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Anyone know the UK. the NHS single patient treatment tariff ?

Discussion in 'United Kingdom' started by hann, Jan 10, 2011.

  1. hann

    hann Active Member


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    how much does it cost the nhs for a podiatrist to treat one patient ? I am in the process of revueing tariffs for commissioned work I do.
     
  2. esky365

    esky365 Active Member

    There is no single figure.

    The variables are far too high to consider.
     
  3. fishpod

    fishpod Well-Known Member

    i remember a district podiatrist sheffield /somewhere yorkshire quoting 36 poundsper contact this was published in podiatry journal if you get reliable figures i would be grateful if you could let me know
     
  4. fishpod

    fishpod Well-Known Member

    dear hann if you are a private provider the chiropody dept s around the country dont even share this info with the local pcts because the real figure would really shock us im not in private practice but all the nhs pts could be farmed out to private providers for huge savings no pointless meetings a whole morning a whole dept diong sweet fanny adams no sick pay no holiday pay no bosses doing admin just think if you got 30 quid for each contact 25 people per day garanteed you could provide state or the art facilities
     
  5. fatboy

    fatboy Active Member

    Treatment for what? social nail cutting, nail surgery, biomechanics, heavy callus, woundcare...

    it would vary depending on the type of treatment.

    The cost would also be different for different parts of the country, depending on service costs like CSSD, premises, supplies etc.

    Contact the service managers in and around your area and they should be able to help, if you are already doing commisioned work contact the comissioners.

    Or use the VAT rise to bump your prices up a bit more (like petrol stations)
     
  6. Catfoot

    Catfoot Well-Known Member

    Dear All,
    Back in the dim distant past when I worked for the NHS in the 1990's the figures I were given were £20 for a dom visit and £15 for a clinic visit. This was for a general treatment, not nail surgery or any specialist diabetic or orthotic work.
    If someone is good at maths they could try projecting these figure into the present day.
    However, as someone else has posted there really are too many variables to give a ball-park figure ...

    CF
     
  7. George Brandy

    George Brandy Active Member

    Fishpod if only things were that simple.

    I am in PP. I have looked at the standards set for Physiotherapists under Any Willing Provider.

    £30 per contact to achieve the standards expected would not go very far believe you me.

    For starters you have to provide a minimum of two Physios - I assume this will be the same for a Podiatrist - as it is a requirement to offer a choice of male and female staff to the service user. This immediately engages staffing costs so potentially statutary sick pay, holiday pay, pension rights, PAYE costs

    The administration expectations are phenomenal.

    ....and this is just for starters.

    GB
     
  8. hann

    hann Active Member

    hann here. I was lucky and got "contracted" in the old days of fundholding (UK) . The contract was then to provide one x 8pt session per month assessing/treating diabetics. I have now well over a thousand a year also privates. The PCT commissioners are asking me to continue but see increased risk diabs only for assessment and on going care ( TYPE 2 NICE). All ulcers go to the Diabetic Foot centre at the hosp which is excellent.I was going to suggest a new tariff as I anticipate more use of specialised dressings/admin etc . I asked the commissioners if they new a rough figure for a diabetic contact but I dont think any one knows how much it actually costs the NHS. I would like to suggest a figure to them that is going to save the PCT money but one that enables me tocontinue to provide excellent quality care. I think the danger of commissioning might be that services are contracted out to smaller companies or individuals because they are cheaper to contract, but maybe with less treatment choice/equipment/cover. Its an interesting time. The PCT's are meant to be going in 18 months time anyway ?????? Has anyone else been commisssioned? I know one other who's an osteopath.
     
  9. G Flanagan

    G Flanagan Active Member

    Hann, could you put a freedom of information act request in for the details?

    George
     
  10. fishpod

    fishpod Well-Known Member

    dear george brandy it just shows how little you know i have 3 nhs contracts and at 30 quid a contract i could afford to drive a bentley like my neighbour ps you do not have to offer male female chiropodists i dont and have had provider contractsfor 16 years regards
     
  11. fishpod

    fishpod Well-Known Member

    dear g flanaghan the gps in charge of commissioning at my 3 pcts cannot get this figure they just make excuses and say it does not exist reply to freedom of info act the commputer says no
     
  12. davidh

    davidh Podiatry Arena Veteran

    In the early 70's I did contracted dom visits for Newcastle upon Tyne NHS.
    They paid me £3.50 a visit.

    To put that into perspective:
    My new MG Midget cost £900 in 1973.
    A Senior 2 post at that time paid about £1400.00 PA.

    So say a dom visit is worth £40+ and you won't be too far off the mark.
     
  13. George Brandy

    George Brandy Active Member

    Dear Fishpod

    Of course I know s8d all.

    So you have an NHS contract. Congratulations and I assume this will change to Any Willing Provider at some stage. Good luck.

    Hopefully you have a robust PP that can cope if these contracts are withdrawn?

    GB
     
  14. fishpod

    fishpod Well-Known Member

    dear george my contracts will not change to any willing provider contracts awp contracts are for elective treatments you cannot speculativly register as an awp you can only register ie tender for a contract which is new ie they put the work up for tender then you can register this still means if you are registered you will still not get any work cos they aint going to take money from community chiropody budgets and give it to private practices because patients want choice iwish it would happen but you know deep down it wont the wheels turn slow
     
  15. fishpod

    fishpod Well-Known Member

    hi george i do not hav a robust pp dont need it i suvived fundholding pcts commissioning il survive it all still be here after the bomb drops if the service you give represents outstanding value for money adds value andthe quality of service is excellent things tend not to change for the worst so be positive i have 3 contracts i might end up with 6 who knows roll on new opportunities
     
  16. George Brandy

    George Brandy Active Member

    I am glad you have confidence in the future. Perhaps you are in a better position than your PCT colleagues

    I wish you well through the procurement process.

    GB
     
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