Jorvik Gillygate

Podiatrist (PCN)

Information:

This job is now closed

Job summary

York City PCN is delighted to offer a great opportunity for a highly motivated Podiatrist who wishes to develop their career within an exceptional primary care environment.

This post requires a podiatrist who is highly specialised and has considerable knowledge, clinical skills and experience at a senior level, in the management of patients with lower limb pathology e.g. musculoskeletal, dermatological, neurological and vascular.

The post holder will provide effective and efficient delivery of care for foot and lower limb problems, using precision clinical skills and providing highly developed diagnostic services. The podiatrist can work autonomously as part of a motivated Primary Care Network team providing a high standard of clinical care in a variety of settings.

The post holder will be skilled in all aspects of lower limb disease management including but not limited to bio mechanics, casting, injection therapy, footwear and orthotic provision. The podiatrist will work as part of a multi-disciplinary team within the PCN.

The successful candidate will be supported in terms of clinical learning and professional development through access to a GP clinical supervisor and clinical meetings.

You should have a Master's Degree and be registered with the Health and Care Professions Council (HCPC)

Main duties of the job

Diagnose, treat and manage foot problems that arise from vascular, diabetic inflammatory or musculoskeletal disease.

Perform minor surgery, e.g. to manage in-growing great toenails and verrucae.

Prescribe, produce and fit orthotics and additional aids and appliances as appropriate.

Work with clinicians, multi-disciplinary team (MDT) colleagues and external agencies to ensure the smooth transition of patients discharged from hospital back into primary care.

Communicate outcomes and integrate findings into their own and wider service practice and pathway development.

About us

City of York Primary Care Network (PCN) is made up of 3 Practices covering 6 surgeries in the centre of York. The PCN population is approximately 53,000 patients.

City of York PCN strives to provide excellent, personalised care across all of its surgeries. You will work as a valued member of the team to develop collaborative working across its sites and help to provide fluidity between Secondary and Primary care services. We are a thriving, forward thinking, innovative and driven organisation who offer a wide range of Enhanced Services.

Details

Date posted

03 October 2023

Pay scheme

Other

Salary

Depending on experience Band 7

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A3630-23-0007

Job locations

Woolpack House

The Stonebow

York

North Yorkshire

YO1 7NP


18 Wenlock Terrace

York

YO10 4DU


Dalton Terrace Surgery

Dalton Terrace

York

YO24 4DB


Job description

Job responsibilities

Act as an expert advisory resource in the management of lower limb care of people with musculoskeletal, dermatological, neurological and vascular pathologies and those at high risk as a result of chronic disease e.g. diabetes, rheumatology, peripheral arterial disease

Provide a high standard of assessment, diagnosis, planning, implementation and delivery of lower limb care

Examine and assess complex patients using highly specialised clinical reasoning skills to select and provide highly specialised forms of treatment from a wide range of options

Work with clinicians, multi-disciplinary team (MDT) colleagues and external agencies to ensure the smooth transition of patients discharged from hospital back into primary care

To arrange further investigations and onward referrals as appropriate e.g. radiological, vascular, surgical, falls, dermatological in line with local and national protocols.

Develop, implement and evaluate a seamless nutrition support service across the PCN, working with community and secondary care where appropriate, and aimed at continuously improving standards of patient care and multi-disciplinary team working

Communicate outcomes and integrate findings into their own and wider service practice and pathway development

Utilise and provide guidance to patients on equipment such as surgical instruments, dressings, treatment tables, and orthotics

Prescribe and arrange for the provision of orthotics, pressure relieving insoles and shoe modifications where appropriate

Utilise highly specialist skills in biomechanics to prescribe, modify and fit orthoses

Utilise highly specialist skills e.g., including injection therapy, joint manipulation

Utilise a range of prescribing and administration of medicines e.g., use of POM A, POM S, PGDs and Independent and supplementary prescribing

Undertake a range of bed side diagnostics including non- invasive vascular studies and ultrasound scanning to determine pathology

Provide triage service for patients who may require prescription footwear liaising with surgical appliances and where necessary conferencing on complex cases

Provide assessment of new patients with the subsequent production of individual care packages and the provision of appropriate foot health education advice

Provide specialist treatment and support for high-risk patient groups such as the elderly and those with increased risk of amputation

Support patients through the use of therapeutic and surgical techniques to treat foot and lower leg issues (e.g. carrying out nail and soft tissue surgery using local anaesthetic), while also delivering foot health education to patients

Be actively involved in the design and implementation of research and audit in order to evaluate and identify opportunities to develop the podiatry service

Be responsible for the monitoring of podiatry clinical activity and for producing reports as required

To follow uni-and multi-professional guidelines for evidence-based practice in the care of patients with lower limb pathologies and who are at risk as a result of chronic disease

Implement all aspects of effective clinical governance for their own practice, including undertaking regular audit and evaluation, supervision, and training

Provide education and specialist expertise to PCN staff, raising awareness of good practice in good foot health

Undertake a range of administrative tasks such as ensuring stock levels are maintained and securely stored, and equipment is kept in good working order

The postholder will have access to appropriate clinical supervision and an appropriate named individual in the practice/PCN to provide general advice and support on a day to day basis.

Job description

Job responsibilities

Act as an expert advisory resource in the management of lower limb care of people with musculoskeletal, dermatological, neurological and vascular pathologies and those at high risk as a result of chronic disease e.g. diabetes, rheumatology, peripheral arterial disease

Provide a high standard of assessment, diagnosis, planning, implementation and delivery of lower limb care

Examine and assess complex patients using highly specialised clinical reasoning skills to select and provide highly specialised forms of treatment from a wide range of options

Work with clinicians, multi-disciplinary team (MDT) colleagues and external agencies to ensure the smooth transition of patients discharged from hospital back into primary care

To arrange further investigations and onward referrals as appropriate e.g. radiological, vascular, surgical, falls, dermatological in line with local and national protocols.

