Job responsibilities
.
PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY
To be part of a highly motivated
team, providing a high standard of clinical care to all its users with a
priority for specialising in the area of Diabetes and wound care.
Utilises highly
developed specialised knowledge
covering a range
of procedures and underpinned by relevant broad-based knowledge,
experience and competence
To demonstrate a high level of post
graduate experience with a responsibility for managing complex case loads.
To act as a specialist liaison
between referring agents with regard to clinical finding, proposed
treatments, outcomes and further investigations along with communication of
such findings to primary care workers, multi disciplinary teams and other
health care professionals including across healthcare systems
Makes complex judgements requiring
analysis, interpretation and comparison of options by integrating complex
knowledge sources in new and/or unfamiliar contexts
Demonstrates independent practice
responding to social, scientific, clinical and ethical issues which are
encountered
Works to standards of proficiency
identified by their professional and regulatory bodies performing clinical
treatments/procedures to a highly specialist standard
To identify development and adhere
to policies, protocols, strategies, objectives and link into business plans
as part of the Diabetes Limb Salvage Service
To provide teaching, mentorship and
coaching to students and colleagues from Podiatry and other health care
professionals.
To be familiar with the
administrational and clerical duties.
Provides and receives complex,
sensitive or contentious information where motivational, persuasive,
empathetic, negotiating and reassurance skills are required whilst
demonstrating an understanding of barriers to communication
Can provide understanding,
reasonable adjustments and support for vulnerable adults with regards to
mental capacity, learning disabilities and safeguarding.
Undertakes any training required to
develop and maintain their proficiency in response to changes in service
delivery or new and emerging techniques and demonstrate competence within
professional body requirements
Reflects on and evaluates own
practice and identifies areas of development by setting appropriate objectives
via appraisal and clinical supervision
Devises and delivers specialist
training and development programmes within team and to other services, teams
or agencies
Provides high quality, specialist
advice related to clinical specialism to other practitioners, agencies and
individuals
Supports the learning and
development of peers and wider team including students and preceptees
Maintain comprehensive case notes
in accordance with the Legal requirements set down in the Royal College of
Podiatrists, LTHT Trust policies, DOH NICE guidelines and departmental
protocols/policies.
Adhere to the Royal College of
Podiatrists, DOH, NICE and Health and Safety guidelines. To keep registered
with the HCPC and adhere to their code of conduct and guidelines.
Clinical skills should be evidence
based and updated using relevant identified means e.g. appropriate journals,
courses, portfolios, professional guidelines etc.
To be responsible for the podiatric
assessment, diagnosis, planning, implementation, delivery and evaluation of
podiatric interventions including but not exhaustive of: -
o Independent Non-Medical Prescribing
o Radiological referrals and acting on
the findings
o Tissue and bone sampling
Undertake advanced neurological and
vascular assessments.
Provide
foot care and footwear advice or referral to appliance department for
appropriate footwear.
Undertake the assessment of
patients prior to nail surgery and where applicable soft tissue surgery. This
may include: -
Obtaining
a full medical and social history with particular emphasis on risk factors
pertaining to surgery.
Requesting
diagnostic tests such as blood tests, thrombophylic screening and liaison
with Haematology departments with regards to INR values. Blood glucose
tolerance tests and HbA1c.
Undertake
lower limb vascular assessment using doppler, toe and ankle brachial pressure
indexes.
Interpretation
of advanced test results and their clinical significance.
Be aware of all trusts and
Departmental policies.
To have the ability to be involved
in audit and research.
Highly experienced in assessing,
diagnosis and treatment of complex high-risk patients.
To maintain highly developed
physical skills, precision hand eye co-ordination for prolonged periods in
the use of local anaesthetics, scalpel work, surgical procedures and
techniques.
Be able to communicate medical
information or gain consent when dealing with high-risk patients. These
include patients with complex conditions or multiple pathologies. This
includes patients with emotional, physical and psychological conditions which
will require the expertise of verbal and non-verbal communication tools.
Be responsible for maintaining
personal and clinical hygiene. This includes maintenance of sterile fields
where necessary.
To be actively involved in the
provision of foot health education and advice to patient, relatives, carers
and to participate in foot health training where appropriate.
CORE
BEHAVIOURS AND SKILLS
The
post holder should be able to demonstrate calm rational behaviour when
dealing with any patients or employees of LTH. There will be the ability to
check quality performance either by self or in conjunction with other
parties. This will allow for case conferences, care pathway investigations
and results to maximise learning outcomes. There should be the ability to
converse at local levels of Health Professionals and Management with regards
to listening, reflective practice and self analysis. Highly developed
physical skills for scalpel, surgical and dexterity purposes are required.
Specific
behaviours will include:
Professionalism
Smartly
dressed
Responsible
Appropriate
time keeping
Be
polite at all times
Communicate
problems effectively and appropriately
Self
motivated
Be
able to work in partnership within the department and LTH.
Specific
skills will include-
Basic
IT
Power
point presentation
Accurate
scalpel work
Diagnostic
skills
Delegation
of specific tasks
Verbal
and written instruction
Telephone
manner
Uphold
autonomy
Communication
in the field of MDTs.
8. CORE KNOWLEDGE AND UNDERSTANDING
To
have extensive knowledge of the MDT approach in secondary, primary and
community care. To be able to understand and contribute to the links between
teamwork, liaising within the LTH trust and other primary and secondary
trusts. The post holder will communicate effectively.
9. PRINCIPAL DUTIES & AREAS OF
RESPONSIBILITY
Diabetes
Limb Salvage Service and its extended MDT services
Statistical
Data
To
initiate or undertake audit review programs and liaise with systems
intelligence to provide performance to ensure delivery of best practice and
service equality.
Health
and Safety/Risk Management
1. All staff are responsible for working
with their colleagues to maintain and improve the quality of services provided
to our patients and other service users.
This includes complying at all times with the Leeds Teaching Hospitals
NHS Trust Policies, including Health and Safety and lone working policies, in
particularly following agreed safe working procedures, and reporting
incidents using the NHS Incident Reporting system.
2. To be familiar with Leeds Community
Healthcare Policies.
3. The post holder must be aware and
comply with any COSHH, work related risk assessments, infection control,
sharps and decontamination.
4. To attend all mandatory training.
5. To have the capability or training to
safely move and handle patients.
6. Assist in stock and equipment storage
and its safe use.
7. Works with managers and colleagues to
continually improve the quality of service delivery within the overall
organisational governance frameworks and corporate objectives reflecting the
changing needs of the population, local and national initiatives e.g.
suggesting changes to pathways or processes.
8. Identifies, manages and minimises
risks within the overall organisational risk management frameworks supporting
other staff to contribute to the process. This includes understanding and
applying knowledge of clinical role in safeguarding and incident management
Infection
Control
The
jobholder must comply at all times with the Leeds Teaching Hospitals and the
Leeds Community Healthcare NHS Trust Infection Control policies, in
particular by practising Universal Infection Control Precautions. Hand
hygiene must be performed before and after contact with patients and their
environment.
Equality
and Diversity
The
jobholder must comply with all policies and procedures designed to ensure
equality of employment and that services are delivered in ways that meet the
individual needs of patients and their families. No person whether they are staff, patient
or visitor should receive less favourable treatment because of their gender,
ethnic origin, age, disability, sexual orientation, religion etc.