Senior Vascular Practitioner (Podiatry/Nurse) – Flexible in Manchester

gtd healthcare is one of the largest NHS commissioned Primary Care, Out of Hours & Urgent Care providers in the North West of England. We have a fantastic opportunity for a Senior Clinical Practitioner (Podiatrist or Nurse) to provide clinical assessment of patients with peripheral arterial and venous disease within a community-based meeting of Multidisciplinary Team (MDT) Vascular clinic across the Oldham area on a 12 months fixed term contract. The Well Leg service will consist of patients who have been referred by community or secondary care clinicians due suspected peripheral arterial disease (PAD) or venous disease.

The patient journey will require a comprehensive vascular assessment, diagnosis (including ABPI and TBPI) and a management plan, which may include management of modifiable risk factors, medication review/recommendations, lifestyle advice/health promotion, compression hosiery prescription and onward referrals where appropriate. The successful candidate will be an experienced clinician (Podiatrist/Nurse) with expertise in comprehensive arterial assessment including ABPI and TBPI, knowledge of venous disease and ability to assess for compression hosiery. You will have a genuine passion for lower limb assessment and management and a commitment to delivering excellent patient-centred care within a primary care setting.

Variety of shifts available, Monday to Friday between 8:30 and 17:00.

• Supporting with training and undertaking of comprehensive assessments, diagnosis and management of patients with PAD and venous disease.
• Providing holistic care to patients with vascular disease, including monitoring, education, and support.
• Leading, supporting and training junior staff with the MDT clinics and innovative ways in meeting individual patient needs (focussing on those that are underserved).
• Collaborating with GPs, multidisciplinary teams and local services to optimise patient outcomes.
• Promoting best practice in line within the current guidelines.
• Providing data and analysis on specific patient outcomes and key performance indicators.

As an employee of gtd healthcare, you will be able to take advantage of our benefits package, including:

• working for a values-led organisation;
• Real living wage employer;
• supporter of the Greater Manchester Good Employment Charter;
• access to Stream, which provides flexible, on-demand access to stream your pay during the month;
• salary sacrifice car benefit scheme;
• 30 days annual leave, rising to 32 after five years of continuous service;
• flexible working hours and policies;
• family friendly and carer policies;
• opportunities to apply for innovation and quality awards;
• access to gtd healthcare wellbeing initiatives;
• opportunity to become part of an employee owned organisation;
• gtd healthcare social and fun activities;
• cycle to work scheme;
• NHS staff discounts, a free Blue Light Card and Health Service Discounts;
• access to an employee assistance programme.

• Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with undifferentiated diagnosis.
• Clinically examine and assess patient needs from a physiological, psychological and social perspective, and plan clinical care accordingly.
• Plan, implement and evaluate an effective management plan for the patient, ensuring safe discharge/referral and/or transfer to an appropriate health care service.
• Demonstrate a level of clinical practice that reflects agreed policies, protocols and guidelines within the clinical strategy framework.
• Work flexibly to support clinical services within scope of practice as per service need.
• Diagnose and manage acute episodes of care integrating both drug- and non-drug-based treatment methods into a management plan.
• Demonstrate senior clinical decision making and critical nursing skills.
• Provide self-management advice and education.
• Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions.
• Support patients and their families to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care where appropriate.
• Manage own workload.

• Utilise and demonstrate sensitive communication styles, to ensure patients and or their families are fully informed and consent to treatment.
• Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
• Anticipate barriers to communication and take action to improve communication.
• Maintain effective communication within the organisation and with external stakeholders.
• Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.

• Recognise and work within own competence and professional code of conduct as per regulation.
• Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
• Demonstrate senior history taking skills appropriate to clinical setting.
• Prioritise, organise and manage own workload in a manner that maintains and promotes quality.
• Deliver care according to NICE guidelines and evidence-based care.
• Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
• Ensure professional revalidation requirements are met.
• Participate in the maintenance of quality governance systems and processes across the organisation and its activities.
• Utilise the audit cycle as a means of evaluating the quality of the work and implementing improvements where required.
• In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
• Work with senior staff in identifying any areas of improvement in response to patient feedback relating to health care provision and the effectiveness of care.
• Support and participate in shared learning across the organisation and wider organisation.
• Work with the Advanced Practitioners to assess the impact of policy implementation on care delivery.
• Understand and apply guidance that supports the identification of vulnerable and abused children and adults and be aware of statutory child/vulnerable patients health procedures and local guidance.

If you are employed in a prescribing capacity, you must only do this if qualified and competent to do so. This applies to those practitioners with V300 qualification, who have active registration with the NMC or the practitioners professional regulatory body. You must maintain your knowledge and skills with regards to prescribing and administration of drugs, keeping up to date with any changes, alerts, recalls and other reasonable professional knowledge.

• Contribute to the professional development of the clinical workforce in collaboration with the Chief Nurse, Head of Clinical Services and Clinical Leads.
• Participate in staff development to maximise individual potential, provide clinical supervision, always acting as a positive role model.
• Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice.
• Encourage reflective practice within the team demonstrating a positive and supportive approach.
• Work proactively within the team to support and develop user and carer involvement in service delivery and service redesign to ensure the development of patient centred care.
• Participate in teamwork and a corporate approach to decision making.
• Ensure the team maintains high quality standards for the environment, medical equipment and infection control issues in line with the area of work, gtd healthcare and CQC standards.
• Ensure the team implements and maintains national and organisational governance standards.
• Demonstrate SMART SPA objectives and report these back to CSM.

• Understand own role and scope and identify how this may develop over time.
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
• Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.
• Work within clear referral procedures to meet patient need.
• Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team.
• Work with others to clearly define values, direction and policies impacting on care delivery.
• Discuss, highlight and work with the team to create opportunities to improve patient care.
• To work as part of the team to help deliver specifically identified services or projects as agreed with the organisations management team.
• Agree plans and outcomes by which to measure success.

• Manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients.
• Monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures and guidelines.

• Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information.
• Review and process data in order to ensure easy and accurate information retrieval for monitoring and audit processes.

• Undertake mentorship for more junior staff, assessing competence against set standards.
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments (e.g. courses and conferences).
• Assess own learning needs and undertake learning as appropriate.
• Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning.
• Undertake appropriate supervisor and assessor training, such as Greater Manchester Training Hub (GMTH) Standards for Supervision and Assessment (SSSA) or NHS Enabling Effective Learning Environments in order to act as a qualified assessor and supervisor for internal and external learners and trainees.

Any other duties, as agreed with the line manager to meet the needs of the organisation. This may include travel to other sites within the organisation.

• Experience of leading/managing quality improvement.
• Clinical examination skills.
• Working in Primary Care/Urgent/Emergency Care.
• Clinical supervision/assessor training and experience.

• Registered RGN/HCP/GPhd/RPS.
• Registered with appropriate regulating body.
• Recognised clinical exam skills course and relevant senior work experience.
• Ideally possess a degree qualification.
• Specialist Emergency Care Qualification.
• Non Medical Prescriber.

• Management of patients with complex needs.
• Excellent communication skills, written and verbal.
• Negotiation and conflict management skills.
• Ability to work proactively within a team.
• Dealing with complex and challenging clinical consultations.
• Change Management.
• Ability to work flexibly.
• Clinical leadership skills.
• Teaching and mentorship in a clinical setting.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.