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What Orthotics can do for patients

In February 2024, we had an opportunity to present a patient story to the board which highlights the work of the Orthotic Service within NHSGGC.

Firstly, we hear from Nikki Munro, Clinical Lead and Service Manager who explains the role and remit of the Adult Orthotic Service. Following on from Nikki, we hear from Laura who is an Advanced Specialist Orthotist and the MSK Team Lead for Orthotics. We then meet Frances who had an accident at work which resulted in difficulties with walking. 

This video demonstrates how the Orthotic Team and Frances worked together to help her achieve her goals including dancing.

More Information on NHSGGC Orthotics

Information for Colleagues

If you work in NHSGGC, further information on our service and how to refer into this can be found through Staffnet Hub ‘Orthotics’ page.

Poor diet and an unhealthy weight are two of the main contributors to poor health in the NHS Greater Glasgow and Clyde area and seen throughout our lifecycle. 

The Scottish Dietary Goals were established 20 years ago to set the direction of a healthy diet to reduce the burden of obesity and diet-related disease. Unfortunately little progress has been made and we still consumes too much energy, saturated fat, sugar and salt and not enough fruit and vegetables, oil-rich fish and fibre. This poor diet is contributing to obesity.

We know that across NHSGGC: 

  • 22% of primary 1 children are overweight and obese
  • 16.9% of women and 9.2% of men aged 16-24 years old are obese
  • 65% of men and 59% of women aged 16-64+ years old are overweight and obese. 

Obesity and poor diet exist across the population but inequalities exist with diet and obesity being particularly worst in our poorer communities.

What we’re doing to address these issues: 

NHSGGC are committed to addressing poor diet and weight issues by working with our partner organisations to provide programmes supporting healthier choices such as:

The role of the maternity, children and public health team is to reduce inequalities and improve the heath and wellbeing of children, young people and pregnant women by providing strategic, evidence based advice and guidance enabling the delivery of high quality services.

Core Team Members

  •     Catriona Milosevic, Consultant in Public Health Medicine
  •     Heather Jarvie, Programme Manager
  •     Debbie Schofield, Programme Manager
  •     Marc Conroy, Health Improvement Lead
  •     Support for data analysis is provided by Paul Burton

Team Vision

To improve the health and wellbeing of pregnant women, children and young people and their families.  To reduce inequalities within these groups and between these groups and the rest of the population.

Team Workplan

The key objectives within the workplan are to:

1.  Improve the health and wellbeing of pregnant women and their children across the antenatal and perinatal period and reduces inequalities within these groups and between these groups.

2.  Provide leadership to improve the health and wellbeing of children and young people and reduces inequalities within this population.

3.  Lead the creation and dissemination of surveillance and intelligence outputs form the Child Health suveillance system, EMIS web and other sources.

4.  Contribute to more effective network governance for the maternity and children’s agenda within NHSGGC and nationally.

5.  Develop and influence the implementation of the child safety and unintentional injury strategy for NHSGGC.

6.  Support professional practice by creating evidence to ensure that health visitor action targets better outcomes for children and families living in relative socio-economic deprivation.

7.  Lead the development of the child and maternal health and intelligence function within NHSGGC and at a regional level.

8.  Evaluate, report and act to reduce impact of relative poverty for children and families.

Contact

To contact the Maternal and Child Public Health Team please e-mail Emma.Kinghorn2@nhs.scot

Reports
Resources for staff
Local Child Poverty Action Reports

The Child Poverty (Scotland) Act 2017 places a duty on local authorities and regional health boards in Scotland to produce annual Local Child Poverty Action Reports (LCPARs) describing ongoing and planned action to tackle child poverty at local level. National guidance suggests that the LCPARs be developed collaboratively with local partners and that they bring about a ‘step change’ in action to tackle child poverty.

Local Child Poverty Action Reports 2020/21

The first round of Local Child Poverty Action Reports were published in June 2019 and are available below.

Local Child Poverty Action Reports

Local Child Poverty Action Reports Website Links

  • Glasgow City
  • East Dunbartonshire
  • West Dunbartonshire
  • East Renfrewshire
  • Renfrewshire
  • Inverclyde

Useful Resources and Websites

What is a Pressure Ulcer?

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Practice Based Learning in Podiatry

The Podiatry Service offers an innovative and soundly governed Practice Based Learning (PrBL) programme. We utilize a blended learning provision which is centred on a Peer Assisted Learning (PAL) model. We aim to engage students in a programme of meaningful clinical thinking with the objective of maximising their capabilities and confidence within clinical decision making whilst delivering optimal person centred care.  

Over the course of an academic year, we offer in excess of one thousand placement weeks. Placements are offered to both institutes in Scotland offering entry qualifications into Podiatry. There are currently two institutions offering Podiatry, Glasgow Caledonian University (GCU) and Queen Margaret University . Various options of study are available depending upon eligibility criteria being met.

As the primary PrBL provider for the GCU Podiatry programme, we host Level 1 to Level 4 students at the Department of Podiatry, Queen Elizabeth University Hospital (QEUH) throughout Trimester A and Trimester B which acts as our placement hub. Block placements occur during Trimester A, B and C within the single service seperate from our placement hub. 

Additionally, as the need for PrBL placements for all AHP professions increase, we aim to explore new and innovative methods of offering cross-profession PrBL opportunities through both face-to-face and digital platforms.  

The Podiatry Service works collaboratively with its academic colleagues ensuring alignment to learning outcomes with quality underpinning every placement hour. 

