Advanced Practitioner Physiotherapist

Job description

Job responsibilities

Job Purpose

To assess, plan and develop treatment programmes for clients with a wide variety of complex physical needs in a clinic setting.

Determine clinical diagnosis and treatment indicated and maintain records as an autonomous practitioner, working without direct supervision.

Be responsible for continuing the on-going development of high standards of clinical practice and expertise within the service, contributing to implementation of specific changes to practice and service protocols.

To effectively triage MSK self-referrals, using risk stratification tools and place the patient in the appropriate treatment pathway i.e self-management using relevant MSK rehabilitation tools, virtual or F2F assessment.

Dimensions

To be responsible for the delivery of the Musculoskeletal physiotherapy within the MOSAIC service (Musculoskeletal Pain, Orthopaedic, Spinal and Integrated CFS/ME). Clients are referred by their GP, other health professionals, social services or self-referral. Dependent on your experience, your role may include the delivery of pain management programmes and the assessment of complex persistent pain patients.

To supervise less experienced members of staff and students. To supervise, educate and contribute to the assessment of undergraduate physiotherapy students if required, ensuring the standard of practice and teaching meets the standards set by the degree level qualification.

Administering and evaluating outcomes of injection therapy with guidance from Advanced Pain Practitioners.

To work in a variety of clinical environments, including potential lone working, and liaise with the extended health team as required e.g. GPs, other health professionals within and outside of CityCare.

To monitor the effect of treatment delivered by yourself and other members of the team, including the outcome of injection therapy.

To monitor and maintain performance of clinical sub-team of physiotherapists.

To work alongside the MOSAIC Administrative Team to maintain an efficient service for patients, delivering excellent customer service and contributing to the overall performance of the service.

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 and to support more junior staff to do likewise.

To have a lead role and determine by assessment and liaison with other relevant agencies the advice, education and treatment requirements of each client.

To undertake the comprehensive, advanced assessment of clients including those with complex and/or chronic presentation using investigative and analytical skills and to formulate the individualised management and treatment plans, using clinical reasoning, a wide range of treatment skills and options to devise a specialised, individualised programme of care.

To accept clinical responsibility for a designated caseload of patients and to organise this effectively and efficiently, with regard to clinical priorities and time management.

To provide highly specialised advice, teaching and training to other members of the primary health care team regarding pain management of clients with problems related to rehabilitation, ageing and obesity.

To educate, supervise and manage less experienced members of the team along with support staff and students. Using appropriate documentation.

To assess capacity, gain informed consent and work within a legal framework with clients who lack the capacity to make informed decisions.

To provide spontaneous and planned advice, teaching and instruction to patients, carers and other professionals to promote an understanding of the aims of pain management and to ensure a consistent approach to client care.

To work as a lone practitioner with supervision from a Band 7 Physiotherapist or Pain Practitioner. The Team Manager will also provide performance supervision.

Professional

To participate in the development of good practice for Physiotherapists within Nottingham CityCare Partnership under the guidance of the AHP Professional Lead.

To demonstrate a commitment to evidence-based practice.

To be responsible for own Continuing Professional Development, under the supervision of the band 7 physiotherapist, keeping abreast of new trends and developments and 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 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 services audit projects, evidence based practice projects and outcome measures, either individually or with other senior therapists. To make recommendations for change.

To participate in the staff appraisal scheme and Personal Development plans as both appraiser and appraisee.

Organisational

To support the Team Manager in implementing targets and objectives to assist in the on-going development of the Team. To participate in service evaluation and advise the Team Manager on the service needs of the client population.

To be responsible for management duties when requested by senior clinical staff.

To liaise effectively with other professionals and agencies to enhance rehabilitation within the boundaries of Nottingham CityCare Partnership CIC.

To manage the day-to-day delivery of the physiotherapy service within own clinics. Also organising own diary and time management. (Arranging assessments and appointments for own caseload).

To ensure the health & 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.

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 undertake any other duties which may be reasonably required.

Understanding of the roles of other team members and effectively facilitate team.

External

To communicate effectively with clients to agree treatment goals and maximise rehabilitation and to ensure understanding of their condition.

Communication skills of persuasion, motivation, explanation and gaining informed consent will be used with a variety/ considerable number of clients. Barriers to effective communication will regularly evident. E.g. loss of hearing, language barriers, pain and fear. Some clients will lack the capacity to consent to treatment.

Person Specification

Skills & Attributes

Essential

• Evidence of achievement of appropriate competencies for clinical grade, demonstrating increased musculoskeletal knowledge following graduation.
• Evidence of ongoing CPD appropriate for role.
• Awareness of current local and national policy developments, including self-referral and first contact practitioner physiotherapy services
• Musculoskeletal physiotherapy diagnosis/assessment and treatment skills.
• Communication skills and the ability to relate well to all groups of people and to create and maintain effective working relationships within the team and externally.
• Ability to pass on skills and knowledge to others, 1:1 or in groups
• Prioritisation, time and caseload management skills, for a musculoskeletal caseload.
• Ability to motivate self and others.
• 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.
• Ability to work under pressure and manage caseload and team priorities in terms of risk and service performance priorities.
• Customer service skills.
• A particular interest in musculoskeletal physiotherapy
• Enthusiastic and motivated.
• Flexible, adaptable, innovative, self-reliant and with a positive attitude. Ability to work under pressure.

Desirable

• Knowledge of models for supervision
• Ability to communicate to a variety of audiences: 1:1 and groups.
• Demonstrable ability to supervise students
• Carrying out appraisals for less experienced staff.
• Evidence of audit/organisational projects including service development.
• Advanced clinical reasoning skills.
• Proven ability to use SystmOne electronic records effectively.

Qualifications

Essential

• BSc Physiotherapy or equivalent
• HCPC registration.

Desirable

• Clinical educators course.
• Relevant post graduate courses

Experience

Essential

• Experience of working in a NSH musculoskeletal service.
• Experience of clinical supervision
• Relevant post graduate experience working with adults, including musculoskeletal cases and complex/chronic conditions

Desirable

• Knowledge of models for supervision.
• Service Improvement

Additional Criteria

Essential

• Ability to undertake frequent moderate physical effort for several short periods during the working day. Activities may include moving, manoeuvring people operating physiotherapy equipment.
• Periods of prolonged concentration as work pattern dictates and frequent exposure to distressing or emotional circumstances, and occasional unpleasant conditions.
• Full driving licence with access to a car and the ability to travel between locations
• Proactive. Use of initiative and aware of own limitations.

Desirable

• Experience of working within multi- cultural communities.
• Assertive, good delegations skills, evidence of negotiation and managing conflict.
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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).

Employer details

Employer name

Nottingham CityCare Partnership CIC

Address

Mary Potter Health Centre, Bullwell Riverside,Clifton Cornerstone,St Anns Valley Centre, Wollaton Vale Health Centre

Nottingham

NG6 8PS

Employer's website

https://www.nottinghamcitycare.nhs.uk/ (Opens in a new tab)