Position Overview
The person appointed to the post of Senior Podiatrist will work as part of a Multidisciplinary Team, details of which will be made available at job offer stage. In line with Sláintecare (2017) and the Department of Health’s Capacity review (2018), a shift in healthcare service provision is now required to place the focus on integrated, person-centred care, based as close to home as possible.
Key Principles of the ECC Programme
Eighty percent of services delivered in Primary Care are through the GP and CHNs;
Identifying and building health needs assessments at a CHN level based on a population stratification approach;
Utilisation of a whole system approach to integrating care based on person-centred models, while promoting self-care in the community;
The Older Persons and Chronic Disease Service Models set out an end to end service architecture for the identification and management of frail older adults and people living with chronic disease;
Learning from, and delivering services, based on best practice models and the extensive work of the integrated care clinical programmes to date, particularly in the areas of Older Persons and Chronic Disease;
Embed preventive approach to chronic disease into all services;
Availability of a timely response to early presentations of identified conditions and the ability to manage appropriate levels of complexity related to same in the community;
Resources applied intensively in a targeted manner to a defined population, implementing best practice models of care to demonstrate the delivery of specific outcomes and sustainable services;
The need to frontload investment, coupled with reform to strengthen community services.
Responsibilities
The person appointed to the role of Podiatrist Senior Grade (Diabetes) will work as part of the foot protection team in an Integrated Care structure with particular relevance to the Diabetes Model of Integrated Care. They will offer treatment packages to adult service users who present with at‑risk foot and those in remission from Diabetic Foot Ulcers (DFU) or diabetic foot complications. Working collaboratively with Clinical Specialist Podiatrist (Diabetes) and podiatry colleagues in the Multidisciplinary Foot Teams, there may be opportunities to be involved in the care of people with active foot disease, delivering services closer to the patient’s home.
Acute Team Structure
As an Acute Senior Podiatrist in Diabetes, the post holder will bring professionals in the hospital group referral area together from different areas of healthcare to provide optimal diagnoses and treatment, and to improve outcomes for those with diabetic foot complications. The Senior Podiatrist (Diabetes) in the Acute setting will provide a quality, person‑centred, evidence‑based podiatry service to users who present with active foot disease. They will lead the MDFT in the Acute setting and integrate with the Community Foot Protection Team.
Community Team Structure
Community Chronic Disease Hub (CDH): The person appointed to the post of Senior Podiatrist Community Chronic Disease Hub (Diabetes) will work with the Chronic Disease Management Team including Endocrinologist, Diabetes Nurse Specialist, Dietician, GPs, Patient Health Nurses and Practice Nurses as part of the Foot Protection Team (FPT) based in the community. They will provide integrated care for In Remission, High and Moderate Risk Diabetics within designated community Networks with a main focus on prevention of diabetes‑related foot complications. They may also share care for Active Diabetic Foot disease with the Acute MDFT, on occasion, through a shared care agreement, but will primarily focus on prevention with education and early intervention.
Community Health Network (CHN): The person appointed to this post of Senior Podiatrist Community Health Network will work as part of the primary care team in an Integrated Care structure. This team will include GPs, Patient Health Nurses/Practice Nurses, community Dieticians, Physiotherapists, Occupational Therapists, Speech and Language Therapists and other disciplines as required. These post holders along with the existing podiatry workforce will deliver services that aspire to the eight fundamental principles of the Sláintecare report, providing a person‑centred, quality, evidence‑based service to all other patients (mostly non‑diabetes) referred who meet the Network service access criteria. The service will include wound care and care for High and Moderate Risk groups within a designated Network area, focusing on health education and integrated working.
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