthcare staff to predict potential risk and prompt the right care at the right time.

Aim: To explore if consensus is achieved when two wound classification systems are applied to grade a foot lesion by two different specialist clinician groups, nurses and podiatrists.

Method: A typical ulcer was compared using the European Pressure Advisory Panel and University of Texas tools.

Conclusion: Both systems achieved consensus on ulcer depth, but the Texas system also indicates perfusion or infection. This supports a more informed rationale for treatment.