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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

    Articles:
    6
    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.
     
  5. Catfoot

    Catfoot Well-Known Member

    Fay,
    Amazing isn't it ?!

    "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! "

    Have you seen this one ; http://www.inst.org/foot-health-practitioner/index.htm ?
     
  6. Mike Plank

    Mike Plank Active Member

    Wow, Makes some interesting reading. Such as
    "This profession is now recognised by the NHS where it is known as a ‘Podiatry Assistant’. You may even call yourself a podologist, which is an emerging term for someone who treats foot and gait problems."

    and

    "As a FHP you will have the opportunity to treat a wide range of cases and clients including:
    Minor procedures such as Nail Surgery and Laser treatment."

    Which raises some interesting questions. A search on line finds the definition of Podiatry as:
    po·di·a·try

    (pō-dī'ă-trē),
    The specialty concerned with the diagnosis and/or medical, surgical, mechanical, physical, and adjunctive treatment of the diseases, injuries, and defects of the human foot.
    Synonym(s): chiropody, podiatric medicine, podology
    [pod- + G. iatreia, medical treatment]
    Farlex Partner Medical Dictionary © Farlex 2012

    So how does Joe Public tell the difference between a Podiatrist and a Podologist?
    Also how does a FHP get to use Local Anaesthesia and Lasers?

    All this for 595 pounds!

    Unbelievable!
     
  7. Catfoot

    Catfoot Well-Known Member

    The parts about being able to join SOCAP, earning £92 per hour and "easing foot ulcers" tickle me.

    And £45.00 for a home visit???:eek: Maybe in Henley on Thames, but up here they balk at paying £20 !!!
     
  8. fayp

    fayp Member

    I've just sent this link to the Society to ask for their comments! It is outrageous to claim that people can do no practical training at all, yet be associate members of the Society!
    The practise nurse at my GP's last week told me that she'd love to do the online podiatry course and trim toe nails!! And they have age concern in to the practice to do their patients! She had no idea of the difference. Clearly the message is not getting through.......
    Yet again I wonder why we bother!
     
  9. Catfoot

    Catfoot Well-Known Member

    I've just had a look at the link again - am I missing something here or is there no practical content to this course??

    From what I have read, it seems that the practical part of the course is taught via videos.:eek: please, please someone tell me I've got it wrong .....o_O
     
  10. fayp

    fayp Member

    you are correct, you qualify by watching videos, then they suggest you practise on your friends, family then work free for a charity to gain experience (let's hope the charity is well insured!).....but for only £100 more you can attend a one day clinic to practise!!!
     
  11. Certainly makes you wonder why a prospective student would choose the BSc course at a potential outlay of over £4oK when they can get on the job for a fraction of time and money. It's just as outrageous that someone who has a BSc in Podiatry and is registered with the HCPC can be struck off and still call themselves a podiatrist or chiropodist. I suppose it is less confusing for Joe Public though...
     
  12. Mike Plank

    Mike Plank Active Member

    What a pity we did not get closure of function at the same time as title. Our scope of practice has been undermined from all angles and professions. Nothing has really changed from the days of the unregistered apart from what we are called. I still come across people who don't know what a Chiropodist is, even more don't know what a Podiatrist is. I would say that hardly anyone knows what the HCPC is or does :confused:. Still mustn't grumble!
     
  13. Yep, except we didn't get protected titles either, Mike.
     
  14. Mike Plank

    Mike Plank Active Member

    Mark, I understand where you are coming from. The Patients are not protected either!
     
  15. Indeed. That is the greatest concern - the public have been duped - as well as he professions. But who cares?
     
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