Job summary We are looking for a highly skilled MSK Podiatrist with proven experience of working within the NHS, who is dynamic, innovative and effective in supporting an established MSK team. The post holder will work with the MSKAPS team to provide advanced foot and ankle assessment and diagnosis, collaborative treatment planning and supported self-management. They will also perform complex specialist musculoskeletal foot and ankle triage as part of the single point of access MSK Specialist Triage Service as part of the commissioned MSK pathway. We are looking for a Podiatrist with a NHSE AP Digital Badge or evidence of experience of working across all four pillars of practice, with a willingness and ability to undertake an accredited AP Pathway. The post holder will work collaboratively and support the Clinical and Operational Leads in the delivery of best practice care and will work across the four pillars of Advanced Practice. If you are passionate, enthusiastic and committed to Advanced Practice and ready for a challenge, this may be the post for you. For informal enquiries please contact: Joanna Griffin MSKAPS Clinical Lead or Lawrence Bevan MSKAPS Podiatry Advanced Practitioner 0300 421 8323 Main duties of the job The Trust provides specialist mental health and learning disability services, together with physical health community services to the population of Gloucestershire. The post holder will work with the Integrated Care Service (ICS) to provide a Musculoskeletal Advanced Practitioner and MSK Specialist Triage service to patients aged 18 and over, including advanced assessment and diagnosis, collaborative treatment planning and supported self-management. They will be required to perform complex specialist musculoskeletal triage using advanced practice skills for musculoskeletal referrals received from Primary Care (GP and FCP), Core Physiotherapy services, Podiatry Services, Consultant secondary care services and other orthopaedic and musculoskeletal service providers. About us We have a skilled and dedicated workforce of over 5000 colleagues working in a diverse range of services over 55 sites and within people's homes. We strive to enable a welcoming workplace culture that builds and celebrates civility, inclusivity and diversity, while providing a sense of belonging and trust. Annual staff surveys, regular Pulse surveys and other engagement opportunities provide our people with lots of opportunity to tell us about their experiences of working with us. In the latest staff survey, 61% of colleagues gave us their views. It was great to hear that: 72% of colleagues would recommend the Trust as a place to work, ranking us 1st for Provider Trusts in the South West region on this question. 76% would recommend the standard of care provided in our services if a friend or relative needed treatment, also ranking us 1st in the South West region. 81% said that care of patients and service users is the Trust's priority, compared with an average in comparable NHS Trusts in England of 64% This high-level overview shows we are in a healthy position, with higher scores than average for comparable organisations, alongside a great response rate, indicating good staff engagement. However, we also know we have plenty of room for improvement in many areas. To that end, we continue to prioritise and invest in our commitment to genuinely becoming a Great Place to Work with consistent top-quartile performance in the annual staff survey and Pulse surveys. Date posted 31 March 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £60,504 a year per annum. Banding dependent on experience Contract Permanent Working pattern Full-time, Part-time Reference number 327-25-205 Job locations Based at Southgate Moorings, Gloucester with expectation to work from other County Sites. Kimbrose Way, Gloucester Gloucester GL1 2DB Job description Job responsibilities Clinical Act as a specialist clinical expert in musculoskeletal care, with an ability to make high level decisions informed by advanced history taking, diagnostic assessment and treatment. Demonstrate a critical understanding of own level of responsibility and accountability for own decisions, actions and omissions at this level of practice, including when working with complexity, risk, uncertainty and incomplete information. Undertake clinical triage of patients referred into the orthopaedic single point of access MSK Specialist Triage service, using highly developed specialist knowledge of pathways and commissioning criteria. Prioritise treatment and care for individuals according to their health status and need, accepting responsibility for own caseload of patients, and ensuring that all patients have accurate, up to date and complete records of patient care, consistent with current legislation and local policies. Practice highly complex musculoskeletal clinical assessment of patients identified at triage as appropriate for the AP service applying highly specialised knowledge, advanced skills and clinical reasoning of a broad spectrum of patients with highly complex presentations, requiring time to address their complexities and needs. Utilise a range of assessment methods including comprehensive history taking, physical examination, and diagnostic tests where appropriate, to inform professional clinical reasoning and formulate a differential diagnosis. Devise, monitor and review evidence-based treatment plans and advice, which ensure safe management of patients. Autonomously formulate appropriate management plans for patients which ensure optimum physical and psychological needs are met and are ethically based. Make appropriate follow up referral as needed and/or ensure the patient has instructions on action to take if not improving. Where appropriate to help inform the management of an individual, request and interpret appropriate laboratory and radiological investigations (bloods, X-Rays, MRI, ultrasound and Nerve Conduction Studies) in line with Gloucestershire Health Community G-care guidelines and maintain competency as a referrer. Demonstrate a critical understanding of the indications, limitations and