there is a need for an improved structure in preventive work on diabetic foot ulcers. home nursing organisation needs more long-term care planning, rather than acute interventions. the interviewed RNs work mainly through HCAs. they are informal leaders, educating the HCAs to assess patients' feet,report deteriorations, and perform offloading actions. obtaining footwear and chiropody is delegated to HCAs. evaluation of foot ulcer preventive interventions is not systematically done. there should be substantial economic savings for the municipalities to be made with structured diabetic foot ulcer prevention. maintaining undamaged feet until the end of a patient's life is in line with working to promote health and alleviate suffering and, to reduce future workload, the RNs foot ulcer preventive work should be acknowledged in home nursing.