With the reporting of pressure ulcers high on the agenda for NHS Trusts, it became apparent within Birmingham Community Healthcare Trust there were discrepancies when reporting ulcerations on the foot, and clinicians were finding it difficult differentiating between a foot ulcer and a pressure ulcer. Collaborative working between Podiatry and Tissue Viability resulted in the creation of a poster and pathway to aid the decision-making process for what was considered a foot ulcer and what constituted a pressure ulcer. The poster has images and lists of possible causes to aid assessment and diagnosis, along with direction on appropriate referral for further management.