| Accredited Register of Foot Health Practitioners
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THIS IS THE ACCREDITED REGISTER OF FOOT HEALTH PRACTITIONERS
This is the only Accredited Register of Foot Health Practitioners approved by the Professional Standards Authority for Health and Social Care on behalf of the Government.
It must be noted that all registrants are required to renew their membership annually and you are advised to check that your practitioners registration is current.
A REGISTER FOR INFORMATION AND PUBLIC PROTECTION
Practitioners admitted to this register have trained to defined standards and have elected to demonstrate accountability. They seek to apply best practice in professional behaviour, technical competence and business principles.
You can check if your practitioner is registered or find a foot health practitioner in your area
You are advised to check that your Foot Health Practitioner is registered
Details of disciplinary issues pending and current are shown on this register to help you make an informed choice.
The Registrar ensures that matters of discipline or alleged malpractice are properly notified, and that the outcome of any subsequent investigation is displayed. The Registrar also ensures that any training order, suspension, or other sanction runs its intended course, and if striking-off becomes necessary it is notified to other regulators and safeguarding agencies.
Professional Standards Authority Accredited Registers
The Professional Standards Authority for Health and Social Care sets standards for organisations holding registers for health and social care occupations and accredits those that meet them. This register has met all of those standards....
The Authority also oversees statutory bodies that regulate health and social care professionals in the UK including the HCPC, GMC and NMC. They assess their performance, conduct audits, scrutinise their decisions and report to Parliament.
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FOOT HEALTH PRACTICE
The major part of uncomplicated foot and leg care is within the capability and remit of the Foot Health Practitioner. Immediate access by self-referral and early availability of their services make the Foot Health Practitioner working in the private sector an important resource for the general public.
Much of the work is routine and often requires repeat at determined intervals. In the majority of the cases seen and attended by the practitioner there is little or no morbidity of the leg and foot. In many cases, there is need for routine maintenance occasioned by diabetes mellitus, arthritic hands, eye troubles, ankylosis of the spine, obesity, pregnancy, etc. Many patients will simply have difficulty reaching their feet for maintenance - others appreciate the help of a practitioner who they can trust to trim and maintain their nails properly. Many of the conditions encountered are directly attributable to the ageing process. Hip and knee pathologies contribute considerably to the need. As a trained observer, the Foot Health Practitioner contributes to the health of the populace by screening and alerting other practitioners to indicated diabetes mellitus, potential ulceration, malignancies, and other conditions.
The patient’s medical status is taken into account in order to execute the work safely and cause no medical complication. Hygiene, instrument skills, communication, and a good measure of dexterity are important to the task, as are record-keeping and regular updating. Dressing/padding/offloading skills are essential, as is the ability to manage minor wounds.
The need of referral of cases requiring the expertise of other medical professionals is well understood. Ethics consistent with the medical professions are held, recognised and respected.
Podiatry is the profession by which recalcitrant external conditions and unfavourable internal structure, disease and pathological conditions are addressed. The podiatrist takes on those cases requiring specialist leg and foot support that cannot be delivered by the Foot Health Practitioner. Their full skills would be needed and utilised in only a small proportion of presenting cases. Podiatrists are trained to a higher level (BSc Hons Degree) than the Foot Health Practitioner (Level 4 Diploma), and should reasonably be expected to have a deeper understanding of issues that threaten the viability of foot and limb.
The Podiatrist has all the skills required of a practiced Foot Health Practitioner, but the exercise of these skills is supported by greater academic preparation. Ethical behaviour extends to Foot Health Practitioners and other members of the care team, and referral to a Foot Health Practitioner should be an appropriate and practiced care pathway.
Gait analysis in greater depth and detail would be within the scope of the Podiatrist. So too, would vascular studies, acute diabetic support, and paediatric developmental conditions. Due to the nature of the understanding required by these latter conditions, it will be seen that the Podiatrist may choose to specialise in these and other areas.
The Podiatrist working within the NHS would often have direct access to the facilities of Haematology and Cytology Departments and Pathology laboratories, in addition to liaison with Surgeons, Physicians, Radiologists and other medical professionals. This is not the case when working in the private sector.
Prescribing of drugs and medication might be a facet of the work, following appropriate additional training. Local anaesthesia lies within the remit of those appropriately qualified. Wound management skills are important since there will be a need for aftercare following invasive nail surgery.
A small percentage of Podiatrists will qualify by further study to perform invasive surgery in order to correct foot structure, compressions, non-unions and mal-alignments, or engage in limb salvage procedures.