A review of all podiatry services has become necessary in order to ensure care is clinically appropriate and to prioritise treatments for those most in need.
Podiatry involves preventing, diagnosing, treating and rehabilitating abnormal conditions of the feet and lower limbs.
Milton Keynes CCG currently commissions a comprehensive podiatry service for its residents, with access for patients with minor podiatric needs, as well as for those with complex conditions meaning that they are at higher risk of developing foot problems. Despite this, historically the number of people requiring amputations, such as diabetics or those with vascular disease has been higher than we would reasonably expect given our population.
The proposal for podiatry services
The CCG wishes to ensure that in future podiatry services are available for those patients that need them most. In order to achieve this, we propose:
Creating access criteria to ensure that priority will be given to those at highest risk of developing complications.
Routine procedures such as corns, callus and nail conditions will no longer be available for those with no underlying medical conditions.
We estimate that the proposed changes will reduce the number of patients accepted for treatment by 1,248. These patients will be signposted to other services where people will be able to access care such as the Age UK Milton Keynes foot service and local private podiatry providers.
Patients under 18 with musculoskeletal conditions will still be eligible for treatment.
Patients who have a high/moderate podiatric need and have medical conditions such as diabetes, rheumatoid arthritis will also still be eligible for treatment.
At the same time as amending access criteria, the CCG is proposing not to renew its current ‘Any Qualified Provider’ podiatry contract, and instead to bring together all podiatry services into a single, integrated service for Milton Keynes. This will make the service more efficient and consistent across the area and will ensure that there is sufficient capacity to see and treat more complex patients in a timely manner.
The proposed detailed podiatry access criteria are available here.
How to have your say
Your opinion really counts and we need your feedback on our ideas. You can complete the survey here.