We are keen to hear the voice of the student and their experience at the end of each placement. Using a student-based audit enables an understanding of what worked and what didn’t to inform changes to the PrBL programme. 

Are you thinking about studying Podiatry and want to find out more? Consider joining our ‘Get Ready For’ programme.

Return to Practice in Podiatry

The Podiatry service offers an excellent opportunity for podiatrists who wish to return to podiatry practice and require to re-register with the Health and Care Professionals Council (HCPC). Our fully funded learning programme will support you in your return to practice. Candidates who successfully achieve registration will be eligible to apply for Band 5 posts within NHS Boards.

We offer a structured development opportunity to support and consolidate knowledge, skills and competence in supportive learning environments. Your individual learning and support framework will have full mentorship from our team of practice educators and practice development.

In this post you will:

  • Have the opportunity to provide podiatric care in a variety of clinical environments. You will be supported by your mentor using various supervisory methods.
  • Provide a high level of both palliative and corrective care as outlined in the agreed management plan.
  • Liaise with or referring to other Health Care Professionals (HCPs) or Agencies as appropriate.
  • Plan and organise own workload to ensure effective caseload management of a diverse range of patients

Knowledge, Experience and Qualifications

You must hold a BSc (Hons) Podiatry or Diploma in Podiatry and will be required to complete a period of supervised practice. The length of supervised practice will be detailed by the HCPC Returning to Practice Requirements. You will demonstrate the ability to work as part of a team. Evidence of prioritisation, planning and organisation of workload are essential.

Roles and Responsibilities

You will create a portfolio to showcase your learning and development.

Adapt your learning needs through reflective practice and feedback to develop professional knowledge and skills.

Read and understand the HCPC Standards of Proficiency.

We offer this opportunity on a fixed term basis and will accommodate the return to practice requirement of the applicant. There is flexibility across whole and part time working.

For initial discussion please contact Julie Braidwood on Julie.Braidwood@nhs.scot or Pamela Price on Pamela.Price@nhs.scot

The PREPARE Project

What is PREPARE?

The Pre Registration Podiatry: Accessible Recruitment & Employment (PREPARE) Project is an innovative approach to growing our workforce by enabling people into the profession of Podiatry. The service employs PREPARE trainees on an annex 21 basis to undertake a BSc (Hons) in Podiatry. PREPARE Trainees receive full employee benefits as per Agenda for Change terms and conditions. 

How does PREPARE work?

The Podiatry Service has an agreement with Glasgow Caledonian University (GCU) which has condensed the teaching timetable to three full days, instead of spreading it over five days. This is in line with student feedback across the institution and would benefit the student experience. There is no change to programme or module learning outcomes. PREPARE Trainees have dedicated time to engage within the academic content up to 3 days per week with the remaining 2 days being specified by service led duties. Trainees engage in service-led duties 5 days per week during non term time.  

Why is PREPARE needed?

Through widening access to those who are not able to leave full time employment to access adult learning opportunities we believe this novel approach to meeting the workforce challenges stands to safeguard frontline Podiatry services in NHSGGC for the intermediate and long term future. Investment in ‘Earn to Learn’ schemes enhance graduate capability by providing integration across service delivery which enables extensive clinical exposure, whilst undertaking graduate level study. 

Continuation of employment to a Band 5 Podiatrist is subject to successful completion of the BSc (Hons) Podiatry and Health & Care Profession Council (HCPC) registration. For the Health Board, these graduates will have extensive clinical experience, alongside a detailed knowledge of policies and procedures. The Podiatry service will employ PREPARE to 4 trainees per academic year from 2023 to 2027. 

What Next?

Are you thinking about studying Podiatry and want to find out more? Consider joining our ‘Get Ready For’ programme.

Hear from a PREPARE Trainee and their experience in the video below.

Podiatry patient consultations are delivered in a range of ways including
telephone, video and face to face. You will be asked for more information at
your first telephone call to best support your needs.  Please note, this
may not include face to face attendance.

Podiatry does not provide personal footcare. Please refer to the
personal footcare resource page for help.

Telephone

0800 592 087 OR 0141 347 8909

Monday to Friday 8.00am – 8.00pm Saturday 9.00am – 1.00pm

E-mail

E-mail: AHP.Appointments@ggc.scot.nhs.uk

Good footcare is important no matter what age you are. Well cared for feet can improve your comfort, mobility, confidence, independence and have an impact on your overall quality of life.

The video below is a useful way to learn how to manage your own footcare.

Looking after your feet

Do you need help to care for your own feet or would like to know more about how to help a relative or friend with their footcare?

Please click on this link to take you to NHS Inform where you will find lots of information and advice on personal footcare and footwear.

Local support for footcare

There are a small number of voluntary groups and charities that provide nail cutting services in local community settings.  Details of these will be added here very soon

Watch this interview with Bridie (aged 87). This is her experience of the attending a workshop on ‘how to look after your feet’ and some of the things she learned.

Here are some really useful diabetes resources to help you look after your feet made by health professionals from across the UK. There may be small differences in the care or services you receive in NHSGGC.

If you have any questions or concerns please get in touch with your podiatrist or healthcare professional. Details on how to contact are on the main page

The videos below have been produced to help those with diabetes look after their feet. A kind thank you to our colleagues in NHS Torbay & South Devon Podiatry for permission to share these videos. You can also click on this link to My diabetes My way for lots more helpful information about how to look after your feet

Diabetes: Low Risk

Diabetes: Moderate Risk

Diabetes: High Risk

Diabetes: Care of your foot ulcer

Ulceration

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