Job responsibilities
Key Result Areas & Performance::
Clinical Duties and Patient Care:
To implement the individualised assessment, and treatment programmes for existing patients with a wide variety of Podiatric complaints. This may include:
- systemic diseases
- immunosuppressive disorders
- vascular and neurological disorders
- dermatological disorders
- chronic pathologies
- emergency treatments
- wound management
- musculo-skeletal disorders
- paediatric conditions
- deformities
- nail and skin pathologies.
To use clinical reasoning, critical thinking, reflection and analysis to support the assessment, diagnosis and treatment planning process.
To utilise evidence based material to assess, treat, implement, evaluate and document podiatric provision.
To ensure timely and appropriate referrals to specialist Podiatrists from within the department and outside (for example GPs, District Nursing, Hospital Acute Foot Clinic, Social services and voluntary organisations), facilitating safe and appropriate discharge where indicated.
To treat a wide variety of patient groups including those with special needs, housebound, children, elderly, adults, vulnerable groups and those from different cultural backgrounds with the possibility of communication barriers.
To undertake the assessment and treatment of patients with lower limb musculo-skeletal pathologies, where duties will include:
- The prescription, fabrication and evaluation of chair-side insoles/orthotics
- The prescription and evaluation of an appropriate exercise and stretching regime
To undertake minor surgery assessments and treatments, where duties will include:
- Nail surgery
- The use of local analgesia injection therapy to the lower limb, with the ability to manage anaphylactic shock if required
To participate in department rotations through areas of clinical speciality, for example, Nail surgery, Kings College Hospital Diabetic Foot Clinic, University Hospital Lewisham Acute Foot Services Unit, Biomechanics & Gait Analysis Service, Low Level Laser Therapy, electro-surgery, and Podiatric Surgery.
To be actively involved in the provision of Foot Health education and appropriate specialist advice, delivering this sensitively to patients, relatives and carers.
To organise and participate in Health promotion activities and training events, to groups, colleagues, professionals and individuals.
To make frequent use of technology, where available, for measurement, monitoring and treatment using specialist complex equipment such as Doppler ultrasound, Sphygmomanometer, Neurothesiometer.
Clinical Governance:
To observe, implement and adhere to professional standards of the Society of Chiropodists and Podiatrists and Health Professions Council.
To observe, implement and adhere to all Trust polices and procedures including Health and Safety legislation, COSHH regulations, Workplace Risk Assessment, Infection Control, Sharps Policy, Movement and Handling, Personal Safety, Consent Policy, Dangerous Drugs Act and Substance Misuse Sterilisation Guidelines, (for example: to follow and record the autoclave and ultrasonic procedures for appropriate sterilisation and decontamination of instruments).
To observe and be actively involved in the development and implementation of Lewisham Foot Health Services, Operational and Clinical Governance Plan, Policies, Procedures and Guidelines. To follow the above but have the discretion to make own clinical diagnosis and decisions within professional boundaries.
To contribute to the strategic development and improvement of existing services and facilitate the instigation of new service development by working as part of an innovative team
To report any accidents, complaints, defects in equipment, near misses and untoward incidents in accordance with Trust procedure and in a timely manner.
To collate statistical activity and information on service quality and participate in regular surveys and complex audits.
To participate and keep up to date with current best practice and take part in relevant evidence based research to inform clinical practices in and outside the department.
To attend all mandatory training sessions as required by the Trust.
To participate in the extensive Departmental Student Placement Programme providing experience in dealing with students and applying mentor and teaching skills. To supervise Foot Care Assistants and new staff, and take an active part in training, peer review, clinical supervision and professional development.
To analyse, interpret, report and present information and knowledge related to ideas and concepts. Involving the use of computerised data collection and entry onto format databases/spreadsheets, word processing and power point presentation to other team members and health professionals
To be committed to postgraduate study, training and life long learning in Podiatry and other health related topics. Reading relevant health material, reflective practice, case studies, training rotations/placements. To take an active involvement in the development of, and participation in, research. Attendance at departmental study days, as well as attendance at external courses/conferences, thereby broadening experience and continuing to develop clinical skills and professional knowledge.
To attend and actively contribute to departmental team meetings, regular 1:1 meetings with line manager/mentor, update sessions, training days and Away days.
To participate in the planning and delivery of departmental in-service training. Utilising ones own skills, understanding and knowledge to contribute and provide information to others to help their development
To maintain State Registration with Health Professional Council (HPC).
Work force
To work as a Band 5 Podiatrist, under the guidance and support of a band 7 Podiatrist, providing support and guidance to the assistant podiatrist supporting your caseload
To work autonomously whilst working in clinics and undertaking home visits, however utilising the support and advice of more senior staff, to support development of clinical practice and challenging patients/cases
To provide care in a variety of settings often involving the ability to work alone and independently, and also with the Podiatry team:
- Community Health Centres
- GP Practices
- Residential & Nursing Homes
- Patients Homes
- Day Centres
- Hospitals
- Mobile Podiatry Unit
- Hostels
- Schools
To have highly developed physical skills, precision hand/eye coordination requiring frequent concentration for prolonged periods. Utilising a comprehensive knowledge base in, for example, highly skilled debridement techniques.
To have the necessary skills to assess and when appropriate to move and handle patients who maybe immobile, wheelchair or bed-bound, often in confined spaces.
To plan and manage a housebound high-risk caseload with responsibility for prioritising need and to co-ordinate involvement of other health care professionals, social services, and voluntary services when need is identified.
To perform regular and ongoing risk assessments of working environments.
To work in environments which present highly unpleasant, impractical, challenging and compromising situations. This will involve the analysis and interpretation of several complex components, some of which may be conflicting, whilst using initiative and maintaining personal safety.
To be responsible for the professional day-to-day co-ordination and management of patient caseloads and clinics. This will involve organising regular meetings with administrative staff to maintain good working relations and communication.
To monitor clinic waiting times for all patient groups including priority groups, making adjustments to the clinic timetable and appointment sessions as appropriate.
To monitor and ensure adequate stock, pharmacy, health promotion material and instrument levels are maintained.
To actively participate and meet the requirements of Continual Professional Development (CPD) set out by the Health Professions Council, recording all CPD activities in an identified and up to date CPD folder.
To actively participate in the appraisal process and the development of a Personal Development Plan.
To regularly participate in individual performance review and be responsible for professional/clinical supervision, reflective practice and clinical coaching. To act as a mentor to colleagues as part of peer review and professional development.
Financial
To monitor the use of stick, ensuring the clinical co-ordinator is informed of any shortages
To be aware of the cost of, whilst ensuring effective and efficient use of all consumables
Partnerships - Communications and Relationships
To be responsible for maintaining professional, accurate and comprehensive patient records using, where appropriate, the S.O.A.P format.
To communicate effectively with all service users (Patients, Carers, Medical Practitioners, Nursing staff, Allied Health Professionals, Social & Voluntary services) as well as other Podiatrists, providing information to all in an appropriate manner.
To use Information Technology to enhance communication and patient care (for example using the Trusts internal email network and to review latest research and health news using search engines such as HILO)
To inform, educate and advise other health care professionals involved in the care of the patient, utilising influencing and negotiating skills to ensure a holistic approach to effective patient management.
To mentor student podiatrists undertaking placement s within Lewisham Foot Health service providing appropriate and timely feedback to the student co-ordinator on their performance
