Job summary
The post holder is required to deliver an advanced level of clinical practice within the field of Podiatry. It will include a specialist and complex caseload of high risk patients in a community setting. Interventions will occur in the community clinics and domiciliary setting, but may also occur in hospital based wards and clinics.
Advanced clinical practice is a level of practice characterised by a high degree of autonomy and complex decision making. This is underpinned by a master's level award or equivalent that encompasses the four pillars of clinical practice, leadership and management, education and research, with demonstration of core capabilities and area specific clinical competence.
Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance people's experience and improve outcomes.
This definition therefore requires that health and care professionals working at this level of advanced clinical practice exercise autonomy and confident Decision making in a context of complexity, uncertainty and varying levels of risk, holding accountability for their decisions.
Main duties of the job
Clinical
- Provide clinical Podiatric expertise, ensuring that clients and/or carers are involved in decision making and care planning wherever possible.
- Provide highly specialist clinical advice to staff, including advice on therapeutic management, antibiotic management and stewardship, progression of input, clinical risk management and discharge planning.
- Provide highly advanced clinical and professional supervision to staff.
- Carry out a weekly clinical commitment and domiciliary visits.
- Independent prescriber (current or working towards qualification).
- Provide highly specialist podiatric advice and offer expert second opinions within clinical field regarding the management and care of patients/clients with complex conditions and disorders.
- Lead on the development processes and pathways.
- Implement relevant national and local guidance e.g. NSFs, NICE guidance, policies and procedures e.g. promotion of infection control.
- Working collaboratively with other principal colleagues and Head of Service at all times.
- Ensure effective clinical service provision to clients, assessment and evaluation of care, outcome measurement, and interdisciplinary working.
- Lead on team processes to ensure individually tailored treatment plans are delivered using advanced clinical reasoning and demonstrating critical thinking reflection and analysis. To develop person centered, outcome orientated treatment plans.
About us
Department Information
Foot Health is part of the Integrated Services business unit with a supportive and progressive management structure. Departmental objectives are founded upon the core principles of the clinical governance framework and Trust Core Values. Research activity, robust evidence based practice and national guidelines drive forward our vision and direct service delivery.
Organisational Values:
Our values help us to define and develop our culture, what we do and how we do it. It is important that you understand andreflect these values throughout your employment with the Trust.
The post holder will:
Put patients first - consider the patient's needs and wishes in all that they do
Take pride in what they do - strive for highest standards on own work and challenge colleagues to do the same
Strive to be the best - in terms of patient care & teamwork
Act with integrity - maintain the privacy & dignity of patients, work with integrity and be trustworthy, be accountable for own work
Respect others - patients, visitors and colleagues. Actively give and receive feedback.
Our values and behaviors frameworkdescribes what it means for every one of us in the Trust to put our values into action.The framework can be found on our Trust careers pages and Trust Intranet
Job description
Job responsibilities
- Clinical
- Provide clinical Podiatric expertise, ensuring that clients and/or carers are involved in decision making and care planning wherever possible.
- Provide highly specialist clinical advice to staff, including advice on therapeutic management, antibiotic management and stewardship, progression of input, clinical risk management and discharge planning.
- Provide highly advanced clinical and professional supervision to staff.
- Carry out a weekly clinical commitment and domiciliary visits.
- Independent prescriber (current or working towards qualification).
- Provide highly specialist podiatric advice and offer expert second opinions within clinical field regarding the management and care of patients/clients with complex conditions and disorders.
- Provide advanced assessment, treatment planning and in-service training to staff.
- Lead on the development processes and pathways.
- Implement relevant national and local guidance e.g. NSFs, NICE guidance, policies and procedures e.g. promotion of infection control.
- Working collaboratively with other principal colleagues and Head of Service at all times.
- Ensure effective clinical service provision to clients, assessment and evaluation of care, outcome measurement, and interdisciplinary working.
- Lead on team processes to ensure individually tailored treatment plans are delivered using advanced clinical reasoning and demonstrating critical thinking reflection and analysis. To develop person centered, outcome orientated treatment plans
- Ensure team communicates effectively to gain client and carer informed consent and understanding of treatment programmes, that intervention is effective and staff work within legal framework for capacity, consent and safeguarding.
- Leadership and management
- Ensure that Podiatrists across the service adhere to national and local professional protocol/policies and code of conduct.
