I have worked in a few care homes in England, we were never permitted to cut toe nails, only finger nails, we had a visiting chiropodist at one of the homes that also werent allowed to cut the toe nails of the diabetics, they had to have theirs done in the local cottage hospital. Here in Wales it appears things are different, we can do a two day course on cutting toenails and foot care, we are then permitted to cut the toenails of non-Diabetics, the diabetics still need to have theirs done at the local hospital.