PCN Podiatrist

Wigan Borough Federated Healthcare

Information:

This job is now closed

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.

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.

Main duties of the job

Main duties would include, but are not limited to:

1. acting 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

2. providing a high standard of assessment, diagnosis, planning, implementation and delivery of lower limb care

3. examining and assessing complex patients using highly specialised clinical reasoning skills to select and provide highly specialised forms of treatment from a wide range of options

4. working with clinicians, multi-disciplinary team (MDT) colleagues and external agencies to ensure the smooth transition of patients discharged from hospital back into primary care

5. arranging further investigations and onward referrals as appropriate e.g. radiological, vascular, surgical, falls, dermatological in line with local and national protocols.

6. providing specialist treatment and support for high-risk patient groups such as the elderly and those with increased risk of amputation

7. supporting 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

About us

Joining enthusiastic, dynamic, friendly and mature PCNs. You can expect a warm welcome, doors are always open and every voice is heard.

We constantly strive to improve patient pathways and health care outcomes.

Date posted

08 September 2023

Pay scheme

Other

Salary

Depending on experience Equivalent to Band 7

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

M0009-23-0067

Job locations

2nd Floor, Ashland House

Dobson Park Way

Ince

WN2 2DX


Job description

Job responsibilities

Key duties and responsibilities

1. 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

2. provide a high standard of assessment, diagnosis, planning, implementation and delivery of lower limb care

3. 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

4. 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

5. To arrange further investigations and onward referrals as appropriate e.g. radiological, vascular, surgical, falls, dermatological in line with local and national protocols.

6. 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

7. communicate outcomes and integrate findings into their own and wider service practice and pathway development

8. utilise and provide guidance to patients on equipment such as surgical instruments, dressings, treatment tables, and orthotics

9. prescribe and arrange for the provision of orthotics, pressure relieving insoles and shoe modifications where appropriate

10. utilise highly specialist skills in biomechanics to prescribe, modify and fit orthoses

11. Utilise highly specialist skills e.g., including injection therapy, joint manipulation

12. Utilise a range of prescribing and administration of medicines e.g., use of POM A, POM S, PGDs and Independent and supplementary prescribing

13. Undertake a range of bed side diagnostics including non- invasive vascular studies and ultrasound scanning to determine pathology

14. provide triage service for patients who may require prescription footwear liaising with surgical appliances and where necessary conferencing on complex cases

15. provide assessment of new patients with the subsequent production of individual care packages and the provision of appropriate foot health education advice

16. provide specialist treatment and support for high-risk patient groups such as the elderly and those with increased risk of amputation

17. 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

18. be actively involved in the design and implementation of research and audit in order to evaluate and identify opportunities to develop the podiatry service

19. be responsible for the monitoring of podiatry clinical activity and for producing reports as required

20. 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

21. implement all aspects of effective clinical governance for their own practice, including undertaking regular audit and evaluation, supervision, and training

22. provide education and specialist expertise to PCN staff, raising awareness of good practice in good foot health

23. undertake a range of administrative tasks such as ensuring stock levels are maintained and securely stored, and equipment is kept in good working order

Job description

Job responsibilities

Key duties and responsibilities

1. 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

2. provide a high standard of assessment, diagnosis, planning, implementation and delivery of lower limb care

3. 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

4. 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

5. To arrange further investigations and onward referrals as appropriate e.g. radiological, vascular, surgical, falls, dermatological in line with local and national protocols.

6. 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

7. communicate outcomes and integrate findings into their own and wider service practice and pathway development

8. utilise and provide guidance to patients on equipment such as surgical instruments, dressings, treatment tables, and orthotics

9. prescribe and arrange for the provision of orthotics, pressure relieving insoles and shoe modifications where appropriate

10. utilise highly specialist skills in biomechanics to prescribe, modify and fit orthoses

11. Utilise highly specialist skills e.g., including injection therapy, joint manipulation

12. Utilise a range of prescribing and administration of medicines e.g., use of POM A, POM S, PGDs and Independent and supplementary prescribing

13. Undertake a range of bed side diagnostics including non- invasive vascular studies and ultrasound scanning to determine pathology

14. provide triage service for patients who may require prescription footwear liaising with surgical appliances and where necessary conferencing on complex cases

15. provide assessment of new patients with the subsequent production of individual care packages and the provision of appropriate foot health education advice

16. provide specialist treatment and support for high-risk patient groups such as the elderly and those with increased risk of amputation

17. 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

18. be actively involved in the design and implementation of research and audit in order to evaluate and identify opportunities to develop the podiatry service

19. be responsible for the monitoring of podiatry clinical activity and for producing reports as required

20. 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

21. implement all aspects of effective clinical governance for their own practice, including undertaking regular audit and evaluation, supervision, and training

22. provide education and specialist expertise to PCN staff, raising awareness of good practice in good foot health

23. 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

Qualifications

Essential

  • 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

Desirable

  • 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

Essential

  • 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 anesthesia

Desirable

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

Skills and Qualities

Essential

  • Ability to evidence a sound understanding of the NHS principles and values.
  • Ability to analyse and interpret complex/ often incomplete information, preempt and evaluate issues, and recommend and appropriate course of action to address the issues
  • Risk assessment experience
  • Strong written and oral communication skills

Desirable

  • Evidence of success in efficient and effective project and programme management
  • Experience of working in a primary care setting
Person Specification

Qualifications

Essential

  • 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

Desirable

  • 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

Essential

  • 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 anesthesia

Desirable

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

Skills and Qualities

Essential

  • Ability to evidence a sound understanding of the NHS principles and values.
  • Ability to analyse and interpret complex/ often incomplete information, preempt and evaluate issues, and recommend and appropriate course of action to address the issues
  • Risk assessment experience
  • Strong written and oral communication skills

Desirable

  • Evidence of success in efficient and effective project and programme management
  • Experience of working in a primary care setting

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).

Additional information

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

Wigan Borough Federated Healthcare

Address

2nd Floor, Ashland House

Dobson Park Way

Ince

WN2 2DX


Employer's website

https://wiganhealthcare.co.uk/ (Opens in a new tab)

Employer details

Employer name

Wigan Borough Federated Healthcare

Address

2nd Floor, Ashland House

Dobson Park Way

Ince

WN2 2DX


Employer's website

https://wiganhealthcare.co.uk/ (Opens in a new tab)

For questions about the job, contact:

Wigan Borough Federated Healthcare

wbfh.pcncorrespondence@nhs.net

01942369690

Date posted

08 September 2023

Pay scheme

Other

Salary

Depending on experience Equivalent to Band 7

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

M0009-23-0067

Job locations

2nd Floor, Ashland House

Dobson Park Way

Ince

WN2 2DX


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