Job summary

CSH is looking for an Advanced Specialist Podiatrist (Diabetes and Wound Care) to join our team. Why join us? CSH is a unique organisation owned by its employees that means you can influence change. We focus on excellence in care to deliver better outcome for our service users.

You will work as an integral member of the podiatry and diabetes foot protection teams providing highly specialist assessment, treatment and advice for the high risk and most complex cases. You will be based in community settings but will also be part of the wider multidisciplinary diabetes foot team at Ashford and St Peter's Hospital. You will participate in consultant led MDT Diabetes foot clinics and Podiatry / Diabetes Nurses led Hot Foot Clinics delivering high quality, innovative and responsive programmes of podiatric care. An integral part of this role will include managing the domiciliary wound caseload and as such it is essential to have access to your own transport.

You will have experience of managing high risk diabetes patients, preferably in an acute MDT setting as well as possessing post graduate studies / qualifications relevant to this post. You will require excellent communication / people skills and have the ability to maintain effective working relationships with the wider MDT, GP's and other health care professionals.

Good IT skills are essential as the role requires working across a range of clinical systems. Although not essential it would be desirable to be a non-medical prescriber.

Main duties of the job

Provide highly specialist diagnosticassessment, treatment and advice for high risk, ulcerated and the most complexcases.

To be responsible for managing the domiciliary wound caseload liaising with the admin team, community nurses and TVN's where required.

Be responsible for the day to day running of podiatry clinics in the community and in hospital sites, cascading information to the whole team, triaging referrals and requesting investigations.

Be a part of the wider multidisciplinary diabetes foot team (MDT and Hot foot Clinic) at Ashford and St Peter's Hospital providing podiatry care for both inpatient and outpatient services.

To be responsible for maintaining patientpathways between acute and community care.

To lead and implement a regular reviewof outcome measures across the service to ensure the service provided iseffective..

To be involved in the operational andstrategic development of the service, embracing developments in practice andevidence based medicine.

To act as a source of expertise and undertaketraining of podiatry students, help colleagues maintain and develop theirclinical skills in wound care, and educate other health care professionals onthe role of podiatric wound care.

To participate in podiatry service wideCPD activities, clinical audits, service pilots / projects and other researchactivities to support the development of evidence based practice.

About us

CSH Surrey are part of the NHS and are Surreys largest and longest established NHS community services provider, so our 1500+ employees get NHS pay and pensions, and also receive the Fringe High-Cost Allowance of 5%.

Our staff enjoy excellent training and development opportunities, including the care certificate, apprenticeships, numeracy and literacy courses, access to the Nursing Associate programme, and a wide variety of management and leadership courses and programmes.

We CARE about our staff though through our values of Compassion, Accountability, Respect and Excellence. Our active employee council called The Voice, elect employee representatives to ensure colleagues' voices are heard at Board level.CSH is a diverse organisation, if you are a passionate, person-focused individual then apply to join CSH Surrey today!

We welcome candidates from all backgrounds who meet the essential criteria of the job you are applying for and if you require any reasonable adjustments, please contact the named individual for this advert, or our recruitment team.

Job description

Job responsibilities

To provide highly specialistdiagnostic assessment, treatment and advice for high risk, ulcerated and mostcomplex cases to maintain and improve patient's mobility and independence andprevention of disability.

To be responsible formanaging the domiciliary wound caseload liaising with the admin team, communitynurses and TVNs where required.

Tolead and Implement a regular review of outcome measures across the service toensure the service provided is effective.

Tobe involved in the operational and strategic development of the service,embracing developments in practice and evidence based medicine.

Toact as a source of expertise and undertake training of podiatry students, helpcolleagues maintain and develop their clinical skills in wound care, andeducate other health care professionals on the role of podiatric wound care.

To be responsible for theday to day running of podiatry wound care clinics both in the community and atthe Ashford and St Peter's Hospital sites. Cascading information to the wholeteam, triaging information to the whole team, triaging referrals and requestinginvestigations.

Be part of the widermultidisciplinary diabetes foot team at Ashford and St Peter's Hospitalproviding podiatry wound care for both inpatient and outpatient services.Including MDT diabetes Foot Clinics and Hot foot clinics.

To be responsible for maintaining patient pathways between acute andcommunity care.

Tolead and Implement a regular review of outcome measures across the service toensure the service provided is effective.

Tobe involved in the operational and strategic development of the service,embracing developments in practice and evidence based medicine.

Toact as a source of expertise and undertake training of podiatry students, helpcolleagues maintain and develop their clinical skills in wound care, andeducate other health care professionals on the role of podiatric wound care.

Toparticipate in podiatry service wide CPD activities, clinical audits, servicepilots, projects and other research activities to support the development ofevidence-based practice .

Clinical

Towork as an integral member of the podiatry team to deliver high quality,innovative and responsive programmes of podiatric care to patients identifiedas high risk.

