The Royal Commission on the National Health Service in 1979 reported that about six and a half million NHS chiropody treatments were provided to just over one and a half million people in Great Britain in 1977, 19% more than three years earlier. Over 90% of patients receiving these treatments were aged 65 or over. At that time there were about 5,000 state registered chiropodists but only about two-thirds worked for the NHS. The Commission agreed with the suggestion of the Association of Chief Chiropody Officers for the introduction of more foot hygienists to undertake, under the direction of a registered chiropodist, "nail cutting and such simple foot-care and hygiene as a fit person should normally carry out for himself."