Job Summary

To work as part of an autonomous and innovative team specialising in foot and lower limb pathologies. To assess, diagnose, implement and develop individualised assessment and treatment programmes for patients presenting with foot pathologies and medical need. This will involve general and specialist care within a range of locations, including clinical, domiciliary, hospital, and other external settings with an emphasis on a multidisciplinary approach. To commit to a philosophy of a patient centred approach to care, with emphasis on client empowerment and self-care. To work as a highly motivated team member within the podiatry and multidisciplinary team settings and external organisations, to achieve the best patient outcome. To be responsible for the management of podiatric caseloads from a high-risk caseload including patients with wounds, demonstrating a high level of knowledge and skills to ensure the provision of high quality care, whilst observing and implementing policies, guidelines and procedures of Lewisham and Greenwich NHS Trust.

Main duties of the job

To be responsible and accountable for the complex assessment, diagnosis and treatment of new and existing patients with a wide variety of podiatric complaints. This includes:Systemic diseasesImmunosuppressive disordersVascular and neurological disordersDermatological disordersChronic pathologiesEmergency treatmentsWound managementMusculo-skeletal disordersPaediatric conditionsDeformitiesNail and skin pathologiesTo provide podiatric care plans tailored to the patient’s medical needs with regular review and the ability to identify and co-ordinate further interventions. To ensure timely and appropriate referrals to other specialists from within the department and outside. For example GPs, District Nursing, Hospital Acute Foot Clinic, Social services and voluntary organisations, facilitating safe and appropriate discharge where indicated.To treat a wide variety of patient groups including those with special needs, housebound, children, elderly, adults, vulnerable groups and those from different cultural backgrounds with the possibility of communication barriers.To demonstrate sound clinical expertise and knowledge in the management of serious and high risk pathologies for example infected foot ulcers. To undertake specialist diabetes and high-risk sessions for the assessment and treatment of patients.

About Us

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. The Trust has 7,500 staff and we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We are accredited as a flexible working employer and as a London Living Wage employer for substantive, bank and contractors.

Details

Date posted: 23 September 2025Salary: £24.66 per hourContract: BankWorking pattern: Flexible workingReference: C9197-25-0944

Job locations

Lewisham Hospital NHS Trust, Lewisham High Street, London SE13 6LH; Queen Elizabeth Hospital NHS Trust, Stadium Road, London SE18 4QH

Job Description

Job responsibilities: To carry out assessments and treatments of podiatry patients in a range of settings (clinics, nursing homes and in the patient’s home). Moderate physical effort is involved in the clinical setting; higher effort and risk assessment is required for nursing homes and home visits.

To have highly developed physical skills, dexterity and precision hand/eye coordination requiring frequent and intense concentration. For example: debridement of callous/corns/foot ulcers where required.

To work to a fully allocated domiciliary and clinical caseload, with flexibility to incorporate emergency referrals and manage time, stress and prioritisation to meet appointment times.

To undertake assessment and treatment of patients with lower limb musculo-skeletal pathologies including:The prescription, fabrication and evaluation of chair-side insoles/orthoticsThe prescription and evaluation of an appropriate exercise and stretching regimeEvaluation, prescription and casting for bespoke orthoses

To undertake minor surgery assessments and treatments including nail surgery, electro-surgery and use of local analgesia injections with the ability to manage anaphylactic shock if required.

The post holder may be required to work at any of the PCTs sites in line with service needs.

Person SpecificationQualificationsState registration to HPCPodiatry Diploma/ DegreeLocal Analgesia Administration CertificateCommitment to continuous development of clinical skills and professional knowledgeAwareness of current changes within the NHSFull Driver''s LicenceDesirableIRMER certificatePOMs certificateEvidence of CPD portfolio demonstrating knowledge base

SkillsAbility to diagnose, construct, document, implement and evaluate care plans using a holistic approachAbility to make decisionsGood organisational skills in managing own caseload with a proportion of high-risk patientsProficiency with electronic resources (Word, Excel, PowerPoint)Good verbal and written communication with diverse age groupsExperience with specialist diagnostic and therapeutic equipment (e.g., Doppler ultrasound, gait analysis systems)Hand-eye coordination and dexterity

ExperienceEssential: Minimum 1 year post-graduate experience treating a high-risk caseload including wound care; willingness to undertake post-graduate training in specialist podiatry areas (e.g., diabetes)Post-graduate experience in minor surgical proceduresBiomechanics including orthoses; formulation of treatment plansLocal analgesia injections including calculating maximum safe doses and detecting contraindicationsComprehensive patient assessments (medical history, vascular, neuropathic) and treatment planningCoaching students and willingness to train in clinical coachingDesirable2 years post-graduate experience with high-risk caseloads including diabetic/ischaemic foot ulcersInvolvement in health educationExperience in specialist podiatry areas (e.g., Podiatric Surgery, Diabetes)Clinical coaching training

Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act and a Disclosure to the DBS will be required.

UK RegistrationApplicants must have current UK professional registration. For more information see NHS Careers website.

Employer detailsLewisham and Greenwich NHS Trust, Lewisham Hospital NHS Trust, Lewisham High Street, London SE13 6LH

Employer''s website: https://www.lewishamandgreenwich.nhs.uk/

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