Job summary
To work
as part of an autonomous and innovative team specialising in foot and lower
limb pathologies.
To
assess, diagnose, implement and develop individualised assessment and treatment
programmes for patients presenting with foot pathologies and medical need. This
will involve general and specialist care within a range of locations, including
clinical, domiciliary, hospital, and other external settings with an emphasis
on a multidisciplinary approach.
To
commit to a philosophy of a patient centred approach to care, with emphasis on
client empowerment and self-care.
To work
as a highly motivated team member within the podiatry and multidisciplinary
team settings and external organisations, to achieve the best patient outcome.
To be
responsible for the management of Podiatric caseloads from a high-risk caseload
including patients with wounds, demonstrating a high level of knowledge and
skills to ensure the provision of high quality care, whilst observing and
implementing policies, guidelines and procedures of Lewisham & Greenwich NHS Trust.
Main duties of the job
To be responsible and accountable for the
complex assessment, diagnosis and treatment of new and existing patients with a
wide variety of Podiatric complaints. This includes,
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 provide Podiatric care plans tailored to the
patients medical needs with regular review and the ability to identify and
co-ordinate further interventions. To ensure timely and appropriate referrals
to other specialists 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
demonstrate sound clinical expertise and knowledge in the management of serious
and high risk pathologies for example: infected foot ulcers
To undertake specialist diabetes and high-risk
sessions for the assessment and treatment of patients.
About us
Lewisham and Greenwich NHS
Trust is a community focused provider of local and acute care, providing high
quality services to over one million people living across the London boroughs
of Lewisham, Greenwich and Bexley.
With a turnover of around
£700 million, we provide services at Queen Elizabeth Hospital in Woolwich,
University Hospital Lewisham and a range of community settings in Lewisham. We
also provide some services at Queen Marys Hospital in Sidcup.
The Trust has 7,500 staff and
we have recently invested in our workforce to grow our establishment across a
number of key services. In 2020 we won a London NHS Parliamentary Award
in recognition of a wide range of initiatives to make the organisation a great
place to work. We are accredited as a flexible working employer offering a
number of flexible working options for staff. We are also accredited as a
London Living Wage employer for our substantive, bank and contractors
Job description
Job responsibilities
To
carry out assessments and treatments of podiatry patients in a range of
settings: clinics, nursing homes and in the patients home. Moderate physical
effort is involved in the clinical setting, but a high level of physical effort
and risk assessment is required for nursing homes and in the patients home, as
these more challenging environments are not designed for clinical care
To
have highly developed physical skills, dexterity, precision hand/eye
coordination requiring frequent and intense periods of prolonged concentration
and dexterity. For example:
Debridement
of callous/corns/foot ulcers, which may require debridement at acute angles,
e.g. client with limited mobility who is wheelchair bound
To
work to a fully allocated domiciliary and clinical caseload, working to time,
yet demonstrating flexibility by incorporating emergency referrals as required into workplan including the same
day, using time management, stress management and prioritisation skills to
work to scheduled appointment times.
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
-
Evaluation,
prescription and casting for bespoke orthoses
To
undertake minor surgery assessments and treatments, where duties will include:
-
Nail
surgery
-
Electro-surgery
-
The
use of local analgesia injection therapy to the lower limb, with the ability to
manage anaphylactic shock if required
The
post holder may be required to work at any of the PCTs sites in line with
service needs.
Job description
Job responsibilities
To
carry out assessments and treatments of podiatry patients in a range of
settings: clinics, nursing homes and in the patients home. Moderate physical
effort is involved in the clinical setting, but a high level of physical effort
and risk assessment is required for nursing homes and in the patients home, as
these more challenging environments are not designed for clinical care
To
have highly developed physical skills, dexterity, precision hand/eye
coordination requiring frequent and intense periods of prolonged concentration
and dexterity. For example:
Debridement
of callous/corns/foot ulcers, which may require debridement at acute angles,
e.g. client with limited mobility who is wheelchair bound
To
work to a fully allocated domiciliary and clinical caseload, working to time,
yet demonstrating flexibility by incorporating emergency referrals as required into workplan including the same
day, using time management, stress management and prioritisation skills to
work to scheduled appointment times.
