In-Patient Co-ordinator Advanced Podiatrist

Job description

Job responsibilities

Coordinator Role

Undertake daily ward rounds reviewing patients admitted with limb threatening complications, collaborating and coordinating with MDT including vascular, orthopaedics, DNS, Advanced podiatrist, TV, radiologist, Microbiology and Orthotists.

Be the link between inpatient teams and outpatient care for patients with Complex foot situations to ensure appropriate follow up on discharge locally and the pathway of care between community / primary care and secondary care is as seamless as possible.

Linking in with the AHP vascular Co-ordinator to ensure established communication to enable successful repatriation of CTM patients who are referred to centralised vascular hub as part of the SEWVN arrangement and returned to back to spoke hospital.

Ensure appropriate admission of patients presenting to the hospital and enabling admission avoidance turning patients around in line with the GIRFT Inpatient Pathway, providing first line management and arranging follow up care in outpatient or community settings. Support front door services and liaise with other relevant care provisions.

Be responsible for requesting diagnostics in a timely manner, and within professional boundaries and capabilities/qualifications hold responsibility for interpreting the findings of X-rays and pathology reports to inform clinical reasoning and decision. Taking appropriate action which may include independent prescribing and making onward referral to other disciplines internal and external to the Health Board as necessary.

Evaluate outcomes achieved through the roles and responsibilities associated with the post setting outcome measures and performance targets with their clinical lead. Identify and implement inpatient diabetes foot research and audit/Quality Improvement opportunities.

Ensure concordance to the Clinical Governance Agenda and participate in the development and implementation of professional standards, local guidelines and protocols and National and Health board Wide policies. Implementation of guidelines and protocols for specific areas of Podiatric practice which may have an impact on Podiatry colleagues and other health care staff will require discussion with and support from the post holder to ensure smooth acceptance.

Act as an autonomous practitioner being professionally accountable to apply clinical reasoning to the management of a caseload with complex underlying medical situations routinely resulting in destructive foot disease and compromised Tissue Viability. This will include:-

Maintains highly developed dexterous skills, precision hand/eye co-ordination to perform operative and psychomotor tasks. This will include the ability to appreciate degree of wound tissue resistance on debridement and hence make informed decision on appropriate scalpel technique. Ensure physical ability to maintain difficult working position for the necessary extended periods of time required to carry out highly skilled assessment and debridement techniques.

Making day to day clinical decisions on complex cases without reference to line management or professional colleagues. Caseload consisting of patients presenting with Long Term Conditions, High Risk foot pathologies and complex medical clinical needs.Conduct and record neurological, vascular, orthopaedic and social assessments utilising appropriate assessment tools, to identify factors placing the individual at elevated risk of amputation/ulceration, and risk classify the patient accordingly.

Autonomously responsible for the implementation of highly specialised care programme of offloading and advanced wound care including the address of patient acceptance and compliance, foot health promotion and delivery of education. Co-produces individual care plans using motivational interviewing and coproduction skills to optimise concordance and overcome differences of opinion and understanding.

Ensures effective communication of complex, highly sensitive, contentious and emotional information to at risk/vulnerable, terminally ill, or patients undergoing pre/post lower limb amputation and carers. This requires the use of excellent interpersonal, negotiation and counselling skills. Communication of contentious information must withstand scrutiny to avoid conflict situations relaying sensitive information and where necessary using persuasive skills.

Successfully use high level interpersonal skills to liaise with ward based health care professions, Medical, Nursing and AHPs , primary care professionals, social services and the voluntary sector to ensure the delivery of a seamless service to At Risk patients.

Follow departmental Protocols, Policies, Procedures and Guidelines, but will have the discretion to make clinical decisions within professional boundaries where clinical diagnosis and clinical reasoning support decision. Guidance should be sort from peers and supervisors.

Complies with departmental policies for accurate legible record keeping & records management. This will include the use of electronic clinical information and appointment management systems.

Take ownership and responsibility for the security and maintenance of complex clinical equipment.

Whilst no budgetary responsibility retain consideration for the cost associated with treatments plan options

Maintain registration with Health Professions Council (HCPC) and conformance to professional standards and conduct as laid down by the regulatory body and the professional body, College of Podiatry.

Participate in Individual Performance Review and ensure delivery of a high quality service through endeavouring to fulfil identified learning needs.

To be able to maintain a degree of flexibility to meet the variable demands of this client group, have the resilience to cope with the unpredictable work patterns and maintain the high levels of concentration required in the delivery of prudent healthcare for patients with such complex needs. In a safe manner be physically able to deliver a range of treatment modalities some of which require unusual manual positioning of both patient and podiatrist.

Ensures the application of prudent healthcare in clinical practice through keeping up to date and applying evidence based practice through actively participate in Continuing Professional Development acquiring new knowledge and disseminate information to others.

Person Specification

Qualifications

Essential

• HCPC Registration
• Evidence of Master's Level or equivalent accredited postgraduate training relevant to the post

Desirable

• Independent Prescriber or working towards
• HCPC annotated as competent to prescribe and supply P.O.M.s

Experience

Essential

• Experience of Complex foot disease management
• Experience of producing advice and education information

Desirable

• Experience of evaluation of footwear and appliances

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Cwm Taf Morgannwg University Health Board

Address

Princess of Wales Hospital

Bridgend

CF31 1RQ

Employer's website

https://joinctm.wales/ (Opens in a new tab)