1. QIPP Podiatry Decontamination Savings

2. History Cold sterilisation Boiling Autoclaving CSSD Disposables Single patient use

3. The Plan Research – literature search Involve staff Instrument manufacturers Check legalities with Control of Infection Ask patients for their views Management Team approval Commissioners approval

4. Governance Issues Patient selection – exemptions Risk – sharing, loss, RSI – assessments needed for all of these Replacement – who will fund?

5. Support and interest also gained from: LINK. Podiatry managers across the North West. A consultant in Public Health in Wigan who has written in BMJ about this Consultant in Communicable diseases District Control of Infection Committee Consultant in Pathology at the local lab’ The local commissioners Medical Director NHS Stockport Staff side / podiatry staff Chief Health Professions Officer

6. Expenditure 2009-2010 Cost of disposable packs for 54,000 treatments£226,000 12 month spend on nail surgery reprocessing£7,000 12 month spend on debridement packs£3,024 Total£236,024 2011-2012 Annual cost of patient nail nippers yr 1£34,000 Cost of disposable nail files£4,400 Cost of packs for at risk patients£35,400 Cost of disposable scalpels£6,000 Cost of disposable 'supplementaries'£12,000 Cost of disposable debridement packs£3024 Cost of reprocessing nail surgery packs£7,000 £101,824

7. Summary Compliance with DH guidance Green agenda Patient satisfaction Cost saving