Foot ulceration occurs commonly in diabetes mellitus, with up to 20% of people with diabetes developing this complication. Through facilitating co-ordination of the series of the applied skills required in foot care, there is evidence that diabetes multidisciplinary High-Risk Foot Services (HRFS) can help to optimize outcomes in foot ulceration in diabetes. This includes preventing hospital admissions, aiding timely healing of infected ulcers, and when amputation is required, reducing the frequency of major amputation. Yet Australian data for amputation rate in diabetes lag behind the UK, ambulatory care multidisciplinary HRFS have not been standardized throughout Australia, and there have been no established processes to realize and sustain this key process. The National Association of Diabetes Centres (NADC) has recently commenced a Foot Network Working Party (FNWP) which has a trans-national agenda to prioritise foot care in diabetes. A high priority outcome is to develop standards setting in HRFS, to be universally adopted, which will then act as a cornerstone for accreditation, auditing, in Health Care Professional education, and comparative outcomes in care and research. This interactive presentation will describe the rationale for, and process in, setting national standards in diabetes HRFS and more than one stratum, including clinical indicators plus the national organisations feeding into this activity, in the context of the broader agenda of the NADC FNWP. With time, it is envisaged that a national map of HRF services will be consolidated.