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Soc of Pod and Chirop rules on nail surgery

Discussion in 'United Kingdom' started by fayp, Mar 16, 2017.

  1. fayp

    fayp Member

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    I had an email yesterday from the soc of pod and chiropodists giving new rules for nail surgery. It says, amongst other things that we now must have another podiatrist plus a Foot Health Assistant present to perform nail surgery. This might be fine in the NHS......but many of us in private practise are alone or with a receptionist. In effect this new rule would make nail surgery impossible for many of us (I don't actually know any foot health assistants anyhow!) It would also make the cost double, which in many areas people would not pay for.

    GP's are now paid to rip nails off, and I'm sure they don't have two trained staff at hand to assist. Dentists regularly do major invasive techniques, without another dentist present.

    I'm not challenging the highest possible standards and the need to have someone with you to assist in the non sterile fields. I am however questioning paying a second podiatrist plus a FCA.

    I have written to the Society to ask if our insurance is now invalid if we don't follow their new rules.

    Increasingly, you wonder why you train when our own organisations make it more and more difficult. The FHP two doors down from me is now an "expert in diabetic foot care" and charges £39 for a mono filament test! Happily this has not affect my business at all!
  2. Craig Payne

    Craig Payne Moderator

    Did you get a response?
  3. Mike Plank

    Mike Plank Active Member

    The actual wording is
    "Single handed practice is not recommended when performing nail surgery. The Society recommends two podiatrists or a podiatrist and a foot care assistant are present when performing surgery. If performing nail surgery alone, it is difficult to maintain the sterile field and summon assistance in an emergency." Quote from Society Guidelines for Nail Surgery.

    It does not say another Podiatrist and a footcare assistant. I have trained my receptionist to act as an assistant for nail surgery who in an emergency can phone 999 whilst I stay with the patient. I do not have a footcare assistant. Dentists always have a Dental Nurse who can act in an Emergency. The guidance is there as it would be unwise to perform Nail Surgery alone with no other person around to help in an emergency. Common sense IMHO.
  4. fayp

    fayp Member

    Thanks for that. I just know everyone is getting fussy insurance wise so wanted to know my back is covered.

    The Society basically said the same, that they realise we don't all have access to another trained person. They said make sure your risk assessment paper work is up to date and you have thought it through. As you say a receptionist seems fine, and mine does the annual first aid course too for double back up.

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