Sterilisation for mobile work

.

Whilst I am aware that you are discussing GP referral letters for AB cover, IMO and from experience, it is an absolute must to put ANY request for further treatment via a GP in writing. I was asked to provide a copy of a referral letter I sent to a GP (MY CLINICAL NOTES WERE NOT ENOUGH even though they were very detailed) by a medical insurance company. They were looking to sue either myself or the GP for a delay in appropriate treatment, which led to septicaemia...I was exonerated.

I have a number of templated referral letters for such use, it only takes a couple of minutes to fill in the pt details and requirements, well worth the peace of mind.

Cheers,
Bel

 

CM

The patient rings the GP says he has seen me and I have suggested he needs AB's for a septic oc or whatever. The GP is informed....... he has the choice of seeing the patient or leaving out the Rx or contacting me when he sees the patient as he has all my details on the card, to discuss.

The note on the business card was if you remember for any patient that is not capable of remembering what I have told him and to take with him if the GP needs to see him.

It is not a Rx, it is merely a note that in my opinion I suggest AB's.

It is the GP's ultimate decsion if he prescribes or not and therefore his /her responsibility. All down to trust and pathways and a bit of common sense at the end of the day.
Cheers
Derek

 

It seems that grandparented pods are happy to 'pass the buck" .

Only this week I had a patient referred to me because the 'chiropodist" in question did not consider it in his remit to debride a corn and use deflective padding to avoid the ulcer that resulted. The GP referred to me and it is healed and offloaded in 2 treatments.

Take note of Blindas post- there is a lesson for us all not just a hypothetical case. We are accountable so it is not just a matter of getting your patient to go to thier gP with a business card to remind them of what they want and a 'best wishes" .

Cornmerchant

 

Thanks for acknowledging my point CM.....however you may be interested to know that the above scenario happened when I was a "grand parented" pod Please don`t tar us all with the same brush!

Cheers,
Bel

 

Belinda

Of course I am not tarring you.

You and I both know you are not the "bog standard grandparented" - I am of course referring to the ones that should never have been considered for the grandparenting process. Dont kid me that you do not have some like that in your area.
Be that as it may, they were taken onto the register and should therefore be able to provide adequate treatment for their patients. When they fail to do that they give podiatry a bad name.
Derek seems to think that it is not his problem if he has passed it on to the GP on the back of a business card.
I rest my case.

Cornmerchant

 

CM Belinda and even Del, lets try and stop this thread deteriorating into yet another us and them argument?

Derek there is a history of you explaining your unique way of working and your cosy relationship with your local GPs, which other Pods have questioned. The classic I think was on Diabetes.

Could it be that you sometimes need to reflect on your practice and while you may still be happy with it realise it may not be something that should be universally promoted as best practice?

On the issue of sterilization you present a confusing argument on the one hand you advocate equipment and techniques well in excess of acceptable practice under the guise of protection against litigation and on the other hand are prepared to rely on the old boy network when there is a very real possibility of a complaint.

Belinda I'm sure CM was not trying to degrade all grandparented but responding to Del who does so often present himself as the grandparented champion.

Could we all try and get this thread back on track?

An unusually conciliatory Bob

 

Bob

Nope not at all,

I'm not a champion Bob (and the rest) just a successful HPC registered Podiatrist defending himself (and with an opinion) against the old religion( still carping on about the grandparented :bash: after all this time), and yes perhaps the personal insults could be kept to a minimum hard as that may be for some??

Probably Bob got slagged off on that thread as well , but the specialist diabetic pods that contacted me afterwards and what is now the accepted model made me right actually so .......


I know you find it hard to believe but common sense does still prevail if trust between practitioners exist despite some of the comments from my "colleagues "

Cheers

Derek

 

Oh and CM

I agree and when and if I fail then I will accept the consequences.

Please read the thread properly, the note on the card is a reminder for the patient of what to TELL the GP.