ability to interpret reported findings of diagnostic tools used in the assessment of MSK conditions e.g. imaging, blood tests and neurophysiology; using a shared decision-making approach. Competently carry out a wide variety of procedures and interventions which require advanced levels of knowledge and skills requiring dexterity and accuracy. If an independent prescriber, transcribe, prescribe and review medication for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and legal framework. Utilise advanced listening, probing and facilitative skills across a diverse range of consultations, some of which are highly challenging due to emotive circumstances. Demonstrate a critical understanding of broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including working with uncertainty and complexity, risk and incomplete information. Act on professional judgement about when to seek help, demonstrating critical reflection on your own practice, self- awareness, emotional intelligence, and openness to change. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate i.e., history taking, holistic assessment, identifying risk factors in mental health assessments, requesting and correlating reports from diagnostic tests, including radiology requests. Apply critical analysis to the synthesis of complex information during the care process to provide accurate advice and health information to patients to empower them to act upon the advice given. Support the safeguarding of individuals, utilising acquired skills in mental health, child protection, medication and other areas of healthcare as required for the role, ensuring policies and legislation are followed. Demonstrate effective communication styles supporting challenging and sensitive conversations. Provide accurate, unambiguous, relevant and timely communications to colleagues as required during handover and referral. These must be supported by written information which is consistent with verbal or electronic information. Critically appraise and apply person-centred consultation styles, to actively involve patients, carers and families in shared-decision making by exploring patient expectations and preferences alongside risks, benefits and consequences of available assessment and management options. Utilise critical thinking to inform assessment, diagnosis and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations synthesising information from multiple sources to make appropriate evidence-based judgements and diagnoses. Demonstrate integration of advanced knowledge and clinical reasoning to critically evaluate all clinical information to consider the potential for MSK symptoms to be features of non-MSK conditions (e.g., infection, metabolic, oncological, inflammatory/autoimmune, neurological or vascular). Demonstrate critical and evaluative understanding of pharmacotherapy and its potential risk and benefits including when to seek appropriate support or onward referral Recognise the opportunity for and provide health education to patients during the consultation process, referring to appropriate health care professionals as required. Demonstrate critical and evaluative understanding of the role of joint and soft tissue injections, informed by the evidence base in MSK practice, and the ability to communicate this information effectively to patients to help them make informed decisions about their care. Where the post holder holds a Masters level module, and associated Trust competence in Injection Therapy, be able to demonstrate critical and evaluative practice in soft tissue and joint injection under the legislative framework of a PGD and as per Trust Policy. Where the post holder holds a qualification in diagnostic ultrasound/POCUS and associated Trust competence, act under professional guidelines of the appropriate professional body. Work collaboratively with an appropriate range of MDT and interprofessional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings. Maintain clear, accurate, comprehensive and contemporaneous clinical records using the Systm One electronic patient record, in line with service and professional standards including outcome measures and the writing of patient reports and letters. Job description Job responsibilities Clinical Act as a specialist clinical expert in musculoskeletal care, with an ability to make high level decisions informed by advanced history taking, diagnostic assessment and treatment. Demonstrate a critical understanding of own level of responsibility and accountability for own decisions, actions and omissions at this level of practice, including when working with complexity, risk, uncertainty and incomplete information. Undertake clinical triage of patients referred into the orthopaedic single point of access MSK Specialist Triage service, using highly developed specialist knowledge of pathways and commissioning criteria. Prioritise treatment and care for individuals according to their health status and need, accepting responsibility for own caseload of patients, and ensuring that all patients have accurate, up to date and complete records of patient care, consistent with current legislation and local policies. Practice highly complex musculoskeletal clinical assessment of patients identified at triage as appropriate for the AP service applying highly specialised knowledge, advanced skills and clinical reasoning of a broad spectrum of patients with highly complex presentations, requiring time to address their complexities and needs. Utilise a range of assessment methods including comprehensive history taking, physical examination, and diagnostic tests where appropriate, to inform professional clinical reasoning and formulate a differential diagnosis. Devise, monitor and review evidence-based treatment plans and advice, which ensure safe management of patients. Autonomously formulate appropriate management plans for patients which ensure optimum physical and psychological needs are met and are ethically based. Make appropriate follow up referral as needed and/or ensure the patient has instructions on action to take if not improving. Where appropriate to help