Who wants a wager that once commissioning is introduced, stories like these will be a thing of the past?

 

Elderly and nail care

Mark

I am not a betting man, so ethics wouldn't permit me to take your money :)


Do you really think practice-based commissioning will get rid of this problem? If so in what way?

Practices commissioning social nail care service? If so provided by whom? How funded?

Or

Practices don't commission social nail care services? insisting its up to the patients and/or carers (in this case family and professional carers employed by the home).


Regards

Stephen

 

I can understand your concerns and where you're coming from Stephen, but I respectively suggest you've already answered your own question.

And yes I do, providing the market is fully opened up, because what you don't see as a priority, others will.

Best wishes

Mark

 

The Market?

Hi Stephen,

Quote:- 'Practices don't commission social nail care services?'

My interest is in not whether Practices commissioning Social nail care Services. But whether the end product will be no general practice because the patient who is our market has, putting it crudely made an exit and gone elsewhere? (Pays less money you know to whoever in fees!).

A whole host of professionals and technicians waiting in the wings, perhaps!!!. The consequences of devaluing the bread and butter of Chiropody perhaps? Down grading it from a medical to a social treatment in the NHS. not a good idea for us? If that is really what is happening? Will it devalue the profession! Perhaps what is left will return to, "I know who they are but podiatrists? I thought my doctor did that?

Regards,

Colin.

PS. An aside, years ago in England it was made an unlawful act for a police officer to go on strike, (A criminal offence!)! The Uniformed Brigade were split into three parts,

1. The Police did not take the money but accepted a rent allowance! Granted because government wanted to keep control of where a police officer lived. As a result in the late Twentieth Century a police officer got another months wages in back taxes each year.

2. The Firemen took the money and lived in, to a certain extent. I'm not sure of the actual drop back in wages as a result but I believe they dropped two month in wages by the late part of the Twentieth Century, A lot with a second job?


3. The Ambulance men ended up no where by the end of the Twenty Century with regards to pay when compared to the other two! Authority did not care where they lived!

Granted there were other reasons for their disparity in wages other than the place of abode! The argument was that one division of the old Brigade was more skillful with more responsibilities than the other? But could I detect the fear of revolution and ending up like Russia today really have had something to do with it?


Someone might ask what has this got to do with Podiatry? My answer is devalue the job description and someone might just devalue you??? Government, Civil Service, officialdom or likewise (Academia perhaps?), do not need to learn new tricks, they have Centuries of experience at applying old ones!!!

PPS. Funny the PS.'s are getting longer than the actual posting again, but I hope of useful interest to some in focusing the mind!? (Yes I know I'm breaking the rules with "!?", but it can be fun whilst expressing oneself outside of normal to me boring English! I've finished, I think?

PPPS. Now, you were saying Stephen?