Unless YOU have prescribing rights ????? You are doing exactly the same as me

I haven't so I can only recommend to the GP it is up to them as I said whether they agree or not and ultimately their responsibility as to the outcome.

That is not passing the buck it is expediting the tx for the patients resolution and telling it like it is.

Legal as that phrase is, the judgment is not guilty I'm afraid as much as you try to put your case.
Cheers
Derek

 

It was not my intention to turn this thread “into yet another us and them argument”. I was simply correcting CM`s sweeping statement; “It seems that grandparented pods are happy to 'pass the buck". This is certainly degrading to ALL practitioners who used the grand parenting mechanism to obtain HPC registration, many of whom have undertaken extensive CPD, including BSc`s and MSc`s, to reach and, in some cases, supersede the standard of service offered by SOME university graduates. There is no “bog standard garndparented” as all have very different levels of training. I could also relate experiences of both grandparented and degree trained practitioners who I felt could, and indeed should, have been in a position to deal with presenting pathology, instead chose refer onto a GP…. but what does that achieve?

Nowhere have I ever seen Derek claim to “champion” grandparented pods. He is, in his own words a successful practitioner, who often has to defend the relentless criticism by a very small minority of people. To accuse his “infection control policy” as “lacking” is a prime example of this. Having had the opportunity to work with Derek I can assure you that his infection control is of the highest standard. I also agree with his sentiment that;”networking to understand each others is the only way forward “. Networking with GP`s and other HP`s is the only way to succeed in PP.

Bel

 

Belinda

It is a pointless argument but I apologise to you if I caused offence- I did actually say that you are the exception and not the rule. If you consider yourself a colleague to all the incompetent grandparented out there that have not upgraded their skills, then that is your prerogative.

Cornmerchant

 

cornmerchant

And they would be whom exactly ??

or perhaps yet another sweeping ill informed statement of yours ??

Cheers
Derek

 

Hi Guys while not getting involved in your conversation. I always follow the UK threads as changes that occur in the UK may effect me over here with the EU and all that and because they can be pretty fun to read !!

Can I ask what is a grandparented Pod and if it a different way to become a pod that at uni 3-4 years study what other ways are to get a paper to call yourself a Pod are there in the UK ?
Sorry if this breaks up the thread .!?

 

Hi Mike

I'm glad we can entertain you

They are quite fun to do for some of us as well

Grandparenting , happened when the HPC protected the title of Chiropodist / Podiatrist. The standards of education were set within the framework of the legislation.

The exceptions to that were the practitioners that had been in safe effective full time practice in the 5 years previous to conception . referees were required and statements submitted for scrutiny by the HPC on the practitioners history and education.

I feel the howls of derision coming whilst I write this and not wanting to start yet another antiquated outdated boring thread on the rights and wrongs of grandparenting coz were here it happened a long time ago( if only they would get over it) . That simply put was that.

We are now bound by the same rules under the HPC as the rest and practice accordingly.

I think in fact it was a EU directive that stopped people being excluded without just cause, but I think you may have just opened the floodgates

Sorry if this breaks up the thread .!?

Changes the subject I expect that's all

Cheers
Derek
_

 

Well done Del,

Put the whole thing into 5 sentences, so now Michael is fully informed.

Saves me finishing the lengthy explanation I was going to write.

5 years, rubbish.

Training ? minimal.

EU probably not, more to do with Human Rights and a very dodgy Government cover up.

Come on Michael has a 3/4 year degree in Podiatry, he could probably come to the UK and become HPC registered.

Now tell the truth, people who entered the Profession by your route still follow that training but the HPC do NOT recognise it as a credible route for registration.

How about you have another attempt at describing the UK situation?

Last thing I wanted to do was engage with you again but when Belinda says you are not a champion for the grandparented she is obviously delusional.

