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Dept of Health document re: Footcare

Discussion in 'United Kingdom' started by Lovefeet, Feb 26, 2013.

  1. Lovefeet

    Lovefeet Banned

  2. fishpod

    fishpod Well-Known Member

    so sorry to spoil the party but it says if they have foot problems refer to podiatrist... and . small word big meaning other health professionals . . this covers referals to fhps and any body else with a made up title even the local vet. you really do need to read the smallprint before you shoot off on a tangent. regards fishpod ps this info is on page one i might add. under the heading signposting.
     
  3. Lovefeet

    Lovefeet Banned

    Fishpod - look at page 8......only mention podiatrist not FHP
     
  4. The doh is not an enforcement agency. It cannot allow or disallow anything. It manages the nhs, public health and social care program's (and that's what the document refers to).

    Podiatrists in private practice are not subject to DOH standards or protocols. That's why the ban on benchtop sterilisation in the nhs does not affect IPPs.

    Still less does it regulate other footcare providers.

    And as an aside, the only way to treat people for callous is to encourage people to be more caring and sensitive.
     
  5. Now That's What I Call Comedy vol.96
     
  6. Lovefeet

    Lovefeet Banned

    This is the evidence that was collected for information purposes, its part copied and pasted:-


    I refer you to the Department’s guidance on footcare, which includes a care pathway for services users, detailing when referral to NHS podiatry services may be appropriate, and when care can be safely and effectively delivered by social care providers, the voluntary or private sector, or by carers and family members where they wish to.

    In the two cases you describe, the guidance recommends, where the service user has an ingrown nail or a corn, to “explain scope of practice [and] If appropriate, refer to NHS podiatry or suggest private podiatry.”

    I should explain that the implementation of this guidance is the responsibility of local providers.

    This guidance is available at http://www.dh.gov.uk/prod_consum_dh.../@en/@pg/documents/digitalasset/dh_103153.pdf . The example care pathway is detailed on page 8.

    I hope this reply is helpful.

    Yours sincerely,

    Peter Wozniak
    Ministerial Correspondence and Public Enquiries
    Department of Health
     
  7. rosherville

    rosherville Active Member

    Robert

    'The doh is not an enforcement agency. It cannot allow or disallow anything. It manages the nhs, public health and social care program's (and that's what the document refers to)'.


    Couldn't agree more, the document is for 'guidance' and providers are free to do as they please and as suits them; as they always have been. I recall, a few years ago, a health authority employing non S.R.Ch's, they received a letter from the DoH but ignored it !
     
  8. David Smith

    David Smith Well-Known Member

    Like

    PS Admin, I love the ignore facility and I'm pleasantly surprised that I have no desire or curisosity to find out what the ignored poster wrote, oh happy days!:D
     
  9. Lovefeet

    Lovefeet Banned

    http://www.dh.gov.uk/health/about-us/

    Click on the above mentioned link, it will explain a few fundamentals about the Dept of Health. Have copied and posted a few - it will show Dept of Health covers private and public sector health.....

    "....The Department of Health’s purpose is to improve England’s health and well-being and in doing so achieve better health, better care, and better value for all."

    "...We have responsibility for standards of health care, including the NHS...."

    "... We also set the direction on promoting and protecting the public’s health, taking the lead on issues such as environmental hazards to health, infectious diseases, health promotion and education, the safety of medicines, and ethical issues."

    Sounds private and public sector to me.....
     
  10. Lovefeet, in the nicest possible way, you are very profoundly mistaken, and misguided. You know not of which you speak. Be told by those who have been around a lot longer and know a lot more about this, the DH does NOT regulate or police private medical and allied health professions. It never has. It never will. Even if it did, which it doesn't, what's laid out in the rather old document you provided are guidelines, not enforcable standards.

    The clue is that they've never been enforced! Nobody has ever burst through the door of an FHP clinic with a swat team waving the DOH guidelines on footcare. Although it does make an image...

    The horse you are flogging is dead. The man from the readymeal lasagne company (tm) is standing to one side, eyeing it eagarly and sharpening his knife. The flies are circling and rigor mortis has set in. Please dismount the poor beast as its a bit unnerving to see how oblivious you are to the animals lack of vital signs and the enthusiasm with which you are flogging it.

