Nottingham City General Practice Alliance


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Job summary

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.

***Please note that due guidelines released by the government, it will become regulations from April 2022 that all NHS frontline staff or those that may come into contact with patients will be required to have a the COVID-19 vaccintaion or provide evidence of medical exemption.***

Main duties of the job

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.

About us

Nottingham City East Primary Care Network (PCN) is a network of seven practices with a list size of around 66,350 patients, with 62% of the population living in areas defined as the most deprived 20% in England.

To work alongside the multi-disciplinary PCN practice teams to effectively plan and implement a high-quality Podiatrist service as part of the broader PCN Primary Care Team.

Job description

Job 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 anaesthetic), while also delivering foot health education to patients

· Be actively involved in the design and implementation of research and audit 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 because 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

Person Specification



  • Has a BSc in podiatry under a training programme approved by the College of Podiatry.
  • Health & Care Professions Council (HCPC) registration.
  • Able to operate at an advanced level of clinical practice.


  • Pre-reg MSc in Podiatry under a training programme approved by the College of Podiatry.
  • Post registration training in Diabetes.
  • Non-medical prescribing qualification.
  • Working towards Advanced Clinical Practitioner status.



  • Experience in managing a designated caseload using theoretical and practical experience, completing assessments, planning, implementing interventions, and evaluating outcomes aligned to care plans
  • Working knowledge of Microsoft and GP practice and prescribing data monitoring systems
  • Ability to write comprehensive clinical notes, implement and evaluate care plans
  • Experience of assessment and treatment delivery in long term conditions and active management
  • Ability to undertake nails surgery assessments, procedure and post operative care
  • Be aware of data protection (GDPR)
  • Skills in injection therapy/ local anaesthesia


  • Mentorship or supervisory skills training
  • Cognitive behavioural and motivational interviewing approaches/ skills
  • Evidence of developing clinical governance requirements
  • Experience in staff development/ supervision

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.

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

Nottingham City General Practice Alliance


79A Upper Parliament Street



Employer's website

https://www.ncgpa.org.uk/ (Opens in a new tab)

For help with your application, contact:

Joseph Solomon



Date posted

06 January 2022

Pay scheme



£32,306 to £34,172 a year



Working pattern


Reference number


Job locations

79A Upper Parliament Street



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0300 330 1013

Outside UK:

+44 300 330 1013

Opening times:

Monday to Friday: 8am to 6pm

Saturday: 9am to 3pm

Closed Bank Holidays including Easter Sunday, Christmas Day, Boxing Day and New Year's Day.