To work in conjunction with the Operational Lead, Operational manager and AHP Professional Leads to develop and deliver safe and effective services, in accordance with key national targets, clinical standards, service priorities and performance indicators set by local commissioners and Trust policies. You will be responsible for a defined population of service users in a variety of settings across the Trust including the community and hospitals along with being skilled in the assessment of complex/specialist care/support needs and in the development, implementation and evaluation of care/support packages. Responsible for promoting and championing good practice in all podiatry provision including internal and external partnership working. Keeping up to date with new local and national initiatives and training opportunities and regularly sharing with colleagues in formal and informal training sessions.
KEY RESPONSIBILITIES
Main Duties and responsibilities
The post holder will be part of the Podiatry Service acting as an advanced podiatrist in the field of diabetes/wound management and will work in a variety of settings. This is a dynamic post that requires the post holder to work closely with uni/multi-disciplinary teams/agencies in addressing a range of care/support issues across the spectrum of conditions, preventing unnecessary hospital admissions and improving the health and wellbeing of the population served. The nature of the service will be determined by local service specifications. To adhere to and apply the Health and Care Professions Councils (HCPC) standards of proficiency and code of ethics and professional conduct and all other relevant guidance from the HCPC, College of Podiatry and the Partnership Trust.
To be professionally accountable and responsible for all aspects of own work. To establish and maintain effective working relationships both within the organisation and with external organisations in order to meet service requirements and support whilst demonstrating Trust values. To take a lead in the management of complex cases within the field of diabetes/wound management, supporting other staff and co-working when needed. To undertake assessments, working with service users to develop needs and outcome focussed treatment/support plans.
Assesses service users and formulates, develops, implements and evaluates programmes of treatment/care/support for individuals, families and carers. Provide advice and support others including co-working cases with the less experienced and unregistered staff. Participate in and support staff to apply eligibility criterion and quality assurance processes.
- The specialist care/support plans may include the following:
1. Promoting independence/self-management and maintaining safety
2. Increased functional ability
3. Improvement in health and wellbeing including mental health
4. Support disease management
5. Prevention and reduction of health inequalities
6. Admission avoidance
7. Early supported discharge
8. Case management/treatment/care plan
To use advanced expert knowledge and judgement to take into account the range of care/support packages and treatment options available. To consider each service user's personal circumstances and preferences in order to implement and adjust programmes of care and intervention. To provide teaching/training in specialist area to the wider workforce, this may include day to day advice, mentorship and guidance to all staff commensurate with their level of experience and skills.
To maintain sensitivity at all times to the emotional needs of the service user and their carers offering reassurance and empathy, in particular when imparting potentially distressing information. This may be in regard to the nature/prognosis of their condition and implications of the same including managing any conflict that may arise.
To work with individuals and carers who may find it difficult to engage with the service which may result in uncooperative or challenging behaviour. To use a communicative and partnership approach to the sharing of information, ethical dilemmas, risk management and contingency planning. To use and provide expert professional knowledge, skills and expertise when working in changing environments and across professional boundaries acting as a resource for multi-disciplinary teams. To maintain contemporaneous and accurate records in line with professional standards (e.g. HCPC). Support identified team members giving guidance and direction where appropriate.
To ensure that the skills of identified team members are appropriately deployed and that care is delivered by staff with the relevant education, expertise and competence. To deliver a high standard of intervention, whilst managing the demands of unplanned aspects of the role using innovative problem solving techniques. Advising the Operational Lead on issues relating to quality and performance, responding to complaints and reporting on findings and practice. To provide professional and clinical support and leadership.
Support identification of training needs of staff and encouraging practitioners to develop skills in:
1. Critical thinking and reflective practice
2. Excellence in practice
3. Specialist knowledge and research based practice
Encourage a culture of professional curiosity. Promoting excellence in practice, specialist knowledge and research based/evidence informed practice. To provide advice, education and training to service users, carers and professionals regarding the management and care/support of service users. Through advanced knowledge and continuing professional development, champion effective Diabetes/wound management.
To take accountability for the quality and cost effectiveness of allocated assessments, planning and implementation of care packages/programmes of support/intervention within the team and their own caseload as required. To be involved with and be prepared to take the lead in clinical audit/research for area of advanced practice and participate in and support clinical audit. To contribute to and actively promote the implementation, development and upholding of policies, procedures, guidelines and directives, along with relevant statutory measures and governmental directives.
To contribute to service/policy development through active membership on working parties or professional forums. To be aware of national and local policy that impacts upon the health and wellbeing of service users with complex care/support needs. To have highly developed physical skills, precision hand/eye coordination which involves highly skilled debridement techniques of acute/chronic, neuropathic and ischaemic wounds often for prolonged periods.
Decisions and judgements: Exercises clinical professional judgement in complex clinical cases. To make decisions, in terms of day-to-day clinical supervision and clinical practice, such as planning care, diagnosis of complex cases. To lead on implementation of agreed service development priorities.
Communication and relationships
To plan intervention in conjunction with the multidisciplinary team ensuring regular evaluation of the care plan. To liaise with the appropriate professionals and teams within Midlands Partnership NHS Foundation Trust to develop innovative ways of facilitating a smooth transition between episodes of care. To evaluate effectiveness of therapy interventions, in conjunction with clients/carers, other professionals etc. To share clinical expertise with other team members to help manage more complex clinical issues on a day-to-day basis and with other relevant health professionals and agencies as appropriate. Utilise advanced verbal and written communication skills, managing complex and difficult clinical situations.
Physical demands of the job
Requirement for key board skills to use IT systems, writing reports, respond to emails etc. Occasional exposure to highly distressing or highly emotional circumstances, listening to clinical information (in meetings, supervision, etc.) regarding service users experiences (e.g. safeguarding concerns and risks to patient safety). Frequent requirement to concentrate on reporting writing or clinical data analysis. To take responsibility for the safe use and transportation of equipment between locations.
To work in non-purpose built rooms involving the necessity to move furniture, therapy equipment etc. Most challenging/difficult parts of the job: Working across Health and social care responding to complex case management and responding to clinical deterioration of patient, to ensure patient safety. Multi-tasking and managing conflicting demands. Challenging and difficult conversations and imparting bad news.
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