Diabetic Specialist Podiatrist with managerial responsibility

This is an exciting opportunity to provide clinical expertise in the treatment of the diabetic foot and other high risk foot pathologies and in the education and supervision of less experienced members of the Podiatry team. To develop and deliver a high quality seamless diabetic and wound care foot service within the community, working with the other senior B7 leads to embed excellent care and to provide managerial support to the Head of Podiatry. The department is part of North Mid in the Community serving the borough of Enfield and as part of North Central London health family it has close working ties with the diabetic MDTs at North Middlesex University Hospital and the Royal Free Hospitals Pond Street and Barnet and Chase Farm Hospitals.
1. To be responsible for the podiatric assessment, diagnosis, delivery, and

evaluation of care plans using a variety of appropriate treatment methods for high

risk and at-risk patient categories. Working either uni-professionally or within a

multidisciplinary team.

2. To hold responsibility for own caseload working as an autonomous clinical

expert within diabetes/other high risk foot pathologies.

3. Triage referrals as required monitoring waiting lists, prioritising and redirecting

patients according to medical and podiatric need.

4. To undertake evidence-based audit and or project/research to further own

and team's clinical practice, and where appropriate make recommendations to

the manager to improve service delivery for diabetic/high risk patients.

5. To ensure effective communication of complex and highly sensitive and

emotional information to patients, this requires excellent interpersonal

and counselling skills.

6. To deliver diabetic health education to users.

7. To take the lead on wound care within the department.

8. To undertake line management duties such as recruitment, health roster, service delivery reviews to support the head of Podiatry, acting in some circumstances as deputy.

North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospitalhere

1. To be responsible for the clinical provision of diabetic/high risk foot care.
2. To undertake tailored care packages dependent on patient's complex needs. To use advanced clinical reasoning skills and appropriate assessment techniques to provide an accurate clinical diagnosis of their condition.
3. Formulate and deliver individual treatment plans based on a sound knowledge of evidence-based practice and utilize extended skills such as offloading and performing ABPi's/toe pressures as necessary.
4. To evaluate and review agreed patient treatment outcomes to facilitate patients' engagement/self-care/onward referral.
5. To work in close collaboration with the community foot protection team including the
Diabetic Specialist Nurse, Tissue Viability Specialist and DNs to ensure an Holistic approach to the management of the 'at-risk' and 'high risk patient.
6. To take a proactive role in the planning and delivery of Health Promotion and Health Education
to users and health care professionals (HCP). Including promoting the department services to
other HCP to ensure appropriate patients are referred to Podiatry.

7. To understand offloading the high-risk foot and prescribe, modify,
and fit off the shelf orthoses/insoles as required. To liaise with extended care
network including orthopaedics, and surgical appliances to ensure that the
patients' rehabilitation needs are met.

8. Assess patient understanding of treatment proposals, gain valid informed
consent, and have the capacity to work within a legal framework with patients
who lack capacity to consent to treatment.

9. To work within Trust clinical guidelines, national and professional body guidelines and
standards, thus, to have a good working knowledge of national and local standards and
monitor own and others quality of practice as appropriate.

10. To be responsible for maintaining accurate comprehensive patient treatment records in line
with recognised professional standards of practice (i.e. Royal College of Podiatrists) and NMid
policies. To record patient appointment outcomes on Rio within 24 hours.

11. To be professionally and legally accountable for all aspects of own work, including the
management of patients in your care.

12. Where appropriate, to supervise and provide mentoring to other podiatrists and foot care
assistants.
13. To be responsible for the maintenance and security of stock in own work area.
14. To manage and develop in-house diabetic/high risk training events, and to
participate in and attend staff and therapy team meetings.

15. To refer patients on as necessary to other healthcare professionals to ensure
appropriate care is provided and to follow Trust referral timelines.