Home Forums Marketplace Table of Contents Events Member List Site Map Register Mark Forums Read



Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

If you have any problems with the registration process or your account login, please contact contact us.


Tags:

Will the new NHS reforms allow GP's to send patients to private podiatrists?

Reply
Submit Thread >  Submit to Digg Submit to Reddit Submit to Furl Submit to Del.icio.us Submit to Google Submit to Yahoo! This Submit to Technorati Submit to StumbleUpon Submit to Spurl Submit to Netscape  < Submit Thread
 
Thread Tools Display Modes
  #1  
Old 15th April 2012, 03:15 AM
richardrobley richardrobley is offline
Senior Member
 
About:
Join Date: Jan 2012
Location: Durham UK
Posts: 41
Join Date: Jan 2012
Marketplace reputation 0% (0)
Thanks: 44
Thanked 7 Times in 4 Posts
Default Will the new NHS reforms allow GP's to send patients to private podiatrists?

Podiatry Arena members do not see these ads
With the new NHS reforms approaching and everyone working within seemingly against it, does anyone know if GP's will be sending NHS patients to private podiatrists. I have done a contract for a local GP surgery before and it was poorly paid to say the least, and when they had to supply disposable instruments they scrapped it all together.
Not a lot of information out there regarding podiatry so if anyone can enlighten me I would be very grateful, cheers.
Reply With Quote
Sponsored Links
  #2  
Old 15th April 2012, 09:26 AM
Disgruntled pod Disgruntled pod is offline
Senior Member
 
About:
Join Date: Jul 2009
Posts: 69
Join Date: Jul 2009
Marketplace reputation 0% (0)
Thanks: 15
Thanked 17 Times in 12 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Sidelining slightly: A local GPs surgery in my city was/is hiring out a room to a FHP trained by the fantastic Mr. Heylings.

She was/is charging £15 for an appointment. I had one of her patients come to see me as he was getting now where with his igtn. I took one look at it and said that it needed nail surgery and that I would not even touch it without LA.

This lady had been taking money off this patient for completely ineffective treatment, 2 or 3 times. How many GPs will be hiring out rooms to FHPs just to make more money.

And @£15 a patient, what with room rental, I wander how much money the FHP was making. Mind you, she was doing the local Age Concern cente for £10 a patient.

Oh and £15, "The bitterness of poor workmanship is long remembered after the sweetness of a low price is forgotten."
Reply With Quote
The Following 2 Users Say Thank You to Disgruntled pod For This Useful Post:
Catfoot (21st April 2012), kram 0115 (15th April 2012)
  #3  
Old 15th April 2012, 03:27 PM
David Smith's Avatar
David Smith David Smith is offline
Podiatry Arena Veteran
 
About:
Join Date: Oct 2004
Posts: 1,787
Join Date: Oct 2004
Marketplace reputation 0% (0)
Thanks: 138
Thanked 357 Times in 243 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Quote:
Originally Posted by richardrobley View Post
With the new NHS reforms approaching and everyone working within seemingly against it, does anyone know if GP's will be sending NHS patients to private podiatrists. I have done a contract for a local GP surgery before and it was poorly paid to say the least, and when they had to supply disposable instruments they scrapped it all together.
Not a lot of information out there regarding podiatry so if anyone can enlighten me I would be very grateful, cheers.
Richard

Under the Health and Social Care bill and the criteria of 'Any Qualified Provider' you will have to tender for a contract with a Clinical commissioning group, which could be any clinical group but will most likely be a GP commissioning group since they have been preparing for this for years. For more info Go here http://healthandcare.dh.gov.uk/
and here
http://www.supply2health.nhs.uk/AQPR...Pages/FAQ.aspx
and here
http://www.businesslink.gov.uk/bdotg...cId=1073900012

I've been to quite a few seminars on this subject and I've come to the conclusion that there will be much less money to fund just as many services and patients but with many private companies, the main ones being GP commissioners, taking large profits (stuffing their already bulging pockets with the cash they have the responsibilty for allocating (because that wont be abused will it ) out of the total cash available and so there will be even less money to actually buy 'any qualified providers' services and that's assuming that the commissioning group decide that podiatry in your area is worth funding anyway, and so your private podiatry service will be in even more demand than ever before.
GP's and the clinical providers companies they set up will be getting very rich, it's not illegal even tho its discouraged and they are already doing it according to news reports. I reckon its gonna get real ugly in the NHS world in the next few years.

