Job responsibilities
JOB PURPOSE
1. Provide clinical expertise,
acting as first-contact practitioner and making decisions about the best course
of action for patients' care (including in relation to undifferentiated
conditions). This will involve seeing patients, without prior contact with
their GP, in order to establish a rapid and accurate diagnosis and management
plan.
2. Progress and request
investigations to facilitate diagnosis and choice of treatment regime,
understanding the information limitations derived from these and the relative
sensitivity and specificity of particular tests diagnostic services such as
x-rays and blood test, and interpret and act on results to aid diagnosis and
the management plans of patients.
3. Deliver programmes of
supported patient self-management, in ways that facilitate behavioural change,
optimise individuals' physical activity, mobility, fulfilment of personal goals
and independence, and that minimise the need for pharmacological interventions.
CORE RESPONSIBILITIES
1. Takes professional
responsibility as a first-contact physiotherapist, with high-level
decision-making and clinical-reasoning skills to assess, diagnose and triage of
patients
2. Manages a complex caseload
(including patients with long-term conditions, comorbidities and
multi-factorial needs),
3. Leads, manages and contributes
to service delivery,
4. Accountable for decisions and
actions via HCPC registration, supported by a professional culture of peer
networking/review and engagement in evidence-based practice
5. Streamlines pathway of care by
providing a responsive service so that patients receive timely access to care.
6. Ensures care is proactive,
preventive in focus and population based, with an emphasis on early
intervention
7. Provides care which is
tailored to the individual needs. This would include, appraising the impact of
individuals' clinical status on their general health, well-being, employment
status (including in relation to function, physical activity, mobility and
independence
8. Supports patients to set their
own goals and be confident in their approach to self-management
9. Communicates effectively and
appropriately with patients and carers complex and sensitive information
regarding diagnosis, pathology and prognosis.
10.Uses a range of clinical
skills which may include a. non-medical independent prescribing b. joint / soft
tissue injections c. joint aspirations
11.Provides learning
opportunities for the whole multi professional team within primary care.
12.Works with MDT to develop more
effective and streamlined clinical pathways and services
13.Exercises professional
judgement, making, justifying and taking responsibility for decisions in
unpredictable situations, including in the context of incomplete/contradictory
information
14.Manages interactions in
complex situations, including with individuals with psychosocial and mental
health needs and with colleagues across the primary care team, sectors and
settings.
EXPERT PROFESSIONAL PRACTICE
1. Demonstrates general
physiotherapy skills and knowledge in core areas
2. Is able to plan, manage,
monitor, advise and review general physiotherapy care programmes for patients
in core areas, including disease states / long term conditions identified by
local Needs Assessment
3. Demonstrates accountability
for delivering professional expertise and direct service provision
4.Exercise a critical
understanding of personal scope of practice and to identify when a patient
needs referring on and where there are opportunities for developing the scope
and competence of the wider MDT to meet patient care needs
5. Integrates a broad range of
interventions into practice, including injection therapy and independent
prescribing, while also promoting non-pharmacological solutions to patient care
6. Through patient assessment and
working in partnership with patients and their carers, make decisions about the
best pathway of care, informed by the urgency and severity of patient need,
patient acuity and dependency, and the most appropriate deployment of resources
7. Manage risk in unpredictable,
uncertain situations to uphold patient safety, including by referring on to
other primary care team members and to specialist services, as needed
8. Able to follow legal, ethical,
professional and organisational policies/procedures and codes of conduct
9. Involves patients in decision
making and supporting adherence as per NICE guidance.
COLLABORATIVE WORKING
RELATIONSHIPS
Operate as a full member of the
primary care team, including contributing to leadership, service
evaluation/improvement and research activity
Manage and co-ordinate the care
that individual patients receive, including through liaising with other members
of the MDT and with patients' carers
Lead primary care activity,
with a strong emphasis on prevention and early intervention, including through
the delivery of public health advice (e.g. relating to physical activity,
weight management and smoking cessation)
Contribute to the use of
healthcare technologies to optimise the integration of service delivery (across
teams, sectors and settings) and patients access and continuity of care
Contribute to the development
of primary care teams, including through contributing to others' learning
LEADERSHIP
Demonstrates understanding of
the physiotherapy role in governance and is able to implement this
appropriately within the workplace
Demonstrates understanding of,
and contributes to, the workplace vision Demonstrates ability to improve
quality within limitations of service
Reviews last years progress
and develops clear plans to achieve results within priorities set by others
Demonstrates ability to
motivate self to achieve goals
MANAGEMENT
Demonstrates understanding of
the implications of national priorities for the team and/or service
Demonstrates understanding of
the process for effective resource utilisation
Demonstrates understanding of,
and conforms to, relevant standards of practice
Demonstrates ability to
identify and resolve risk management issues according to policy/protocol
Follows professional and
organisational policies/procedures relating to performance management
Represents the physiotherapy
service on relevant committees and meetings, as a lead physiotherapy clinician,
provide input in relation to specialist issues and clinical matters as
required.
Assists Team Leaders in the
efficient day to day management of the musculoskeletal service.