    With me now.

    It is an ex horse....
     
  11. It has ceased to be...

    "A customer enters a pet shop.

    Customer: 'Ello, I wish to register a complaint.

    (The owner does not respond.)

    C: 'Ello, Miss?

    Owner: What do you mean "miss"?

    C: I'm sorry, I have a cold. I wish to make a complaint!

    O: We're closin' for lunch.

    C: Never mind that, my lad. I wish to complain about this parrot what I purchased not half an hour ago from this very boutique.

    O: Oh yes, the, uh, the Norwegian Blue...What's,uh...What's wrong with it?

    C: I'll tell you what's wrong with it, my lad. 'E's dead, that's what's wrong with it!

    O: No, no, 'e's uh,...he's resting.

    C: Look, matey, I know a dead parrot when I see one, and I'm looking at one right now.

    O: No no he's not dead, he's, he's restin'! Remarkable bird, the Norwegian Blue, idn'it, ay? Beautiful plumage!

    C: The plumage don't enter into it. It's stone dead.

    O: Nononono, no, no! 'E's resting!

    C: All right then, if he's restin', I'll wake him up!

    (shouting at the cage)

    'Ello, Mister Polly Parrot! I've got a lovely fresh cuttle fish for you if you show...(owner hits the cage)

    O: There, he moved!

    C: No, he didn't, that was you hitting the cage!

    O: I never!!

    C: Yes, you did!

    O: I never, never did anything...

    C: (yelling and hitting the cage repeatedly) 'ELLO POLLY!!!!!

    Testing! Testing! Testing! Testing! This is your nine o'clock alarm call!

    (Takes parrot out of the cage and thumps its head on the counter. Throws it up in the air and watches it plummet to the floor.)

    C: Now that's what I call a dead parrot.

    O: No, no.....No, 'e's stunned!

    C: STUNNED?!?

    O: Yeah! You stunned him, just as he was wakin' up! Norwegian Blues stun easily, major.

    C: Um...now look...now look, mate, I've definitely 'ad enough of this. That parrot is definitely deceased, and when I purchased it not 'alf an hour ago, you assured me that its total lack of movement was due to it bein' tired and shagged out following a prolonged squawk.

    O: Well, he's...he's, ah...probably pining for the fjords.

    C: PININ' for the FJORDS?!?!?!? What kind of talk is that?, look, why did he fall flat on his back the moment I got 'im home?

    O: The Norwegian Blue prefers kippin' on it's back! Remarkable bird, id'nit, squire? Lovely plumage!

    C: Look, I took the liberty of examining that parrot when I got it home, and I discovered the only reason that it had been sitting on its perch in the first place was that it had been NAILED there.

    (pause)

    O: Well, o'course it was nailed there! If I hadn't nailed that bird down, it would have nuzzled up to those bars, bent 'em apart with its beak, and VOOM! Feeweeweewee!

    C: "VOOM"?!? Mate, this bird wouldn't "voom" if you put four million volts through it! 'E's bleedin' demised!

    O: No no! 'E's pining!

    C: 'E's not pinin'! 'E's passed on! This parrot is no more! He has ceased to be! 'E's expired and gone to meet 'is maker!

    'E's a stiff! Bereft of life, 'e rests in peace! If you hadn't nailed 'im to the perch 'e'd be pushing up the daisies!
    'Is metabolic processes are now 'istory! 'E's off the twig!
    'E's kicked the bucket, 'e's shuffled off 'is mortal coil, run down the curtain and joined the bleedin' choir invisibile!!

    THIS IS AN EX-PARROT!!

    (pause)

    O: Well, I'd better replace it, then.

    (he takes a quick peek behind the counter)

    O: Sorry squire, I've had a look 'round the back of the shop, and uh, we're right out of parrots.

    C: I see. I see, I get the picture.

    O: I got a slug.

    (pause)

    C: (sweet as sugar) Pray, does it talk?

    O: Nnnnot really.

