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 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.The ECC Programme is underpinned by a set of key principles including:Eighty percent of services delivered in Primary Care are through the GP and CHNs;Identifying and building health needs assessments at a CHN level (approximate population of 50,000) based on a population stratification approach to include identification of people with chronic disease and frequent service users, thereby ensuring the right people get the right service based on the complexity of their health care needs;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 with complex care needs 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; and,The need to frontload investment, coupled with reform to strengthen community services.Diabetes in IrelandDiabetes is a serious global public health issue which has been described as the most challenging health problem in the 21st century. Cases of diabetes have progressively increased worldwide; between 1980 and 2008 there was a two-fold increase in the number of adults with diabetes. Type 2 diabetes is the main driver of the epidemic, accounting for approximately 90 % of all cases. In Ireland, in people aged 18 years and over, the prevalence of diagnosed diabetes increased from 2.2 % in 1998 to 5.2 % in 2015; representing an absolute mean increase of 0.17 % per year. In 2015, the incidence of diagnosed diabetes was 0.2/100 population.Diabetes places a significant burden of care on the individual, health care professionals and the wider health system. Individuals with diabetes are two to four times more likely to develop cardiovascular disease relative to the general population and have a two to five-fold greater risk of dying from these conditions. Diabetes is a significant cause of blindness in adults, non-traumatic lower limb amputations and end-stage renal disease resulting in transplantation and dialysis. In the Irish Longitudinal Study on Ageing (TILDA), among people aged 50 years and over with type 2 diabetes, 26% reported microvascular complications and 15% reported macrovascular complications. This means that as well as being an important public health issue, Type 2 diabetes is a huge financial burden to the Irish health service where diabetes care consumes up to 10% of the Irish healthcare budget.National Clinical Programme for DiabetesThe National Clinical Programme for Diabetes (NCP Diabetes) was established in under the HSE's Clinical Strategy and Programmes Division. Working under the direction of the National Clinical Advisor and Group Lead (NCAGL) for Chronic Disease and supported by the RCPI Diabetes Clinical Advisory Group, the aim of the NCP Diabetes is to save the lives, eyes and limbs of people living with diabetes in Ireland by:Decreasing morbidity and mortality through correct and early diagnosisProviding correct treatment based on best practice guidelines for treatment (self-management, primary care and secondary care).Guided by the model of care for chronic disease, the NCP Diabetes aims to influence positive change and improve care for people living with diabetes across the entire spectrum of healthcare delivery: self-management support; general practice; specialist support to general practice; specialist ambulatory care; and hospital inpatient specialist care.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.The Podiatrist 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 also, delivering services closer to the patient's home.Team Structure:Acute:Hospital Based: As an Acute Senior Podiatrist in Diabetes, the post holder will have the vision and drive to 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 those 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:CDH:Community Based: The person appointed to the post of Senior Podiatrist Community Chronic Disease Hub (Diabetes) will work with the Chronic Disease Management Team including Endocrinologist, DNS, Dietician, GPs, PHNs 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 shared care agreement. This role, however, will focus primarily on prevention with education and early intervention.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, PHNs/ Practice Nurses, community Dieticians, Physiotherapists, Occupational Therapists, Speech and Language Therapists and other disciplines as required. These new post holders along with the existing podiatry workforce will be required to deliver services that aspire to the eight fundamental principles of the Sláintecare report. A person centred, quality, evidence-based service to all other patients (mostly non-diabetes) referred who meet the Network service access criteria. This service will include wound care, High and Moderate Risk groups within a designated Network area, with a focus on Health Education and integrated working.For more information regarding this post, please download the attached supporting documentation.Please allow sufficient time to submit your application form before the deadline. For technical issues please contact Campaign Lead Cliona Rea