Podiatrist Band 7 or 8a

3 weeks ago

Welwyn Garden City, United Kingdom Welwyn Garden City PCN Full time

**Job Title**:Podiatrist

**Responsible to**:Dr Tom Gillham - Clinical Lead for PCN

**Accountable to**: Clinical Lead/Practice Manager within each practice. The practices are Peartree Lane practice, Spring House Medical Centre, Hall Grove Practice and The Garden City Practice and all based in Welwyn Garden City, Herts.

**Hours of work**:Full-time 37.5hrs per week

**Salary**:Competitive salary for either band 7 or 8a podiatrist.

**Job Scope**

This post requires a podiatrist who is highly specialised and has considerable knowledge, clinical skills and experience at a senior level, in the management of patients with lower limb pathology e.g. musculoskeletal, dermatological, neurological and vascular.

The post holder will provide effective and efficient delivery of care for foot and lower limb problems, using precision clinical skills and providing highly developed diagnostic services. The podiatrist can work autonomously as part of a motivated PCN team providing a high standard of clinical care in a variety of settings.

The post holder will be skilled in all aspects of lower limb disease management including but not limited to biomechanics, casting, injection therapy, footwear and orthotic provision. The podiatrist will work as part of a multi-disciplinary team within the PCN.

**Key duties and responsibilities**
- act as an expert advisory resource in the management of lower limb care of people with musculoskeletal, dermatological, neurological and vascular pathologies and those at high risk as a result of chronic disease e.g. diabetes, rheumatology, peripheral arterial disease
- provide a high standard of assessment, diagnosis, planning, implementation and delivery of lower limb care
- examine and assess complex patients using highly specialised clinical reasoning skills to select and provide highly specialised forms of treatment from a wide range of options
- work with clinicians, multi-disciplinary team (MDT) colleagues and external agencies to ensure the smooth transition of patients discharged from hospital back into primary care
- To arrange further investigations and onward referrals as appropriate e.g. radiological, vascular, surgical, falls, dermatological in line with local and national protocols.
- develop, implement and evaluate a seamless nutrition support service across the PCN, working with community and secondary care where appropriate, and aimed at continuously improving standards of patient care and multi-disciplinary team working
- communicate outcomes and integrate findings into their own and wider service practice and pathway development
- utilise and provide guidance to patients on equipment such as surgical instruments, dressings, treatment tables, and orthotics
- prescribe and arrange for the provision of orthotics, pressure relieving insoles and shoe modifications where appropriate
- utilise highly specialist skills in biomechanics to prescribe, modify and fit orthoses
- Utilise highly specialist skills e.g., including injection therapy, joint manipulation
- Utilise a range of prescribing and administration of medicines e.g., use of POM A, POM S, PGDs and Independent and supplementary prescribing
- Undertake a range of bed side diagnostics including non
- invasive vascular studies and ultrasound scanning to determine pathology
- provide triage service for patients who may require prescription footwear liaising with surgical appliances and where necessary conferencing on complex cases
- provide assessment of new patients with the subsequent production of individual care packages and the provision of appropriate foot health education advice
- provide specialist treatment and support for high-risk patient groups such as the elderly and those with increased risk of amputation
- support patients through the use of therapeutic and surgical techniques to treat foot and lower leg issues (e.g. carrying out nail and soft tissue surgery using local anesthetic), while also delivering foot health education to patients
- be actively involved in the design and implementation of research and audit in order to evaluate and identify opportunities to develop the podiatry service
- be responsible for the monitoring of podiatry clinical activity and for producing reports as required
- to follow uni-and multi-professional guidelines for evidence-based practice in the care of patients with lower limb pathologies and who are at risk as a result of chronic disease
- implement all aspects of effective clinical governance for their own practice, including undertaking regular audit and evaluation, supervision, and training
- provide education and specialist expertise to PCN staff, raising awareness of good practice in good foot health
- undertake a range of administrative tasks such as ensuring stock levels are maintained and securely stored, and equipment is kept in good working order

**Supervision**

The postholder will have access to appropriate clinical supervision and an appropriate named individual

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