Job summary Surrey Downs Health & Care A fantastic opportunity has arisen for the role of Musculoskeletal Lead Podiatrist. This role will give you the chance to develop an existing musculoskeletal Podiatry service, bring about some innovative changes and strengthen existing relationships with partners across Surrey Downs Health & Care. You will be supported by a forward thinking and experienced team of podiatrists who are based mainly in a community setting. Main duties of the job To provide a highly effective, comprehensive foot health service for the population of Surrey Downs area. This role will include strengthening our collaborative working across Surrey Downs Health & care, transforming how the musculoskeletal service operates. This will include supporting Podiatry colleagues with their treatment plans and acting as a source of advice. The role will include line management of Podiatry colleagues and close working with the other Podiatry leads. This will include working on established projects and supporting the Podiatry Clinical Lead with day to day service requirements. The post holder will also continue with a clinical caseload in both clinic and home visits. We welcome applications from Podiatrists without any previous Band 7 experience who are looking to progress in their career and are enthusiastic for transforming and improving care. Line management training and support will be given. About us Surrey Downs Health and Care (SDHC) deliver care closer to people's own communities through our Primary Care Networks and our innovative partnership of local NHS organisations. Surrey Downs Health and Care has a track record of providing person centric care that goes beyond organisational boundaries to do what is best for the individual. This partnership includes: The three GP federations representing practices that operate in the Surrey Downs area CSH Surrey Epsom and St Helier University Hospitals NHS Trust Surrey Council County We collectively aspire to be an exemplar of how to deliver the highest quality and best value care in a complex health and care environment. Date posted 22 October 2024 Pay scheme Agenda for change Band Band 7 Salary £48,270 to £54,931 a year Per Annum pro rata inc Fringe HCAS Contract Permanent Working pattern Part-time, Flexible working Reference number 343-SDH&C-5396258-Q Job locations Bourne Hall Epsom KT17 1UF Job description Job responsibilities To act as a source of clinical expertise and be the clinical lead for biomechanics within the Podiatry service, ensuring an effective, co-ordinated podiatry service is provided throughout the area and to GP practices. Provide highly specialist diagnostic assessment, treatment and advice, including gait analysis and provision of orthotics to maintain and improve patients mobility and independence and prevention of disability. To undertake training of podiatry students, help colleagues maintain and develop their clinical skills in biomechanics, and educate other health care professionals on the role of biomechanics. Clinical Duties To work as an integral member of the Podiatry Team to deliver high quality and responsive programmes of Podiatric care to patients who have a high risk need. To provide early intervention whenever possible, to maintain mobility and independence, and prevent disability. To use complex orthopaedic assessments, diagnose, develop highly specialised treatment plans and provide effective podiatric treatments, using a problem solving approach based on clinical need and evidence based practice. This is predominantly with patients with complex medical conditions such as diabetes, rheumatoid arthritis, vascular insufficiencies, physical or other disabilities, children, people with sports injuries and other vulnerable groups. To be responsible for a highly complex and specialised caseload involving the implementation and co-ordination of highly specialised treatment regimens involving the assessment, prescription, manufacture and evaluation of a wide range of orthotic devices, advanced casting techniques and management programmes. 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 (including footwear advice). To be able to manufacture functional and accommodative orthotic devices. To evaluate all devices produced and purchased using outcome measurements. To work as part of a multi-disciplinary team with Consultants, GPs, Orthotist, & Allied Health Professionals and acting as a source of advice to patients, carers, GPs and other health care professionals. To be responsible for a highly complex and specialised caseload involving the implementation and co-ordination of highly specialised treatment regimens involving the holistic management of the At Risk foot. To be highly proficient in: comprehensive neurological and vascular assessment, wound debridement, advanced pathology, and gait analysis. To undertake diagnostic procedures effectively using appropriate equipment e.g. Doppler ultrasound. Also to request diagnostic procedures such as X-Ray and MRI scans, competently interpreting, recording, acting on and reporting the results. To ensure best practice when exposed to unpleasant working conditions. Maintaining infection control standards when faced with malodorous wounds, ulcerations and challenging unhygienic environments. To provide services at a wide variety of sites including a patients home, clinics, GP practices, hospitals (including ward rounds) and in challenging conditions, frequently working in isolation. 