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"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
Their advertising alludes to Les Bailey "qualifying" as an osteopath. of course this is a semantic argument because he is not a practicing osteopath
If you look back in this thread you will see he was practicing as an osteopath in his previous clinic ( The nightingale clinic Carshalton Surrey) where there were apparently 3 allegations of professional ( among other) misconduct from female patients which culminated in his resignation ( before the axe fell).
So yes we have a problem and no it seems no-one can do anything about it except salvage the wreckage from those that have been shipwrecked
"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
Are you sure you don't want that letter from the health food shop where he is Rx "back up herbal stuff" at loadsamoney without the patients consent ??
You mean a letter which rx's about £200 worth of herbal quackery (sorry, alternative medication) with a note to say that because it "natural" medicine it can take 3 months to even start working unlike those "harsh chemicals" which start working straight away? The one where there were some significant questions asked about whether that company had the patients details passed to it by P&B without the patients consent? That sort of letter?
Would'nt know anything about that!
You're a very bad man Harland! You old serpent you!
Regards
Robert
Thank you Robert, I was curious what arm of the government actually pays the bill. Does the NHS reimburse for orthoses to say pods and orthotists for necessary orthoses in the UK? And to think I find our system and Medicare confusing
Derek I just do not understand how an unlicensed person can exist and thrive prescribing insoles when I would think that in order to ply his trade he would have to be currently licensed in the first place. That is where my confusion lies. Doesn't anyone pay a visit to these unlicensed clinics and inquire by whose authority they are prescribing and dispensing their "one of a kind" polypro wonders?
Baffling and horrid.
Regards,
__________________
"If we all worked on the assumption that what is accepted as true is really true, there would be little hope of advance." - Orville Wright
Derek I just do not understand how an unlicensed person can exist and thrive prescribing insoles when I would think that in order to ply his trade he would have to be currently licensed in the first place. That is where my confusion lies. Doesn't anyone pay a visit to these unlicensed clinics and inquire by whose authority they are prescribing and dispensing their "one of a kind" polypro wonders?
I think Roger has it exactly right
Quote:
Anyone can sell insoles here and to my knowledge its totally unregulated. If it is regulated its totally unsupervised
And to modify your footnote
Quote:
"If we all worked on the assumption that what is accepted as true is really true
then there would be a lot more L B's in the world and even more patients queing for their money back
The bovine excrement catches em the taurean excrement seals the deal.
That's how it works over here
The HPC was supposed to stop this sort of thing with podiatrists but he calls himself what he fancies at the time which makes a mockery of all regulation and control.
"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
Last edited by DTT : 9th April 2009 at 11:27 AM.
Reason: Spelling error
I suppose it is no better in the U.S. in some regards. We have a scant measure of regulation in as far as when insurers actually pay they will only pay the appropriate categories of providers for orthoses (not to mention diabetic insoles + footwear). very few states in the U.S. have orthotic and prosthetic licensure, but the federal government and insurers appear to adhere to a policy of only reimbursing trained individuals (well, at least they are making a modicum of effort ). Medicare now requires that certain designated providers perform the service for diabetics and in the absence of that provider being an MD, DO or DPM a script detailing medical necessity is required, especially for the diabetic patient population. There are no ground rules for custom foot orthoses though in the wild and while the language designating what constitutes a CFO while very clear to readers here, is something altogether in retail shops and clinics all around the country. If I can fault the podiatric field with anything it is not maintaining what was rightfully theirs to provide and seeking legislation to protect their unique modality. Oh I rant...well it's alright because now we have pedorthists to help out..
I guess anyone who only seeks cash reimbursement can proffer themselves a former or 'qualifying' physician and sell their wares to the unsuspecting public. This is a good time for a Rothbart's insole rant but I digress...
