May I add a third recommendation to the two with which John Yates concluded his excellent article on inefficiencies within orthopaedic consultants' work patterns.
As the prime minister stated in March, many inefficiencies arise within the NHS from 'outdated demarcations between professionals within the service' - the Society of Chiropodists and Podiatrists endorses his call for flexible working practices that will 'ensure that doctors do not use time dealing with patients who could be treated safely by other healthcare staff '.
The contribution podiatric surgeons make to delivering effective and popular health benefits to patients, and reducing waiting lists through the provision of a cost-effective service, should not be diminished. The simple fact that where podiatric surgery services have been allowed to develop within the NHS, best practice has led to small dedicated units being established - now about 40 in total. These have been staffed by those with the fellowship of the College of Podiatrists, membership of which requires six years' postgraduate training in order to qualify to undertake bone surgery of the foot.
The contribution of podiatric surgeons should not be overlooked when the work patterns of orthopaedic consultants are modernised, as they will presumably be following your article.
Pam Sabine Chair The Society of Chiropodists and Podiatrists London W1
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