Specialist Paediatric Dietitian - CF and General

Job overview

To provide highly specialised podiatric care for patients attending the Diabetic Foot Clinic. The Diabetic Foot Clinic is a podiatry-led, multidisciplinary, tertiary referral unit, which provides expert specialist foot care, advanced assessment and diagnostic techniques for high- risk patients with complex foot pathologies resulting from the complications of diabetes. This role is an opportunity to broaden and apply further specialist knowledge and skills within the MDT.

Main duties of the job

Based on the duties you've provided, here's a concise summary suitable for a business case under Main Duties

The Acute Podiatrist will independently manage a specialist caseload of patients with complex diabetic foot disease and high-risk lower limb conditions across the Trust. The post holder will provide expert assessment, diagnosis and treatment, including advanced wound care, sharp debridement, offloading techniques, and pressure-relieving interventions to prevent deterioration and reduce the risk of amputation.

They will lead on complex clinical decision-making, coordinate investigations, participate in multidisciplinary diabetic foot and vascular meetings, run early discharge clinics to reduce inpatient length of stay, and work closely with community services to ensure continuity of care.

The role also includes promoting evidence-based practice, maintaining HCPC professional standards, supporting service improvement, and delivering high-quality, safe and effective care for a minimum of eight complex patients per clinic session.

Working for our organisation

The Trust provides a full range of local and specialist services across its five sites. Transforming Healthcare is the vision at the heart of the King’s Strategy – 2026 to 2031. Together, we are pursuing six strategic ambitions: delivering high-quality patient care; being a great place to work; leading pioneering research, innovation and education; building strong and successful partnerships; providing timely and efficient care; and ensuring long-term financial sustainability.

Achieving these ambitions will require all of us to work as one Team King’s, united by a shared commitment to our values of being caring, collaborative, inclusive and innovative. By living these values every day, we will transform healthcare for our patients, our communities and each other

We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.

King’s is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone’s contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust’s carbon emissions, waste and pollution wherever possible.

Detailed job description and main responsibilities

The Acute Podiatrist will provide highly specialised assessment, diagnosis and treatment for patients with complex diabetic foot disease and other high-risk lower limb conditions across the Trust. The post holder will independently manage a specialist caseload, taking clinical responsibility for developing, implementing and evaluating evidence-based treatment plans to prevent deterioration, promote wound healing and reduce the risk of lower limb amputation.

The role includes undertaking comprehensive wound assessments, identifying patients requiring urgent intervention, and ensuring timely referral to the appropriate specialties, including vascular surgery, diabetes, orthopaedics, infectious diseases and tissue viability. The post holder will be an expert in advanced wound management techniques, including sharp debridement, negative pressure wound therapy (VAC), larval therapy and the application of evidence-based dressings.

The Acute Podiatrist will develop specialist expertise in offloading techniques, including Total Contact Casting (TCC), Scotchcast boots, slipper casts and bedside orthotic devices, ensuring appropriate pressure redistribution to optimise healing. They will also assess the need for specialist footwear and pressure-relieving devices, working closely with Orthotics to ensure patients receive appropriate interventions.

The post holder will coordinate investigations, facilitate timely booking of diagnostic tests and interpret clinical findings, including undertaking transcutaneous oxygen pressure (TcPO ₂) measurements before and after vascular interventions such as angioplasty and bypass surgery to support clinical decision-making. They will actively participate in weekly multidisciplinary diabetic foot and vascular meetings, presenting complex patient cases, contributing to treatment planning and ensuring coordinated care across specialties.

A key responsibility will be leading early discharge clinics for patients with complex diabetic foot disease to facilitate safe discharge, reduce hospital length of stay and minimise avoidable readmissions. The role also requires close collaboration with community podiatry services, tissue viability teams, primary care and community nursing services to ensure seamless continuity of care following discharge.

The Acute Podiatrist will act as a clinical expert and role model, maintaining the professional standards required by the HCPC and promoting evidence-based practice through clinical leadership, audit, education and service improvement initiatives. The post holder will identify areas of poor practice, contribute to quality improvement programmes and support the development of clinical pathways to enhance patient outcomes.

The expected clinical activity is to assess, manage and treat a minimum of eight complex high-risk foot patients per clinic session, ensuring the delivery of safe, effective and timely specialist care while supporting patient flow, reducing complications and improving overall service performance

Person specification

Appliaction and questions

Essential criteria

• Degree in Podiatry
• Evidence of significant post Graduate experience
• Ability to sharp debride neuropathic and neuro-ischaemic foot ulcers

Desirable criteria

• Independent Prescribing
• ICT skills, excel, powerpoint, EPR
• Identify Acute and Chronic Charcot Foot presentation

IMPORTANT

• Check your email account regularly as this is how we will communicate with you
• If you delete the job from any of your accounts, you may be prevented from accessing further communications
• To enquire about your application or inform us of any changes in your circumstances, please contact the named person on this advert
• Please provide email addresses for referees where possible
• Please review the documentation on our recruitment microsite, particularly the Trust’s criminal records checking policy
• All staff have a responsibility for safeguarding children and vulnerable adults and for ensuring they are aware of the specific duties relating to their role.
• Please note that the closing date is given as a guide. On occasion, we might close a vacancy early due to a high number of applications being received. You are advised to submit your application as early as possible to avoid disappointment.

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