Malvern Town PCN First Contact Physiotherapist

Job description

Job responsibilities

Main duties of the job

They will work as part of a multi-disciplinary team in a patient facing role, using their expert knowledge of Musculoskeletal (MSK) issues, to create stronger links for wider MSK services through clinical leadership, teaching and evaluation skills.

They will assess, diagnose, triage and manage patients, taking responsibility for the management of a complex caseload etc

They will receive patients who self-refer (where systems permit) or from a clinical professional within the network.

First contact physiotherapists will progress and request investigations (such as x-rays and blood tests) and referrals to facilitate diagnosis and choice of treatment regime, understanding the limitations of investigations, interpret and act on results and feedback to aid diagnosis and the management plans of patients.

They will develop integrated and tailored care programmes in partnership with patients and provide a range of first line treatment options, including self-management and referral to rehabilitation focussed services and social prescribing provision. These programmes will facilitate behavioural change, optimise patients physical activity and mobility, support fulfilment of personal goals and independence and reduce the need for pharmacological interventions.

They will develop relationships and a collaborative working approach across the PCN supporting the integration of pathways in primary care.

They will develop and make use of their full scope of practice, including skills relating to independent prescribing, injection therapy and investigation.

They will provide learning opportunities for the whole multi-professional team within primary care, as determined by the PCN. They will also work across the multi-disciplinary team to develop and evaluate more effective and streamlined clinical pathways and services.

They will liaise with secondary care MSK services, community care MSK services and local social and community interventions as required, to support the management of patients in primary care.

Using their professional judgement, they will take responsibility for making and justifying decisions in unpredictable situations, including in the context of incomplete/contradictory information.

They will manage complex interactions, including working with patients with psychosocial and mental health needs, referring to social prescribing when appropriate.

Communicate effectively and appropriately, with patients and carers, complex and sensitive information regarding diagnosis, pathology, prognosis and treatment choices supporting personalised care.

Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training.

They will be accountable for decisions and actions via Health and Care Professions Council (HCPC) registration, supported by a professional culture of peer networking/review and engagement in evidence-based practice.

Encourage collaborative working across the health economy and be a key contributor to the primary care networks providing leadership and support on MSK clinical and service development across the network.

Support regional and national research and audit programmes to evaluate and improve the effectiveness of the FCP programme. This will include communicating outcomes and integrating findings into own and wider service practice and pathway development.

First contact physiotherapists will develop integrated and tailored care programmes in partnership with patients through:

o effective shared decision making with a range of first line management options (appropriate for the persons level of activation).

o assessing levels of Patient Activation to confirm levels of knowledge, skills and confidence to self-manage and to evaluate and improve the effectiveness of self-management support interventions, particularly for those at low levels of activation; and

o agreeing appropriate support for self-management through referral to rehabilitation focussed services and social prescribing provision. These programmes will facilitate behavioural change, optimise patients physical activity and mobility, support fulfilment of personal goals and independence and reduce the need for pharmacological interventions.

Person Specification

Knowledge

Essential

• Knowledge and understanding of the health and social care sector
• Knowledge of safeguarding, confidentiality and GDPR and the best practice approaches
• Equal Opportunities and Diversity
• Knowledge of EMIS database
• Ability to travel between sites when required

Desirable

• Social and health care systems and processes
• A working knowledge of relevant legislation including Data Protection

Experience

Essential

• Current knowledge and experience of caring for patients with conditions related to speciality
• Evidence of clinical competence and credibility in the speciality and relevant post-registration qualification experience must be in an appropriate area of specialist practice
• Evidence of mentoring, assessing, teaching and developing staff
• Working within a social care/health or related environment in a delivery or front face role
• Working with people who are vulnerable or face disadvantage
• Working in an empathetic and empowering way

Desirable

• Experience of working in a Primary Care environment
• Experience of professional self-management
• Experience of preventation medicine
• Experience of trauma informed care
• Experience of mental health, substance misuse management
• Experience of wound care

Skills

Essential

• Ability to work on own initiative and organise workload, allocating work as necessary, working to tight and often changing deadlines.
• Can demonstrate working at Level 7 capability in MSK related areas of practice or equivalent (such as advanced assessment diagnosis and treatment)
• Demonstrate basic and advanced clinical skills e.g. frailty, orthopaedic, neurology, cardiorespiratory care, physical assessment skills, basic life support
• Ability to analyse complex issues and make decisions where information is conflicting, incomplete and drawn from multiple sources.
• Excellent interpersonal, influencing and negotiating skills
• Excellent written and verbal communication skills
• Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients) Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
• Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
• Able to obtain and analyse complex technical information
• Telecommunication skills (clear, polite telephone manner)
• Strong IT skills
• Ability to respond to changing needs, pressures and demands and prioritise accordingly
• Evidence of working within a team environment
• Maintaining boundaries and ensuring clarity and understanding of the role
• Ability to self-manage and be creative in your approach to problem solving
• Ability and confidence to work on own initiative

Desirable

• Use of IT systems including EMIS, Care Notes, Microsoft office, email and database systems (external and internal)

Qualifications

Essential

• BSc Degree of Post-graduate Diploma in Physiotherapy
• Registered with the Health and Care Professional Council (HPCC)
• Evidence of relevant Post Graduate training and experience
• Enhanced to Masters degree level on a masters pathway, or equivalent relevant experience

Desirable

• Advanced communication skills/completed accredited communication skills training

Disclosure and Barring Service Check

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.

Employer details

Employer name

SW Healthcare

Address

Malvern Town PCN

Prospect View, 300 Pickersleigh Road

Malvern Town

Worcestershire,

WR14 2GP

Employer's website

http://www.swhealthcare.org.uk (Opens in a new tab)