My personal position is it's time to bury this hatchet and accept the 'now' but it's people like you and Belinda who insist on trying to maintain the illusion that private trainers produce Pods who are equivalent to the degree.

Belinda sites grandparented who have gone onto degrees and even masters, so what they are rare and the exception.

She also tries to validate your practice, well it probably is acceptable. You only get challenged when you try to extrapolate your personal experience to a general population.

Do I really care NO.

Bob

 

Sorry I should not have asked no need to argue people.

So its a type of apprentice approch through private practice ?

 

Bob
Throwing the toys out of the pram again with your own twisted interpretations ??

Told ya Michael

MI5, MI6 and James Bond as well no doubt ??

Please Bob dont accuse me of being untruthfull I don't care enough to Lie.

What about cpd ? many of us have advanced our knowledge in many area's to an acceptable level and I would remind you my private trainer DOES provide a top up degree which IS a route to registration.

If you wanna bore the arse off of everyone with an explanation of how terrible it was to allow people like me into the professio I will leave that to you and the other bigots.

No Bob it is YOU that sets me up as a champion no one else because I will not cow down to you and your compadres bullying and I have an opinion that is not one you hold with which you cant accept that I speak my mind.

When have I EVER said that ????


I have said that I have the clinical skills and knowledge to carry out my practice and my track record proves that !! Where are all the Gparented 10 thumbed pods that you and yours prophesied would reduce everyone's feet to that of a train wreck ?? show me the evidence ?? you cant can you coz there aint any.
The doom and gloom didnt happen and you cant swallow that one either can you?

It is you that wont leave it alone in threads like this which have what to do with the title of the thread exactly ??? but you never miss an opportunity do you?? try accepting your statement of NOW and move on.

So where are your figures to say how many ?? or perhaps just another derisory unfounded bigoted statement.??
Belinda is one, Ian, Linane the forensic podiatrist is one Tim,V Smith is doing a masters is one how many more ? I don't know either nor do I care much because they should be proud of their achievement and continue to practice in their own right as we all should without hinderence from the likes of you and yours continually backstabbing and mischief making.

Oh just probably is I commend you fortitude in that admission it must have been terribly hard for you to say ,BUT then again you don't know do you again you would sooner put a taint on it. You have never seen it I've met you once years ago so you don't really have a clue but still you will continue in the old religion Shoot the bastards ,hang em high, Make up all the doom and gloom we can think of to discredit them.

I don't mind you challenging me Bob if your challenge is factual and leaves out the jibes and personal insults, but that's asking too much isnt it?

It happened years ago GET OVER IT AND MOVE ON :bang:

Rest assured I will remain to irritate you and yours for a long long time.

Cheers
Derek

I hope your learnin from this Mike ( and enjoying it)

Well Done Bob

 

While there clearly is some old issues being brought to the surface by my question. I´m sorry for that and as I´m not a UK pod my option on the subject does not count, BUT I will say this very important point.

IMHO Belinda has great taste in music from the last 5 weeks on the rock thread......................... so there

As for the rest of it I´m learning every day.

 

Hi Mike

Dont worry about that !!

S

Most of the Grandparented trained through "private Trainers" rather than the NHS.

On the implementation of the HPC the grandparenting process as I described took place and registration commenced.

Today's podiatrist has to have a degree for registration there is no other entry level.
Hope that helps
Cheers
Derek

 

Oh you like John Denver then ??

Cheers
Derek

 

Del still writing the long boring reply but hey

"most of the grandparented trained through private trainers'

Sorry tell the truth ALL of them did otherwise they would not need to be GP'd .

'rather than the NHS'

tell the truth No graduate Pod trains through the NHS, they get a degree, accepted the NHS may pay for the course.

Now music?

Still playing the banjo Del?

If I can work it out I will let you all see my pigs, very very special.

Michael are you Swedish or English, Cornwall has a lot of Webbers, and I spent a lot of time scuba diving with Swedes, English better than mine and nice divers.