Regards Dave

Dave Smith
__________________
Descartes seems to consider here that beliefs formed by pure reasoning are less doubtful than those formed through perception.
Reply With Quote
The Following 3 Users Say Thank You to David Smith For This Useful Post:
DTT (21st April 2012), Lovefeet (24th September 2012), richardrobley (15th April 2012)
  #4  
Old 15th April 2012, 03:38 PM
richardrobley richardrobley is offline
Senior Member
 
About:
Join Date: Jan 2012
Location: Durham UK
Posts: 41
Join Date: Jan 2012
Marketplace reputation 0% (0)
Thanks: 44
Thanked 7 Times in 4 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Thanks for that David. I already have many people coming to me as they have found it impossible getting an NHS appointment and from what you've said it looks like that's going to continue.
Thread Starter
Reply With Quote
  #5  
Old 19th April 2012, 02:09 PM
morganholly morganholly is offline
Member
 
About:
Join Date: Mar 2012
Posts: 7
Join Date: Mar 2012
Marketplace reputation 0% (0)
Thanks: 1
Thanked 0 Times in 0 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Message to Disgruntled Pod from a Disgruntled FHP. Please don't tar all FHP's with the same brush. Some of us take pride in our work and have the client's best interests at heart. Your comments are uncalled for. There is good and bad work in every profession. I have been to see a client today who has seen two chiropodists in the past for his ingrowing toe nails who have both left him in a mess and in severe pain. He has rebooked an appointment we me so I rest my case.
Reply With Quote
  #6  
Old 21st April 2012, 12:20 AM
Catfoot's Avatar
Catfoot Catfoot is offline
Podiatry Arena Veteran
 
About:
Join Date: Mar 2010
Location: Near the sea
Posts: 734
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 346
Thanked 139 Times in 109 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Morganholly,
We keep hearing these anecdotal stories from both the regulated and unregulated sector, so I take them with a pinch of salt.

The fact is that FHPs have a very small window of experience in their 5- 14 days practical training and are therefore not equipped to give a comprehensive footcare service. If they were to accept that and refer on appropriately that would be fine, but in my experience they don't.
I think all FHPs should align themselves with a pod who is trained to administer LA and qualified in orthotic provision, so they have a referral pathway in place.
As long as FHPs are unwilling to do this or ask pods for help then they will continue to have a poor image that is entirely of their own making.

The present trend seems to show that GP practices are keen to maximise revenue by hiring out room space to FHPs and alternative therapists. The FHP is always the loser as they need to pay rent regardless of how many patients they see. Of 3 GPs surgeries in my area who rented space to FHPs only one still has an FHP working there. Mind you at £12.00 a treatment it is not surprising.

I have offered my help to such FHPs in my area by suggesting I can perform nail surgery for them if required, even offering to travel to the GPs surgery in the evening. So far no-one has taken me up on this offer or even responded, which i think is quite rude.
If FHPs want to be treated as "professionals" they should act that way.


regards

Catfoot

PS Just for interest who do you refer your IGTN patients to ?
__________________
"Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this."
Reply With Quote
  #7  
Old 21st April 2012, 01:55 AM
David Smith's Avatar
David Smith David Smith is offline
Podiatry Arena Veteran
 
About:
Join Date: Oct 2004
Posts: 1,787
Join Date: Oct 2004
Marketplace reputation 0% (0)
Thanks: 138
Thanked 357 Times in 243 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Catfoot