On a side note, it fascinates me how disparately the health profession are organized in other lands. Osteopathy is almost entirely allopathic in it's approach here in the U.S. and if I am not mistaken much more "hands on" in Europe. I'll be long gone before I understand fully the rights of podiatrists there and in Australia compared to here. I was at the PFOLA conference in San Diego, Ca in 07' and a good friend (who is a DPM) and I met two Belgian podiatrists. We got to talking and their job description was much more like that of a pedorthist than a podiatrist. They do not perform surgery there at all I was informed. Personally I always thought of DPM's as surgeons but later learned there was so much more to their training, biomechanics, orthoses etc..who knew!?
While podiatrists are not the only qualified category of provider to dispense orthoses they are as a whole the most qualified. I think that you would agree with this statement Roger. I know my program as a chiropractor did not devote any didactic education to orthoses and I am not aware that the osteopathic profession here does either, although it is within our scopes of practice. Often scope of practice does not equal competency in practice though as we are all aware.
I sincerely hope that the former P&B customers find some measure of resolution and one of the appropriate foot specialists to commence their continuity of care. What a travesty, Mr. Bailey and his cohorts should be ashamed of themselves.
Regards,
__________________
"If we all worked on the assumption that what is accepted as true is really true, there would be little hope of advance." - Orville Wright
David G. Wedemeyer, D.C., C.Ped.
Last edited by David Wedemeyer : 9th April 2009 at 04:11 PM.
Reason: tragic syntax
You mean a letter which rx's about £200 worth of herbal quackery (sorry, alternative medication) with a note to say that because it "natural" medicine it can take 3 months to even start working unlike those "harsh chemicals" which start working straight away? The one where there were some significant questions asked about whether that company had the patients details passed to it by P&B without the patients consent? That sort of letter?
Would'nt know anything about that!
Oh You mean this one that was give to us the other day by my scource, apparently as we were informed "the new lady in Les's life owns the shop
Quote:
You're a very bad man Harland! You old serpent you!
But you know that !!!
You ( and others ) are always telling me "Get thee behind me Satan"
BUT
Lets face it Im sooooooooooooooooooo much more fun when i'm in front of you aint I !!
"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
Last edited by DTT : 11th April 2009 at 03:50 PM.
Reason: Spelling error
Osteopaths in the UK now undergo a 4 or 5 year MSc degree but are not allopathic Drs. The emphasis is still on hands on treatment which our American cousins have largely abandoned for the pill and knife, but there are still some amazing "traditional" osteopaths in the States. Though I suspect in 20 years osteopathy in the Uk will have been "medicalised" and for one I believe it will be a good thing provided we retain our "hands on ability". Increased diagnostic ability and access to the NHS would be its main advantage.
To my knowledge there is no undergraduate training in "orthotic prescription" in our undergraduate training. Likewise I don't believe the insurance companies will reimburse for prescription orthotics either.
What an osteopath's patients can be assure of in the UK is that to be registered you have to adhere to a very strict code which is very aggressively enforced.
My elderly mother also paid £700 for an orthotic insert for her shoes from P&B. Although they have been adjusted once she still suffers extreme pain when walking and has never really had any relief from the orthotic.
Can anyone please recommend someone honest in the Dorset area who may be able to assist my mother.
I visited them last september and had my session with Mr Bailey. Like most i have been in pain for some time and his advertising campaign drew me in. I was also fed up with the medical proffesion as all my doctor wanted to do was inject me. I was told i had the worst feet he had ever seen, he was amazed i wasnt in more pain. He convinced me i needed a two step process, starter authotic then the the full one. In all i purchased 4 pairs at £2500. I felt it was very expensive, but what options are there? They arrived as stated and i used them as directed. Initialy the results were amazing, but as time wore on the pain returned. I phoned them and was told i needed to give them more time. Now i am Ok for a few hours then the pain comes back. I thought i would ring again and see if there was any adjustments that could be made. Now they are gone thats that.
My question is this - is there a genuine company that can actualy provide an orthotic (at reasonable cost!) that works?
My question is this - is there a genuine company that can actualy provide an orthotic (at reasonable cost!) that works?
Nobody can give you a 100% guarantee that an orthosis will give you 100% resolution of symptoms. But, there are many good practitioners out there who should be able to help you, without charging you the kind of money that you've (unfortunately) already paid out.
