Chamber and committees

This information is not held centrally.

The Scottish Executive has not conducted a survey of the research in this area. The outcomes of research of this nature will be reported in the professional literature. Chiropody and podiatry services are part of the range of services provided by Primary Care NHS trusts. It is for local NHS management to ensure that the provision of services is, where possible evidence based, and in accordance with good professional practice to secure improvements in health.

The Scottish Executive has not conducted a survey of the research in this area. The outcomes of research of this nature will be reported in the professional literature. Chiropody and podiatry services are part of the range of services provided by Primary Care NHS Trusts. It is for the NHS locally to make an assessment of the needs of the local population.

The information requested is not collected centrally.

The only information that is collected centrally on the cost of chiropody/podiatry services is the cost of an out-patient attendance at a clinic where the patient is seen by a chiropodist. The average cost of an attendance in 2000-01 was £19.

Information on the number of foot operations performed as in-patients or day cases in the speciality of orthopaedics since 1997-1998, by NHS board of residence, is provided in the following table. In that period, no surgical cases were recorded in the speciality Surgical Podiatry. Information on operations undertaken in an out-patient setting is not available centrally.The treatment of patients by a Podiatrist is generally undertaken in a primary care setting or at sessions at NHSScotland hospitals, clinics or other Health Service facilities staffed by Professions Allied to Medicine. Information on services provided by Professions Allied to Medicine is not collected centrally. NHSScotland: Number Of In-patient And Day Case Foot¹ Operations Performed By A Consultant In The Specialty Of Orthopaedics. Years Ending 31 March 1998-2001 And 6 Months to 30 September 2001

NHS Board	31 March 1998	31 March 1999	31 March 2000	31 March 2001	6 Months to 30 September 2001P
Argyll and Clyde	162	204	149	155	87
Ayrshire and Arran	193	187	160	189	58
Borders	27	44	47	55	25
Dumfries and Galloway	41	56	64	47	8
Fife	167	204	133	139	67
Forth Valley	105	108	93	116	45
Grampian	232	287	290	222	102
Greater Glasgow	303	305	325	272	117
Highland	68	99	90	89	36
Lanarkshire	195	214	186	166	68
Lothian	296	330	285	380	221
Orkney	5	8	1	3	1
Shetland	6	8	7	5	5
Tayside	258	233	209	170	85
Western Isles	7	8	11	3	1
Scotland	2,065	2,295	2,050	2,011	926

Source: ISD Scotland, SMR01.^p Provisional.Note:¹ Foot operations are defined as OPCS4 codes W03, W04 and W15 or any operation with a supplementary classification of 'site of operation' of Z79, Z80, and Z90.5.

Chiropody and podiatry services are part of the range of services provided by Primary Care NHS Trusts. It is for the NHS locally to make an assessment of the needs of the local population.

There are no plans to publish guidance of this nature. It is for the NHS locally to determine the range and level of services to be provided.

The following table shows the total number of patients treated by chiropodists and podiatrists over the five-year period 1996 to 2000. Number of Treatments by Chiropodists and Podiatrists in the NHS

Year	Number of Treatments
1996	467,044
1997	472,820
1998	480,161
1999	494,133
2000	485,959

The figures need to be interpreted with some care. They are based on the number of courses of treatment provided to patients. Some patients will receive more than one course of treatment during the year, and therefore the number of people receiving chiropody or podiatry treatment will be less than the total number of treatments provided. It is not possible to identify the number of patients who receive more than one course of chiropody or podiatry treatment, and therefore we cannot estimate the number and percentage of people in the population who have seen a chiropodist or podiatrist.

The Information and Statistics Division (ISD) of the Common Services Agency, NHSScotland has published a Health Briefing (2001): Community Chiropody Services which presents information on community chiropody and podiatry services in Scotland between 1990-99. The information relates to the number of patients treated, the number of treatments provided, place of treatment and chiropody staffing levels. Further statistical information on the provision of chiropody services is available from the ISD website.