    C: WELL IT'S HARDLY A BLOODY REPLACEMENT, IS IT?!!???!!?

    O: Look, if you go to my brother's pet shop in Bolton, he'll replace the parrot for you.

    C: Bolton, eh? Very well.

    The customer leaves.

    The customer enters the same pet shop. The owner is putting on a false moustache.

    C: This is Bolton, is it?

    O: (with a fake mustache) No, it's Ipswitch.

    C: (looking at the camera) That's inter-city rail for you.

    The customer goes to the train station.

    He addresses a man standing behind a desk marked "Complaints".

    C: I wish to complain, British-Railways Person.

    Attendant: I DON'T HAVE TO DO THIS JOB, YOU KNOW!!!

    C: I beg your pardon...?

    A: I'm a qualified brain surgeon! I only do this job because I like being my own boss!

    C: Excuse me, this is irrelevant, isn't it?

    A: Yeah, well it's not easy to pad these python files out to 200 lines, you know.

    C: Well, I wish to complain. I got on the Bolton train and found myself deposited here in Ipswitch.

    A: No, this is Bolton.

    C: (to the camera) The pet shop man's brother was lying!!

    A: Can't blame British Rail for that.

    C: In that case, I shall return to the pet shop!

    He does.

    C: I understand this IS Bolton.

    O: (still with the fake mustache) Yes?

    C: You told me it was Ipswitch!

    O: ...It was a pun.

    C: (pause) A PUN?!?

    O: No, no...not a pun...What's that thing that spells the same backwards as forwards?

    C: (Long pause) A palindrome...?

    O: Yeah, that's it!

    C: It's not a palindrome! The palindrome of "Bolton" would be "Notlob"!! It don't work!!

    O: Well, what do you want?

    C: I'm not prepared to pursue my line of inquiry any longer as I think this is getting too silly!

    Sergeant-Major: Quite agree, quite agree, too silly, far too silly..."

    http://www.youtube.com/watch?v=4vuW6tQ0218
     
  12. Thanks for playing! :)
     
  13. blinda

    blinda MVP

    Ah, but NOBODY expects the Podiatry Inquisition!

    Hahahahahahahahaha....Oops. Better make sure this kind of material doesn`t end up in the hands of the British Army. Many poor souls could be lost dying from laughter.
     
  14. I understand their chief weapon is surprise.
     
  15. frintonpod

    frintonpod Member

    Actually, I understand that their chief weapon is surprise...surprise and fear...fear and surprise.... Our two weapons are fear and surprise...and ruthless efficiency.... Our *three* weapons are fear, surprise, and ruthless efficiency...and an almost fanatical devotion to the HCPC.... Our *four*...no... *Amongst* our weapons.... Amongst our weaponry...are such elements as fear, surprise.... I'll come in again.
     
  16. Lovefeet

    Lovefeet Banned

    The below-mentioned info is copied and pasted from a post on ThatFootSite.com website:-

    The Code of Practice of the SCP, with regard to delegation and referral, is based on the BMA guide reproduced below;

    "Referral involves transferring some or all of the responsibility
    for the patient’s care, usually temporarily and for a particular
    purpose, such as additional investigation, care or treatment
    that is outside your competence. You must be satisfied that
    any healthcare professional to whom you refer a patient is
    accountable to a statutory regulatory body or employed
    within a managed environment. If they are not, the transfer of
    care will be regarded as delegation, not referral. This means
    you remain responsible for the overall management of the
    patient, and accountable for your decision to delegate"

    Any SCP member who is thinking about employing/referrring to an FHP should be aware of this.


    So is this ethical for Podiatry Trusts to discharge patients who are risk category 1 or 2, who require toenail care?

    If toenail care was a social need and not a medical need - then why do we have podiatry assistants in NHS Trusts cutting toenails and filing hard skin?
     
  17. David Widdowson

    David Widdowson Active Member

    I do think he protest too much. Rather like the chap who wrote to the agony aunt.

    Dear Marge I'm in to flagellation, necrophilia and beastiality ... am I flogging a dead horse!

    Well at least it got me looking in the dictionary and I still probably went wrong.

    Regards
    Dave
     
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