Dear Bob
Sorry if my opening line gave offence. The reson for unity had nothing to do
with our success in the NHS or the need to increase the number of depts.
It really was to overcome the DOH insisting that our split meant they would
use that as a reason to not carry initiatives forward since they said to
favour one group or the other was counter productive.
So much progress has been made since unification that any doubts should be
swept away.

Ralph Graham
Consultant Podiatrist
Witham, Essex
U.K.
----- Original Message -----
From: "Bob Fleck" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, November 07, 2000 7:28 PM
Subject: Re: Sane. Consultants and Specialists


> Dear Ralph
>
>
> ----- Original Message -----
> > Dear Bob,
> > I am not sure of the intent of your recent contribution to the mailbase,
> but
> > on the off chance that you are interested in the answers here goes.>
>
> I was a bit disturbed by your opening sentance.  Just what are you
> suggesting my intent is and why would I not be interested in your reply?
I
> have never met you yet you seem to have already made a judgement about me
> based on what I thought was a straightforward reply to a mailbase posting.
> I had always assumed that was the sole purpose of the mailbase!
>
> I thought Ray Anthony raised some interesting points and I hope you can
find
> the time to reply.
>
> Also I think the unregistered practitioners are in Plymouth and they
employ
> a Consultant Anaesthetist to do what they cannot do.
>
> I'll just get back to my rock now.
>
> Bob
>
>
>
>
> >
> > You do not have to be a Podiatric surgeon to be a Consultant. Very true
> and
> > we look forward to, and support others in this goal. Unless someone is
> > really hiding their success under a rock, this has not happened yet.
> > Their will be Consultant Podiatrists under the DOH plans for Consultant
> > Therapists in the next year or so. The SCP have supported the
introduction
> > of these posts over many years. Trusts will be encouraged to appoint but
> the
> > extra money is not certain to be allocated so budgets will have to be
> found.
> > There are NO Podiatric surgeons who have not been examined. From the
> > earliest developments all were required to pass the process in place at
> the
> > time. Any Un-registered person using local anaesthesia would be breaking
> the
> > law and could not work in the NHS. To the best of my personal knowledge
no
> > SMAE person is carrying out any form of surgery even under orthopaedic
> > supervision. If you know different let me know. SMAE of course, say that
> > their not operating makes them more acceptable to RCS fellows and they
say
> > this in their press briefings.
> > The reasons for the need for unity in our profession are complex but
have
> > nothing to do with NHS posts which were there in good measure in both
> > organisations. Unity is about the strength of standing as one body of
8500
> > speaking with one voice and moving forward. Much of what we all want has
> > been held back by division and we must not allow that to occur again.
> > regards
> >
> > Ralph Graham
> > Consultant Podiatrist
> > Witham, Essex
> > U.K.
> > ----- Original Message -----
> > From: "Bob Fleck" <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Sunday, November 05, 2000 2:53 PM
> > Subject: Re: Sane. Consultants and Specialists
> >
> >
> > > You do not have to be a Podiatric Surgeon to obtain an NHS Consultant
> > post.
> > > All posts are negotiable with individual Trusts.  However if the post
> > holder
> > > is not a registered medical practitioner their contract is not the
same
> as
> > > that of a Medical Consultant, although the salary may be the same,
> pension
> > > arrangements for example are different.  To be a registered Medical
> > > Consultant requires approval and membership of one of the Royal
Colleges
> > and
> > > to my knowledge Podiatric Surgeons are not applicable to join the
Royal
> > > College.
> > >
> > > With the changing NHS involving for example the Consultant Nurse
> > > practitioner, there are excellent opportunities for the all members of
> the
> > > professions supplementary to medicine.  I can see potential in
grouping
> > CPSM
> > > members together which would allow members to 'Specialise' in a
certain
> > area
> > > of work ie patient focused, not profession focused.  I think there is
> > great