Still typing

Bob

 

Born in Africa to Australian parents and only 1 b in my name as we are out of Germany a couple of hundred years ago via England and Wales

 

Now THAT was below the belt Mr Harland!:boxing:

Delusional Bel

 

Born in Africa to Australian parents and only 1 b in my name as we are out of Germany a couple of hundred years ago via England and Wales

hey what a background!

So be bored.

Michael,

Despite what Del says I will try and explain the history of the UK Chiropody/Podiatry history.

Obviously I cannot remove all ‘bias’ but this is what I have learned.

Many years ago the profession of Chiropody was much unorganised; we may be talking post World War 1. Groups of ‘people’ doing ‘chiropody came together and formed a number of ‘interest groups’. These groups warred amongst themselves but eventually some combined.

Around 1960 the government of the day got involved and formed an early regulatory body known as the Council for Professions Supplementary to Medicine. There was a grandparenting period in which people who had trained by means other than a Diploma, a qualification deemed to be the minimum standard, flogged by the then Society of Chiropodists, were allowed to prove their competence.

After that option the register allowed registrants to use the title State registered SRCh but those who continued to be trained outside of registration could still call themselves chiropodist, they typically chose ‘fully qualified’ as their description. At that stage to work within the National Health Service NHS one had to be SRCh.

Around 2000 this UK government decided it needed to impose even more regulation on the professions and enacted the legislation to produce the Health Professions Council, HPC. It may also have had something to do with EU Law?

The new law provided ‘protection of title’ which meant that anyone using or purporting to be a chiropodist or podiatrist had to be registered with the HPC.

The mission statement of the HPC is protection of the public.

As part of the change over process, for what ever law involved, there was a requirement to allow registrants who were not eligible for the previous register but who had been practising without objections for a period of time (I think it was 3 years) there was no test of competence but self declaration to be grandparented on to the register.

And here in lies the on going problem, no test of competence!

So 5 years on we still have some people flogging ‘the old religion’.

However that is a minor issue until the GPs try to claim superiority, but the same trainers continue to produce ‘pretend Pods’ under the guise of Foot Health Practitioners, quite legally.

Now the bias. Those GPs who persist in their allegiance to their Private trainers have to support the existence of an unregulated sector.

A mess?

From what you say about Sweden it is happening in the opposite direction/

Just my view.

All feel free to dispute what I have written.

Bob

 

Bob

Their choice where they trained not yours that is the truth.

Obviously your busting a gut to bore us all so I'll leave that to you when you've finished you historical dirge.Oh I see you are going too cross posting sorry Then perhaps we can get back to the point of the thread.

Nope finished the square dance band after playing Nick Faldo 's gig in Windlesham. Stopped the session work and teaching as well just got bored with the music :bash:

I'm sure there is a point to that but it's a bit deep for me I'm afraid.

I know one of the biggest pig farmers in Cornwall bob, wanted me to bring the band down and do a square dance in one of their barns ( didnt know I had packed it in)

Cheers
Derek

 

I'm sure there is a point to that but it's a bit deep for me I'm afraid.

I know one of the biggest pig farmers in Cornwall bob, wanted me to bring the band down and do a square dance in one of their barns ( didnt know I had packed it in)

Del why does that not surprise me?

I'm getting the impression you are a Mason?

However I'm not a big pig farmer I'm a small holder with an understanding of what a small person I am.

Goodness thanks for allowing me to be boring.

In the meantime I'm sure yiu are following the investigation into the War on Iraq, that I find incredibly boring listening to all those overpaid apologists for leaders.

Whoops the same people who 'direct the NHS' and thought of the HPC.

Is this again a bit too deep for you?

Your friend Bob




i

 

WTF ??:wacko:

Vino collapso out early today or just lost it completely??

Time you had a lie down I feel.:empathy:

Cheers
Derek

 

:wacko:

:bash:
:deadhorse:
:good: