Consultation for draft Standards for the Foot Health Workforce

Health Education England, along with the Foot Health Consortium are launching a consultation to seek the views of stakeholders on a draft set of standards for the foot health practitioner and podiatry support workforce.

The consultation will be open from Monday 23 November 2020 – midday Friday 15 February 2021.

The Standards have been developed to support the NHS to effectively use the full skills mix of the foot health workforce to meet demand by providing a clear understanding of the footcare treatments that foot health practitioners and the podiatry support workforce can safely perform. The needs and safety of patients is central in this work.

We would therefore value your feedback about the standards via the consultation and look forward to hearing your comments and suggestions as we take this vital and important next step.

Please visit the HEE consultation webpage for the consultation survey link and two important documents that will help you respond to the consultation.

The Consultation on standards for the non–regulated foot health workforce sets out the background to the work to develop the Standards. It then explains more about how the Standards have been developed and how it is proposed they will be used. The draft Standards on which we are seeking your feedback have been published alongside this consultation document.

Visit the HEE website for the Standards and Consultation document that will accompany the consultation

In 2019, we gathered as a Consortium of Foot Health Leaders to address the problem of the falling recruitment numbers on traditional routes into podiatry. The priority of the Consortium is to develop a foot health career ladder and educational resources that will support and increase the number of podiatrists and podiatry support workers working in the NHS.

The work of the Consortium has enabled a better understanding of the workforce that provides foot care, with the aim of optimising this workforce for the benefit of those who use the services of any practitioner, in England, who work in this arena.

These Foot Health Education and Training Standards are the result of a year’s work to increase the supply of podiatrists in the NHS workforce. We also want to ensure that the NHS recognises the knowledge and skills of the wider foot care support workforce.

The Institute of Chiropodists & Podiatrists has agreed with HMCA to offer discounted rates for medical plans, dental plan, hospital cash plans, travel plan, income protection and vehicle breakdown products.


Are you paying too much for your present private medical plan? Why not take a look at the HMCA plans and compare the benefits and subscriptions offered? You may transfer to HMCA at any age and without a medical examination; there will be no break in protection and there is a 14 day money-back guarantee.

 

HMCA only offer medical plans to membership groups and can offer up to a 40% discount off the underwriter’s standard rates. This is a comprehensive plan which provides generous cash benefits for surgery and other charges

 

Who are HMCA? – HMCA has specialised in providing benefits and services to associations and professional groups since the 1970s. HMCA is authorised and regulated by the Financial Conduct Authority.

For further information and quotations contact HMCA by telephone on 01423 799949 or visit the exclusive HMCA Institute of Chiropodists & Podiatrists website here: https://www.hmca.co.uk/icp

HMCA/S PLC (trading as Hospital and Medical Care Association, HMCA and HMCA Members) is authorised and regulated by the Financial Conduct Authority (FRN:307587). HMCA/s PLC is a company registered in England, company number: 01362094, registered office: Beech Hall, Knaresborough, North Yorkshire, HG5 0EA.

We have updated our suggested ‘traffic light’ system of stop, proceed with caution and go, whilst advising that all specific laws concerning COVID-19 should be rigidly adhered to. We have also advised members of the College of Foot Health to adhere to these standards as well.

 

Please click here to download your copy

Traffic Lights Nov update

We are proud to work in partnership with Community trade union, we believe a good modern trade union is not only essential to a positive and safe workplace but more importantly gives self-employed workers like us a strong and collective voice.

Community is a proud champion of the five million strong self-employed and freelance community across the UK, including chiropodists and podiatrists.

For many people, self-employment is the answer to finding a good work-life balance and can be extremely rewarding. It can also mean longer hours, less pay, more worry about your finances and employment. By partnering with Community we want to give you that help, as well as campaign on the issues that matter to us as a sector.

As a member of Community, IOCP/COFH members can:

Advice and support

Community union provides advice and support through their service centre of expert legal advisors, dedicated to supporting members with any questions or help members may need.

Whether its advice on client relations, self-assessment tax returns, debt recovery and late payments, welfare benefits, discrimination and health and safety issues – Community can help.

Campaign and organise

By building and strengthening our collective voice as part of Community, we can ensure our voices are heard. Community is a proud campaigning union and the strength of their membership paired with their political affiliations means they can take the issues you care about and make sure they are heard across the UK at every level.

Pay and conditions

Community can support you at work with individual representation to get the best deal, and secure fair treatment and fair pay.

Education and training

By becoming a member of Community, you can access bespoke education and training opportunities that works well for freelancers and the self-employed. This includes access to hundreds of free online courses to develop key business skills.

Discounts and savings

You can save money on a range of leisure, insurance and retail products through Community’s discounts on a range of professional and personal products and services.

To join follow the link from the November members e-newsletter or login to the members area of our website

 

Applications are invited for the positions of accredited mentors on the Institutes successful FHP course. With the advent of the Foot Health Consortium set up by Health Education England, which the Institute is a board member of, FHP training will undoubtedly become a higher profile area in footcare and it is essential that training organisations ensure that training offered is of the highest possible quality.
As many members will know, a substantial proportion of entrants to the IOCP training program have been put forward by HCPC registered IOCP members wishing to include FHPs in their treatment teams in the same fashion as dental practices have, for example, hygienists to support the delivery of structured care. This is an exciting move forward which the IOCP with its more than 80 year history of delivering flexible training is well fitted to deliver.
Mentors will be responsible for supervising community placements within their own practices – be they domiciliary or surgery based, and will be remunerated for each student they ‘take under their wing’. Mentors must have appropriate qualifications or experience and be willing to attend seminar style training for the role. An adult teaching qualification is preferred such as the former city and guilds or the more recent level three award in adult education and training but of equal importance is appropriate experience and a genuine desire to take the whole profession of foot health of all levels and types forward.
In the first instance please supply a CV detailing your experience, reason for applying and details of your practice to Jill Burnett-Hurst, General Manager at the IOCP to receive further information and for a friendly informal discussion.
email jill@iop-uk.org

By

Kevin Watts BSc(Hons) RN, BSc(Hons), BSc(Hons), MInstChP, Dip Pod Med.

Member of the Institute of Chiropodists & Podiatrists

Podiatrist & Nurse

 

Background

As practitioners who care for the lower limb and associated structures, we are all responsible to take a full medical history of our patients. An important part of this history concerns us listing and having a basic knowledge of medication. The areas that we need to understand are; drug use, contraindications and possible side-effects.

If a patient is on a certain medication then this can give us an indication of their health and well-being. Different types of medication can indicate different conditions but if the medication strength is increased / decreased, can all provide part of a valuable picture. Many patients are on medication that may impact on our treatment procedures and preparation such as anticoagulants.

The Author has set out to provide a basic template of medication that can allow for quick and easy reference by the practitioner. The list is certainly not exhaustive, but does include many drugs that we may come across whilst in practice. All information has been taken from various sources and if there is any doubt about a medication, then it is very important to investigate it. Medication information sources can be   drug information leaflets, robust pharmaceutical publications such as the British National Formulary (BNF) and suitably qualified medical professionals. Online sites can be used but do so with caution.

 

Thanks to Steph & Louise at the Fane Foot Clinic in Peterborough,

for their valued input and constructive criticism.

BASIC MEDICATION LIST

 

The list does not provide all details about the medication but does provide a basic knowledge. This knowledge can be built on and the list added to as the practitioner identifies new medication. It is important to remember that some side-effects may effect different patients to varying degrees, whilst others may not experience side-effects at all. This document is to be used as a ‘memory jogger’ only, not for formal advice for a patient, not to recommend or to prescribe from. It is aimed as a fun, knowledge building exercise.

 

NAMEDRUGS USEWARNINGS & PRECAUTIONSPOSSIBLE SIDE EFFECTS
Adacal-D3Contains vitamin D and calcium for healthy teeth and bones.Allergic to peanut, soya, vitamin D or calcium carbonate.Constipation, rash, wheezing, swelling etc.

Kyowa Kinn Ltd (2017).
ApixabanTo prevent blood clots from forming in the body.Hypersensitivity, hepatic disease, abrupt discontinuation, prosthetic heart valve etc.May cause bleeding and swelling, tiredness due to anaemia, nausea etc.

Bristol-Myers (2019).
AllopurinolGout, kidney stones, reduces Uric acid build upAvoid alcohol, people with infections, care= diabetes, heart failure, high BP, ChemotherapyMay impair reactions, driving.

Teva UK, (2019).
AmitriptylineSymptoms of depression.Patients who have shown prior sensitivity. During acute phial Infarction.All patients must be monitored for suicide risk.

Crescent Pharma Ltd (2019).
Amlodipine (Calcium channel blocker)Widens blood vessels / improves blood flow. Used for high BP, angina and coronary diseasePatients must be 6yrs+, certain other blood pressure medications especially simvastatins.Oedema, palpitations, fatigue, flushing (reddening of limbs) wheezing, breathlessness etc.

Actavis (2018).
Atenolol (beta-blocker)To treat angina and hypertension.Cardiogenic shock, 2nd, 3rd degree heart block.Cardiac failure, fatigue, Cardiac failure, fatigue, bradycardia, dizziness and cold hands and feet.

Crescent Pharma Ltd (2016).
AmiodaroneAntiarrhythmic.Only used for arrhythmias. Nausea, vomiting, fatigue, constipation,

Accord Healthcare Ltd (2017).
AmoxicillinAntibiotic for chest infections, pneumonia, urinary tract infections, ear infections.Allergic reaction, liver / kidney problems etc.Diarrhoea, may cause nausea and vomiting.

Multipharm (2019).
AspirinPain relief, swelling and pain reduction, anti-inflammatory, blood thinner etc.Generally safe to take 16years+.Nausea, vomiting, stomach pain, bleeding more difficult to control etc.

Aspar Pharmaceuticals Ltd (2018).
AtorvastatinTo lower bad cholesterol & fats such as LDL Avoid alcohol, high cholesterol foods.Muscle breakdown, liver function, may increase blood sugars.

Pfizer Ltd (2019).
BaclofenMuscle relaxation and reduces muscle spasms, pain and muscle stiffness.Chronic kidney disease, disorders of neck and sphincter mechanism etc.Drowsiness, may affect balance etc.

TEVA UK Ltd (2016).
Bisoprolol (beta-blocker)Hypertension, affects the heart & circulation for better blood flow.AV block, slow heart rhythm.Fatigue, shortness of breath, headache, fever, chest pain etc.

Sandoz Ltd (2019).
BendroflumethiazideA diuretic used to treat high blood pressure. Reduces oedema. Addison`s disease, hypercalcaemia, hyponatraemia etc.Dizziness, dry mouth, fatigue, headaches etc.

Accord (2020).
BumetanideDiuretic which increases urination, to fight oedema.Low salt diet, kidney problems, first 3 months of pregnancy etcDehydration, low BP, high blood sugar levels, muscle cramps, joint pain etc.

Teva UK Ltd (2018).
BuscopanRelieves muscle cramps in the stomach, intestine, bladder etc.Enlarged bowel, paralytic / obstructive ileus etc. Dry mouth, increased heart rate, may effect urination etc.

Sanofi (2019).
Certirizine HydrochlorideAn antihistamine for hay fever reliefAllergic reaction to product or hydroxine, breastfeeding.Drowsiness, alcohol / tranquilisers may increase drowsiness.

Fannin (UK) (2015).
Co-AmoxiclavAntibiotic (used in combination) for respiratory tract infection, UTIs, dental, joint & bone infections. Drug allergy to penicillin, liver / kidney problems etc.Rash, nausea / vomiting, diarrhoea, thrush etc.

Milpharm Ltd (2018).
Codeine (opioid)Pain medication for mild / moderately severe pain.Allergic to drug, severe bronchial asthma or hypercarbiaBloating, chills, blurred visions, dizziness, constipation, tachycardia etc.
ClopidogrelPrevention of atherosclerotic events in peripheral heart disease.Active bleedingAbdominal pain, diarrhoea, gastro-intestinal bleeding etc.

Torrent Pharma UK Ltd (2018).
Co-CodomolMixture of Paracetamol & Codeine. Treats aches / pain, muscular pain, headaches. Usually taken other drugs do not work.Codeine and Paracetamol must not be taken together due to excess dosage.Skin rash, sensitivity, shortness of breath, sedation and dizziness etc.

Mercuary Pharma (2018).
CitalopramAntidepressant.Poorly controlled epilepsy.Dry mouth, anxiety, drowsiness,
Dry mouth, anxiety, drowsiness nausea, sleep problems etc.

Aurobindo Pharma Ltd (2017).
CarvedilolHigh blood pressure, heart failure.Asthma, cardiogenic shock, bradycardia etc.Nausea, peripheral coldness etc.

Milpharm Ltd (2017).
ColchicinTo treat gout. Familial Mediterranean Fever (FMF).Pregnancy and breast feeding, Avoid grapefruit. Kidney / liver problems.Allergic reaction,
Stomach ache, bloody stools etc.

Accord (2019).
ColecalciferolVit D to help calcium absorption / low phosphate levels in bloodHigh calcium levelsAllergic to medication, rash etc.

Swiss Caps GmbH (2019).
Deltaparin (injection)
To treat / prevent blood clots from forming.Severe liver / kidney failure, trauma, with other medication such as aspirin, warfarin etc.Injection site reaction, haematoma, itching, allergic reactions etc.

Pfizar Ltd (2015).
DigoxinUsed to treat heart failure, AF by making the heart beat stronger.Intermittent heart block, 2nd degree heart block, VF, myocarditis etcDizziness, fainting, fast / slow heartbeat, blood in stools etc.


Accord (2018).
DiltiazemCalcium channel blocker for high Blood pressure, angina and certain heart arrhythmias, hyperthyroidism.Low blood pressure.Dizziness, weakness, tiredness, nausea, flushing etc.

Sanofi (2018).
DiazepamMuscle relaxant, anxiety and for difficulty sleeping etc.Allergic reaction, mental illness, severe sleeping problems, alcohol and drug abuse etc.Drowsiness, confusion, tiredness, nausea, vomiting, etc.

TEVA UK Ltd (2019).
DoxazosinHypertension, to improve urination in men (benign prostate hyperplasia)Micturition syncope, postural hypotension, overflow bladder, anuria.Chest pain, arrhythmias, hypotension, nausea, muscle complaints etc.
DexamethasoneCorticosteroid medication for rheumatic problems, skin diseases, asthma, allergies, chronic obstructive lung disease etc.Avoid live virus vaccinesBlurred vision, rapid weight gain, mood changes, and acne, dry and thinning skin etc.


Trotwood Pharma Ltd (2017).
EdoxabanInhibitor of activated factor X thus preventing prothrombin being converted to thrombin which prolongs clotting time.Active bleeding, gastro-intestinal ulceration, high risk of bleeding etc.Anaemia, haemorrhage, nausea, skin reactions etc.


Daiichi Sankyo UK Ltd (2019).
EpleneroneAldosterone blocking agent. Aldosterone produced by the body to control blood pressure and heart function. Used for heart failure etc.Kidney / liver disease, medication containing lithium, tacrolimus or cyclosporin for skin conditions.Nausea, vomiting, itching, back pain,
Dehydration, sore throat etc.




Accord Healthcare (2019).
Ferrous SulfateHelps to treat and prevent Iron deficiency.Sickle cell anaemia, stomach ulcer etc.Nausea, vomiting, diarrhoea, wheezing etc.

Actavis (2019).
Ferrous FumarateTo increase iron levels to maintain red blood cell production. To prevent iron deficiency anaemia.Stomach / duodenal ulcer, inflammatory bowel conditions, ulcerated colitis etc.Heartburn, nausea, vomiting,
Darker stools, diarrhoea / constipation etc.

Mercury Pharmaceuticals Ltd (2015).
Folic AcidType B Vitamin which helps the body to make new cells and helps to prevent changes to DNA that may lead to cancer. Used to treat certain types of anaemia.May need tests to satisfy Folic Acid use if you have Kidney disease, infection, pernicious anaemia (B12 deficiency) and alcoholism.Appetite loss, nausea, bloating, bad taste in mouth, sleep disturbance, depression etc.



Crescent Pharma Ltd (2018).
FinasterideTo treat urinary problems concerned with enlarged prostate.Allergic to medication and not for use by females.Chills, cold sweats, confusion, dizziness, light-headedness when standing.

Cipla (EU) Ltd (2018).
FlucloxacillinTo treat skin and soft tissue infections. Respiratory tract infections etc.Contraindications to other meds, penicillin allergy.Rash, itchy skin, purpura (black heads on the skin) etc.

Milpharm Ltd (2017).
FurosemideOedema.Dehydration, hypovolaemia, renal failure, liver cirrhosis, may effect blood pressure.Gout, dermatitis, electrolyte disturbances, bone marrow depression, tinnitus / hearing loss, hypersensitivity etc.

Crescent Pharma Ltd (2016).
GabapentinFor nerve pain and epilepsy.Drug allergy, pain drug dependency.Sleepy, dizziness
etc.

Brown and Burk UK Ltd (2017).
GliclazideTreats type2 diabetes, lowers blood sugar through increasing insulin production.Drug allergy, ketoacidosis, breast feeding, need to stop pre-surgery.Hypoglycaemia, lethargy, dizziness, headaches etc.

Milpharm Ltd (2017).
Isosorbide MononitratePrevents angina / chest pain in coronary heart disease patients, nitrates widen blood vessels.Aortic stenosis, cardiac tamponade, cardiomyopathy, anaemia etc.Arrhythmias, flushing, headaches, nausea, vomiting, drowsiness, hypotension.

Relochem Ltd (2016).
HaloperidolAntipsychotic for schizophrenia. Normally taken at night.Dementia, Parkinson`s, central nervous conditions.May feel drowsy or less alert.

Crescent Pharma Ltd (2019).
LansoprazoleReduces stomach acid, heart burn, indigestion etc.Liver problems, allergic reaction to other meds, pregnancy & breast feeding.Headache, diarrhoea, stomach pain etc.


PLIVA Pharma Ltd (2017).
Lisinopril (Ace inhibitor).Used to treat hypertension and increase survival after a heart attack.Drug sensitivity.Dizziness, hypotension, increased blood urea. Headaches etc.

Actavis (2017).
LevothyroxineHelps to support / replace hormone secreted by the thyroid.Thyrotoxicosis, Increased pulse, increased BP, fever, fainting, difficulty / laboured breathing etc.

Actavis (2018).
LorazopamFor anxiety & sleep related problems.Chest / breathing problems, liver & kidney problems etc.Sleepiness, drowsiness etc.

Genethics Europe Ltd (2018).
LoratadineTreats hay fever, conjunctivitis, eczema, hives, food allergies etc.Severe liver failure, known allergy etc.Headaches, feeling tired / drowsy, nausea etc.

Teva Uk Ltd (2016).
LosartanHigh blood pressure and heart failure, to protect kidneys if you have kidney disease and diabetes.Allergic reaction, low blood pressure.Anaemia, hypoglycaemia, postural disorders, vomiting and nausea etc.

APL Swift Services Ltd
(2018).
MebeverineRelief of IBS, is anti-spasmodic and relaxes muscles around the gut.Paralytic ileus.Rashes but rare.

Mylan Products Ltd (2016).
MetforminFor treating Type 2 diabetes, lowers blood sugars, improves how the body uses insulin.Hypersensitivity, chronic heart failure,
Severe renal disease.
Nausea, loss of appetite, metallic taste in mouth, diarrhoea etc.

Consilient Health ltd (2010).
NicorandilUsed to prevent and treat Angina chest pain. Increases blood flow to the heart.Hypotension, heart failure, kidney problems, pulmonary oedema etc.Headaches, weak / dizziness, nausea, hypotension etc.

Dexcel Pharma Ltd (2016).
NitrofurantoinAntibiotic for UTIs and kidney infectionsDiabetes, kidney disease, anaemia & vitamin B deficiencyNausea, headaches, appetite loss, etc.

Mercury Pharmaceuticals Ltd (2019).
OdansetronSleeping tablet to treat insomnia.Allergic reaction, liver or kidney problems, myasthenia (muscle weakness) etc.Headaches, fatigue, dizziness, constipation etc.


Cadila Pharmaceuticals Ltd (2019).
OmeprozoleAcid reduction in stomach, for indigestion, heart burn, acid reflux.Medication allergy.Nausea, constipation, stomach pain etc.

AstraZenecar Ltd (2017).
ParacetamolTreats pain & fever / pyrexiaKnown allergy, Patients-50kg – 500mg. Above 50kg can take 1g. Do not exceed daily dose.Nausea, vomiting and constipation.


Galpharm Healthcare Ltd (2019).
PrednisoloneA corticosteroid – for allergies, skin infections / disorders, blood disorders.Infections, breast feeding, pregnancy,Stomach issues, insomnia, increased restlessness etc.

Co-pharma (2017).
ProzacRestores chemical imbalance in the brain to reduce depression, anxiety or OCD.Drug allergy, suicidal thoughts must be closely monitored may need medication review.Fidgety, restlessness, anxiety, diarrhoea, headaches, irregular heart rate etc.

Accord (2019).
PregabalinFor nerve pain, epilepsy, anxiety.Medicine addiction, allergic reaction, pregnant, breast feeding, poor kidney function etc.Headaches, sleepiness, diarrhoea, increased appetite.

Generics (UK) Ltd (2018).
Quinine SulphateNocturnal leg cramps & Malaria.Optic neuritis, tinnitus, Haemoglobinuria.Abdominal pain, hearing loss, skin reactions etc.

Wockhardt UK Ltd (2018).
Rivaroxaban
For treating / preventing blood clots in certain patients with AF. Initial treatment of DVT, pulmonary embolism.Drug allergy, kidney problems caused by liver disease, liver problems, brain surgery, TIA etc.Mild bleeding, allergic reaction, black / tarry stools, shortness of breath, headaches, chest pain, fatigue etc.

Bayer AG (2019).
RivastigmineImproves function of nerve cells to the brain. Used to treat dementia.Known allergy, comes as a tablet or patch. If allergic to patch must not take oral.Nausea, vomiting, dizziness, headaches, abdominal pain, depression.

Rosemount Pharmaceuticals Ltd (2019).
RanolozineChronic angina (chest pain), improves blood flow to the heart.Medication allergy,
hypotension etc.
Constipation, dizziness, nausea, light headedness etc.

Menarini International (2017).
RamiprilUsed to treat high blood pressure and heart failure. Often prescribed following a heart attack. Helps to prevent strokes / heart attacks and kidney problems. Medication allergy,
hypotension etc.
Pregnant, can cause low blood sugars so diabetics need to regularly check BMs.
Dry irritating cough, dizziness, light headedness, hypotension etc.

Crescent Pharma (2018).
SimvastatinTo lower cholesterol I you have been diagnosed with high blood pressure. Prevents heart disease and strokes.Drug allergy, do not take with grapefruit,
Pregnancy.
Very few side-effects.
Hypersensitivity.

Crescent Pharma (2018).
SpirolactoneFluid retention, oedema in heart failure, Reduces salt absorption & maintains potassium levels.Drug allergy, hypotension etc.Irregular heartbeat, dizziness, constipation, headaches, nausea etc.

Accord (2020).
StemitilCorrects chemical imbalances in the brain which in turn helps to prevent nausea and vomiting.Adrenal tumour, dementia patients as can increase stroke risk, breast feeding as can be passed on to the infant etc.Low bp, dizziness, drowsiness, dry mouth, skin rashes, shaking / twitching etc.

Sanofi (2015).
TamsulosinReduces tension in the smooth muscle of the prostate & urethra, allowing Severe liver function, hypersensitivity, postural hypotension etc.Constipation, nausea, rash, weakness, vomiting etc.

Actavis (2017).
Trajenta (Linagliptin)To treat Type 2 diabetes mellitusMedication allergy, pancreatic problems.Headaches, nausea, joint pain, back pain etc.

Boehinger Ingelheim (2019).
TramadolTreats moderate to severe pain.Allergic reaction, suffer with seizures, kidney / liver problems etc.Unpleasant withdrawal symptoms, tiredness, drowsiness etc.

Milpharm Ltd (2018).
WarfarinAnticoagulant: used to treat blood clots and DVTs, pulmonary embolism and stroke prevention in those with AF.High INR, pregnancy, high blood pressure.Heavier bleeding, joint pain & swelling, red / brown coloured urine, black / bloody stool.

Sun Pharmaceutical (2019).
ZopicloneSleeping tablet to treat insomnia.Allergic reaction, liver and kidney problems, myasthenia gravis (muscle weakness) etc.Metallic taste in the mouth, dry mouth, daytime sleepiness.

Merkle GmbH, Graf-Arco Strase (2018).

 

References.

Accord Healthcare Ltd, (2017) Amiodarone 100mg Tablets, Amiodarone 200mg Tablets (Amiodarone Hydrochloride) [Leaflet]. North Harrow: Accord Healthcare Ltd.

Accord Healthcare Ltd, (2019) Colchicine Tiofarma 500 mcg Tablets [Leaflet]. North Harrow: Accord Heathcare Ltd.

Accord Healthcare Ltd, (2019) Eplenerone 25mg film-coated tablets, Eplenerone 50mg film-coated tablets [Leaflet]. North Harrow: Accord Healthcare Ltd.

Accord, (2020) Bendroflumethiazide 2.5mg and 5mg Tablets [Leaflet]. Barnstable: Accord.

Accord, (2018) Digoxin 62.5 mcgs, 125 mcgs and 250 mcgs tablets [Leaflet]. Barnstable: Accord.

Accord, (2019) Prozac Fluoxatine 20mg Capsules (Fluoxatine Hydrochloride) [Leaflet]. Barnstable: Accord.

Accord, (2020) Spirolactone 25mg, 50mg and 100mg tablets [Leaflet]. Barnstaple: Accord.

Actavis, (2018) Amlodipine 5mg and 10mg tablets Amlodipine mesilate monohydrate [Leaflet]. Barnstaple: Actavis.

Actavis, (2019) Ferrous Sulfate 200mg tablets [Leaflet]. Barnstaple: Actavis.

Actavis, (2018) Levothyroxine 50 micrograms and 100 micrograms tablets [Leaflet]. Barnstable: Actavis.

Actavis, (2017) Lisinopril 2.5mg, 5mg, 10mg and 20mg tablets [2017]. Barnstaple: Actavis.

Actavis, (2017) Pamsvax XL 400 micrograms Capsules tamsulosin hydrochloride [Leaflet]. Hafnarfjour: Actavis.

APL Swift Services (Malta) Ltd, (2018) Losartan potassium 25mg film-coated tablets [Leaflet]. Birzobuggia: APL Swift Services (Malta) Ltd.

Aspar Pharmaceuticals Ltd, (2018) Aspirin Tablets 300mg [Leaflet]. London: Aspar Pharmaceuticals Ltd.

AstraZeneca UK Ltd, (2017) Losec MUPS 10mg gastrointestinal tablets / 20mg gastrointestinal tablets / 40mg gastrointestinal tablets omeprazole [Leaflet]. Luton: AstraZeneca Ltd.

Aurobindo Pharma Ltd, (2017) Citalopram 10mg film-coated tablets Citalopram 20mg, Citalopram 40mg [Leaflet]. South Ruislip: Aurobindo Pharma Ltd.

Aurobindo Pharma Ltd, (2020) Naproxen Tablets BP 250 mg Naproxen Tablets 500 BP mg [Leaflet]. South Ruislip: Aurobindo Pharma Ltd.

Bayer AG, (2019) Xeralto 10mg film-coated tablets rivaroxaban [Leaflet]. Leverkusan: Bayer AG.

Boehringer Ingelheim International GmbH, (2019) Trajenta 5mg film-coated tablets Linagliptin [Leaflet]. Rhein: Boehinger Ingelheim International GmbH.

Bristol Laboratories Ltd, (2018) Doxazosin 1mg, 2mg and 4mg [Leaflet]. Berkhampsted: Bristol Laboratories Ltd.

Bristol-Myers, (2019) Eliquis 2.5mg film coated tablets apixaban [Leaflet]. Dublin: Bristol-Myers Squibb/Pfizer EEIG.

Brown and Burk UK, (2017) Gabapentin Brown and Burk 100mg Capsules [Leaflet]. Middlesex: Brown and Burk Ltd.

Cadila Pharmaceuticals (Europe) Ltd, (2019) Odansetron 4mg and 8mg Tablets [Leaflet]. Harrow: Cadila Pharmaceuticals (Europe) Ltd.

Cipla (EU) Ltd, (2018) Finasteride 5mg film coated tablets [Leaflet]. Surry: Cipla (EU) Ltd.

Co-pharma, (2019) Predisolone Tablets BP 1mg and 5mg [Leaflet]. Watford: Co-pharma.

Consilient Health Ltd, (2010) Glucient SR 500mg prolonged-release tablets metformin hydrochloride [Leaflet]. Dublin: Consilient Health Ltd.

Crescent Pharma Ltd, (2019) Amitriptyline Tablets 25mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2016) Atenolol Tablets 25mg, 50mg, and 100mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2016) Furosemide Tablets 20mg and 40mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2018) Folic Acid 5mg Tablets [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2019) Haloperidol Tablets 0.5mg, 1.5mg. 5mg, 10mg, and 20mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2018) Ramipril 1.25mg, 2.5 mg.5mg.and 10 mg [Leaflet]. Overton: Crescent Pharma Ltd.

Crescent Pharma Ltd, (2018) Simvastatin 10mg, 20mg & 40mg [Leaflet]. Overton: Crescent Pharma Ltd.

Daiichi Sankyo UK Ltd, (2019) Lixiana 15mg, Lixiana 30mg, Lixiana 60mg film coated tablets [Leaflet]. Plaffenhofen: Daiichi Sankyo Europe GmbH.

Dexcel Pharma Ltd, (2016) Nicorandil 10mg Tablets & Nicorandil 20mg [Leaflet]. Daventry: Dexcel Pharma Ltd.

Dexcel Pharma Ltd, (2019) Risperidone 0.5mg, 1mg, 2mg, 3mg, 4mg, 6mg Film-coated [Leaflet]. Daventry: Dexcel Pharma Ltd.

Fannin (UK) Ltd, (2020) Cetirizine Hydrochloride 5mg Tablets [Leaflet]. Wellingborough: Faninn (UK) Ltd.

Galpharm Healthcare Ltd, (2019) Paracetamol 500mg Tablets [Leaflet]. Braunton: Galpharm Healthcare Ltd.

Generics UK Ltd, (2018) Alendronic Acid 70mg Tablets sodium alendronate [Leaflet]. Potters Bar: Generics UK Ltd.

Generics UK Ltd, (2018) Pregabalin Mylan 25mg hard capsules [Leaflet]. Potters Bar: Generics UK Ltd.

Genethics Europe Ltd, (2018) Lorazepam 1mg and 2.5mg Tablets [Leaflet]. Nicosia: Genethics Europe Ltd.

Kyowa Kinn Ltd, (2017) Adacal –D3 Chewable Tablets Calcium carbonate (1500) and vitamin D3 (400I.U) [Leaflet}. Kyowa Kinn Ltd.

Menarini International, (2016) Renexa 375mg prolonged release, 500 prolonged release, 750 prolonged release Ranolazine [Leaflet]. Luxambourg: Menarini International.

Merkle GmbH,Ludwig-Merkle-Strasse, (2018) Zopliclone 3.75 mg, 7.5mg Tablets [Leaflet]. Blaubaran: Merkle GmbH.Ludwig-Merkle-Strasse.

Mercury Pharmaceuticals Ltd, (2015) Ferrous Fumarate 210mg Tablets [Leaflet]. London: Mercury Pharmaceuticals Ltd.

Mercury Pharmaceuticals Ltd, (2019) Macrobid 100mg Prolonged-release Capsules Nitrofurantoin [Leaflet]. London: Mercury Pharmaceuticals Ltd.

Mercury Pharmaceuticals Ltd, (2018) Zapain 30mg, 500mg Tablets Codeine Phosphate / Paracetamol [Leaflet]. London: Mercury Pharmaceuticals Ltd.

Milpharm Ltd, (2019) Amoxicillin 250mg Capsules and Amoxicillin 500mg Capsules (Amoxicillin) [Leaflet]. South Ruislip:

Milpharm Ltd, (2017) Carvedilol 3.125mg, Carvedilol 6.25mg, Carvedilol 12.5mg, Carvedilol 25mg film-coated [Leaflet]. South Ruislip: Milpharm Ltd.Ltd.

Milpharm Ltd, (2018) Co-amoxiclav 500mg/125mg film-coated tablets (Amoxicillin / Clavulanic acid) [Leaflet]. South Ruislip: Milpharm Ltd.

Milpharm Ltd, (2017) Gliclazide 80mg Tablets (gliclazide) [Leaflet]. South Ruislip: Milpharm Ltd.

Milpharm Ltd, (2017) Flucloxacilllin 250mg Capsules BP, Flucloxacillin 500mg Tablets [Leaflet]. South Ruislip: Milpharm Ltd.

Milpharm Ltd, (2018) Tramadol 50mg capsules Tramadol hydrochloride [Leaflet]. South Ruislip: Milpharm Ltd.

Mylan Products Ltd, (2016) Colofac Tablets 135mg Mebeverine hydrochloride [Leaflet]. Potters Bar: Mylan Products Ltd.

Noumed Life Sciences Ltd, (2018) Ranitidine 150mg Tablets, Ranitidine 300mg Tablets (ranitidine hydrochloride) [Leaflet]. Maidenhead: Noumaed Life Sciences Ltd.

Pfizer Ltd, (2015) Deltaparin Fragmin 10,000 IU/0.4 ml, 12,500 IU/0.5ml [Leaflet]. Kent: Pfizer Ltd.

Pfizer Ltd, (2019) Atorvastatin 10mg, 20mg, 40mg & 80mg film-coated tablets [Leaflet]. Kent: Pfizer Ltd.

PLIVA Pharma Ltd, (2017) Lansoprazole 15mg gastro-resistant tablets, Lansoprazole 30mg gastro-resistant tablets [Leaflet]. Castleford: PLIVA Pharma Ltd.

Relonchem Ltd, (2016) Relosorb XL 60mg Tablets Isosorbide 5-momnitrate [Leaflet]. Widnes: Relonchem Ltd.

Rosemont Pharmaceuticals Ltd, (2019)  Rivastigmine Rosemont 2mg/mL Oral Solution [Leaflet]. Leeds: Rosemont Pharmaceuticals Ltd.

Sandoz Ltd, (2019) Bisoprolol Fumarate 1.25mg, 2.5mg, 3.75mg and 7.5mg Film coated Tablets [Leaflet]. Camberley: Sandoz Ltd.

Sanofi, (2019) Buscopan 10mg tablets (hyoscine butylbromide) [Leaflet]. Guildford: Sanofi.

Sanofi, (2018) Tildiem 60mg Modified-Release Tablets Diltiazem hydrochloride [Leaflet]. Guildford: Sanofi.

Sanofi, (2015) Stemetil 5mg Tablets prochlorperazine maleate [Leaflet]. Guildford: Sanofi.

Swiss Caps GmbH, (2019) Fultium-D3 800 IU Capsules (Coleraciferol) [Leaflet]. Huddersfield: Internis Pharmaceuticals Ltd.

Sun Pharmaceuticals Ltd, (2019) Warfarin 0.5,1,3 and 5mg Tablets (Warfarin Sodium) [Leaflet]. Hoofddorp: Sun Pharmaceuticals Ltd.

TEVA UK Ltd, (2019) Allopurinol 100 and 300mg tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

TEVA UK Ltd, (2016) Baclofen 10mg Tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

TEVA UK Ltd, (2018) Bumetanide 1mg and 5mg Tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

TEVA UL Ltd, (2019) Diazepam 2mg, 5mg, and 10mg Tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

TEVA UK Ltd, (2016) Loratadine 10 mg Tablets [Leaflet]. Eastbourne: TEVA UK Ltd.

Trotwood Pharma Ltd, (2017) Dexamethasone 500mcg Dexamethasone 2mg Tablets [Leaflet]. Odiham: Trotwood Pharma Ltd.

Wockhardt UK Ltd, (2020) Codeine Phosphate 15mg and 30mg Tablets [Leaflet]. Wrexham: Wockhardt Uk Ltd.

Wockhardt UK Ltd, (2018) Quinine Sulfate 300mg Coated Tablets [Leaflet]. Wrexham: Wockhardt UK Ltd.

Up to 80% of the population are estimated to need the services of either an NHS or private podiatrist at some stage of their life, to deal with health problems of the feet. Whilst parts of the profession have continued to provide urgent emergency treatments during the current pandemic, podiatry now has to work out new methods of returning to its additional roles of regular preventative care for the many millions of people, including many  vulnerable people such as diabetics, who need such care every year. Podiatrist Martin Harvey, chief executive of the national professional body the Institute of Chiropodists and Podiatrists said; “our members face the challenge that in order to work on peoples feet we are certainly not socially distant, so we have had to implement and develop new systems of working giving the maximum possibly safety to patient and podiatrist alike. Let me reassure the public that as regulated Health Professionals we are ensuring that we adhere to the highest possible standards of personal protection equipment and your feet are as safe as we can possibly make them in our hands. Members of the public can see the detailed guidance available to our members on the Institutes website https://www.iop-uk.org

Dear members,

We have sourced some protective visors for your use. The visors are being printed by students in Hertfordshire using 3D printers. The students are creating the visors for frontline staff who cannot obtain, afford and/or access PPE.

The Institute of Chiropodists and Podiatrists, as well as The College of Foot Health, are proud to support the students efforts by covering costs of materials. Please note the visors available via The Institute are being sold on at cost price and no profit is being made by either us or the students involved.

Alternative visors and PPE equipment is available via our trusted trade partners as set out in May newsletter.

If you would like to order a pack of 10 visors, cost £10 per pack, and help support the students efforts please email info@iop-uk.org

Stay Safe.

The Institute of Chiropodists and Podiatrists Position Statement

 

 Since the lockdown began, Chiropody and Podiatry services have been exempt from premises closure and it may be reasonable to assume that exemption holds for domiciliary treatments as well. We have attempted to help members with our suggested ‘traffic light’ system of stop, proceed with caution and go, whilst advising that all specific laws concerning COVID-19 should be rigidly adhered to. We have also advised members of the College of Foot Health to adhere to these standards as well. The Prime Minister’s announcement, asking people where possible to return to work, does not appear to materially change the caution that we advise members to exercise, as they will naturally be treating patients within a closer proximity than social distancing stipulates. We still regard it as essential that you have the PPE documented by Gov.uk regarding: ‘COVID-19: how to work safely in domiciliary care in England‘ and also ‘Guidance on the use of personal protective equipment (PPE) for non-aerosol generating procedures (APGs)‘ as well as ‘COVID-19: personal protective equipment use for aerosol generating procedures‘  Please note that we are unable to confirm that any form of drilling, be that unfiltered, vacuum or spray is NOT an ‘aerosol generating procedure’ due to variations in drills, their technology and patients personal hygiene and other  situation-specific variable factors. Note the dictionary definition: “An aerosol (abbreviation of “aero-solution”) is a suspension of fine solid particles or liquid droplets in air or another gas. Aerosols can be natural or anthropogenic. Examples of natural aerosols are fog, mist, dust, forest exudates and geyser steam”

In short, please follow the newly revised official dictum of “Stay Alert. Control The Virus. Save Lives”

 

All members of the Institute of Chiropodists and Podiatrists (IOCP) and College of Foot Health can now access eIntegrity’s e-learning resources to support their professional development.

Members can use the Statutory and Mandatory Training, Dementia e-Learning Programme and Antimicrobial Resistance learning sessions. The programmes have been chosen for their relevance to practitioners in the IOCP – which represents HCPC[1]-registered podiatrists, podiatric surgeons and chiropodists in the UK.

Beverley Wright, Vice-Chair of the Board of Education, from the IOCP, said: “We’re pleased to offer these three programmes as a free benefit to our members, as part of our commitment to them.

“The practice of health and social care is built on effective communication and the ability to problem solve. This can be achieved remotely via distance learning programmes, such as eIntegrity’s, to develop our members’ understanding of statutory and mandatory content on Government and health guidelines, rules and regulations, and to facilitate professional development. It provides a foundation for all working aspects of our members’ practice.

“In today’s society there are a number of aspects that underpin health and social care, where continued professional development (CPD) is required and needs to be considered when delivering care. These CPD resources help equip members with the knowledge and understanding of key health issues, focusing on the main conditions prevalent in our society today.”

Richard Bryant, from eIntegrity, said: “We are delighted to make our e-learning available to the institute. Now, more than ever, we know that health and care professionals are finding our e-learning resources invaluable to support their development.

“We look forward to building on our relationship with the institute in the longer term and finding out how best we can support their members.”

[1] Health and Care Professions Council

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