Job summary
Are you a qualified Physiotherapist looking for an exciting
new opportunity?
As part of Nottingham CityCare Partnerships Integrated
Care Homes Service (ICHS), you will work within the Dementia Outreach and
Therapy teams to assess care home residents with dementia and create treatment
plans. Your role will focus on falls management, mobility, and manual handling,
supporting independence and aiming to reduce hospital admissions.
ICHS aim is to improve residents and staff experience by
delivering high-quality, multidisciplinary care in an integrated model, with
referrals prioritised to meet individual needs. Caseloads are primarily adults
with dementia in care homes. Applicants should demonstrate strong Physiotherapy
skills and experience supporting people living with dementia, ideally within
community settings.
Professional development is actively encouraged, with
opportunities to collaborate with specialist services and access ongoing
education. Team members benefit from regular therapy meetings, peer support,
and supervision.
The Dementia Outreach and Therapy teams play a vital role
in optimising wellbeing through person-centred rehabilitation. By joining, you
will gain valuable experience managing complex cases and contribute to
improving the quality of life for vulnerable adults.
We also encourage interested applicants to shadow the
service for a day to see the role in action and its positive impact on
patients.
Main duties of the job
This Physiotherapy role is part of the Dementia Outreach (DOT) element of the Integrated Care Home Service, which includes dementia specialist therapists, RMNs, and Assistant Practitioners. DOT therapists work alongside physical therapy clinicians as an integrated team, supported by a therapy lead. Referrals are triaged and assigned to the most appropriate therapist.
The DOT Physiotherapist must demonstrate advanced clinical knowledge and experience in dementia care. They will complete holistic assessments, prescribe tailored therapy programmes, and manage their own caseload. The role also includes supervising Assistant Practitioners and acting as a resource for the wider service.
As an integrated service, collaborative working is central. ICHS Therapy team and wider therapy meetings are held monthly, for therapists from across CityCare to share expertise and develop innovative practice. The Physiotherapist will contribute to service evaluation, audits, meetings, and working groups, representing the service where required.
The team supports delivery of the Enhanced Care in Care Homes Framework, providing training and education to care home staff, empowering them to deliver high-quality care. The role also involves developing joint handovers in care homes to enable proactive support and prevent avoidable hospital admissions.
The DOT element of the service is currently undergoing an ICS-wide service review.
About us
We are a
provider of NHS Community Health Services, CityCare exists to support the
health and wellbeing of all local people, working alongside other health and
care partners to achieve this. We are a value driven, people business with a
passion for excellence. Our vision and social purpose is to make a difference
everyday to the health & wellbeing of our communities and our values of
kindness, respect, trust and honesty lie at the heart of everything we do,
guiding how we work together with partners and each other to consistently
deliver high quality compassionate care. As a social enterprise we aim to add
social value by investing in the future of our local communities and helping to
make a difference in peoples lives.
CityCare value
the benefits of a diverse and inclusive workforce. We encourage applications
from candidates who identify as disabled, LGBT+ or from a Black, Asian or
Minority Ethnic (BAME) background, as they are currently under-represented
within our organisation.
We are proud to be a forces-friendly
organisation and are dedicated to supporting Veterans, Service Leavers, Reservists, and
military spouses/partners. We value the unique skills and contributions you
bring.
CityCare is an
equal opportunities employer. We are positive about employing people with
disabilities. If you require your application in a different format please
contact People Services on 0115 8839418. CityCare is committed to the
protection of vulnerable adults and children.
Job description
Job responsibilities
Job Purpose
- To assess, plan and develop treatment programmes for Nottingham City patients within care homes who have a dementia and a wide variety of complex physical needs, to maximise the physical and social environments to help people engage in activities of daily living and contribute to multi-disciplinary treatment planning.
- Determine clinical diagnosis and physiotherapy treatment indicated and to maintain records as an autonomous practitioner.
- To be responsible for continuing the ongoing development of high standards of clinical practice and expertise within the service contributing to implementation of specific changes to practice and service protocols and making a professional contribution to the work of a multi-disciplinary team
- To advise and support care home staff in maintaining a residents wellbeing and engagement despite.
- To manage/care coordinate a caseload of patients, and will provide advice, education and teaching sessions to providers of residential/nursing care.
Dimensions
- To be part of a multi-disciplinary Integrated Care Homes Service, responsible for the delivery of a physiotherapy service to residents within care homes.
- To supervise less experienced physiotherapists, support staff and students working with the Post Holder. To supervise, educate and assess the performance of undergraduate Physiotherapy students as required ensuring the standard of practice and teaching meets the standards set by the degree level qualification.
