In-Patient Co-ordinator Advanced Podiatrist
We provide healthcare services to people living in Bridgend, Merthyr Tydfil and Rhondda Cynon Taf county borough areas, serving a population of around 450,000. We are ideally situated between Wales’s capital city, Porthcawl to the west, and the stunning scenery in the Brecon Beacons.
Our vision is to care for our communities and patients by preventing ill-health, promoting better health, providing excellent services and reducing the need for inpatient care wherever possible through the provision of strengthened home, primary and community care.
We value the diversity of our staff and welcome applications from people from protected groups under the Equality Act 2010, this specifically includes age, sex, sexual orientation, gender identity/reassignment, race/nationality, religion/belief, disability, pregnancy and maternity and marriage and civil partnership.
Cwm Taf Morgannwg is a Living Wage Employer.
Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form.
All applicants are invited to apply in Welsh or English, and no preference will be given to applications submitted in either language.
Please be advised that there is a temporary top up for Bands 2 and 3 to reflect the incorporation of the top up to the living wage of £12.60 per hour - £24,638 per annum.
This temporary top up will be in place until the annual pay uplift for 2025/26 is confirmed
Job overview
An exciting innovative opportunity has arisen for a new In-patient podiatry posts, offering a rare opportunity for enthusiastic, motivated podiatrists to provide high quality care, working as part of a dedicated In-patient Foot Service in the Princess of Wales Hospital.
The post holder will work collaboratively as part of the multi-disciplinary team (MDT), providing expert assessment, diagnosis and treatment/care planning for patients admitted or who have acquired acute and limb threatening foot complications.They will work as an independent expert resource, and be a highly visible advisor regarding the management of people with limb threatening conditions in the hospitals.They will provide high quality evidence based education and support for professional colleagues, including actively promoting and participation in educational seminars for health care professionals, carers, and people with long term conditions and limb threating situations.
The post holder will provide comprehensive education and training to colleagues to facilitate the embedding of the inpatient foot risk assessment tool.
This post is Fixed Term/Secondment until 31st March 2027 due to funding
If you are interested in applying for the secondment position, you must obtain permission from your current line manager prior to applying for this post.
Main duties of the job
The purpose of the role is to work as part of a dedicated In-patient Foot Service in the DGHs. The post holder will work collaboratively as part of the multi-disciplinary team (MDT), providing expert assessment, diagnosis and treatment/care planning for patients admitted or who have acquired acute and limb threatening foot complications.
The post holder will work as an Independent expert resource and be a highly visible advisor regarding the management of people with limb threatening conditions in the hospitals. The post holder will provide comprehensive education and training to colleagues to facilitate the embedding of the inpatient foot risk assessment tool.
The post holder will be required to set the measures and collect data to highlight the Value Based HealthCare benefits and demonstrate the improved patient outcomes from the role.
The post holder will work autonomously will be a key link worker between the secondary care services and outpatient and community provision, including community podiatrists. They will be part of the Podiatry Workforce.
The post-holder will actively promote and participate in educational seminars for health care professionals, carers, and people with long term conditions and limb threating situations.
The post holder will be required to participate in the Research and Development Programme specific to this area.
The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.
Working for our organisation
Cwm Taf Morgannwg University Health Board is part of the NHS Wales family. Our Health Board provides primary, secondary and community health and wellbeing services to around 450,000 people living in three County Boroughs: Bridgend Merthyr Tydfil, and Rhondda Cynon Taf.
We live by our core values:
- We listen, learn and improve
- We treat everyone with respect
- We all work together as one team
We are a proud local employer; around 80% of our 15000 workforce live within our region, making our staff not only our lifeblood of our organisation but of the diverse communities that we serve.
Detailed job description and main responsibilities
Coordinator Role
Undertake daily ward rounds reviewing patients admitted with limb threatening complications, collaborating and coordinating with MDT including vascular, orthopaedics, DNS, Advanced podiatrist, TV, radiologist, Microbiology and Orthotists.
Be the link between inpatient teams and outpatient care for patients with Complex foot situation’s to ensure appropriate follow up on discharge locally and the pathway of care between community / primary care and secondary care is as seamless as possible.
Linking in with the AHP vascular Co-ordinator to ensure established communication to enable successful repatriation of CTM patients who are referred to centralised vascular hub as part of the SEWVN arrangement and returned to back to spoke hospital.
Ensure appropriate admission of patients presenting to the hospital and enabling admission avoidance turning patients around in line with the GIRFT Inpatient Pathway, providing first line management and arranging follow up care in outpatient or community settings.Support front door services and liaise with other relevant care provisions.
