Clinical Podiatrist @ Central and North West London NHS Foundation Trust

Job summary

Milton Keynes Podiatry Service is seeking an enthusiastic, HCPC-registered Podiatrist to deliver high-quality, evidence-based care across community and, where required, acute settings.

Our service manages a large high-risk caseload across Milton Keynes and provides podiatry input to the Multidisciplinary Diabetic Foot Team at Milton Keynes University Hospital. You will work alongside Podiatrists and other healthcare professionals to provide coordinated, patient-centred care. Strong communication and multidisciplinary working skills are essential.

This is a Band 6 Clinical Podiatrist post. We welcome applications from newly qualified Podiatrists who can demonstrate relevant clinical knowledge, skills and potential to develop within the role. Extensive community experience is not essential, but an understanding of autonomous practice in community settings is important.

You will join a supportive team with opportunities for professional development to further strengthen your clinical skills and confidence.

CNWL values inclusion and work-life balance. We welcome applications from those seeking flexible working arrangements, including to accommodate childcare, caring responsibilities or other commitments. Options will be explored alongside service needs.

Main duties of the job

To be part of a highly motivated team. Working independently in a variety of community, domiciliary settings, providing a high standard of care.

To assess, diagnose, develop and implement individualised care plans for patients with a wide variety of clinical needs, including acute, chronic neuropathies, chronic diseases, vascular problems and wound management.

The post holder will be expected to plan and manage their own cases, which will include providing specialist care for patients with Diabetes, Rheumatology, Peripheral Vascular Disease and Biomechanical problems, following clinical pathways and sign posting to appropriate onward referrals.

About us

CNWL is recognised locally and nationally for providing high quality and innovative healthcare. We aim to employ only the best health care professionals with our teams, frequently called upon to contribute to national health strategy and policy development.

In return for your commitment to the Milton Keynes Podiatry service, you will receive all of the support and development you need to consolidate your knowledge and skills which will prepare you for professional progression within the Podiatry profession.

CNWL provides a robust preceptorship program that focuses on progression and development of skills which includes regular supervision and a first-class learning experience in all aspects of community podiatry. Our experienced Podiatrists will be available to guide and support all new starters within the Podiatry service to ensure you feel supported and you have an enhanced learning and development experience

Job description

Job responsibilities

• 1. To be responsible/accountable for the assessment diagnosis, planning, implementation and evaluation of Podiatric care to a variety of patients with a wide range of clinical needs:
• 2. This includes: patients with medical condition that affect the feet such as patients with Diabetes at different risk categories, Chronic Neuropathy; Chronic diseases including; e.g. Rheumatoid Arthritis; Vascular problems, Terminally ill patients and patients with Physically/Mental Health/Learning Difficulties.
• 3. To be responsible for the assessment of new patients with subsequent development of individual care packages and provision of the appropriate footcare education advice to patients
• 4. To be responsible for the assessment, diagnosis, planning, implementation and evaluation of Podiatric Care to a variety of patients with a wide and high range of clinical needs including: Biomechanical conditions

Diabetes

Chronic neuropathy

Connective tissue disorders

Nail surgery

Vascular Problems

Wound management/ tissue viability

Mental Health issues

Vulnerable patients

• 5. Able to carry out a foot ulcer risk assessment and ulcer management, including the identification of vascular insufficiency, neurological deficit, significant foot deformity, trauma or increased foot pressures.
• 6. Understanding of the wound healing process and its potential complications and carryout sharp debridement wounds, wound bed management and use of appropriate dressing. Recognise sign and symptoms of wound infection and manage appropriately. To recognises the need, and refers the patient, for advanced management.
• 7. To preform basic biomechanical examination, produce temporary insoles and refer appropriately.
• 8. To perform comprehensive assessment of the diabetic/high risk foot including: providing a

full annual review assessment to including sensory, vascular analysis (ABPI/ Toe BPIs as required).

• 9. To Understand an refer appropriately for investigations as required e.g. microbiology, radiology
• 10. To use the decision-making process to identify when patients require the intervention of other professional and/or departmental specialist areas by following agreed departmental referral pathways e.g. acute wound care/biomechanics.
• 11. To participate/carry out nail surgery.
• 12. To be actively involved in the provision of Foot Health Education advice to patients, relatives and carers
• 13. Care will be provided mainly in a range of primary care settings, involving working on your own in community clinics, patients homes, ward rounds, hospital setting and residential homes for the elderly.
• 14. To have the capability to move and handle patients who may be immobile, wheelchair or bed-bound often in confined spaces.
• 15. To have highly developed physical skills, precision hand/eye co-ordination which involves highly skilled debridement techniques of acute/chronic, neuropathic and ischaemic wounds, often for long periods.
• 16. To follow departmental Policies Procedures and Guidelines but have the discretion to make own clinical diagnosis and decisions within professional boundaries.
• 17. To undertake other work or duties across the whole service, as directed by the Team Leaders.
• 18. To actively be involved in support student/ apprentice training and staff from other disciplines.
• 19. To support Footcare Assistants and band 5 Staff.
• 20. To be flexible and provide cover for other Podiatrists at short notice or during periods of absence.
• 21. To implement in day to day work Trust values in delivery care to the Trust diverse population.

Person Specification

Qualifications

Essential

• HCPC Podiatrist Registration
• Degree or Diploma in Podiatric Medicine
• Relevant experience
• Evidence of CPD Portfolio
• Hold a Certificate in local anaesthesia.

Experience

Essential

• Experience in the NHS or similar sector
• Experience of treating a varied caseload of podiatry patients, including those with high-risk conditions
• Experience of working in both a team and on your own managing a caseload with the ability to 'risk categorised patients
• Experience of multi-disciplinary working, care in the community and domiciliary settings
• Clinical skills including, vascular and neurological assessment.
• Demonstrate clinical reasoning and decision-making skills in the management of podiatric conditions including care planning and evaluation.
• Ability to undertake nails surgery assessments, procedure and postoperative care.
• Knowledge of health and Safety at work

Skills and Knowledge

Essential

• Knowledge of the effect of diabetes in podiatric care
• Sound knowledge and experience in wound care including treatment modalities and Biomechanics
• Demonstrates current clinical knowledge regarding evidence base and best practices
• Ability and knowledge of appropriate investigations required In the treatment of the high -risk foot
• Knowledge of national policy relating to the diabetic foot

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

Central and North West London NHS Foundation Trust

Address

Eaglestone Health Centre

Standing Way

Milton Keynes

MK6 5AZ

United Kingdom

Employer's website

https://www.cnwl.nhs.uk/work (Opens in a new tab)