Job Overview If you looking to improve your skills with the Management of the “At risk” or “Diabetic foot” alongside a team of Non-medical prescribers, then join the Hillingdon Podiatry team. The Hillingdon Podiatry team has a large High-risk caseload across the borough and is the main provider for the Multidisciplinary Foot team based at Hillingdon Hospital. This role will directly support MDFT referral and working alongside our Diabetes Consultants to protect the “At Risk Foot”. This role supports direct referrals to our local vascular hub for emerging vascular emergencies. If you are wanting to make a difference to the prevention of amputations and foot related admission then this is the role for you! An opportunity has arisen for a qualified Clinician to deliver High Risk Podiatric care in the Community Podiatry High Risk Clinics at Hillingdon CNWL (Central North West London) sites, Eastcote, Hesa and Uxbridge Health centres and within the Local Multidisciplinary Foot team based at Hillingdon Hospital. You should be highly organised, working on your own initiative. You should be aware of professional and national guidelines, be up to date with current best practice and be able to demonstrate your interest in continued professional development. You should be able to work on your own and as part of a team demonstrating excellent communication and interpersonal skills. Main duties of the job This post requires a person who is highly specialised and has extensive knowledge, clinical skills and relevant experience in the field of Diabetes, providing a comprehensive care for patients with complex high risk foot problems. Providing education to health care staff and patients on management of diabetes and diabetic foot care. The person will provide specialist footcare for patient with complex high risk foot problems. This includes diabetes patients with acute and chronic foot wounds, active Osteomyelitis and Charcot Foot neuroarthropathy, patients with neuropathic and vascular complications, patients with foot complications who are immunosuppressed and patients who have poor tissue viability. The post holder will be clinically responsible for treatment of the high risk caseload working autonomously as well as work as part of the multidisciplinary team; including in reach into secondary care with Diabetologists, Vascular and Orthopaedic Surgeons, Microbiology, Radiology, Orthotics and Plaster room team. The post requires accepting emergency referrals from GPs, community podiatrists, and other health professionals and will provide responsive specialist care. Working for our organisation There’s a place for you at CNWL We’re passionate about delivering first-class patient-centred, safe and effective care, whether it is in a hospital setting, in a community clinic or in the patient’s own home. Patients are at the heart of everything we do. Providing top quality care depends on our ability to employ the best people. We’re always looking to recruit outstanding people who will go the extra mile to support our patients, colleagues, teams and the Trust. With every new employee we’re hoping to find our future leaders and we’ll support our staff by providing opportunities to develop your career. With a diverse culture and equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more – whatever stage of your career you're at, there's always a place for you at CNWL. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings. Detailed Job Description And Main Responsibilities To work in accordance with College of Podiatry and Health and Care Professions Council Code of Professional Conduct including scope of professional practice. To assess, manage and treat high risk complex caseload consisting of patients with: acute and chronic diabetic foot problems, pre and post operative amputations wounds and acute and chronic neuropathic, vascular foot/lower limb problems To lead in the planning of care packages jointly between hospital and community care providers. To provide podiatry care including wound care for patients with musculoskeletal conditions To undertake biomechanical assessment, gait analysis and orthotic provision and advice for patients with a range of underlying MSK/biomechanical conditions To use clinical reasoning skill in the assessment, diagnoses and formulating treatment plans of patients with a variety of high risk foot problems and medical conditions To have the ability to cope with unpredictable work patterns as necessitated in acute wound care clinics To have highly developed physical skills, precision hand/eye co-ordination which involves highly skilled debridement techniques of acute/chronic, neuropathic and ischaemic wounds, often for prolonged periods. Develop and contribute to the care and management of complex wounds and lower limb complications To apply and practice principles of wound management Have advance knowledge of dressing and there modes of action and appropriate indications of their use in wound care. To have a good working knowledge of biomechanics and its role wound care and basic musculoskeletal problems. To recognise the need, undertake and understand the result of investigations such as microbiology, x-ray, and scans and respond appropriately. To take the clinical diabetes/high risk foot specialist role within the multidisciplinary diabetes foot team. To promote multidisciplinary team working. To provide diabetes/high risk foot care with the hospital out patients and wards based on agreed referral criteria and ensuring patients are not put at risk. To take direct referrals from GP; community podiatry and community nursing in the hospital setting and providing rapid access and expert clinical advise and intervention based on agreed referral criteria. To take internal hospital referrals from consultants/doctors, nurses and accident and emergency based on agreed criteria and ensuring patients at not put at risk To undertake specialist high risk work in a range of acute and community settings. To undertake nail surgery Person specification Qualifications Essential criteria Diploma/BSc (Hons) Podiatry Certificate for Local Anaesthesia Registered Member of the HCPC RCOP Diabetic foot module or equivalent Desirable criteria IRMER Clinical masters degree Woundcare Course Independent Prescribers status Experience Essential criteria Extensive post graduate experience in the NHS working with high risk diabetic feet Podiatry. Experience of education of healthcare professionals Wide range of clinical experience including complex woundcare,with emphasis on patient with diabetes Experience of multi-disciplinary working Experience of working across primary and secondary care Desirable criteria Experience of delivering patient education package Skills and Knowledge Essential criteria Extensive knowledge of the effect of diabetes in podiatric care Sound knowledge and experience in wound care including treatment modalities and Biomechanics Ability to demonstrate knowledge and skills in pressure off loading in the high risk foot in the treatment of ulceration and prevention of ulcer in the high risk foot Demonstrates current clinical knowledge regarding evidence base and best practices Ability and knowledge of appropriate investigations required In the treatment of the high risk foot Ability and experience of foot health education/promotion of the high risk foot Knowledge of national policy relating to the diabetic foot Effective organisational skills Knowledge of the issues involved with a diverse population Key Skills And Abilities Essential criteria Excellent communication, IT, negotiation and interpersonal skills. Ability to prioritise & plan own workload to meet deadlines & competing demands; demonstrating flexibility Involvement in regular Audit or R&D Other Essential criteria Must be able to undertake a domiciliary work and travel between clinics in Hillingdon area in line with the normal duties of the post. (car driver/owner)