- Ensure the management of clinical risk, the monitoring of Podiatrists performance against agreed quality indicators and standards across the service, and ensure an effective peer review/supervision structure for Podiatrists across the service is in place
- Provide line management, appraisals and performance management of staff including investigations as directed by the Head of Service.
- To participate in Trust wide and local quality and innovation initiatives.
- Provide effective clinical and professional advice into the appraisal process and training needs assessment for all Podiatry staff across the service.
- Provide professional advice on skill-mix and give professional input to the selection and recruitment of therapists across the service, ensuring that appropriate professional induction is provided.
- Assist the Head of Service in addressing incidents and complaints by providing professional clinical support for devising and implementing action plans.
- Have responsibility for rota management across the service, changing staffing requirements according to local needs and waiting times.
- To lead on the departments student placement program, an extensive program covering multiple Universities and Schools of Podiatric medicine.
- Have responsibility for the placement procedure; negotiating and agreeing placement, timetabling, negotiating with external agencies (hospital units, private practitioners, and other professional groups as necessary) to take placement students, induction and evaluation, overall supervision responsibility and mentorship, problem solving and contingency management.
- Collaborate with partnership universities on placement educational requirements and outcomes.
- Negotiate with Human Resources the contract, insurance and occupational health processes.
- Be responsible for the mentoring and support of students on placement. To meet regularly to discuss their needs and requirements and offer feedback on personal and clinical developments for the students and the academic establishments.
- In conjunction with the Head of Foot Health, to represent the Foot Health service within the Trust and to external agencies. To develop lines of communication with other professional groups and service users, both internal and external to the trust, in order to develop the service appropriately.
- Provide highly specialised knowledge and expertise across the range of work undertaken by Podiatrists in Lambeth and Southwark (GSTT Community).
- To be responsible for ensuring allocated non-pay resources are maintained within allocated budget.
- Communication
- To articulate and work to the value base and principles which underpin Foot Health / Podiatry practice representing the unique role of Foot Health / Podiatry in relation to interdisciplinary working.
- To use effective interpersonal skills to communicate complex and frequently unwelcome news regarding prognosis where agreement and co-operation is required and where there are barriers to understanding such as vulnerable and at risk patients.
- Utilise formal and informal reporting mechanisms including electronic reporting to ensure effective communication internally and externally and across health and social care.
- Use effective interpersonal skills to encourage patients and carers active participation in the Foot Health / Podiatry process. Use verbal and non-verbal communication to receive and disseminate complex clinical information in all therapeutic, educational programmes and professional contexts acknowledging sensitivity and utilising approaches appropriate to the complexity of the context or culture.
- Maintain confidentiality consistent with Trust and Service policies.
- Act as an advocate on behalf of patients and carers by adopting a client centred approach to support meaningful participation in life roles.
- To maintain and develop professional communication links across health and social care including representation at multidisciplinary collaborative forums and networks.
- To lead and participate in open and challenging multi-disciplinary clinical discussions in the advancement of clinical care.
- To utilise advanced communication skills acting as a prime educator of other professionals including doctors, nurses, qualified and unqualified AHPs and students on own area of clinical expertise and on the role and scope of Foot Health / Podiatry.
- Education and Professional Development
- To regularly evaluate own practice and participate team evaluation of outcomes. Analyse and disseminate the impact and effectiveness of ACP on service quality, safety and patient experience.
- To maintain professional status and competence at a highly specialist level taking responsibility for keeping own knowledge and skills up to date by engaging in and directing continuous professional development and lifelong learning
- Actively participate in internal and external post registration education programmes nationally and internationally.
- Critically assess and address own learning needs, developing a personal development plan that reflects the breadth of on-going professional development.
- Develop capability and capacity across the team to respond to changing service needs.
- Act as an educator and supervisor, applying coaching and mentoring techniques to develop the competence and confidence of others across the team.
- Use supervision monitoring and performance development plans to promote clinical and personal effectiveness of self and others.
- Share expert acquired clinical knowledge and skills with colleagues and peers both at a local and national level.
- To undertake any training programme to broaden scope of practice further as the service need requires.
- Research Audit and Quality
- Participate and undertake research programmes within the department one day per month and collaborate with other departments involved in Foot Health / Podiatry research, leading to publication and dissemination of the work of the department.
- To commit to evidence based practice by identifying, undertaking and leading on audit projects and research opportunities relevant to Foot Health / Podiatry service.