- To give specialist advice to members of the multidisciplinary team and staff from other agencies on physiotherapy, dementia and physical health matters.
- Contributes to the provision of education/teaching related to dementia care and physiotherapy across a range of healthcare needs to surrounding residential and nursing homes.
- To increase the capacity, confidence, competence and willingness of partner organisations to provide the right level of care to this vulnerable client group and by doing so increase standards of care, improve quality of life, increase independence and choice.
Key Responsibilities
Clinical
- To be professionally and legally responsible and accountable for all aspects of your work, including the management of clients in your care. To ensure a high standard of clinical care for the clients under physiotherapy management, and support more junior staff to do likewise.
- To determine by assessment and liaison with other relevant agencies the advice, education and treatment requirements of each client and/or carer. This may include dealing with complex and conflicting opinions within the multi-disciplinary multi-agency team.
- To undertake the comprehensive assessment of clients, including those with a complex and/or chronic presentation using investigative and analytical skills through standardised and non-standardised assessments. To formulate individualised management and treatment plans, using clinical reasoning and using a wide range of treatment skills and options to devise a specialised programme of care.
- To set physiotherapy rehabilitation goals, carry out treatment interventions.
- To accept clinical responsibility for a designated caseload of clients and to organise this effectively with regard to clinical priorities and use of time.
- To provide highly specialised advice, teaching and training to other members of the Integrated Team regarding the physiotherapy management of clients with problems related to rehabilitation/mobility/ageing.
- To train, supervise and manage more junior staff, support staff and students. This will include the use of formal appraisal documentation and accreditation as a Physiotherapy Clinical Educator. To supervise, educate and assess the performance of undergraduate Physiotherapy students as required to ensure the standard of practice and teaching meets the standards set by the degree level qualification
- To have the ability to gain valid informed consent and to identify through assessment clients who lack capacity and work within a legal framework with clients who lack the capacity to consent to treatment.
- To work as a lone practitioner with supervision from band 7 Physiotherapist, the Team Leader will also provide support as required.
- To provide spontaneous and planned advice, teaching and instruction to clients, carers and other professionals to promote understanding of the aims of physiotherapy and to ensure a consistent approach to client care.
- To assess advice and, where appropriate, provide mobility aids including teaching clients/carers in their use.
Professional
- To participate in the development of good practice for Physiotherapists within Nottingham CityCare Partnership CIC under the guidance of the Professional Lead Physiotherapist
- To demonstrate a commitment to evidence-based practice.
- To be responsible for own Continuing Professional Development under the supervision of the Band 7 Clinical Therapy Lead, keeping abreast of new trends and developments, incorporating them into your work as necessary. Attend relevant conferences and internal/external training courses. Support more junior staff to do likewise.
- To maintain a high level of physiotherapy standards and work to the Physiotherapy Code of Professional Conduct.
- To actively participate in the services training strategy, including in-service training, Trust and multi-agency training. To participate by attendance and presentation at staff meetings, tutorials and training sessions.
- To demonstrate a sound understanding of Clinical Governance and Risk Management and apply to the work situation.
- To assist with development and participation in the teams audit projects, evidence based practice projects and outcome measures, either individually or with other senior therapists. To make recommendations for change.
- To contribute to the evidence base for physiotherapy for older people with mental health needs as appropriate through dissemination of research and audit findings.
- To participate in the staff appraisal scheme and Personal Development plans as both appraiser and appraise.
Organisational
- To support the Team Manager in implementing targets and objectives to assist in the ongoing development of the service. To participate in service evaluation and advice on the service needs of the client population.
- To be responsible for management duties when requested by senior staff.
- To liaise effectively with other professionals and agencies to enhance rehabilitation within the boundaries of Nottingham CityCare Partnership CIC.
- To assist the day-to-day delivery of the physiotherapy service within own service including prioritisation of support staff duties. Also organising own diary and time management. (Arranging assessments and appointments for own caseload)
- To ensure the health and safety of staff and clients at all times in accordance with Health & Safety Legislation and Organisational Policy and Procedures. To adhere to all other Organisational Policies and Procedures.
- To attend team meetings and meetings with other agencies as required.
- To use information technology on a daily basis and participate in identified data collection and statistics and to maintain clear, concise and timely records in line with the service policy.
- To actively participate in Lone Worker Tracking procedures.
- To have and promote a positive attitude to change and change management.
- To play an active role in supporting and facilitating change where appropriate.
- To undertake any other duties which may be reasonably required.
