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Challenging medicine: how to influence the agenda in foot surgery

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Podiatric Surgery and <strong>the</strong> NHS<br />

DoH ‘Feet First’ document promoted podiatric <strong>surgery</strong> on grounds of<br />

evidence of effectiveness, cost, access, supply and demand issues<br />

(1994)<br />

1991-1993 RCS Commission on <strong>the</strong> Provision of Surgical Services<br />

Work<strong>in</strong>g Party on <strong>foot</strong> hospital services:<br />

“podiatrists with appropriate postgraduate tra<strong>in</strong><strong>in</strong>g (FPodA) will<br />

provide an ambula<strong>to</strong>ry <strong>foot</strong> <strong>surgery</strong> service encompass<strong>in</strong>g a range of<br />

procedures on structures distal <strong>to</strong> <strong>the</strong> malleoli…” (Report<br />

unpublished, m<strong>in</strong>ority report 1995)

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