This is taking the point away from the OP but pots and kettle black come to mind.
Today's podiatrist likes to push basic chiropody into the broom cupboard, and rather think they are MSK specialists, Orthotists, Paediatritians, vascular specialists, dermatologists, Surgeons, Specialists in many 'alternative Therapies' like acupuncture after a weekend course or lower limb physical therapy after an afternoon's course. Somehow, just coz its on the foot or somewhere near it makes it the Jurisdiction of the podiatrist
Even the idea that podiatrists new from university are competent in biomechanical evaluation and orthotic prescription is contentious and certainly the knowledge of many podiatrists I meet on courses are jaw droppingly naive in terms of their knowledge of Anatomy and physiolgy in terms of MSK conditions and the biomechanical evaluation and interventions required to address those problems. They can do a PNA under local anaesthetic tho
On top of all that they come out of university with a degree and see nail cutting as several steps below them and only want to do the 'real professional' podiatry work, i.e. the stuff mentioned above, and then complain like billyo that someone, without a degree who loves to do that work and do it well, does not have the qualifications or professionalism to do it. Dog in a manger comes to mind here.


Dave
__________________
Descartes seems to consider here that beliefs formed by pure reasoning are less doubtful than those formed through perception.
Reply With Quote
The Following 2 Users Say Thank You to David Smith For This Useful Post:
DTT (21st April 2012), Robertisaacs (24th April 2012)
  #8  
Old 21st April 2012, 08:51 AM
Catfoot's Avatar
Catfoot Catfoot is offline
Podiatry Arena Veteran
 
About:
Join Date: Mar 2010
Location: Near the sea
Posts: 734
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 346
Thanked 139 Times in 109 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

David Smith,
Ok, let's get back to the op.

The question is "will the new NHS reforms allow GPs to send patients to private chiropodists?" The answer is "why not?" as some are doing this already and will probably continue to do so.

More discussion here :- http://www.podiatry-arena.com/podiat...ad.php?t=76376

Your comments about degree-trained pods being clueless in various areas and being reluctant to do nail-cutting is contentious in itself. I'm sure Judith BB and other Podiatry lecturers would be interested in hearing your concerns about their students not being "up to scratch".

regards

Catfoot
__________________
"Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this."
Reply With Quote
  #9  
Old 21st April 2012, 09:30 AM
Johnpod Johnpod is offline
Podiatry Arena Veteran
 
About:
Join Date: Mar 2005
Posts: 268
Join Date: Mar 2005
Marketplace reputation 0% (0)
Thanks: 6
Thanked 36 Times in 30 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Put the cat out while I have a word with the vet. I'm sure she's got something stuck.

Mind you, why would I pay a vet's bill if I can get it done at the cattery?

And you are at least two years out of date CF, since JBB does not teach podiatry undergraduates any more. Pity you have to attempt to drag third parties in to try to support your 'contentious and anecdotal' case.
Reply With Quote
  #10  
Old 21st April 2012, 12:45 PM
Catfoot's Avatar
Catfoot Catfoot is offline
Podiatry Arena Veteran
 
About:
Join Date: Mar 2010
Location: Near the sea
Posts: 734
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 346
Thanked 139 Times in 109 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Ah Johnpod,
back again from the estate agents ?

"I have studied many philosophers and many cats. The wisdom of cats is infinitely superior." - Hippolyte Taine

regards

Catfoot
__________________
"Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this."
Reply With Quote
  #11  
Old 21st April 2012, 02:07 PM
morganholly morganholly is offline
Member
 
About:
Join Date: Mar 2012
Posts: 7
Join Date: Mar 2012
Marketplace reputation 0% (0)
Thanks: 1
Thanked 0 Times in 0 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Thank you for your post CatFoot. I agree with you completely about your comment that an FHP should work alongside a Podiatrist and welcome your comments that you have offered your services to your local FHPs. I would love to do that personally but from my personal experience FHPs can be seen as a threat to Podiatrists taking their business, so your comment about it being FHPs own making is a little one-sided. We should all be sensible about it and work in harmony together for the good of the patients and their feet. I haven't had to refer a client as yet for an IGTN but I would have no hesitation in referring to my local Podiatrist for anything that was out of my remit as a FHP because that is the sort of person I am. Like I said there is good and bad practices in every profession so we shouldn't be tarred. Thank you for replying.

