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Clinical Articles

Challenging NHS Evidence

Challenging NHS Evidence

The NHS collects massive amounts of data each year and of course, we know that sharing patient data is very topical presently when it comes to private companies. Hospital statistics are collected as episodes and usually are collected against codes; codes for procedures and codes for the providers of that service. One might expect data to be accurate and agree if collected independently. Mr Antony (Tony) Maher found a marked discrepancy in data capture between his podiatry database (College of Podiatry database for surgery (PASCOM-10 often abbreviated to P-10)  and that of the official collection agency, NHS Digital.

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Treating a complaint called Freiberg’s

Treating a complaint called Freiberg’s

The aim of any management in active Freiberg’s is to reduce pain and maintain a functional gait. When treatment is initiated, the hope is to limit early progressive joint destruction. Traditional texts suggest during the early stages of osteochondroses, the blood supply is cut off and then restores. When signs of remodelling and healing appear the residual damage becomes apparent often meaning that intervention is too late. 

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Ultrasound in focus and Podiatry

Ultrasound in focus and Podiatry

Ultrasound in focus within podiatry is the theme this article. All professionals will inevitably extend their ability as part of professional development. This is often known as extending one’s scope or range of skills. Opposition to expansion arises for different reasons. Lack of confidence by a greater majority can impede change. Strong views are held in respect of what is viewed as traditional scope. A need to stick to what we learned at university. There is no doubt that those that offer indemnity cover to practice have their own views as to risk. When it comes to ultrasound there is a storm brewing. It is one that is as old as time.

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Seeking more memories

Seeking more memories

Sometimes it is the little things. Those observations that resonate with human attraction for the memoir. Classically these are organised into chronological order, but why be conventional? Having written about my early college experience, a friend who I had not seen for years, contacted me. We talked for nearly 2 hours and he shared so many anecdotes I wondered why he had not submitted or written them up.

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Poor data collection exposed

Poor data collection exposed

Podiatric activity occurred in 99 centres, 88% of which provided NHS care.  Community-based services accounted for 51.8% of NHS treatment with the remainder provided by either acute Trusts or NHS Choose and book in the independent sector. When comparing HES data between April – November 2020 a similar trend existed.  Overall day case admissions were down by 42.5%.

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Medicine What’s the Point?

Medicine What’s the Point?

Podiatric surgeon Steve Kriss considers that podiatrists could do more with their medical training and lays down the gauntlet. His premise is that to play an equal role in patient management clinicians must be able to communicate at the same medical level as qualified medical doctors. He describes his own experience here.

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