Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most. Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup. We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities. To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission. Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments. LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country. We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham. Job overview An exciting an opportunity has arisen to join the LGT home visiting service as the Home Visiting and Wound Care Lead. The post holder will work closely with the Head of Service, Deputy Head of Service, wider Foot Health Leadership Team and Wound Care Leads to deliver this core branch of our service. The service offers its team regular clinical supervision, team meetings and protected learning time. In addition, we are happy to support the individual learning needs of the post holder. We also provide monthly leadership meetings and training for increased support, Advert To operationally manage the foot health home visiting service in Lewisham and Greenwich NHS Trust. Including evaluation of all domiciliary referrals, triaging all referrals to ensure only housebound patients are reviewed at home, based on podiatric need and medical risk. As a key member of the Multidisciplinary Wound care team, you will be a lead clinician in the management of a designated wound care caseload in the community. Taking on full responsibility and duty of care for the most complex and challenging patients in an area specific caseload, you will also use your expert clinical knowledge and skills to provide direction and support to other team members. Working closely with the principal podiatrist for wound care, to lead and provide support and advice to colleagues on house bound patients including those on the end of life pathway. To line manage Band 5/6 podiatrists, undertaking their appraisals and clinical supervision, encouraging professional development, ensuring team members are up to date regarding mandatory training. To deputise for the Head of Podiatry, or fellow service leads, when required. To work as an integral member of the Integrated Foot Health wound care team working in the Acute Foot Service at University Hospital Lewisham. To support the triage of the wider Foot Health Service caseload. Working for our organisation Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations: Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ and women, through improved recruitment and leadership development Widening access (anchor institution) and employability Improving the experience of staff with disability Improving the EDI literacy and confidence of trust staff through training and development Making equalities mainstream Detailed job description and main responsibilities Patient Care You will undertake regular review of the wound care caseload, ensuring timely transfer and referral of patients along the wound care pathway, as the wound progresses or deteriorates. Participating in 4-6 weekly caseload reviews with the principal podiatrist for wound care. To provide clinical support to other wound care lead podiatrists as required. To ensure adequate cover is provided for any planned or unplanned leave. To act as a source of clinical expertise and co-ordinator of care to other Lewisham and Greenwich NHS Trust professionals involved in the management of people with complex foot wounds. To utilise advanced podiatric assessment skills in the care of the patient with a lower limb wound/ulcer site. To review aetiology and pathology of the site, determining diagnosis, rationale for treatment, care plans and appropriate referral. Work closely with the principal podiatrist for wound care. To lead and provide support and advice to colleagues on house bound patients on the end of life pathway. To verify category 3/4 pressure ulcers identified by podiatrists in the home visiting environment. To report all category 2-4 pressure ulcers on Ulysses regarding designated caseload. In line with current practice. To provide necessary details of said report to electronic risk management system when requested. Reporting adult safeguarding alerts as necessary when category 3 or category 4 pressure ulcers are identified. To liaise with DN colleagues/leads to ensure seamless shared provision and request joint assessment when indicated. To act as a conduit to resolve any issues concerning shared care. To administer appropriate drugs and medicines in line with legal requirements and the Royal college of Podiatrists code of professional conduct, recognising contra-indications and relevant risk factors in each individual patient. To competently use advanced wound care knowledge to aid the selection of the most appropriate choice from a range of specialist dressings. To competently use knowledge of advanced and customised pressure relieving strategies used in the management of pressure ulcers. To provide biomechanical assessment of the bedbound patient or those living with reduced mobility and refer for specialist input when indicated i.e. worsening contractures. To have an advanced knowledge of pressure relieving devices available to podiatrists and prescribe appropriately. To identify when the diagnostic and treatment skills are outside the scope of practice of an advanced Podiatrist, referring on to an appropriate clinical specialist (e.g. vascular opinion) in a timely manner. To communicate necessary information, including care plans, efficiently and effectively with relevant colleagues, carers and with the patient. To promote a patient centred approach to patient care. To assess, explain and obtain consent to carry out any podiatric treatment. To maintain accurate, comprehensive professional case notes of all direct and indirect patient contact electronic patient record system. To be professionally and legally responsible for all aspects of the post holders own work. To initiate and request best interest meetings on behalf of patients with the wider MDT in primary care when indicated. Educational Role To use your expert clinical knowledge/skills to provide clinical support, supervision and direction to other Podiatrists working