Toprovide early intervention whenever possible, to maintain mobility andindependence, and prevent disability.

Usecomplex assessments to diagnose and develop highly specialised treatment plansand provide effective podiatric treatments, using a problem-solving approachbased on clinical need and evidence based practice. This is predominantly withpatients with complex medical conditions such as diabetes.

Tobe responsible for a complex and specialised caseload involving theimplementation and co-ordination of highly specialised treatment regimesincluding advanced assessment, wound treatment and monitoring, as well asconsidering alternative management plans.

Toevaluate wound care interventions using outcome measures.

Tocommit to the philosophy of care with an emphasis on patient empowerment andindependence by providing education and information to help patients, whereappropriate, manage their own foot needs, including footwear advice.

To work as part of a multi-disciplinary teams with Consultants, GPs and AHPs, leading the podiatry input and acting as a source of advice to other health care professionals and patients.

Tobe highly proficient in comprehensive neurological and vascular assessment,wound debridement, advanced pathology, and gait analysis.

To undertake diagnostic procedures effectively usingappropriate equipment Doppler ultrasound, competently interpreting,recording, acting on and reporting the results.

To provide services at a variety of sites including patient's homes, clinics, health centres and hospitals, often working in challenging conditions and frequently in isolation.

Toobtain informed consent prior to treatment plans commencing.

Toensure all new patients are appropriately assessed and existing patients areregularly reviewed.

Toundertake specialist wound care treatment for the most medically complex ofpatients.

To be able to lead colleagues in the event of a clinical emergency during clinical sessions myocardial infarction, faints or hypoglycaemic attack.

To maintain clear, comprehensive and accurate clinical records. To update patient's medical history, evaluate progression and develop treatment plans as required.

Toensure personal and best practice when exposed to unpleasant working conditionsand maintain the highest infection control standards in challengingenvironments.

Toteach and mentor students, newly qualified podiatrists and podiatry assistantsin undertaking their relevant procedures.

Professional

To work as an auotonomous clinician working within professional, departmental and CSH guidelines. Using clinical reasoning and decision making skills to determine how best to achieve positive clinical outcomes for patients. To be legally and professionally accountable for all aspects of your own work including the management of your patients.

To be aware of one's own scope of practice and to refer to peer's and other professionals as necessary.

Tokeep up to date with clinical and professional developments and use evidencebased practice.

Tocomplete and maintain clinical competencies identified for the post.

Tomaintain and update an individual Professional Portfolio, and achieve statutoryhours of CPD per year.

Toactively participate in personal development reviews and clinical supervision.

Leadership

Tobe responsible for the supervision of junior colleagues and students, andprovide specialist training in area of expertise.

Organisational

Towork towards achieving the objectives and goals of CSH Surrey.

Toshare responsibility with all team members for the day-to-day smooth running ofthe specialist services.

Tobe responsible for the resources in your clinics. This includes pharmacysupplies, ordering and managing stock.

Ensureequipment is properly maintained at all times and report faults orirregularities to the appropriate person.

Tobe responsible for security of clinic rooms, equipment and supplies whenworking at any clinic site or on a domiciliary visit.

Touse IT systems appropriately EMIS, CERNER, NHS e-mail, PACS, ICE, Excel,PowerPoint presentations and offer support and training when required.

Toreport all clinical and non-clinical accidents or near misses promptly.

Communication and Working Relationships

Tocommunicate effectively with all patients, carers and relatives regarding theirunderstanding of relevant foot care and self care advice, appointments andprocedural systems. Understanding pathology and prognosis of different medicalconditions, to ensure that patients are fully aware of their foot risk status.Provide empathy and support to patients as required.

Tocommunicate patient related information effectively including future managementneeds with Consultants, GPs, Allied Health Professionals, Tissue ViabilityNurses, District Nurses, Practice Nurses, Multi Disciplinary Teams, HealthVisitors, Carers, Social Services and peers to ensure co-ordinated delivery ofcare.

Towork with colleagues in neighbouring organisations to share and developclinical guidelines and best practice.

Toprovide health promotional activities with individuals and groups, foot healtheducation sessions as well as individually tailored education duringtreatments.

Activelyinvolved in RCA of major lower limb amputation to improve service deliveryacross all the involved professionals and organisations.

Toliaise with administrative and clerical staff as the job requires.

Person Specification

Experience

Essential

• Broad spectrum of clinical experience
• 3-5 years postgraduate, NHS experience
• Experienced in the provision of high risk assessments, treatment planning and provision of advanced wound care treatment.
• Knowledge of 1st line antibiotic therapy
• Awareness of current NHS trends and policies, including clinical governance and NSFs
• Awareness of health and safety
• Appreciation of excellent record keeping

Desirable

Skills and other qualities

Essential

Desirable

Qualifications

Essential

Desirable