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Podiatric Surgery Mike Townson
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Background Previous commissioning interest Venue?
Care UK – Walk in Centre Lower Limb Pathway Persistence Good data Good recruitment Integration
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Service November 2010 155 procedures 1 theatre session
Lower limb assessment and follow up clinics
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What has happened Profile Consultant led Up skilling Integration
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Activity 13 Surgical Procedures 8 Injection Therapy Scarf & Akin
PIPJ Arthroplasty Chielectomy Amputation Lapidus Exostectomy 8 Injection Therapy
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Orthopaedics Back log Injection midfood right Fusion ipj left 2nd toe
Fusion left hallux ? Removal of screws right hallux Bilateral scarf/akin Removal of toenail left hallux TMTJ right fusion foot Wedge excision nail bed left little toe Orif non-union left metatarsal Open debridement right talus Scarf/akin left hallux Excision MT head right 2nd toe Lapidus right hallux Excision right foot ganglion Arthroscopic ankle fusion left
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Primary OPCS Procedure Desc
HRG Code HRG Desc GP Age LOS Primary OPCS Procedure Desc HB33B INTERMEDIATE FOOT PROCEDURES FOR NON -TRAUMA CATEGORY 1 WITH CC 62 6 FUSION OF FIRST METATARSOPHALANGEAL JOINT NEC 67 3 HB32Z INTERMEDIATE FOOT PROCEDURES FOR NON -TRAUMA CATEGORY 2 69 2 PRIMARY ARTHRODESIS AND INTERNAL FIXATION OF JOINT NEC 75 CUNEIFORM OSTEOTOMY PROX.PHALANX RESECT.HEAD FIRST METATARSA HA31C MAJOR FOOT PROCEDURES FOR TRAUMA WITHOUT CC 33 PRIMARY OPEN REDUCT/FRACTURE/LONG BONE/EXTRAMED/FIX USING PL 61 1 PRIMARY ARTHRODESIS AND EXTERNAL FIXATION OF JOINT NEC
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Governance Medical Director Vascular Professor Medicines Committee
Strong process Quality documentation Transparent audit Evidence of team training
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Where next? All foot surgery has no value!? Whole time post
Develop team Change pathway Links to other services/pathways
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