within the domiciliary setting. To provide/facilitate education and advice to the foot health team on best care in the management and care of patients on the end of life pathway To provide induction for all new members of the Foot health team on best practice when working in the home visiting environment, (including residential and nursing homes). Using guidelines as a framework to provide guidance and support to all podiatrists working in the home visiting service. To provide an annual service specific update in department protected learning time (PLT) sessions and contribute to the PLT agenda to include updates specific to this speciality. Service Management To operationally manage the foot health home visiting service in Lewisham and Greenwich NHS Trust. This will include: • To develop and update appropriate service operating procedures, protocols, guidelines or patient leaflets for the home visiting service • To induct all new staff into the home visiting service, ensuring all staff are aware of best practice and relevant policies/procedures • To undertake the triage of all new referrals into the service, ensuring those accessing the service are housebound and are scheduled for treatment in a timely manner based on podiatric need and medical risk. • To maintain and develop communication links with other community services including District nursing, physiotherapy, OT etc • To monitor key performance area’s within the home visiting service e.g. diabetic foot assessments and ensure action plans are developed and implemented in liaison with the Head of Podiatry service. • To undertake the effective daily management of the home visiting caseload, prioritising resources according to podiatric need and medical risk • To effectively communicate with and develop the links with nursing and residential homes in Lewisham to best support the delivery of effective and efficient podiatric services to patients meeting our access requirements within those care settings, supporting with the service level agreements in place with these providers. To provide additional support to the triaging of all new referrals to the wider Foot Health Service and support outpatient admin in appointing as appropriate. To actively contribute to the development of guidance and resources to best support triage for both the Home Visiting and wider Foot Health Service, promoting these within the team at Team Meetings. To Deputise on behalf of the Head of Service or Deputy Head of Service at department, divisional or local meetings as requested and feedback to the Head of Service thereafter. To actively participate and contribute to the development of the service operational and development plan, leading on delegated projects. To represent Foot Health Services as part of the Adult safeguarding Operational Board. Keeping the Foot Health service manager and team up to date and fully informed on relevant developments, and recommendations. To act as conduit for members of the Home visiting service when safeguarding alerts are raised and to liaise with social services to verify action plans. To attend MDT case conferences when serious concerns are raised. To propose, develop and follow through to ratification changes to departmental protocols and procedures, relevant to and required by the home visiting service. To undertake clinical audit and evaluate treatment outcomes utilising such information to improve patient care. To undertake investigations into category 3/4 pressure ulcer incidents as delegated by the Head / Deputy Head of service, including the writing of the report using the Trusts pressure ulcer template. To participate as necessary in the recruitment, selection and induction of new podiatric staff. To ensure all line managed staff absences are reported in line with the Trusts sickness and absence policy. Workforce To be able to work autonomously at times, and at other times work collaboratively as an integrated team player, within the foot health wound care team and across other health care providers/agencies where necessary. To act as lead podiatrist for a designated wound care caseload (1 of 4 designated caseloads in Lewisham) To lead and provide support to band 6 podiatrists undertaking wound care within your caseload. Utilise the support/advice of the principal podiatrist for wound care for the most challenging cases as required. To provide guidance and advice to all staff working within the home visiting environment on best practice, including health & safety in the work place and end of life care To undertake annual appraisal and objective setting of up to 3 band 5/6 Podiatrists, ensuring the objectives are in accordance with the service and Trust clinical governance, business and operational plans and the individuals CPD and career development requirements. To ensure that all line managed staff have an individual development plan, which is updated at least annually and is reported in a timely manner to the Foot Health Manager and Trusts workforce development team. To hold regular 1:1 meetings with team members, to review progress, giving support and guidance where necessary. Interviewer information pack To provide effective guidance, supervision and performance management, including education of students on observational placement and community staff on practical placements. To ensure team member absences are reported in line with the Trusts sickness and absence policy. To evaluate and interpret clinical information from diverse sources and make informed judgements about its quality and the appropriateness for disseminating it to colleagues. To provide treatment that is consistent with evidence based practice and legislation, yet using one’s own expert knowledge, experience and judgement to identify the best. We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview. As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT. We have a number of active staff networks including Disability, LGBT, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce. Please note: Information provided during recruitment and pre‑employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action. Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.