Job responsibilities Clinical: Delivery of podiatry in clinical, domiciliary and residential home settings, usually working in isolation, always as an autonomous practitioner. Assessment and treatment of existing patients in line with departmental protocols using judgements involving complex facts about the patients medical conditions, current medication and podiatric needs. Develop treatment plans with expected outcomes and agree with patient how these outcomes may be best achieved. Provide advice to patients on foot health matters. Employ stringent control of cross infection and decontamination measures during daily exposure to infectious material i.e., wound/ulcer dressings, blood, pus or body fluid, unkempt dirty feet, and body and when working in less than hygienic conditions in domiciliary situations. Follow standard operating procedures for podiatry instrument use Assess for nail surgery and undertake nail surgery, supervised by a senior podiatrist. Be responsible for the administration of local analgesia, observation of the patient for adverse reaction and the administration of adrenalin in the event of the patient suffering anaphylactic shock. Assess for orthotics, make and provide chair-side devices, prescribe bespoke orthotics and liaise with appropriate specialist. Have the capability to move and handle patients who may be immobile, wheelchair or bed bound. Work in patients homes/residential homes in confined spaces, with poor lighting, inadequate seating, sitting in a restricted position/ over patient's bed working from a domiciliary bag. Treatment position may be restricted by non-compliance from the patients due to physical, mental or emotional debility. Provide health education advice including one to one advice and education to groups of peers, professionals and patients. Delegate appropriate patients to the care of podiatry assistants. Leadership: Assist in the supervision of students, podiatry assistants and new members of staff. Delegate suitable patients to podiatry assistants.