Dear Fay and other colleagues,
thankyou for the constructive viewpoints.
I have considered employing a consultant podiatric surgeon and as you can
imagine this will be a carefully constructed and negotiated development.
If you did would you expect to pay consultant therapist or MC21
medical consultant grade?
Good question! - there are benifits to consider for both which will continue
to be discussed. In truth at this stage I dont know and without wishing to
spark the eternal debate on this subject I hope it will suffice if I let you
know when and if such an appointment is made.
Best wishes,
Neil.
-----Original Message-----
From: Fay Simon (RT6) LHP-TR
To: [log in to unmask]
Sent: 28/03/02 14:37
Subject: Re: Alan Milburn Speech to Allied Health Professions Conference
Neil,
I would go along with your view on this subject for the most part.
Have you considered employing a podiatric surgeon?
and If you did would you expect to pay consultant therapist or MC21
medical
consultant grade?
Regards
Simon Fay
-----Original Message-----
From: Simmonite Neil [mailto:[log in to unmask]]
Sent: 28 March 2002 12:51
To: [log in to unmask]
Subject: Re: Alan Milburn Speech to Allied Health Professions Conference
Dear Bill and Akbal,
You clearly have some issues with MP's that have perhaps coloured your
viewpoint on this issue? Time will tell I suppose.
However, for the record;
Mr. Milburn and I seldom meet and are not infact on first name terms-
and my
use of the abbreviation Alan was due to my inherent dislike of typing.
To
conclude that this means I have been 'taken in by spin' is extrapolation
to
the nth degree and those statisticians amongst us in the group will be
able
to provide the p-values.
'I trust that our colleagues elsewhere around the globe do not fall for
the
same trickery.'
Surely you don't think I'm going to bite on that?
In your previous email you make continued reference to the pay gap
between
Doctors, Dentists and Podiatrists and relate this to value and worth. A
friend of mine recently had her hair cut at a cost of 72 pounds for 40
minutes work- it doesn't make me want to retrain, maybe for some others?
I would suggest the analogy be Dentists and Speech Therapists and that
this
is an area for the professional body to further explore given those
successes.
It is interesting to note that pay is not a significant motivator and is
actually a 'hygiene factor' in employee research towards job
satisfaction.
People in general prefer interesting and varied work which rewards in
terms
of valuing them and generates satisfaction to far higher levels than pay
alone. Pay motivation is transient and soon passes in absence of other
factors.( Mintzberg, Hertzberg stuff)
'On the other hand do the work and endure more stress and still get paid
less ohh what a topseeturvy world NHS Podiatry lives in.'
It may appear so from a snapshot and simplistic interpretation but I
assure
you that things are moving very fast in the NHS. The visionary and
exciting
initiatives that innovative managers and Primary Care Trusts are
creating
across whole new areas of clinical practice are driving our profession
to
new heights in the NHS. Look at Education/NHS partnerships, Triage-
Orhtopaedics Dermatology etc, Community Rehab teams, Paediatrics,
Podiatric
Surgery etc etc, National Service Framework opportunities such as Older
People, Diabetes and Cancer to name a few.
Please don't feel sorry for us in the NHS- there has never been a better
time to be a forward thinking Podiatrist in my view in our modern NHS
and I
for one am enjoying the challenge despite the perceived rhetoric.
Akbal,
In answer to your questions;
Orthopaedic Triage is carried out in Southampton by Extended Scope
Practitioner Podiatrists- I believe we were the first nationally to
incorporate Podiatry.
The triage team consists of a specialist GP, ESP Podiatrist and ESP
Physio.
Nurses and Pod. Assistants are not involved.
The wait is 4 weeks to be seen and 'triaged'.
Surgical referrals, if required are currently made to Orthopaedics.
With Best wishes,
Neil.
-----Original Message-----
From: Wm.J. Liggins [mailto:[log in to unmask]]
Sent: Wednesday, March 27, 2002 12:32 PM
To: [log in to unmask]
Subject: Re: Alan Milburn Speech to Allied Health Professions Conference
As usual, Akbal, you have hit the nail on the head.
I note that Neil refers to Mr Milburn as 'Alan', presumably because he
is a
personal friend or has been taken in by the spin. In either case beware
of
persuasive, articulate people. They wish only to persuade others that
they
are right and that you are wrong. There ARE fundamental differences
between
this profession and AHPs which I detailed in the April 2001 number of
'Podiatry Now.' The very basis on which we practise is our independent
right of diagnosis and treatment, which pre-supposes that we know more
about
the foot than any other professional. If that independence is eroded and
that belief in our expertise destroyed by our own colleagues then we
should
indeed look for another calling. It should be a matter for shame on Mr
Milburn's part that he has been able to make the AHP 'mess of pottage'
so
appealing to managers and to educationalists. He, at least, is a
politician
and is therefore bereft of any sense of shame. We are not, and our
patients
deserve the best that we can offer; (in fact, Mr Milburn's Clinical
Governance requires it). That best, I submit, is not as a generic Jack
of
All Trades but as master of our own; and masters of our own destiny. I
trust
that our colleagues elsewhere around the globe do not fall for the same
trickery.