> > > potential for an 'Orthopaedic Physician' type role for those members
who
> > do
> > > not practice surgery but who are obviously at an advanced level
> > clinically.
> > >
> > > There must  be Podiatric Surgeons working today who have passed no
> formal
> > > exams, they will be the people who set up the surgical faculty in the
> > first
> > > place.  It may also be possible to practice surgery without being a
> > > Podiatric Surgeon ( I think some SMAE members do).  It is also
possible
> to
> > > work under the direction of an Orthopaedic Surgeon, if you can find
> > someone
> > > to do this and you are comfortable with it.
> > > I wonder if the Podiatric Surgeons would not have come back to the
> Society
> > > had they been successful in achieving their goals as an individual
> group.
> > I
> > > doubt it. What would have been the point?
> > >
> > > There are lots of opportunities for CPSM members, but I think the
> current
> > > set up, especially in the NHS stifles development.  The people who
have
> > the
> > > Consultant posts are those who have seen the opportunity to 'sell'
their
> > > talents to their Trusts and good on them.
> > >
> > > Regards
> > >
> > > Bob
> > >
> > >
> > >
> > >
> > > ----- Original Message -----
> > > From: "jmailk1" <[log in to unmask]>
> > > To: <[log in to unmask]>
> > > Sent: Sunday, November 05, 2000 12:50 PM
> > > Subject: Re: Sane. Consultants and Specialists
> > >
> > >
> > > > Dear David,
> > > >
> > > > I was interested to read your comments regarding Fellows of the
> Society
> > of
> > > > Chiropodists and Podiatrists in Podiatric Surgery.
> > > >
> > > > In regard to your queries on the use of the term Consultant.  The
> title
> > > > 'Consultant' is taken on by any Podiatric Surgeon FCPodS who holds
or
> > has
> > > > held an NHS Consultant's post.  Because they are employed as
> Consultant
> > > > Surgeons, hold Consultant contracts and are on a Consultant pay
scale,
> > > they
> > > > are called Consultants.
> > > >
> > > > To have any form of educational hierarchy you require an examination
> > > system.
> > > > The system for Podiatric Surgeons  is the surgical fellowship.  This
> is
> > > > examined as parts A, B, C and D, from the syllabus laid out by the
> > > Surgical
> > > > Faculty of the Society of Chiropodists and Podiatrists.  The
> > examinations
> > > > are overseen by the Surgical Faculty and a board of examiners that
are
> > > made
> > > > up of Podiatrists,  Specialists in Podiatric Surgery, Consultant
> > Podiatric
> > > > Surgeons and  Medical Consultants.  The examination system is
rigorous
> > to
> > > > say the least, which is reflected in the number of candidates that
are
> > > > successful in completing the training programme.  ( Personally, I
feel
> > > that
> > > > if anyone were to use a term such as 'Specialist', you would presume
> the
> > > > practitioner to have been deemed so by his/her peers, or hold a
higher
> > > > degree in their area of specialism.  This demonstrating some form of
> > > > examination system.  Otherwise, what is stopping us being
Specialists
> in
> > > > 'whatever we fancy' ?)
> > > >
> > > > I hope this information clarifies the points you raise.
> > > >
> > > > John Malik
> > > >
> > > >
> > > >
> > > >
> > > >
> > > >  Original Message -----
> > > > From: <[log in to unmask]>
> > > > To: <[log in to unmask]>
> > > > Sent: 05 November 2000 11:22
> > > > Subject: Re: Sane
> > > >
> > > >
> > > > > Hi Guys,
> > > > >
> > > > > I belive there are about 90 Fellows, of those about 30 have full
> time
> > or
> > > > part
> > > > > time employment within the NHS as specialists in their field of
> > > Podiatry,
> > > > all
> > > > > the rest either do the odd procedure or work within private
> practice.
> > > > > Did any one read Mr Tom Galloway`s note regarding the education
> > hierachy
> > > > in
> > > > > which he mentions in his amendment to the governments new Bill. It
> > > states
> > > > > that these so called Fellows or Consultants are above Podiatry
> > > > Specialists,
> > > > > in the education structure. how amusing.
> > > > > Are the Fellows nothing but specialists themselves?
> > > > > And,
> > > > > Where does this word Consultant come from?
> > > > >
> > > > > To coin a phrase from Mr Kippen ` What Say You`
> > > > >
> > > > > David Robinson SRCh.
> > > >
> > > >
> > >
> >
>



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