Quote:
Originally Posted by Catfoot View Post
Morganholly,
We keep hearing these anecdotal stories from both the regulated and unregulated sector, so I take them with a pinch of salt.

The fact is that FHPs have a very small window of experience in their 5- 14 days practical training and are therefore not equipped to give a comprehensive footcare service. If they were to accept that and refer on appropriately that would be fine, but in my experience they don't.
I think all FHPs should align themselves with a pod who is trained to administer LA and qualified in orthotic provision, so they have a referral pathway in place.
As long as FHPs are unwilling to do this or ask pods for help then they will continue to have a poor image that is entirely of their own making.

The present trend seems to show that GP practices are keen to maximise revenue by hiring out room space to FHPs and alternative therapists. The FHP is always the loser as they need to pay rent regardless of how many patients they see. Of 3 GPs surgeries in my area who rented space to FHPs only one still has an FHP working there. Mind you at £12.00 a treatment it is not surprising.

I have offered my help to such FHPs in my area by suggesting I can perform nail surgery for them if required, even offering to travel to the GPs surgery in the evening. So far no-one has taken me up on this offer or even responded, which i think is quite rude.
If FHPs want to be treated as "professionals" they should act that way.


regards

Catfoot

PS Just for interest who do you refer your IGTN patients to ?
Reply With Quote
  #12  
Old 23rd April 2012, 12:24 AM
Catfoot's Avatar
Catfoot Catfoot is offline
Podiatry Arena Veteran
 
About:
Join Date: Mar 2010
Location: Near the sea
Posts: 734
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 346
Thanked 139 Times in 109 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Hello morganholly,
I think i should be clear that i don't support joint working ( in the same clinic) between FHPs and Podiatrists/Chiropodists, as I cannot see an advantage to the patient and there are issues of clinical responsibility that are disadvantageous to the Podiatrist. (These have been discussed many times so I won't go over old ground here.)

I am pleased to note you willingness to refer.

"I would love to do that personally but from my personal experience FHPs can be seen as a threat to Podiatrists taking their business, so your comment about it being FHPs own making is a little one-sided."

I'm not sure I follow the above. If you are making contact with a pod to create a referral pathway for your patients, for condtions outside your scope of practice, then I don't see how this can be perceived as a "threat" ?

I am suprised you have not yet referred an IGTN to a Pod. I suppose it would depend on your definition of an IGTN. I would define an IGTN as this :-

http://www.podiatryandchiropodycentr...rownnails.html

or this :-

http://en.wikipedia.org/wiki/Ingrown_nail

did you not see this condition when you trained?

regards

Catfoot
__________________
"Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this."
Reply With Quote
  #13  
Old 23rd April 2012, 01:50 PM
morganholly morganholly is offline
Member
 
About:
Join Date: Mar 2012
Posts: 7
Join Date: Mar 2012
Marketplace reputation 0% (0)
Thanks: 1
Thanked 0 Times in 0 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Of course I saw ingrowing toe nails when I did my training and I learnt how to treat them. The links you have sent me defining an igtn tell me nothing new that I don't know already about them but thanks for sharing them anyway!
Reply With Quote
  #14  
Old 23rd April 2012, 11:02 PM
Catfoot's Avatar
Catfoot Catfoot is offline
Podiatry Arena Veteran
 
About:
Join Date: Mar 2010
Location: Near the sea
Posts: 734
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 346
Thanked 139 Times in 109 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Hello morganholly,
Are you saying that after a couple of weeks practical training you would be able to treat the type of ingrowing toenail pictured without a local anaesthetic ?