Develop, implement and evaluate a seamless nutrition support service across the PCN, working with community and secondary care where appropriate, and aimed at continuously improving standards of patient care and multi-disciplinary team working

Communicate outcomes and integrate findings into their own and wider service practice and pathway development

Utilise and provide guidance to patients on equipment such as surgical instruments, dressings, treatment tables, and orthotics

Prescribe and arrange for the provision of orthotics, pressure relieving insoles and shoe modifications where appropriate

Utilise highly specialist skills in biomechanics to prescribe, modify and fit orthoses

Utilise highly specialist skills e.g., including injection therapy, joint manipulation

Utilise a range of prescribing and administration of medicines e.g., use of POM A, POM S, PGDs and Independent and supplementary prescribing

Undertake a range of bed side diagnostics including non- invasive vascular studies and ultrasound scanning to determine pathology

Provide triage service for patients who may require prescription footwear liaising with surgical appliances and where necessary conferencing on complex cases

Provide assessment of new patients with the subsequent production of individual care packages and the provision of appropriate foot health education advice

Provide specialist treatment and support for high-risk patient groups such as the elderly and those with increased risk of amputation

Support patients through the use of therapeutic and surgical techniques to treat foot and lower leg issues (e.g. carrying out nail and soft tissue surgery using local anaesthetic), while also delivering foot health education to patients

Be actively involved in the design and implementation of research and audit in order to evaluate and identify opportunities to develop the podiatry service

Be responsible for the monitoring of podiatry clinical activity and for producing reports as required

To follow uni-and multi-professional guidelines for evidence-based practice in the care of patients with lower limb pathologies and who are at risk as a result of chronic disease

Implement all aspects of effective clinical governance for their own practice, including undertaking regular audit and evaluation, supervision, and training

Provide education and specialist expertise to PCN staff, raising awareness of good practice in good foot health

Undertake a range of administrative tasks such as ensuring stock levels are maintained and securely stored, and equipment is kept in good working order

The postholder will have access to appropriate clinical supervision and an appropriate named individual in the practice/PCN to provide general advice and support on a day to day basis.

Person Specification

Experience

Essential

  • Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans
  • Working knowledge of Microsoft and GP practice (EMIS/Systm1) and prescribing data monitoring systems
  • Ability to write comprehensive clinical notes, implement and evaluate care plans
  • Experience of assessment and treatment delivery in long term conditions and active management
  • Ability to undertake nails surgery assessments, procedure and post-operative care
  • Be aware of data protection (GDPR)
  • Skills in injection therapy/ local anesthesia

Desirable

  • Mentorship or supervisory skills training
  • Cognitive behavioural and motivational interviewing approaches/ skills
  • Evidence of developing clinical governance requirements
  • Experience in staff development/ supervision

Qualifications

Essential

  • Has a BSc/MSc in podiatry under a training programme approved by the College of Podiatry
  • Health & Care Professions Council (HCPC) registration
  • Able to operate at first contact practice and an advanced level of clinical practice

Desirable

  • Pre-reg MSc in Podiatry under a training programme approved by the College of Podiatry
  • Post registration training in Diabetes
  • Non-medical prescribing qualification
  • Working towards advanced clinical practitioner status
Person Specification

Experience

Essential

  • Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans
  • Working knowledge of Microsoft and GP practice (EMIS/Systm1) and prescribing data monitoring systems
  • Ability to write comprehensive clinical notes, implement and evaluate care plans
  • Experience of assessment and treatment delivery in long term conditions and active management
  • Ability to undertake nails surgery assessments, procedure and post-operative care
  • Be aware of data protection (GDPR)
  • Skills in injection therapy/ local anesthesia

Desirable

  • Mentorship or supervisory skills training
  • Cognitive behavioural and motivational interviewing approaches/ skills
  • Evidence of developing clinical governance requirements
  • Experience in staff development/ supervision

Qualifications

Essential

  • Has a BSc/MSc in podiatry under a training programme approved by the College of Podiatry
  • Health & Care Professions Council (HCPC) registration
  • Able to operate at first contact practice and an advanced level of clinical practice

Desirable

  • Pre-reg MSc in Podiatry under a training programme approved by the College of Podiatry
  • Post registration training in Diabetes
  • Non-medical prescribing qualification
  • Working towards advanced clinical practitioner status

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Jorvik Gillygate

Address

Woolpack House

The Stonebow

York

North Yorkshire

YO1 7NP


Employer's website

https://www.jorvikgillygatepractice.co.uk/ (Opens in a new tab)

Employer details

Employer name

Jorvik Gillygate

Address

Woolpack House

The Stonebow

York

North Yorkshire

YO1 7NP


Employer's website

https://www.jorvikgillygatepractice.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

HR Assistant

Sue Harris

sue.harris20@nhs.net

+443033340894

Details

Date posted

03 October 2023

Pay scheme

Other

Salary

Depending on experience Band 7

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A3630-23-0007

Job locations

Woolpack House

The Stonebow

York

North Yorkshire

YO1 7NP


18 Wenlock Terrace

York

YO10 4DU


Dalton Terrace Surgery

Dalton Terrace

York

YO24 4DB


Privacy notice

Jorvik Gillygate's privacy notice (opens in a new tab)