Lameness in dairy cattle is a multifactorial problem involving a complex interaction of stockperson, environmental and animal-related hazards. With over 100 potential hazards for lameness, and a multiplicity of control measures arising from each of these hazards, decision making for intervention programmes can be complex. Furthermore, control of foot lesions such as digital dermatitis and claw horn disease may require a detailed understanding of veterinary pathogenesis and epidemiology. Therefore, in order for lameness control programmes to be effective, veterinary involvement may be necessary. This paper examines effect of vet and farmer attitude towards a lameness control programme for primiparous dairy heifers on lameness prevalence.