I'm astounded

Catfoot
__________________
"Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this."
Reply With Quote
  #15  
Old 24th April 2012, 01:41 PM
morganholly morganholly is offline
Member
 
About:
Join Date: Mar 2012
Posts: 7
Join Date: Mar 2012
Marketplace reputation 0% (0)
Thanks: 1
Thanked 0 Times in 0 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

You are trying to put words into my mouth and make assumptions and whatever I see I cannot win with you - I do feel you are a bully and have issues with FHPs so if this is the attitude of yourself and possible other people on the Podiatry Arena then it is not the arena for me. Goodbye!
Reply With Quote
  #16  
Old 24th April 2012, 11:43 PM
Catfoot's Avatar
Catfoot Catfoot is offline
Podiatry Arena Veteran
 
About:
Join Date: Mar 2010
Location: Near the sea
Posts: 734
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 346
Thanked 139 Times in 109 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Morganolly,

Quote:
You are trying to put words into my mouth
No, just asking for clarification of your ambiguous post.


http://www.usingenglish.com/referenc...+the+pram.html



regards


Catfoot
__________________
"Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this."
Reply With Quote
  #17  
Old 25th April 2012, 02:11 AM
DTT's Avatar
DTT DTT is offline
Podiatry Arena Veteran
 
About:
Join Date: Oct 2004
Location: Beddington UK
Posts: 1,687
Join Date: Oct 2004
Marketplace reputation 0% (0)
Thanks: 371
Thanked 270 Times in 199 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Quote:
Originally Posted by morganholly View Post
You are trying to put words into my mouth and make assumptions and whatever I see I cannot win with you - I do feel you are a bully and have issues with FHPs so if this is the attitude of yourself and possible other people on the Podiatry Arena then it is not the arena for me. Goodbye!
Well Done catfoot,

It must make you very proud to achieve that level of intimidation and elicit that response in doing so

I'm sure you will run back to the cesspit and savour the admiration heaped upon you there from the rest of the sado's.
Yours in total disgust
Derek
__________________
My location

http://www.surreyfootcare.co.uk

"Political Correctness" is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a turd by the clean end
Reply With Quote
  #18  
Old 25th April 2012, 02:17 AM
Mark Russell's Avatar
Mark Russell Mark Russell is offline
Podiatry Arena Veteran
 
About:
Join Date: Oct 2004
Posts: 2,117
Join Date: Oct 2004
Marketplace reputation 0% (0)
Thanks: 295
Thanked 644 Times in 311 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

You should try public relations when you leave podiatry, Catfoot. I'm sure you have a knack for it. But there is a little collective hypocrisy with this one insofar as the arguments and strategy you employ are the same as the othopods use against our podiatric surgeons - use of title (surgeon), inferior training (non medical) and the unspoken one - territorial encroachment and potential loss of income. Thankfully - at this end of the profession - there doesn't seem to be the same desire to belittle each other's clinical skills or competencies.

Best wishes
Reply With Quote
The Following User Says Thank You to Mark Russell For This Useful Post:
morganholly (25th April 2012)
  #19  
Old 25th April 2012, 01:46 PM
morganholly morganholly is offline
Member
 
About:
Join Date: Mar 2012
Posts: 7
Join Date: Mar 2012
Marketplace reputation 0% (0)
Thanks: 1
Thanked 0 Times in 0 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Thank you for your support Derek, it is much appreciated! :-))

Quote:
Originally Posted by DTT View Post
Well Done catfoot,

It must make you very proud to achieve that level of intimidation and elicit that response in doing so

I'm sure you will run back to the cesspit and savour the admiration heaped upon you there from the rest of the sado's.
Yours in total disgust
Derek
Reply With Quote
  #20  
Old 25th April 2012, 01:49 PM
morganholly morganholly is offline
Member
 
About:
Join Date: Mar 2012
Posts: 7
Join Date: Mar 2012
Marketplace reputation 0% (0)
Thanks: 1
Thanked 0 Times in 0 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Thank you for your support Mark - much appreciated!