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
-
Evaluation,
prescription and casting for bespoke orthoses
To
undertake minor surgery assessments and treatments, where duties will include:
-
Nail
surgery
-
Electro-surgery
-
The
use of local analgesia injection therapy to the lower limb, with the ability to
manage anaphylactic shock if required
The
post holder may be required to work at any of the PCTs sites in line with
service needs.
Person Specification
Qualifications
Essential
- State registration to HPC
- Podiatry Diploma/ Degree
- Local Analgesia Administration Certificate.
- Commitment to continuous development of clinical skills and professional knowledge.
- Awareness of current changes within the NHS.
- Full Driver's Licence
Desirable
- IRMER certificate
- POMs certificate
- Evidence of CPD portfolio demonstrating knowledge base.
Skilla
Essential
- Ability to diagnose, construct, document, implement and evaluate care plans using a holistic approach
- Ability to make decisions
- To demonstrate good organisational skills in managing own caseload with a proportion of high-risk patients.
- Ability to use electronic resources to create, analyse and share information e.g., Word, Excel, Power Point
- Good verbal and written communication skills in order to deal with people of all age groups in clinical situations and also other health care professional.
- Demonstrate ability to use specialist diagnostic & therapeutic equipment e.g., doppler ultrasound, neurosthesiometer, gait analysis systems
- Hand eye co-ordination, dexterity, manipulation, keyboard activity
Experience
Essential
- A minimum 1 years Post graduate experience of treating a high-risk caseload including a wound care caseload and a willingness to undertake post graduate training and education in specialist areas of podiatry e.g diabetes
- Post graduate experience in:
- Minor surgical procedures.
- Biomechanics including diagnosis, fabrication, prescription and evaluation of orthoses and formulating treatment plans, muscle balancing programmes.
- Local analgesia injection including calculating maximum safe doses and detecting contra-indications to use.
- Post graduate experience of full patient assessment (medical history, vascular, neuropathic etc) and formulating diagnosis & treatment plans.
- Experience in coaching students and willingness to undertake training in clinical coaching
Desirable
- 2 years post graduate experience of treating a high risk caseload including people with diabetic and ischaemic foot ulceration
- Involvement in Health Education
- Evidence of working within Specialist areas of Podiatry e.g. Podiatric Surgery, Diabetes, R.A etc.
- Training in clinical coaching
Person Specification
Qualifications
Essential
- State registration to HPC
- Podiatry Diploma/ Degree
- Local Analgesia Administration Certificate.
- Commitment to continuous development of clinical skills and professional knowledge.
- Awareness of current changes within the NHS.
- Full Driver's Licence
Desirable
- IRMER certificate
- POMs certificate
- Evidence of CPD portfolio demonstrating knowledge base.
Skilla
Essential
- Ability to diagnose, construct, document, implement and evaluate care plans using a holistic approach
- Ability to make decisions
- To demonstrate good organisational skills in managing own caseload with a proportion of high-risk patients.
- Ability to use electronic resources to create, analyse and share information e.g., Word, Excel, Power Point
- Good verbal and written communication skills in order to deal with people of all age groups in clinical situations and also other health care professional.
- Demonstrate ability to use specialist diagnostic & therapeutic equipment e.g., doppler ultrasound, neurosthesiometer, gait analysis systems
- Hand eye co-ordination, dexterity, manipulation, keyboard activity
Experience
Essential
- A minimum 1 years Post graduate experience of treating a high-risk caseload including a wound care caseload and a willingness to undertake post graduate training and education in specialist areas of podiatry e.g diabetes
- Post graduate experience in:
- Minor surgical procedures.
- Biomechanics including diagnosis, fabrication, prescription and evaluation of orthoses and formulating treatment plans, muscle balancing programmes.
- Local analgesia injection including calculating maximum safe doses and detecting contra-indications to use.
- Post graduate experience of full patient assessment (medical history, vascular, neuropathic etc) and formulating diagnosis & treatment plans.
- Experience in coaching students and willingness to undertake training in clinical coaching
Desirable
- 2 years post graduate experience of treating a high risk caseload including people with diabetic and ischaemic foot ulceration
- Involvement in Health Education
- Evidence of working within Specialist areas of Podiatry e.g. Podiatric Surgery, Diabetes, R.A etc.
- Training in clinical coaching
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).
