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7 min readRead articleA podiatry clinic looks after feet, from sports injuries to diabetic wounds, usually with a very small team. Here is how to run the people side when each person matters.

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Share your requirementsA podiatry clinic treats problems of the feet and lower limbs: corns, nail conditions, heel pain, flat feet, sports injuries and, for people with diabetes, ulcers and wound care. Practices are small, often one or two podiatrists with an assistant and a front desk, and some work inside physiotherapy centres, diabetes clinics or hospitals. Services include orthotic insoles and footwear advice, which may involve scanning or casting and a small workshop or an outside supplier. Many patients are older, have limited mobility or live with diabetes and come back at regular intervals for dressings and checks. Podiatry is a smaller profession in India, so finding trained staff is slow. See also HR for healthcare. What makes HR different here is scarcity and scale: a clinic of three people has little cover, little career structure and a heavy dependence on one qualified person.
These are the places the people side of this kind of business tends to give way. The rest of this page works through them.
HR here has to work for each of these groups, not only the office. The set-up below is written with all of them in mind.
Few people hold the training, so a vacancy can sit open for months while a clinic cuts its hours or turns patients away.
With a single podiatrist, leave or illness closes the clinic, and there is no one to step in.
A patient with a diabetic ulcer returns often, and changes of clinician disrupt follow-up and risk missed signs of worsening.
Dressings and basic procedures slide to assistants over time, with no written view of what they may do and who checks.
Visits take longer for patients who need help to walk, undress or understand, and schedules built on short slots overrun.
Insoles and footwear bring income, but staff paid on sales may recommend products too readily.
Start with the topics that matter most here: HR Strategy and Workforce Planning; Recruitment and Talent Acquisition; Organisation Design. Then work through the rest. Each topic is written for healthcare, not in general.
How many people, in which roles, by when — and what they will cost.
Requisition to joining, the same way every time.
Structure, reporting lines and who is allowed to decide what.
A first day that is the same for the fifth joiner as the first.
Records, attendance, leave and the day-to-day HR that must simply work.
Salary structure, payroll inputs and a month that closes on time.
Goals, reviews and ratings that hold up in a conversation.
Training planned from need rather than from the calendar.
Named backups for the roles that cannot be vacant.
Communication, recognition and the conditions people actually work in.
Two routes — one for complaints, one for conduct — kept separate.
Policies a manager can apply, and obligations with owners and dates.
Induction, records, incident reporting and follow-through.
Who leaves, when, why — and which of them mattered.
Resignation to relieving letter, in a defined order.
Records that survive people, and approvals that do not queue.
A short monthly pack management actually reads.
An HR function that runs the same way every month.
The pieces a podiatry clinics business puts in place, in an order that makes each easier. Open any card for the detail.
A standing arrangement with a visiting or partner podiatrist for leave and illness, and a written way to tell patients when the clinic is closed or reduced.
What this coversHideA standing arrangement with a visiting or partner podiatrist for leave and illness, and a written way to tell patients when the clinic is closed or reduced. The fractional HR management model suits small clinics that lack a full-time HR person.
A shared record and a handover note so any clinician can pick up a dressing visit, plus a named person who contacts patients who miss a visit.
What this coversHideA shared record and a handover note so any clinician can pick up a dressing visit, plus a named person who contacts patients who miss a visit.
A list of tasks an assistant carries out alone, under supervision and not at all.
What this coversHideA list of tasks an assistant carries out alone, under supervision and not at all. The role design and job descriptions work puts it on paper.
Longer slots for wound care and older patients, shorter for routine nail care, built into the schedule so the day does not overrun.
What this coversHideLonger slots for wound care and older patients, shorter for routine nail care, built into the schedule so the day does not overrun.
Start early, widen to training a physiotherapist or nurse in foot care where appropriate, and use the recruitment process to keep a warm list of candidates.
What this coversHideStart early, widen to training a physiotherapist or nurse in foot care where appropriate, and use the recruitment process to keep a warm list of candidates.
Before changing anything, find out what is true today. These checks take an afternoon and tell you which of the topics above to start with.
Share your requirementsConfirm with a qualified professional. What applies to you depends on your business, your state and your arrangements, and it changes. This page describes practice. It does not state a legal position.
The services below fit this kind of business best. Each starts by recording where you stand, and every later report compares against that. We do not promise outcomes.
Part-time HR support for a clinic too small for an HR hire, covering hiring, documents and day-to-day questions.
Clear boundaries between podiatrist, nurse and assistant, with supervision written down.
A steady approach to finding scarce clinical staff, with a structured assessment and a candidate list kept warm.
A plan to train assistants and cross-train clinicians so the clinic can cover for absence.
Start with a free conversation, or see the paid HR Diagnostic.
Understand the hospital, its workforce, current processes and HR challenges.
Find the missing, weak, inconsistent or person-dependent processes.
Create the structure, processes, policies, SOPs, dashboards and systems needed.
Help HR and department managers actually adopt the new system.
Digitise repetitive and approval-based workflows where it is worth doing.
Track hiring, attendance, employee cost, performance, training and attrition.
Strengthen the people-management system continuously, not once.
From the GullyHR blog: one on HR in healthcare, and one on each of the topics this page points to.

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Arrange cover in advance with a visiting or partner clinician, and decide how patients are told when the clinic is closed. Without a plan, one absence stops your income.
Start the search early, keep a list of past candidates and consider training suitable nurses or physiotherapists in foot care. Offer a clear path for growth.
Set it down in writing with the clinician in charge: tasks done alone, under supervision and never. Review it each year as the clinic changes.
Name one person to track missed visits, keep notes that any clinician can read and book the next visit before the patient leaves.
It can work if the clinician decides what is needed and the reward does not push recommendations. Keep sales incentives small beside care measures.
We would talk through who treats patients if your podiatrist is away, what your assistants currently do, and whether appointment slots match how long wound care visits really take. A practical first step is a cover plan for a single-clinician clinic, or a short written list of assistant tasks. We agree the scope in writing afterwards, kept proportionate to a small team.
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