Quote:
Originally Posted by Mark Russell View Post
You should try public relations when you leave podiatry, Catfoot. I'm sure you have a knack for it. But there is a little collective hypocrisy with this one insofar as the arguments and strategy you employ are the same as the othopods use against our podiatric surgeons - use of title (surgeon), inferior training (non medical) and the unspoken one - territorial encroachment and potential loss of income. Thankfully - at this end of the profession - there doesn't seem to be the same desire to belittle each other's clinical skills or competencies.

Best wishes
Reply With Quote
  #21  
Old 25th April 2012, 02:14 PM
Johnpod Johnpod is offline
Podiatry Arena Veteran
 
About:
Join Date: Mar 2005
Posts: 268
Join Date: Mar 2005
Marketplace reputation 0% (0)
Thanks: 6
Thanked 36 Times in 30 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

So there you have it, Catfoot. Your attitudes are about as welcome as f*rt in a 'phone box. Must be the sardines.

------------------------------------------
Beware of cats - English proverb.
Reply With Quote
  #22  
Old 25th April 2012, 03:07 PM
morganholly morganholly is offline
Member
 
About:
Join Date: Mar 2012
Posts: 7
Join Date: Mar 2012
Marketplace reputation 0% (0)
Thanks: 1
Thanked 0 Times in 0 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Thanks for your support Johnpod - I may stick around afterall !!


Quote:
Originally Posted by Johnpod View Post
So there you have it, Catfoot. Your attitudes are about as welcome as f*rt in a 'phone box. Must be the sardines.

------------------------------------------
Beware of cats - English proverb.
Reply With Quote
  #23  
Old 25th April 2012, 03:17 PM
DTT's Avatar
DTT DTT is offline
Podiatry Arena Veteran
 
About:
Join Date: Oct 2004
Location: Beddington UK
Posts: 1,687
Join Date: Oct 2004
Marketplace reputation 0% (0)
Thanks: 371
Thanked 270 Times in 199 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Quote:
Originally Posted by morganholly View Post
Thanks for your support Johnpod - I may stick around afterall !!
If you do, be prepared to put your case without room to have the likes of catfoot and co to intimidate you.

If they do harden your argument with facts not emotion and the "I'll huff of then" attitude.

Stick to your guns and harden your resolve, make your case and argue effectively

I did and I'm still here 25 years later
Good Luck
cheers
Derek
__________________
My location

http://www.surreyfootcare.co.uk

"Political Correctness" is a doctrine, fostered by a delusional, illogical minority, and rabidly promoted by an unscrupulous mainstream media, which holds forth the proposition that it is entirely possible to pick up a turd by the clean end
Reply With Quote
The Following User Says Thank You to DTT For This Useful Post:
Catfoot (26th April 2012)
  #24  
Old 25th April 2012, 11:59 PM
Catfoot's Avatar
Catfoot Catfoot is offline
Podiatry Arena Veteran
 
About:
Join Date: Mar 2010
Location: Near the sea
Posts: 734
Join Date: Mar 2010
Marketplace reputation 0% (0)
Thanks: 346
Thanked 139 Times in 109 Posts
Default Re: Will the new NHS reforms allow GP's to send patients to private podiatrists?

Mark,

Quote:
But there is a little collective hypocrisy with this one insofar as the arguments and strategy you employ are the same as the othopods use against our podiatric surgeons - use of title (surgeon), inferior training (non medical) and the unspoken one - territorial encroachment and potential loss of income.
I’m not convinced that argument can be applied to the FHP v Pod debate.