- To participate in Therapies Directorate research forum and activities to develop research knowledge and skills base.
- To lead and develop designated Foot Health / Podiatry Service audits reporting findings and actions at local and directorate levels.
- To annually review and develop agreed multi-disciplinary protocols and guidelines with colleagues.
Job description
Job responsibilities
- Clinical
- Provide clinical Podiatric expertise, ensuring that clients and/or carers are involved in decision making and care planning wherever possible.
- Provide highly specialist clinical advice to staff, including advice on therapeutic management, antibiotic management and stewardship, progression of input, clinical risk management and discharge planning.
- Provide highly advanced clinical and professional supervision to staff.
- Carry out a weekly clinical commitment and domiciliary visits.
- Independent prescriber (current or working towards qualification).
- Provide highly specialist podiatric advice and offer expert second opinions within clinical field regarding the management and care of patients/clients with complex conditions and disorders.
- Provide advanced assessment, treatment planning and in-service training to staff.
- Lead on the development processes and pathways.
- Implement relevant national and local guidance e.g. NSFs, NICE guidance, policies and procedures e.g. promotion of infection control.
- Working collaboratively with other principal colleagues and Head of Service at all times.
- Ensure effective clinical service provision to clients, assessment and evaluation of care, outcome measurement, and interdisciplinary working.
- Lead on team processes to ensure individually tailored treatment plans are delivered using advanced clinical reasoning and demonstrating critical thinking reflection and analysis. To develop person centered, outcome orientated treatment plans
- Ensure team communicates effectively to gain client and carer informed consent and understanding of treatment programmes, that intervention is effective and staff work within legal framework for capacity, consent and safeguarding.
- Leadership and management
- Ensure that Podiatrists across the service adhere to national and local professional protocol/policies and code of conduct.
- Ensure the management of clinical risk, the monitoring of Podiatrists performance against agreed quality indicators and standards across the service, and ensure an effective peer review/supervision structure for Podiatrists across the service is in place
- Provide line management, appraisals and performance management of staff including investigations as directed by the Head of Service.
- To participate in Trust wide and local quality and innovation initiatives.
- Provide effective clinical and professional advice into the appraisal process and training needs assessment for all Podiatry staff across the service.
- Provide professional advice on skill-mix and give professional input to the selection and recruitment of therapists across the service, ensuring that appropriate professional induction is provided.
- Assist the Head of Service in addressing incidents and complaints by providing professional clinical support for devising and implementing action plans.
- Have responsibility for rota management across the service, changing staffing requirements according to local needs and waiting times.
- To lead on the departments student placement program, an extensive program covering multiple Universities and Schools of Podiatric medicine.
- Have responsibility for the placement procedure; negotiating and agreeing placement, timetabling, negotiating with external agencies (hospital units, private practitioners, and other professional groups as necessary) to take placement students, induction and evaluation, overall supervision responsibility and mentorship, problem solving and contingency management.
- Collaborate with partnership universities on placement educational requirements and outcomes.
- Negotiate with Human Resources the contract, insurance and occupational health processes.
- Be responsible for the mentoring and support of students on placement. To meet regularly to discuss their needs and requirements and offer feedback on personal and clinical developments for the students and the academic establishments.
- In conjunction with the Head of Foot Health, to represent the Foot Health service within the Trust and to external agencies. To develop lines of communication with other professional groups and service users, both internal and external to the trust, in order to develop the service appropriately.
- Provide highly specialised knowledge and expertise across the range of work undertaken by Podiatrists in Lambeth and Southwark (GSTT Community).
- To be responsible for ensuring allocated non-pay resources are maintained within allocated budget.
- Communication
- To articulate and work to the value base and principles which underpin Foot Health / Podiatry practice representing the unique role of Foot Health / Podiatry in relation to interdisciplinary working.
- To use effective interpersonal skills to communicate complex and frequently unwelcome news regarding prognosis where agreement and co-operation is required and where there are barriers to understanding such as vulnerable and at risk patients.
- Utilise formal and informal reporting mechanisms including electronic reporting to ensure effective communication internally and externally and across health and social care.
- Use effective interpersonal skills to encourage patients and carers active participation in the Foot Health / Podiatry process. Use verbal and non-verbal communication to receive and disseminate complex clinical information in all therapeutic, educational programmes and professional contexts acknowledging sensitivity and utilising approaches appropriate to the complexity of the context or culture.
