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Monday 8:30am - 5pm Thursday 9am - 5pm

Kann Foot Surgery, Phoenix Hospital Chelmsford, West Hanningfield Road, Chelmsford (2026)

06/01/2026

From 2026, my clinical work will be exclusively in private practice.

My focus will continue on foot and ankle care, alongside a small number of parallel professional strands including medico legal work, and international clinical and academic collaborations.

More to follow in due course.

28/11/2025

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A key part of elective recovery is increasing access to timely, safe and effective surgical care while reducing pressure on acute hospitals.

Podiatric surgery is already delivering exactly that.

Across the UK, podiatric surgery provides a high-volume, day-case model for foot and ankle procedures supporting faster access to treatment, earlier intervention and improved patient outcomes. Most procedures are wide awake, avoid hospital admission and are delivered in high-quality local surgical environments.

Recent service evaluations and national data show that podiatric surgery contributes directly to elective recovery:

• RTT reduced to as little as 4 weeks
• Capacity freed by dedicated podiatric surgery–led pathways
• 100% same-day discharge using regional anaesthesia
• Lower complications and unplanned admissions
• Fewer repeat attendances and reduced wound burden
• Community-based surgery, closer to home
• PASCOM patient satisfaction consistently above 90%
• Near-zero 30-day readmission rates

This is a model that improves outcomes for patients and creates meaningful system capacity at a time when the NHS needs it most.

As pressures on planned care continue, podiatric surgery provides a mature, standards-led and evidence-based approach that supports elective recovery, strengthens local pathways and delivers high-value surgical care across the NHS.

27/11/2025

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Podiatric surgery continues to build a strong and growing research base that informs clinical decision-making, strengthens governance, and improves patient care across the UK.

Over recent months, podiatric surgeons have contributed to research, systematic reviews, service evaluations, case series, and audits presenting data in journals and presenting at national conferences covering areas such as:

• elective foot and ankle surgery outcomes
• diabetic limb salvage and amputation reduction
• minimally invasive bunion surgery
• patient-reported outcomes
• service redesign, pathway improvement and value-based care
• peri-operative management of surgical patients

This research is not academic for its own sake. It shapes real-world practice:

• supports commissioning decisions
• strengthens business cases
• informs training and supervision
• improves safety and consistency
• drives innovation in surgical delivery
• enhances public and professional understanding

A research-active specialty is a credible specialty. Podiatric surgery is doing exactly that: generating new knowledge, publishing meaningful data and helping shape the future of foot and ankle care across the NHS.

If you are a commissioner, clinician, policymaker or colleague from another field, I hope this highlights a snapshot of the academic strength that underpins podiatric surgical practice today.

26/11/2025

The UK Budget was announced today at 12:30. It is a day focused on NHS investment, efficiency and value.
It’s an important moment to highlight a part of the health system already delivering all three: podiatric surgery.

Across the UK, podiatric surgery helps people walk again without pain, return to work and daily life, avoid hospital admissions, and prevent serious complications. Most procedures are day-case, wide-awake and delivered close to home.

The impact is real:

• Improved mobility and independence
• Prevention of deterioration, ulceration and crisis care
• Fewer emergency presentations
• Up to 50% reduction in major amputations in optimised pathways
• Ulcer-healing times shortened by 30–50%
• 94.6% patient satisfaction at 6+ months (PASCOM)

And the system benefits are significant:

• 100% same-day discharge with regional anaesthesia
• RTT reduced to 4 weeks in integrated pathways
• Community surgical models delivering 47% cost savings
• £226k annual savings per high-risk cohort
• £1.5m–£2.1m savings per 1,000 patients from earlier intervention

These outcomes are delivered by HCPC-annotated AHP consultant podiatric surgeons providing safe, high-value care across both community and hospital settings.

On a day centred on public spending and NHS priorities, this is a reminder of what podiatric surgery delivers every single day: better access, better outcomes and better value for the health system.

25/11/2025

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Last week at the national conference in Glasgow, we reflected on the progress, maturity and direction of the

One key message stood out:

Podiatric surgery exists for a clear purpose: to provide timely, safe and effective management and surgical care for people with foot and ankle conditions.

What many people don’t see is the depth of professional structure that underpins this work.

The images here show a selection of the formal documents that shape our specialty, including training pathways, governance, standards of practice, service design, appraisal and public information. Alongside these sit the requirements of our national regulator, the HCPC, covering standards for proficiency, conduct, performance and ethics, prescribing, CPD, and the nineteen additional standards for those annotated to practise podiatric surgery.

These frameworks reflect a specialty that is:

• standards led
• governance focused
• audited and regulated
• aligned with national NHS priorities
• committed to training, education and safe surgical practice

Podiatric surgery has matured over more than fifty years into a well-defined, AHP consultant-led surgical field delivered in both community and hospital settings. It continues to support elective recovery, limb preservation and improved access to timely care.

Our aim is simple: to increase understanding, strengthen awareness and showcase the work carried out every day across the UK.

Whatever your role, patient, commissioner, clinician, educator, policymaker or colleague from another specialty, I hope this offers a clear view of the breadth of frameworks and standards that underpin podiatric surgery and guide our practice.

For more information: contact@rcpod.org.uk

14/11/2025

Positive patient feedback is always appreciated, and I’m grateful to the patient who shared these kind words following their recent treatment at Phoenix Hospital Chelmsford.

