Clinical Podiatrist

To be part of a highly motivated team. Working independently in a variety of community, domiciliary settings, providing a high standard of care.

To assess, diagnose, develop and implement individualised care plans for patients with a wide variety of clinical needs, including acute, chronic neuropathies, chronic diseases, vascular problems and wound management.

The post holder will be expected to plan and manage their own cases, which will include providing specialist care for patients with Diabetes, Rheumatology, Peripheral Vascular Disease and Biomechanical problems, following clinical pathways and sign posting to appropriate onward referrals.

1. To be responsible/accountable for the assessment diagnosis, planning, implementation and evaluation of Podiatric care to a variety of patients with a wide range of clinical needs:

2. This includes: patients with medical condition that affect the feet such as patients with Diabetes at different risk categories, Chronic Neuropathy; Chronic diseases including; e.g. Rheumatoid Arthritis; Vascular problems, Terminally ill patients and patients with Physically/Mental Health/Learning Difficulties.

3. To be responsible for the assessment of new patients with subsequent development of individual care packages and provision of the appropriate footcare education advice to patients

4. To be responsible for the assessment, diagnosis, planning, implementation and evaluation of Podiatric Care to a variety of patients with a wide and high range of clinical needs including: Biomechanical conditions

Diabetes

Chronic neuropathy

Connective tissue disorders

Nail surgery

Vascular Problems

Wound management/ tissue viability

Mental Health issues

Vulnerable patients

5. Able to carry out a foot ulcer risk assessment and ulcer management, including the identification of vascular insufficiency, neurological deficit, significant foot deformity, trauma or increased foot pressures.

6. Understanding of the wound healing process and its potential complications and carryout sharp debridement wounds, wound bed management and use of appropriate dressing. Recognise sign and symptoms of wound infection and manage appropriately. To recognises the need, and refers the patient, for advanced management.

7. To preform basic biomechanical examination, produce temporary insoles and refer appropriately.

8. To perform comprehensive assessment of the diabetic/high risk foot including: providing a

full annual review assessment to including sensory, vascular analysis (ABPIs as required).

9. To Understand an refer appropriately for investigations as required e.g. microbiology, radiology

10. To use the decision-making process to identify when patients require the intervention of other professional and/or departmental specialist areas by following agreed departmental referral pathways e.g. acute wound care/biomechanics.

11. To participate/carry out nail surgery.

12. To be actively involved in the provision of Foot Health Education advice to patients, relatives and carers

13. Care will be provided mainly in a range of primary care settings, involving working on your own in community clinics, patients homes, ward rounds, hospital setting and residential homes for the elderly.

14. To have the capability to move and handle patients who may be immobile, wheelchair or bed-bound often in confined spaces.

15. To have highly developed physical skills, precision hand/eye co-ordination which involves highly skilled debridement techniques of acute/chronic, neuropathic and ischaemic wounds, often for long periods.

16. To follow departmental Policies Procedures and Guidelines but have the discretion to make own clinical diagnosis and decisions within professional boundaries.

17. To undertake other work or duties across the whole service, as directed by the Team Leaders.

18. To actively be involved in support student/ apprentice training and staff from other disciplines.

19. To support Footcare Assistants and band 5 Staff.

20. To be flexible and provide cover for other Podiatrists at short notice or during periods of absence.

21. To implement in day to day work Trust values in delivery care to the Trust diverse population.

There's a place for you at CNWL

We're passionate about delivering first-class patient-centred, safe and effective care, whether it is in a hospital setting, in a community clinic or in the patient's own home. Patients are at the heart of everything we do.

Providing top quality care depends on our ability to employ the best people.We're always looking to recruit outstanding people who will go the extra mile to support our patients, colleagues, teams and the Trust. With every new employee we're hoping to find our future leaders and we'll support our staff by providing opportunities to develop your career.

With a diverse culture and equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more - whatever stage of your career you're at, there's always a place for you at CNWL.

As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Essential: - Degree or Diploma in Podiatric Medicine; - Evidence of CPD Portfolio; - HCPC Podiatrist Registration; - Hold a Certificate in local anaesthesia

Essential: - Experience of working as a Podiatrist within NHS; - Also having worked in both a team and autonomously managing a caseload with the ability to 'risk categorised patients; - Experience of multi-disciplinary working; - Experience of working across Primary and Secondary care; - Experience of treating a varied caseload of podiatry patients, including those with high-risk conditions

Desirable: - Involvement in undergraduate and postgraduate student training

Essential: - Candidates should have effective organizational skills, as they will be managing their own caseload and also expected to accept responsibility for the day-to-day running of the clinics in which they work.; - Skills in assessment, diagnoses and treatment of full range of podiatry clinical skills such as basic wound care, vascular and neurological assessment, nail surgery, basic MSK; - Demonstrate clinical reasoning and decision making skills in the management of podiatric conditions including care planning and evaluation.; - Knowledge of the pathology and treatment for a wide range of podiatric conditions.; - Demonstrate ability to use vascular and sensory equipment.; - Candidates must be able to write comprehensive clinical notes, implement and evaluate care plans; - Ability to undertake nails surgery assessments, procedure and post-operative care.; - Knowledge of health and Safety at work; - Knowledge of safeguarding; - Excellent communication, influencing and negotiation skills.

Desirable: - Demonstrate working with diverse population