- Maintain confidentiality consistent with Trust and Service policies.
- Act as an advocate on behalf of patients and carers by adopting a client centred approach to support meaningful participation in life roles.
- To maintain and develop professional communication links across health and social care including representation at multidisciplinary collaborative forums and networks.
- To lead and participate in open and challenging multi-disciplinary clinical discussions in the advancement of clinical care.
- To utilise advanced communication skills acting as a prime educator of other professionals including doctors, nurses, qualified and unqualified AHPs and students on own area of clinical expertise and on the role and scope of Foot Health / Podiatry.
- Education and Professional Development
- To regularly evaluate own practice and participate team evaluation of outcomes. Analyse and disseminate the impact and effectiveness of ACP on service quality, safety and patient experience.
- To maintain professional status and competence at a highly specialist level taking responsibility for keeping own knowledge and skills up to date by engaging in and directing continuous professional development and lifelong learning
- Actively participate in internal and external post registration education programmes nationally and internationally.
- Critically assess and address own learning needs, developing a personal development plan that reflects the breadth of on-going professional development.
- Develop capability and capacity across the team to respond to changing service needs.
- Act as an educator and supervisor, applying coaching and mentoring techniques to develop the competence and confidence of others across the team.
- Use supervision monitoring and performance development plans to promote clinical and personal effectiveness of self and others.
- Share expert acquired clinical knowledge and skills with colleagues and peers both at a local and national level.
- To undertake any training programme to broaden scope of practice further as the service need requires.
- Research Audit and Quality
- Participate and undertake research programmes within the department one day per month and collaborate with other departments involved in Foot Health / Podiatry research, leading to publication and dissemination of the work of the department.
- To commit to evidence based practice by identifying, undertaking and leading on audit projects and research opportunities relevant to Foot Health / Podiatry service.
- To participate in Therapies Directorate research forum and activities to develop research knowledge and skills base.
- To lead and develop designated Foot Health / Podiatry Service audits reporting findings and actions at local and directorate levels.
- To annually review and develop agreed multi-disciplinary protocols and guidelines with colleagues.
Person Specification
Training and Qualification
Essential
- Diploma or Degree in Podiatry.
- HCPC Registration
- Masters level or equivalent training in specialist area or evidence of significant practical experience, research or publication in specialist area
Desirable
Experience
Essential
- Clinical experience commensurate with the role in the acute high-risk Podiatry including wound management (Diabetes and Vascular) with a minimum of several years at an advanced level working with these caseloads.
- Evidence of continuing professional development and post registration education and training.
- Advanced performance in a range of clinical skills in advanced wound management in complex patients.
Desirable
- Previous experience at band 8 level or several years Band 7 level
Skills & Abilities
Essential
- Advanced specialist Podiatrist skills including assessment, diagnosis, advanced wound management, imaging, and Infectious disease management/ stewardship.
- Ability to carry out weekly domiciliary visits in patients homes.
- Experience of working within multi-disciplinary diagnostic and intervention services.
Desirable
- Previous experience of formal presentations to multi professional groups
Personal Qualities
Essential
- Excellent leadership qualities.
- Proactive self-directed with innovative approach and a desire to promote clinical excellence.
- Ability to manage conflict positively.
Desirable
Person Specification
Training and Qualification
Essential
- Diploma or Degree in Podiatry.
- HCPC Registration
- Masters level or equivalent training in specialist area or evidence of significant practical experience, research or publication in specialist area
Desirable
Experience
Essential
- Clinical experience commensurate with the role in the acute high-risk Podiatry including wound management (Diabetes and Vascular) with a minimum of several years at an advanced level working with these caseloads.
- Evidence of continuing professional development and post registration education and training.
- Advanced performance in a range of clinical skills in advanced wound management in complex patients.
Desirable
- Previous experience at band 8 level or several years Band 7 level
Skills & Abilities
Essential
- Advanced specialist Podiatrist skills including assessment, diagnosis, advanced wound management, imaging, and Infectious disease management/ stewardship.
- Ability to carry out weekly domiciliary visits in patients homes.
- Experience of working within multi-disciplinary diagnostic and intervention services.
Desirable
- Previous experience of formal presentations to multi professional groups
Personal Qualities
Essential
- Excellent leadership qualities.
- Proactive self-directed with innovative approach and a desire to promote clinical excellence.
- Ability to manage conflict positively.
Desirable
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