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 junior members of staff or assistant grades. 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 manage a domiciliary caseload within a geographical area. This includes booking appointments and clinical time management skills. 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 teach and assess colleagues, students, newly qualified podiatrists and podiatry assistants. Job description Job responsibilities To act as a source of clinical expertise and be the clinical lead for biomechanics within the Podiatry service, ensuring an effective, co-ordinated podiatry service is provided throughout the area and to GP practices. Provide highly specialist diagnostic assessment, treatment and advice, including gait analysis and provision of orthotics to maintain and improve patients mobility and independence and prevention of disability. To undertake training of podiatry students, help colleagues maintain and develop their clinical skills in biomechanics, and educate other health care professionals on the role of biomechanics. Clinical Duties To work as an integral member of the Podiatry Team to deliver high quality and responsive programmes of Podiatric care to patients who have a high risk need. To provide early intervention whenever possible, to maintain mobility and independence, and prevent disability. To use complex orthopaedic assessments, diagnose, develop highly specialised treatment plans and provide effective podiatric treatments, using a problem solving approach based on clinical need and evidence based practice. This is predominantly with patients with complex medical conditions such as diabetes, rheumatoid arthritis, vascular insufficiencies, physical or other disabilities, children, people with sports injuries and other vulnerable groups. To be responsible for a highly complex and specialised caseload involving the implementation and co-ordination of highly specialised treatment regimens involving the assessment, prescription, manufacture and evaluation of a wide range of orthotic devices, advanced casting techniques and management programmes. 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 (including footwear advice). To be able to manufacture functional and accommodative orthotic devices. To evaluate all devices produced and purchased using outcome measurements. To work as part of a multi-disciplinary team with Consultants, GPs, Orthotist, & Allied Health Professionals and acting as a source of advice to patients, carers, GPs and other health care professionals. To be responsible for a highly complex and specialised caseload involving the implementation and co-ordination of highly specialised treatment regimens involving the holistic management of the At Risk foot. To be highly proficient in: comprehensive neurological and vascular assessment, wound debridement, advanced pathology, and gait analysis. To undertake diagnostic procedures effectively using appropriate equipment e.g. Doppler ultrasound. Also to request diagnostic procedures such as X-Ray and MRI scans, competently interpreting, recording, acting on and reporting the results. To ensure best practice when exposed to unpleasant working conditions. Maintaining infection control standards when faced with malodorous wounds, ulcerations and challenging unhygienic environments. To provide services at a wide variety of sites including a patients home, clinics, GP practices, hospitals (including ward rounds) and in challenging conditions, frequently working in isolation. 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 junior members of staff or assistant grades. 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 manage a domiciliary caseload within a geographical area. This includes booking appointments and clinical time management skills. 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 teach and assess colleagues, students, newly qualified podiatrists and podiatry assistants. Person Specification Qualifications Essential Podiatry Degree Relevant CPD in biomechanics Car driver Desirable Post graduate training Experience Essential Broad spectrum clinical experience Awareness of trends and policies in NHS Desirable Experience leading a team Skills Essential Highly organised Effective IT skills Desirable Excellent presentation skills Person Specification Qualifications Essential Podiatry Degree Relevant CPD in biomechanics Car driver Desirable Post graduate training Experience Essential Broad spectrum clinical experience Awareness of trends and policies in NHS Desirable Experience leading a team Skills Essential Highly organised Effective IT skills Desirable Excellent presentation skills 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). 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 Epsom and St Helier University Hospitals NHS Trust Address Bourne Hall Epsom KT17 1UF Employer's website https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)