10,000 Patients Removed Form Service Lists Due to High Demand

Members do not see these Ads. Sign Up.

The Sentinel are reporting:
Patients to be kicked off chiropody service due to high demand

Full story

 

I know I´m not working in England, but ......

Instead of giving them a piece of paper on how to look after their feet, why not a list of Podiatrists in Private practice that maybe able to service their needs ???

Letting 86 year old half blind Mr Smith loose on his feet may not work out so well.

Also by culling 10 000 from their list the should reduce complaints - what the 10 000 are going to say thanks for my piece on paper on self guided foot care and have a good day. ????

 

Mike,

Your excellent suggestion smacks of common sense, and therefore it is highly unlikely that it has even been considered.

 

ahhhhhhhhh............ Sorry

 

Echo David's comments - we've been here at least half a dozen times over the past 30 years and still the NHS can't see sense. It's politically unacceptable for the NHS to advise/refer patients privately for Rx, even where capacity is a real issue. Of course, such political ideology doesn't extend to many NHS consultants whose private practise have blossomed in recent years. Best thing is to disband the NHS podiatry service completely and for GPs to give the patient redeemable vouchers to an agreed value to cover neccessary podiatric fees - and let the patient chose the clinician of choice. End of problem.

 

We give them a list of the HPC reg podiatrists in the area when we discharge them. But thats not really the point. People are being discharged who should not be. Call me old fashioned but I think a healthy 35 year old in a monumental amount of pain from PF, or a 14 year old who can't do PE because of severs is at least as deserving as an otherwise healthy 65 year old with DM who gets their non pathological nails cut.

During my time here the NHS has degenerated from illogical to farce. It shows no signs of slowing.

 

Surprising and annoying little.

 

Having done my time in the NHS in the past, I feel sorry for the pods that have to give out this unpalatable information to their patients.

Every time we had a new "clear out" like this, I dreaded going into work, because I knew how much earache I was going to get from disgruntled little old ladies who had a genuine grievance.

I told them all to write to their MP and also the Chief Executive of the Trust. I even had little slips of paper typed up with the relevent contact details on.

It was about a much use as spitting into a hurricane but at least it gave them an avenue to vent their spleens and gave me a bit of a break.

I get no satisfaction at all in seeing that 15 years down the line nothing has changed. igs:

regards

Catfoot

 

wow what is wrong with the Dental model or even the Australian model.:bash:

Private practice provides the vast majority of care, including at risk care and nail surgery and Bio mech.

People use Private Health ins, occupational health ins, Govt subsidised care for at risk groups as in Medicare in Aus.

The NHS only provides care to advanced critical care within a Hospital Invironment in Aus.

The trouble with the NHS here is that it does not do what it is supposed to do.

1: Ask healthy public and they want = pedicures

2: Ask GP's and they will tell you what their pts want, not need.

3: Ask NHS pods and they will want = high risk, interventionist critical care, episodic injury.

4: Ask Private pods and they want = nearly everybody,

So i suggest that PP provides the vast majority of care. There could be a subsidy based upon clinical need risk provided by the NHS/GP funds.

When an acute problem occurs requiring intervention by the Hospital system this is provided upon ref by Pods/GP's. After episode of care pt discharged from Hospital back to referring Pod Practice.

I have always thought this.

trouble is that the service was set up as a pedicure service for pensioners and pensioners believe they have a right to this even today.

look at how much they spend on hair care, appearance complimentary therapies etc etc.

Ho Hum:deadhorse:

10000 sounds about right.

I bet after they do this nobodys feet/legs will drop off.

David

 

Couldn't agree more.

 

Um No. Not really.

 

Um No. Not really.

 

hey every body move to stoke on trent theres 10000 patients needing treatment only trouble is they say theyve got no money for a pedicure all need a domi on the positive side you can buy a terraced house in tunstall for 6 grand

 

fishpod,
why would anyone want to go to Tunstall - according to this there's sweet FA happening there, they haven't even got any graffetti !!

http://www.british-towns.net/en/level_4_display.asp?GetL3=14550

CF

 

dear
catfoot i cannot think of any reason to go to tunstall no matter how hard i apply myself. my granny is buried at tunstall graveyard i will not be using the family plot

 

Fishpod,

now that's a shame. Maybe you could consider renting it out, to give her a bit of company?

CF

 

getting serious some one suggested we might get gp funds gps are one area i am actually an expert in. the chances of vouchers or cash alowances to be redeemed to a private pod are less than nil you will have more chance of getting to the moon on a moped this is wishfull thinking and people have gone on about it for over 30 years to my knowledge and guess what its never happened and probably never will

 

Hi folks - it's rant time! Here in sunny Liverpool, we allow all our residents (at least all the residents with Liverpool GPs) to access our service for assessment. Who remains on our list of patients is dependent upon their foot problems, systemic problems and capabilities i.e. can they reach their feet, is there a carer/family member who can cut their nails for them etc. As I stated on a previous thread, we give patients with capacity a pair of nail nippers which we request that they bring with them on each treatment - that saves us mega-bucks in instrument costs as we use a decontamination service for our sterile packs (for a patient who is seen 3 times per year, with patient held nail nippers, we reckon we should be able to save about £10 per patient per year - just an aside).

We ask the staff to prioritise the patients depending upon all the variables above, but let's get real - there is a finite budget which comes down fron the Department of Health, and we need to prioritise our patients. My gut feeling is that old buggers like me, who were trained into thinking of podiatry (or chiropody as we used to call it - a term that I still think of with pride and not one only used by old farts like me) as one of the caring professions, are more likely to keep frail elderly patients, who don't have a real podiatric need, on our list (as we're almost there ourselves) as opposed to the newly qualified "kids" who follow the guidelines "to the letter" - "you're able to breath so you can look after your own feet".

On a slightly different topic, can anybody please explain to me why there aren't massive marches on the streets in the UK opposing the Cameron inspired destruction of the NHS??? GPs running the NHS - more like foxes in charge of the chicken coop! Probably should be a thread in its own right.

Rant over - for now.

 

Anybody here remember GP fundholding???

So why will it be different this time?

Demand outstrips supply so who will decice who will receive care?

As a profession we do not seem able to do this as we do not seem to be able to agree.

Ok so here goes

Podiatry funding should be based on Bed Days saved for pts in hopsital

So preventing the admission of a Diabetic PVD etc etc should be the criteria.

Pain management as in Bio Mech pts should it be included.

we could look at prevention of admission onto orthopaedic wards.

Podiatric Day Surgery

Also preventing admission of people with advanced debilitating conditions that lead to wounds and morbidity. eg CVA MND Parkinsons.

Average hospital stay for a diabetic foot ulcer is 6 weeks excluding surgical intervention.

600 quid a day to sit in a hospital bed excluding tt.

so that is 6 x 7 x 600 = a minimumof 25200.

This is almost the salary of one Band 7

we have to prove that investment in our service gets a financial benefit for the tax payer.

David

 

davo remember fundholding im still doing it mate referal for orthotics has to go to orthopeadics ortho surgeon says yes and writes to orthotist cost of referal 253 quid i know all the secret costs also

 

Hi Davo. The problem is getting concrete proof of the savings that you have mooted. We know the validity of your calculations but the commisioners don't want speculative savings. They would rather have definitive costings. But put your mind at rest, Davo -when the GPs are commisioning our service, they'll bring in Age Concern to do all the nail trims (cos they're cheap), and they can bring in private "foot health practitioners" (cos they're cheap). Interesting times, folks!