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£12 DOM fee

Discussion in 'United Kingdom' started by Cambs Pod, Feb 12, 2014.

  1. Fliss

    Fliss Active Member

    Quick random question for anyone who has time to answer: What exactly can a private FHP do? i.e. specifically, are they trained/allowed to do diabetic assessments, corns and IGT's? sorry to side step the thread.
     
  2. Simon Ross

    Simon Ross Active Member

    Corns yes, igtn probably yes if mild, (can't give LA), DFC I don't know, but if they are not regulated, customer has no comeback via a regulator. Remember, anyone can claim that they offer DFCs.
     
  3. anthony watson

    anthony watson Active Member

    Think the SMAE training includes LA as seen it in the website?
    It also talks about treating diabetic patients.

    They are HPC reg I think
     
  4. foot rott

    foot rott Banned

  5. foot rott

    foot rott Banned

    Just had a look on the site.

    Sounds like we are about to enter a very tricky time:mad:??
     
  6. Podess

    Podess Active Member

  7. Suzannethefoot

    Suzannethefoot Active Member

    2 Weeks practical training!!!

    Surely this should not be allowed?

    Also to add to previous comments, a detailed assessment is routinely done with all my patients on their first visit. I always ask if there are any changes in health or medication on visits, some patients greet me with, 'No changes today', before I can even ask.
     
  8. Podess

    Podess Active Member

    Suzanne,
    Stonebridge College (at Bude) has a course which provides 5 days of practical training.

    These courses are quite legal.


    P
     
  9. Suzannethefoot

    Suzannethefoot Active Member

    Why?

    It cannot give enough training. Even toe nail cutting services would need more practical training than that!
     
  10. W J Liggins

    W J Liggins Well-Known Member

    I have taught on the SMAE L.A. course. ALL (emphasis not shouting) of the students are HCPC registered and it would be illegal for them to purchase and hold L.A. solutions unless they were. I have to say that the facilities are excellent.

    Bill Liggins
     
  11. anthony watson

    anthony watson Active Member

    Have to ask (i will put my tin hat on!)

    What is the point of doing a degree and all the cost and hassle when it seems the SMAE can do the same but at distance learning with limited clinical work.

    Oh done over 300 nail ops never seen any one using a self aspiration system like the picture on the SMAE website! hope it was just for show

    Guys don't chew my head off just an opinion

    Thanks
    Anthony
     
  12. foot rott

    foot rott Banned

    you won't be able to work in the nhs unless you have completed a recognised 3-4 year degree or the old diploma.

    Thats if you want to work in the NHS!

    Ed
     
  13. W J Liggins

    W J Liggins Well-Known Member

    Don't worry about the tin hat - it's a fair question but I suspect that you have been subject to the usual propaganda from your uni/professional organisation. All of the 'students' (my fault for using a generic term) carrying out the SMAE L.A. course are H.C.P.C. registered and hold a degree in podiatry. Some hold higher degrees, others have engaged in post-grad work with the uni podiatry schools as well as other post-grad. work.

    With regard to syringes, I always use a dental self aspirator, mainly because I carry out a fair number of ankle blocks but when teaching 'qualified trainees' I do expect them to demonstrate an ability to aspirate, even if it is highly unlikely that intra-vascular injection would occur in a digit (although I have twice drawn back blood!) The reason for this is that there is no legal requirement for training in nerve blocks and practitioners may therefore carry out these techniques without any formal education in the subject. I hope therefore (and your remark above does indicate) that the SMAE trained practitioners, in L.A. at least, are just as well, if not better trained than those who, like you and I, went the other route.

    All the best

    Bill Liggins
     
  14. anthony watson

    anthony watson Active Member

    thanks Bill
    I was talking about the way the podiatrist in the picture was holding the syringe.

    I have in my day done a number of tibial blocks for plantar work but must admit like the lure lock 5mil syringes.

    must have been lucky as never got blood back in self aspiration dental systems.
    Sometimes in normal 2mil ones depending on site.

    Bill, I must be slow but are you saying you have to have a degree in podiatry or do you get a degree in podiatry with the SMAE ?

    seen some sort of affiliation to a scottish uni.

    Thanks
    Anthony
     
  15. W J Liggins

    W J Liggins Well-Known Member

    It's not my hand but (s)he seems to be using the 'darting technique' which causes very little discomfort on needle entry. I don't use it myself because I hold that the majority of discomfort when depositing L.A. is due to the pH of the solution, not the initial injection, provided that is carried out rapidly. However, I don't criticise other techniques unless I have very good reasons for doing so - it's really practitioner preference.

    For info. I attended the Birmingham school when it was a 3 year diploma course, and then took a degree, following which I went through the Podiatry Association training/examination process prior to my Consultant Podiatric Surgeon appointment. Additionally I took a Cert.Ed. at another university. For the record, I am a great deal prouder of my Fellowship with the P.A. than any other achievement - it was the most searching by far.

    When invited, I am happy to teach at the SMAE facility and am now a member of the organisation, but otherwise I have no connection. I note on their website that they invite colleagues to 'open days' and I am sure that if you went along they could answer questions concerning their procedures far better than I. I am sure that you would be most welcome.

    Bill Liggins
     
    Last edited: Mar 12, 2014
  16. anthony watson

    anthony watson Active Member

    thanks Bill
    Think I might just do that.
     
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