Most podiatrists who are members of the SCP are qualified to undertake nail and
soft tissue surgery and can administer local anaesthetics. More complicated
procedures are done by a Podiatric Surgeon.
|Podiatric Surgery is the surgical treatment of the foot and its associated
structures. It is carried out by a Podiatric Surgeon, usually as a day case
procedure and often under local anaesthetic. Podiatric Surgery is available in
many NHS trusts as well as in private hospitals and clinics. A Podiatric Surgeon
manages bone, joint and soft tissue disorders.
|Mr Jason Nandlal, a Consultant Podiatric Surgeon
who works for both the NHS and privately, outlines the training involved, the
most common problems and which patients are most likely to benefit.
|Podiatric Surgeons are Fellows of the Surgical Faculty of the College of
Podiatrists, whose qualification is registered under the Health Professions
Surgical Fellowship requires, a Masters degree in
Podiatric Surgery, a minimum of six years post-graduate training. This includes
a two to three year surgical residency within an approved centre. Podiatric
surgeons acquire comprehensive knowledge of related subjects including
pharmacology, regional anaesthetic techniques and radiographic interpretation,
as well as an in depth knowledge of foot surgery.
Cerfificate of Completion
in Specialist training is applied for after 3-5 years post fellowship.
This will entile the podiatric surgeon to apply for a consultant post. A
minimum of 12 years to reach Consultant Podiatric Surgeon. This is an
NHS grade under "Agenda for Change".
|The published "Feet First" report of the Department of Health & NHS Chiropody
Task Force, heavily endorses podiatric surgery and commends it to all purchasers
of health care services (NHS Executive 1085. 16M9/94).
The high standard for fellowship, set by the Surgical Faculty of the College of
Podiatrists, are reflected in the high levels of patient satisfaction. Indeed
our best advertisements are the many thousands of patients who have been helped
by podiatric surgery provided within the NHS. Over the last 20 years Podiatric
Surgeons have pioneered the development of day case surgery under local
anaesthesia. The rapid development of this new speciality is testament to the
quality and cost effectiveness of our service.
Results of several recent patient satisfaction surveys and PASCOM
audits in different practices
all show that over 88% of patients fell in highest bracket on a 1-10 Visual
Analogue Scale of satisfaction in response to the service offered. Results show
that this group would recommend the service to another person and that if they
needed another foot operation they would consider podiatric surgery as their
first and best option.
|While many foot problems respond to
non-surgical treatment, some are best treated by podiatric surgery. This
is particularly effective for persistently painful conditions or where
the foot is being affected by deformity.