To assess, diagnose, develop treatment plans and provide effective podiatric treatments, using a problem solving approach based on clinical need and evidence based practice. This is frequently with patients with complex medical conditions such as diabetes, rheumatoid arthritis, vascular insufficiencies, physical or other disabilities and other vulnerable groups. To provide early intervention whenever possible to enable long term gain. To commit to the philosophy of care with an emphasis on patient empowerment and independence by providing education and information to help patients manage their own foot needs. This will include providing education sessions for new and current patients. To provide services at a wide variety of sites including a patients home, clinics, GP practices, community hospitals and in challenging conditions, often working in isolation. The post holder will be expected to work as part of a multidisciplinary team when required and act as a source of advice to patients, carers, GPs and other Health Care Professionals. To manage clinical risk within own patient caseload seeking guidance as appropriate. To obtain informed consent prior to treatment plans commencing. To ensure all patients are appropriately assessed prior to referring to the assistant grade. To undertake diagnostic procedures effectively using appropriate equipment e.g. wound swabs, Doppler ultrasound. Competently interpret, record, report and act on the results. To be proficient in comprehensive neurological and vascular assessments, wound debridement, advanced pathology and wound management e.g. dressing selection. The post holder will be responsible for carrying out a thorough medical assessment to ensure suitability of local anaesthesia and minor surgery. To undertake specialist surgical intervention for complex nail pathologies, for example nail avulsions and chemical destruction of the nail matrix with local anaesthesia. To undertake basic biomechanical assessments in order to prescribe, manufacture and dispense orthotics or simple insoles referring to specialist service as required. To manage a domiciliary caseload within a geographical area. This includes working with admin teams to book appointments and using clinical time effectively. To maintain clear, comprehensive and accurate records. To update patients medical history, evaluate progression and work with the client to develop their treatment plan as required. To participate in specialist clinical rotations, gaining in- depth knowledge and experience in advanced areas of podiatric practice. Working closely with mentor to achieve development targets. To actively participate in clinical support (clinical supervision) and utilise reflective practice as a method to ensure quality of care for all service users. To provide advice and guidance to podiatry assistants.