The post holder will be responsible for delivering and leading highly specialist clinical care to their own caseload and service within their speciality area. In doing so, they will assess, plan, deliver and evaluate patient centred programmes of care ensuring that they practice within their sphere of competence and knowledge. The post holder will work to professional and regulatory body codes, standards and guidance at all times ensuring that their speciality is grounded in evidence based theoretical and practical knowledge. They will be responsible for developing new and innovative clinical practices responding to emerging knowledge and techniques and working with other services where appropriate to make improvements. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY To be part of a highly motivated team, providing a high standard of clinical care to all its users with a priority for specialising in the area of Diabetes and woundcare. Utilises highly developed specialised knowledge covering a range of procedures and underpinned by relevant broad based knowledge, experience and competence To demonstrate a high level of post graduate experience with a responsibility for managing complex case loads.. To act as a specialist liaison between referring agents with regard to clinical finding, proposed treatments, outcomes and further investigations along with communication of such findings to primary care workers, multi disciplinary teams and other health care professionals including across healthcare systems Makes complex judgements requiring analysis, interpretation and comparison of options by integrating complex knowledge sources in new and/or unfamiliar contexts Demonstrates independent practice responding to social, scientific, clinical and ethical issues which are encountered Works to standards of proficiency identified by their professional and regulatory bodies performing clinical treatments/procedures to a highly specialist standard To identify development and adhere to policies, protocols, strategies, objectives and link into business plans as part of the Diabetes Limb Salvage Service and extended Foot Protection Service. To provide teaching, mentorship and coaching to students and colleagues from Podiatry, Physiotherapy and other health care professionals. To be familiar with the administrational and clerical duties. Provides and receives complex, sensitive or contentious information where motivational, persuasive, empathetic, negotiating and reassurance skills are required whilst demonstrating an understanding of barriers to communication Can provide understanding, reasonable adjustments and support for vulnerable adults with regards to mental capacity, learning disabilities and safeguarding. Undertakes any training required to develop and maintain their proficiency in response to changes in service delivery or new and emerging techniques and demonstrate competence within professional body requirements Reflects on and evaluates own practice and identifies areas of development by setting appropriate objectives via appraisal and clinical supervision Devises and delivers specialist training and development programmes within team and to other services, teams or agencies Provides high quality, specialist advice related to clinical specialism to other practitioners, agencies and individuals Supports the learning and development of peers and wider team including students and preceptees Maintain comprehensive case notes in accordance with the Legal requirements set down the Society of Chiropodists and Podiatrists, LTHT Trust policies, DOH NICE guidelines and departmental protocols/policies. Adhere to the Royal College of Podiatrists, DOH, NICE and Health and Safety guidelines. To keep registered with the HCPC and adhere to their code of conduct and guidelines. Clinical skills should be evidence based and updated using relevant identified means e.g. appropriate journals, courses, portfolios, professional guidelines etc. To be responsible for the podiatric assessment, diagnosis, planning, implementation, delivery and evaluation of podiatric interventions including but not exhaustive of:- Independent Non Medical Prescribing Radiological referrals and acting on the finding Tissue and bone sampling Undertake advanced neurological and vascular assessments. Provide foot care and footwear advice or referral to appliance department for appropriate footwear. Undertake the assessment of patients prior to nail surgery and where applicable soft tissue surgery. This may include:- Obtaining a full medical and social history with particular emphasis on risk factors pertaining to surgery. Requesting diagnostic tests such as blood tests, thrombophylic screening and liaison with Haematology departments with regards to INR values. Blood glucose tolerance tests and HbA1c. Undertake lower limb vascular assessment using doppler, toe and ankle brachial pressure indexes. Interpretation of advanced test results and their clinical significance. Be aware of all trusts and Departmental policies. To have the ability to be involved in audit and research. Highly experienced in assessing, diagnosis and treatment of complex high risk patients. To maintain highly developed physical skills, precision hand eye co-ordination for prolonged periods in the use of local anaesthetics, scalpel work, surgical procedures and techniques. Be able to communicate medical information or gain consent when dealing with high risk patients. These include patients with complex conditions or multiple pathologies. This includes patients with emotional, physical and psychological conditions which will require the expertise of verbal and non verbal communication tools. Be responsible for maintaining personal and clinical hygiene. This includes maintenance of sterile fields where necessary. To be actively involved in the provision of foot health education and advice to patient, relatives, carers and to participate in foot health training where appropriate. CORE BEHAVIOURS AND SKILLS The post holder should be able to demonstrate calm rational behaviour when dealing with any patients or employees of LTH. There will be the ability to check quality performance either by self or in conjunction with other parties. This will allow for case conferences, care pathway investigations and results to maximise learning outcomes. There should be the ability to converse at local levels of Health Professionals and Management with regards to listening, reflective practice and self analysis. Highly developed physical skills for scalpel, surgical and dexterity purposes are required. Specific behaviours will include: Professionalism Smartly dressed Responsible Appropriate time keeping Be polite at all times Communicate problems effectively and appropriately Self motivated Be able to work in partnership within the department and LTH. Specific skills will include- Basic IT Power point presentation Accurate scalpel work Diagnostic skills Delegation of specific tasks Verbal and written instruction Telephone manner Uphold autonomy Communication in the field of MDTs. 8. CORE KNOWLEDGE AND UNDERSTANDING To have extensive knowledge of the MDT approach in secondary, primary and community care. To be able to understand and contribute to the links between teamwork, liaising within the LTH trust and other primary and secondary trusts. The post holder will communicate effectively. 9. PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY Collaborating with leading the Diabetes Limb Salvage Service Statistical Data To initiate or undertake audit review programs and liaise with systems intelligence to provide performance to ensure delivery of best practice and service equality. Health and Safety/Risk Management 1. All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety and lone working policies, in particular by following agreed safe working procedures, and reporting incidents using the NHS Incident Reporting system. 2. To be familiar with Leeds Community Healthcare Policies. 3. The post holder must be aware and comply with any COSHH, work related risk assessments, infection control, sharps and decontamination. 4. To attend all mandatory training. 5. To have the capability or training to safely move and handle patients. 6. Assist in stock and equipment storage and its safe use. 7. Works with managers and colleagues to continually improve the quality of service delivery within the overall organisational governance frameworks and corporate objectives reflecting the changing needs of the population, local and national initiatives e.g. suggesting changes to pathways or processes. 8. Identifies, manages and minimises risks within the overall organisational risk management frameworks supporting other staff to contribute to the process. This includes understanding and applying knowledge of clinical role in safeguarding and incident management Infection Control The jobholder must comply at all times with the Leeds Teaching Hospitals and the Leeds Community Healthcare NHS Trust Infection Control policies, in particular by practising Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment. Equality and Diversity The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.