Toenail care services at health centres, which was previously offered to all senior citizens, is now only offered to those aged 75 years and over. However, a number of carers are being appointed to the local centres to offer the assistance to those below 75.

Earlier this year, as part of a cost cutting exercise, the method of packaging reusable instruments after sterilization was changed. The equipment used to trim nails started being stored in collections of 15 each package, rather than separately. In a press statement, The UHM, as well as the Association of Podiatrists (APM) said that this may potential cause a number of health hazards such as cross contamination of diseases, adding, that it is a breach of the professional code of ethics podiatrists are bound to follow when treating their patients. The association also noted that health centres do not have enough equipment available for routine toenail care.  As a result, the UHM ordered an industrial action for routine toenail care to be halted.

Following discussions with authorities, packaging methods were again changed. Podiatrists at health care centres are now offering the service to senior citizens aged 75 years and over, as well as those patients who require extra attention when it comes to toenail care, because of particular conditions such as diabetes. Any service which does not require the medical background of podiatrists is being carried out by carers.