inform the management of an individual, request and interpret appropriate laboratory and radiological investigations (bloods, X-Rays, MRI, ultrasound and Nerve Conduction Studies) in line with Gloucestershire Health Community G-care guidelines and maintain competency as a referrer. Demonstrate a critical understanding of the indications, limitations and ability to interpret reported findings of diagnostic tools used in the assessment of MSK conditions e.g. imaging, blood tests and neurophysiology; using a shared decision-making approach. Competently carry out a wide variety of procedures and interventions which require advanced levels of knowledge and skills requiring dexterity and accuracy. If an independent prescriber, transcribe, prescribe and review medication for therapeutic effectiveness appropriate to patient need and in accordance with best/evidence-based practice and national and local protocols and within the roles scope of practice and legal framework. Utilise advanced listening, probing and facilitative skills across a diverse range of consultations, some of which are highly challenging due to emotive circumstances. Demonstrate a critical understanding of broadened level of responsibility and autonomy and the limits of own competence and professional scope of practice, including working with uncertainty and complexity, risk and incomplete information. Act on professional judgement about when to seek help, demonstrating critical reflection on your own practice, self- awareness, emotional intelligence, and openness to change. Work in partnership with individuals, families and carers, using a range of assessment methods as appropriate i.e., history taking, holistic assessment, identifying risk factors in mental health assessments, requesting and correlating reports from diagnostic tests, including radiology requests. Apply critical analysis to the synthesis of complex information during the care process to provide accurate advice and health information to patients to empower them to act upon the advice given. Support the safeguarding of individuals, utilising acquired skills in mental health, child protection, medication and other areas of healthcare as required for the role, ensuring policies and legislation are followed. Demonstrate effective communication styles supporting challenging and sensitive conversations. Provide accurate, unambiguous, relevant and timely communications to colleagues as required during handover and referral. These must be supported by written information which is consistent with verbal or electronic information. Critically appraise and apply person-centred consultation styles, to actively involve patients, carers and families in shared-decision making by exploring patient expectations and preferences alongside risks, benefits and consequences of available assessment and management options. Utilise critical thinking to inform assessment, diagnosis and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and complex situations synthesising information from multiple sources to make appropriate evidence-based judgements and diagnoses. Demonstrate integration of advanced knowledge and clinical reasoning to critically evaluate all clinical information to consider the potential for MSK symptoms to be features of non-MSK conditions (e.g., infection, metabolic, oncological, inflammatory/autoimmune, neurological or vascular). Demonstrate critical and evaluative understanding of pharmacotherapy and its potential risk and benefits including when to seek appropriate support or onward referral Recognise the opportunity for and provide health education to patients during the consultation process, referring to appropriate health care professionals as required. Demonstrate critical and evaluative understanding of the role of joint and soft tissue injections, informed by the evidence base in MSK practice, and the ability to communicate this information effectively to patients to help them make informed decisions about their care. Where the post holder holds a Masters level module, and associated Trust competence in Injection Therapy, be able to demonstrate critical and evaluative practice in soft tissue and joint injection under the legislative framework of a PGD and as per Trust Policy. Where the post holder holds a qualification in diagnostic ultrasound/POCUS and associated Trust competence, act under professional guidelines of the appropriate professional body. Work collaboratively with an appropriate range of MDT and interprofessional resources, developing, maintaining and evaluating links to manage risk and issues across organisations and settings. Maintain clear, accurate, comprehensive and contemporaneous clinical records using the Systm One electronic patient record, in line with service and professional standards including outcome measures and the writing of patient reports and letters. Person Specification Qualifications Essential Degree/Diploma Podiatry HCPC Registration Evidence of NHS Experience & NHSE AP Digital Badge or evidence of work across four pillars Desirable Independent Prescribing Qualification Recognised Injection Qualification Experience & Knowledge Essential Evidence of Four Pillars of Learning and practice. Desirable Independent Prescriber/Recognised Injection Course Experience of requesting & Interpreting Diagnostic imaging Person Specification Qualifications Essential Degree/Diploma Podiatry HCPC Registration Evidence of NHS Experience & NHSE AP Digital Badge or evidence of work across four pillars Desirable Independent Prescribing Qualification Recognised Injection Qualification Experience & Knowledge Essential Evidence of Four Pillars of Learning and practice. Desirable Independent Prescriber/Recognised Injection Course Experience of requesting & Interpreting Diagnostic imaging 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 Gloucestershire Health and Care NHS Foundation Trust Address Based at Southgate Moorings, Gloucester with expectation to work from other County Sites. Kimbrose Way, Gloucester Gloucester GL1 2DB Employer's website https://www.ghc.nhs.uk/who-we-are/jobs/ (Opens in a new tab)