I’m fortunate to work with a team that prioritises clear communication, timely care and a supportive patient journey from first consultation, to full recovery. Thank you to our nursing, admin and theatre colleagues who make this possible.

And thank you to the patient’s podiatrist for the referral and collaborative working across our profession which makes a real difference to outcomes.

kannfootsurgery.com
enquiries@kannfootsurgery.com
07808 643950

29/10/2025

The NHS’s next decade must be defined by prevention, mobility, and community-based care — and podiatry sits right at the centre of that.

More than 80% of amputations could be prevented with timely, coordinated podiatry. Investing in foot and lower limb health isn’t optional, it’s critical to delivering a prevention-first NHS.

Integrating consultant podiatric surgeons into community clinics cuts waiting times, improves outcomes, and reduces hospital costs; proof that surgery delivered closer to home isn’t just effective medicine, it’s smart system design.

An excellent feature in The New Statesman highlighting why podiatry and podiatric surgery are essential to the NHS’s future.

27/10/2025

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Thrilled to share that our abstract and poster was selected among the Top-Scoring Abstracts at DFCon25 (from more than 100 international submissions) in Anaheim, CA.

Our full manuscript “Factors Influencing Major Amputation and Death Following Limb Salvage Surgery in a Diabetic Population: Systematic Review and Real-World Comparison” is available open access in Complications (MDPI).

This research synthesises evidence from 49 international studies alongside real-world data from the Mid Essex Diabetes Amputation Reduction Plan (MEDARP, UK).

Findings show that structured multidisciplinary “Toe and Flow” models can reduce major amputation rates to 6.9 % and mortality to 12.5 %, both at or below international averages for diabetic limb-salvage surgery.

Read the full paper: visit the linktree link in my bio

24/10/2025

We present a systematic review of 49 studies (2020–2025) plus a UK NHS programme which reveals why some diabetic foot surgeries fail and how teamwork can change things for the better.

Patients with kidney failure (ESRD), poor circulation (PAD), or severe infections face higher risks of amputation or death after limb salvage surgery. Identifying these high-risk patients early is crucial.

A multidisciplinary team (MDT) approach eg vascular surgeons + podiatrists/podiatric surgeons + diabetes specialists working together, dramatically lowers amputations and can improve survival. The Toe and Flow model works.

Real-world: In our NHS “MEDARP” programme (72 high-risk patients) ~7% needed a major amputation and ~12% passed away of all cause mortality. These rates are better than the expectation, and the majority of patients said they felt and functioned better after treatment using MOXFQ and MSK HQ proms.

Bottom line: A team-based approach to diabetic foot care can save limbs and lives. This study supports expanding MDT clinics and calls for standardising how we define and track outcomes.

Check the linktree link in my bio for the full paper.

22/10/2025

Thrilled to post that our latest publication is out today in Complications (MDPI)
Our systematic review of 49 studies + real-world NHS data (MEDARP) highlights the risk factors driving major amputation and death after diabetic limb-salvage surgery and the value of MDT “Toe and Flow” care.

Key findings
• Renal & cardiovascular disease = strongest predictors
• MDT models ↓ amputation & ↑ survival
• Real-world MDT approach with vascular, podiatry and podiatric surgery (NHS UK): 6.9 % major amputation, 12.5 % all cause mortality
→ Standardised reporting needed to strengthen global evidence.

Huge thanks to all our co-authors and collaborators across the UK & US

22/10/2025

Arriving in New England as the autumn colours begin to turn has been a privilege in itself. The first 24 hours at Quinnipiac University have been full and rewarding, beginning with an early morning campus tour across the Schools of Medicine and Law, taking in the impressive facilities, including a 50-table cadaver lab and state-of-the-art teaching spaces. I was able to meet senior faculty and sit in on their meeting reviewing elements of the MD curriculum and educational programme objectives, an excellent opportunity to hear perspectives and learn more about the structure of medical education in the U.S.

Honoured to make the assistant professor role official with a QU faculty ID and spend the day working and discussing ongoing collaborative education ideas, research and systematic reviews, before finding time for a run around the beautiful lakes of Berlin, CT.

The day closed with dinner alongside our medical student research fellows, who’ve made outstanding contributions to our systematic review projects. It’s been a pleasure to see their growth and enthusiasm, and I look forward to following their future successes through medical school and beyond.

Here for another morning before heading west to Los Angeles tomorrow. Very grateful for the hospitality and academic exchange at Quinnipiac University.

09/08/2025

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Nearly there with these two major systematic reviews in foot & ankle surgery which are registered with PROSPERO

🦶 1. Complications Following Foot & Ankle Surgery
Looking at how often they happen, why they happen, and how they affect recovery & quality of life.
🔗 https://www.crd.york.ac.uk/PROSPERO/view/CRD420251035192

🦶 2. Amputation & Mortality in Diabetic Limb Salvage Surgery
Identifying risk factors so we can improve prevention and intervention.
🔗 https://www.crd.york.ac.uk/PROSPERO/view/CRD420251044859

Both reviews will be submitted for peer-reviewed journal publication by the end of the summer. Links to the Prospero files are in linktree in bio

A huge thank you to the amazing team:
Douglas McHugh • Lia Spencer • Kit Ferguson • Connor Phillips • Sifat Alam • Richard Feinn

Kann Foot Surgery

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