Pod Surgeons are educated to degree level and are regulated under Statute, while FHPs are not so regulated and their course will not give them a qualification anywhere near degree level. Orthopaedic Surgeons may well regard Pod Surgeons’ training as inferior, which it is if you consider length of training as a criteria.

A Pod Surgeon’s training is standard ;- 3 or 4 years F/T for Pod degree, followed by 1 year residency and then another 6 years mentoring/training. FHP training is not standard across the UK– which is one of the stumbling blocks to their regulation.
In addition Pod Surgeons have a very well-define scope of practice and do not pretend to be Orthopods – there have been (and still are) a plethora of FHPs advertising themselves as “Chiropodists”.

There are 46 NHS Podiatric Surgeons’ posts at present. We do not know how many FHPs are practising.

“Territorial encroachment” is a different matter. Surgeons have always been very a bit twitchy about this. Their attitude stems from the days when “Physicians” were from moneyed backgrounds who were able to afford medical school and were considered to be men of learning. The surgeon was regarded as a rather uneducated ”sawbones” whose only claim to fame was the ability (in the days before anaesthetics) to perform amputations/operations at lightening speed. They were not allowed to use the title”doctor”. Nowadays doctors who train to become surgeons drop the title doctor and this becomes a mark of status.

I personally, have never had a concern about FHPs poaching patients, however, this posting from the SCP forum expresses the concerns of one Podiatrist :-

"I graduated with a good degree in 2011, and unable to get an NHS job I started in private practice, setting up in 2 chemist shops in different locations and starting a home visiting practice. Despite seeking advice and spending a small fortune on marketing, and carefully pricing my services the response has been poor. I feel there is too much competition not only from other pods but also there are a lot of so called foot health practitioners and people passing themselves of as chiropodists. One such person was advertising a full foot treatment for £12 how can any qualified pod compete with that?. I am now considering quitting the profession and maybe just becoming an un registered foot health practitioner in my spare time if you can't beat them, might as well join them, I just wish I had been given honest advice about job prospects before I entered into this profession"

Quote:
Thankfully - at this end of the profession - there doesn't seem to be the same desire to belittle each other's clinical skills or competencies.
I suppose it depends on what you mean by "the profession". As you have chosen to de-register it could be argued that you are no longer a member of the "profession" of podiatry. FHPs are definitely outwith the profession.

Morganholly, the times that I agree with DTT can be counted in blue moons but on this occasion he makes sense. If you want to participate on a podiatry forum with academics then you need to grow some vertebrae and learn to put your arguments in a logical and unemotive way. Throwing your toys out the pram when you hear something you don't like only makes you look childish and stupid and weakens your position as an FHP.

If you want a "touchy-feeley" forum where you will hear what you want to hear, and no-one is allowed to post anything contraversial, join SMAE and then you can have access to their members' site

regards

Catfoot
__________________
"Thousands of years ago, cats were worshipped as gods. Cats have never forgotten this."

Last edited by Catfoot : 26th April 2012 at 12:04 AM. Reason: spelling
Reply With Quote
Reply



Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
vB code is On
Smilies are On
[IMG] code is On
HTML code is On
Forum Jump

Translate This Page

Similar Threads
Thread Thread Starter Forum Replies Last Post
Podiatrists in Private Practice Podsupply United Kingdom 3 1st May 2013 12:48 AM
Patients going 'private' on NHS RSSFeedBot United Kingdom Health Care News 3 8th February 2011 02:39 PM
Podiatrists needed in QLD to private clinic NatalieThelwell Employment in Australia 1 2nd June 2010 02:54 AM
'Chiropodists' urge radical reforms Admin USA 0 30th September 2007 08:05 PM
NHS podiatrists recommending private practitioners sally.florey United Kingdom 2 13th May 2007 09:43 AM


New To Site? Need Help?

Finding your way around:

Browse the forums.

Search the site.

Browse the tags.

Search the tags.


All times are GMT -7. The time now is 01:11 AM.