If you go into any members profile and press the my location button it shows the location of the arena members. Of course being a member is no guarentee of expertise but at least you know they spend time studying!
You could also contact your local NHS Podiatry dept they will I am sure do a much better job than Parish and Bell did for you.
I think some NHS Trust will charge a small fee for additional orthotics over and above the frist pair this will not be remotely like the kind of fee you paid to P&B.
I have good contacts in Bedfordshire who I can recommend. Do you want to go to my profile page and send me a message possibly, give me your phone number and I can talk to you about the situation and the clinic I'd recommend.
You could also contact your local NHS Podiatry dept
Mostly done in my area VIA an orthopaedic surgeon in the first instance( around 36 weeks wait for non urgent) usually sent to the "surgical fitter"( after a further waiting period) who provides an otc appliance
I dont know the procedure in Bedfordshire?? I just hope its better than here
"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
I was not aware of any Podiatry Dept in the Country using an Orthopaedic surgeon to triage, probably not a bad idea though. This must be particularly unsual as most Podiatry Dept have little or no contact with Orthopaedics.
If Ironica contacts her GP she should go straight to the Pod Dept without seeing Orthopaedics though it is possible that she may need a surgical intervention in which case this may not be a bad idea to go to orthopaedics.
Ironica, Derek and Akbal, sorry for the some what late response here, only just been reading through the entire debarcle that is P&B.
On the last note, I am an NHS employee you should not need to see an Orthopod first to see a Pod, your GP should be able to refer you to your local Podiatry dept. Especially if you look at the national standards framework for, Pt choice of who they see and where (within limits), so to ans your question Ironica yes I would agree with Akbal go to your GP and ask for a referral to see an NHS podiatrist.
I am also interested Derek how does the orthopods dept get around the 18 week pathway?? 36 weeks should not be happening however I/ we are quite lucky in respect we work for a pretty big trust.....
Obviously not every trust works like this, but I am in Hants and for the best part of down here this is certainly the case.
I was refering to an orthotic referal from the GP in both the trusts in my area ( at the last time of requesting) the patient was sent via an orthopod and then to the podiatrist as is the norm here. Most GP's tell me it's nigh impossible to get a patient seen in a reasonable time for this type of referral hence a lot send them to me.
Cheers
Derek
"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
"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
Hi Derek, yes my apologies we do have the same down in Hants actually, some GPs here though, will refer straight to the podiatry MSK/ Biomech team, but as I found out today a lot still do send them to ortho first.
so yes my apologies. Although we are about to be introduced to a new foot and ankle pathway down my way, which will see all foot pain come through podiatry instead of ortho, (with the exception of red flags), seems to be going down okay, but maybe a model for other trusts.....
cheers
I think it's pot luck or postcode sorting as to how it works in your area.
Just makes it hard for certain patients to fund themselves to get out of pain especially reading the forgoing.
Cheers
Derek
"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
They did have an excellent podiatric medical director (as well as a seriously good marketing director +team) but the pod med director has just taken up an academic post in the midlands.
An update for everybody interested in this my wife was caught by the promises of
Pariah and Bell a couple of years ago and the problem never solved.
I was shocked to see in Daily Mail this morning an advert for " Foot Pain Pioneers"
and guess who is running it none other than Les Bailey out of an office in Morden,
has not the exaggerated claims as before but flogging his books and making promises about orthotics with a case of years of pain solved in one visit,I think
that I have heard it all before.
Suggest anybody that can spread the word should and maybe warn people of past
goings on.
I was shocked to see in Daily Mail this morning an advert for " Foot Pain Pioneers"
and guess who is running it none other than Les Bailey out of an office in Morden,
has not the exaggerated claims as before but flogging his books and making promises about orthotics with a case of years of pain solved in one visit,I think
that I have heard it all before.
How can anyone with any ounce of conscious go bankrupt and affect so many people, just set up again in the same business. The law in an ass, not to mention the person who can do this. Still no accountability as they are not registered by the HPC or similar body!