Diabetes accounts for approximately 16% of the inpatient population in the UK. Regular foot checks are recommended by national guidance as a way of screening for the presence of foot lesions, however, these are often not carried out due to a lack of an assessment tool. The authors describe the process of developing and implementing such a tool. A foot assessment form and training package were developed and piloted over a 4-week period on two wards within the authors’ hospital. A short questionnaire evaluating staff knowledge was conducted before and after the education session. The foot assessment form was audited for compliance weekly. Attendance at the training sessions significantly increased staff knowledge of foot disease and led to an increased number of patients receiving a foot examination during their hospital stay. The number of foot assessments being completed within 24 hours of a patient with diabetes being admitted to hospital improved, as did knowledge of foot disease and screening among nurses.