Be responsible for requesting diagnostics in a timely manner, and within professional boundaries and capabilities/qualifications hold responsibility for interpreting the findings of X-rays and pathology reports to inform clinical reasoning and decision.Taking appropriate action which may include independent prescribing and making onward referral to other disciplines internal and external to the Health Board as necessary.
Evaluate outcomes achieved through the roles and responsibilities associated with the post setting outcome measures and performance targets with their clinical lead. Identify and implement inpatient diabetes foot research and audit/Quality Improvement opportunities.
Ensure concordance to the Clinical Governance Agenda and participate in the development and implementation of professional standards, local guidelines and protocols and National and Health board Wide policies. Implementation of guidelines and protocols for specific areas of Podiatric practice which may have an impact on Podiatry colleagues and other health care staff will require discussion with and support from the post holder to ensure smooth acceptance.
Act as an autonomous practitioner being professionally accountable to apply clinical reasoning to the management of a caseload with complex underlying medical situations routinely resulting in destructive foot disease and compromised Tissue Viability.This will include:-
Maintains highly developed dexterous skills, precision hand/eye co-ordination to perform operative and psychomotor tasks. This will include the ability to appreciate degree of wound tissue resistance on debridement and hence make informed decision on appropriate scalpel technique.Ensure physical ability to maintain difficult working position for the necessary extended periods of time required to carry out highly skilled assessment and debridement techniques.
Making day to day clinical decisions on complex cases without reference to line management or professional colleagues. Caseload consisting of patients presenting with Long Term Conditions, High Risk foot pathologies and complex medical clinical needs.
Conduct and record neurological, vascular, orthopaedic and social assessments utilising appropriate assessment tools, to identify factors placing the individual at elevated risk of amputation/ulceration, and risk classify the patient accordingly.
Autonomously responsible for the implementation of highly specialised care programme of offloading and advanced wound care including the address of patient acceptance and compliance, foot health promotion and delivery of education. Co-produces individual care plans using motivational interviewing and coproduction skills to optimise concordance and overcome differences of opinion and understanding.
Ensures effective communication of complex, highly sensitive, contentious and emotional information to “at risk”/vulnerable, terminally ill, or patients undergoing pre/post lower limb amputation and carers. This requires the use of excellent interpersonal, negotiation and counselling skills.Communication of contentious information must withstand scrutiny to avoid conflict situations relaying sensitive information and where necessary using persuasive skills.
Successfully use high level interpersonal skills to liaise with ward based health care professions, Medical, Nursing and AHPs , primary care professionals, social services and the voluntary sector to ensure the delivery of a seamless service to At Risk patients.
Follow departmental Protocols, Policies, Procedures and Guidelines, but will have the discretion to make clinical decisions within professional boundaries where clinical diagnosis and clinical reasoning support decision. Guidance should be sort from peers and supervisors.
Complies with departmental policies for accurate legible record keeping & records management. This will include the use of electronic clinical information and appointment management systems.
Take ownership and responsibility for the security and maintenance of complex clinical equipment.
Whilst no budgetary responsibility retain consideration for the cost associated with treatments plan options
Maintain registration with Health Professions Council (HCPC) and conformance to professional standards and conduct as laid down by the regulatory body and the professional body, College of Podiatry.
Participate in Individual Performance Review and ensure delivery of a high quality service through endeavouring to fulfil identified learning needs.
To be able to maintain a degree of flexibility to meet the variable demands of this client group, have the resilience to cope with the unpredictable work patterns and maintain the high levels of concentration required in the delivery of prudent healthcare for patients with such complex needs.In a safe manner be physically able to deliver a range of treatment modalities some of which require unusual manual positioning of both patient and podiatrist.
Ensures the application of prudent healthcare in clinical practice through keeping up to date and applying evidence based practice through actively participate in Continuing Professional Development acquiring new knowledge and disseminate information to others.
Person specification
Qualifications
Essential criteria- HCPC Registration
- Evidence of Master’s Level or equivalent accredited postgraduate training relevant to the post
- Independent Prescriber or working towards
- HCPC annotated as competent to prescribe and supply P.O.M.s
Experience
Essential criteria- Experience of Complex foot disease management
- Experience of producing advice and education information
- Experience of evaluation of footwear and appliances
If you are eligible for the Health and Care visa, application costs are lower and you do not need to pay the annual Immigration Health Surcharge.