Bill
----- Original Message -----
From: "Akbal Randhawa" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, March 26, 2002 8:56 AM
Subject: Re: Alan Minburn Speech to Allied Health Professions Conference
> ----- Original Message -----
> From: "Simmonite Neil" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, March 25, 2002 9:55 PM
> Subject: Re: Alan Minburn Speech to Allied Health Professions
> Conference
>
>
> > Dear Akbal and Colleagues,
> > as someone who attended this conference and heard this speech in
> > person
I
> > would like to make the following comments,
> >
> > 1 It was the most positive endorsement of the AHP's role by a
> > Government official that I have ever heard and Alan made clear his
> > displeasure at
the
> > media for their continual dumbing down of the NHS and his support
> > for
the
> > staff who work so hard deliver patient care.
>
> So why are Doctors and Dentists Paid more?
> I know that audience being managers are paid reasonably well for the
> job they do but it does not follow for the staff they are in charge
> of. After all practice managers in the dental and medical sectors are
> not paid huge amounts, they do what amounts to the same job. Clinicans
> on the other hand do the work and endure more stress and still get
> paid less ohh what a topseeturvy world NHS Podiatry lives in.
>
> > 2 Alan Milburn was not only complimentary to the AHP's but
> > continually referred to our lack of profile compared to e.g.the
> > GP's, Nurses etc in
a
> > manner that conveyed to me a real understanding of our professions
> > and indeed quoted many examples of excellence in practice from the
> > AHP's.
>
> Then why are we not paid as much as Doctors or Dentists?
> This is the man that has done his absolute utmost to destroy the
> independance of this profession that we are all members of. And
> continues
to
> chip away at our professional standing by calling us AHP's what the
> hell
is
> an AHP's if not a generic clinican below a doctor and just a smiggin
> above
a
> nurse. We and you Neil are Podiatrists we have never and will never be
AHP's
> and the simple fact that this meeting happened was indicative of the
> way that the DoH is treating us. As for understanding our profession
> have you noticed what has been going
on
> in the last few years, ministers have lied, failed to keep promises
> and buggered up professional regulation, I certainly am not prepared
> to
believe
> anything this man or his collegues have to say. His actions say alot
> more than his words, and quite frankly his actions have done nothing
> but show exactly how much disregard he has for the profession of
> Podiatry.
>
> > 3 He answered 'challenging statements' from the floor with applombe
> > and finesse
>
> Did anyone ask why Podiatrists are not paid as much as Doctors or
Dentists?
> If so what was his answer.
>
> > 4 I and many others around me felt this was a real step forward for
> > us
as
> a
> > group gaining positive endorsement in a media covered event.
>
> So are we going to get paid as much a Doctors or Dentists? The media
> hardly covered the event and as far as postive step this was one is a
> backward direction. I am so sorry that you and others are taken in by
> this Government spin but until I see wages akin to Doctors and Dentist
> for Podiatrists and I couldn't give a monkeys what the AHP's earn,
> this type
of
> speech should be treated with the contempt that it deserves.
>
> > I am sorry if on reading the speech you were left with such a
> > negative
> view-
> > I firmly believe, as someone who was there, Alan Milburns speech was
> > positive, inspirational and conveyed nothing to me but respect and
> gratitude
> > for the hard work of the AHP's.
>
> We live in a Capitailist country and I am afraid that speeches just
> don't cut it and until we see some hard cash (for clinicians not
> managers) he know's where he can put his speeches. I read the speech
> before he made it and it left me with a distinctly
bitter
> taste in my mouth, he continued to refer to us as 'Chiropodists' the 2
times
> he mentioned us in his 10 page speech. He is only making these
> approaches because he knows in a couple of years he will be up a creek
> with out a paddle when there are not enough MLSO's to do the lab work
> for the NHS leading to increased waiting times and more complaints
> from the media, I
see
> this speech as the final thrashing about of a drowning man, doing all
> he
can
> to preserve his political life. Never know he night even attend the
Society
> Conference, like hell he would, then again maybe the management track
would
> appeal to him.
>
>
> Regards
>
> Akbal
>
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