Job description
Job responsibilities
Job Purpose
- To assess, plan and develop treatment programmes for Nottingham City patients within care homes who have a dementia and a wide variety of complex physical needs, to maximise the physical and social environments to help people engage in activities of daily living and contribute to multi-disciplinary treatment planning.
- Determine clinical diagnosis and physiotherapy treatment indicated and to maintain records as an autonomous practitioner.
- To be responsible for continuing the ongoing development of high standards of clinical practice and expertise within the service contributing to implementation of specific changes to practice and service protocols and making a professional contribution to the work of a multi-disciplinary team
- To advise and support care home staff in maintaining a residents wellbeing and engagement despite.
- To manage/care coordinate a caseload of patients, and will provide advice, education and teaching sessions to providers of residential/nursing care.
Dimensions
- To be part of a multi-disciplinary Integrated Care Homes Service, responsible for the delivery of a physiotherapy service to residents within care homes.
- To supervise less experienced physiotherapists, support staff and students working with the Post Holder. To supervise, educate and assess the performance of undergraduate Physiotherapy students as required ensuring the standard of practice and teaching meets the standards set by the degree level qualification.
- To give specialist advice to members of the multidisciplinary team and staff from other agencies on physiotherapy, dementia and physical health matters.
- Contributes to the provision of education/teaching related to dementia care and physiotherapy across a range of healthcare needs to surrounding residential and nursing homes.
- To increase the capacity, confidence, competence and willingness of partner organisations to provide the right level of care to this vulnerable client group and by doing so increase standards of care, improve quality of life, increase independence and choice.
Key Responsibilities
Clinical
- To be professionally and legally responsible and accountable for all aspects of your work, including the management of clients in your care. To ensure a high standard of clinical care for the clients under physiotherapy management, and support more junior staff to do likewise.
- To determine by assessment and liaison with other relevant agencies the advice, education and treatment requirements of each client and/or carer. This may include dealing with complex and conflicting opinions within the multi-disciplinary multi-agency team.
- To undertake the comprehensive assessment of clients, including those with a complex and/or chronic presentation using investigative and analytical skills through standardised and non-standardised assessments. To formulate individualised management and treatment plans, using clinical reasoning and using a wide range of treatment skills and options to devise a specialised programme of care.
- To set physiotherapy rehabilitation goals, carry out treatment interventions.
- To accept clinical responsibility for a designated caseload of clients and to organise this effectively with regard to clinical priorities and use of time.
- To provide highly specialised advice, teaching and training to other members of the Integrated Team regarding the physiotherapy management of clients with problems related to rehabilitation/mobility/ageing.
- To train, supervise and manage more junior staff, support staff and students. This will include the use of formal appraisal documentation and accreditation as a Physiotherapy Clinical Educator. To supervise, educate and assess the performance of undergraduate Physiotherapy students as required to ensure the standard of practice and teaching meets the standards set by the degree level qualification
- To have the ability to gain valid informed consent and to identify through assessment clients who lack capacity and work within a legal framework with clients who lack the capacity to consent to treatment.
- To work as a lone practitioner with supervision from band 7 Physiotherapist, the Team Leader will also provide support as required.
- To provide spontaneous and planned advice, teaching and instruction to clients, carers and other professionals to promote understanding of the aims of physiotherapy and to ensure a consistent approach to client care.
- To assess advice and, where appropriate, provide mobility aids including teaching clients/carers in their use.
Professional
- To participate in the development of good practice for Physiotherapists within Nottingham CityCare Partnership CIC under the guidance of the Professional Lead Physiotherapist
- To demonstrate a commitment to evidence-based practice.
- To be responsible for own Continuing Professional Development under the supervision of the Band 7 Clinical Therapy Lead, keeping abreast of new trends and developments, incorporating them into your work as necessary. Attend relevant conferences and internal/external training courses. Support more junior staff to do likewise.
- To maintain a high level of physiotherapy standards and work to the Physiotherapy Code of Professional Conduct.
- To actively participate in the services training strategy, including in-service training, Trust and multi-agency training. To participate by attendance and presentation at staff meetings, tutorials and training sessions.
- To demonstrate a sound understanding of Clinical Governance and Risk Management and apply to the work situation.
- To assist with development and participation in the teams audit projects, evidence based practice projects and outcome measures, either individually or with other senior therapists. To make recommendations for change.
- To contribute to the evidence base for physiotherapy for older people with mental health needs as appropriate through dissemination of research and audit findings.
- To participate in the staff appraisal scheme and Personal Development plans as both appraiser and appraise.
Organisational
- To support the Team Manager in implementing targets and objectives to assist in the ongoing development of the service. To participate in service evaluation and advice on the service needs of the client population.
- To be responsible for management duties when requested by senior staff.
- To liaise effectively with other professionals and agencies to enhance rehabilitation within the boundaries of Nottingham CityCare Partnership CIC.
- To assist the day-to-day delivery of the physiotherapy service within own service including prioritisation of support staff duties. Also organising own diary and time management. (Arranging assessments and appointments for own caseload)
- To ensure the health and safety of staff and clients at all times in accordance with Health & Safety Legislation and Organisational Policy and Procedures. To adhere to all other Organisational Policies and Procedures.
- To attend team meetings and meetings with other agencies as required.
- To use information technology on a daily basis and participate in identified data collection and statistics and to maintain clear, concise and timely records in line with the service policy.
- To actively participate in Lone Worker Tracking procedures.
- To have and promote a positive attitude to change and change management.
- To play an active role in supporting and facilitating change where appropriate.
- To undertake any other duties which may be reasonably required.
Person Specification
Special Requirements
Essential
- Friendly, approachable, stays calm under pressure, diplomatic, leadership skills, recognises own limitations
- Able to manoeuvre patients using handling aids, able to carry out manual handling assessments of patients in care homes, able to kneel, bend and stoop, and work in cramped environments
- Car driver and possession of a current full UK driving licence
Desirable
- Working knowledge of Systm1
Knowledge and skills
Essential
- Evidence of achievement of appropriate competencies for clinical grade
- Awareness of current Local and National Policy Developments and remains update with professional practice and current best evidence and research
- Physiotherapy diagnosis/assessment and treatment skills.
- Awareness, understanding and commitment to the pursuit of equality and diversity in terms of service delivery and employment practice
- Competent use of information technology appropriate to role, SystmOne
- Experience of supervision and appraisal of less experienced qualified staff and student/support workers
- Contribution to clinical education of less experience staff/students and support workers
- Excellent communication skills demonstrating an ability to communicate to a variety of audiences and levels, e.g. 1:1 and in groups, teaching
- Knowledge and experience of a wide range of approaches to the management of dementia and complex conditions demonstrated by clinical reasoning
- Experience of change and change management including dealing with conflict
- Remain updated with professional practice and current best evidence and new research, and evidence of CPD
- Flexible, adaptable, innovative and self-reliant with a positive attitude
- Good organisational skills, ability to prioritise and delegate
Qualifications
Essential
- BSc (Hons) Physiotherapy or equivalent
- HPC Registration
Desirable
- Clinical Educators / Practice Teaching Course
Experience
Essential
- Relevant post graduate experience working with adults and older people with a diagnosis of dementia
- Experience of multi-disciplinary and/or multi-agency working
- Competence in individual caseload management
Desirable
- Community based practice experience
- Willingness to undergo further training to develop knowledge related to physiotherapy for older people with dementia.
Person Specification
Special Requirements
Essential
- Friendly, approachable, stays calm under pressure, diplomatic, leadership skills, recognises own limitations
- Able to manoeuvre patients using handling aids, able to carry out manual handling assessments of patients in care homes, able to kneel, bend and stoop, and work in cramped environments
- Car driver and possession of a current full UK driving licence
Desirable
- Working knowledge of Systm1
Knowledge and skills
Essential
- Evidence of achievement of appropriate competencies for clinical grade
- Awareness of current Local and National Policy Developments and remains update with professional practice and current best evidence and research
- Physiotherapy diagnosis/assessment and treatment skills.
- Awareness, understanding and commitment to the pursuit of equality and diversity in terms of service delivery and employment practice
- Competent use of information technology appropriate to role, SystmOne
- Experience of supervision and appraisal of less experienced qualified staff and student/support workers
- Contribution to clinical education of less experience staff/students and support workers
- Excellent communication skills demonstrating an ability to communicate to a variety of audiences and levels, e.g. 1:1 and in groups, teaching
- Knowledge and experience of a wide range of approaches to the management of dementia and complex conditions demonstrated by clinical reasoning
- Experience of change and change management including dealing with conflict
- Remain updated with professional practice and current best evidence and new research, and evidence of CPD
- Flexible, adaptable, innovative and self-reliant with a positive attitude
- Good organisational skills, ability to prioritise and delegate
Qualifications
Essential
- BSc (Hons) Physiotherapy or equivalent
- HPC Registration
Desirable
- Clinical Educators / Practice Teaching Course
Experience
Essential
- Relevant post graduate experience working with adults and older people with a diagnosis of dementia
- Experience of multi-disciplinary and/or multi-agency working
- Competence in individual caseload management
Desirable
- Community based practice experience
- Willingness to undergo further training to develop knowledge related to physiotherapy for older people with dementia.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
