Job summary
Are
you a physiotherapist looking for a new challenge or professional development? Are you keen to work as part of a dynamic and welcoming team? If so, an exciting opportunity has arisen for an
asthma specialist physiotherapist within the Portsmouth Severe Asthma Service.This unique post forms an integral part of the MDT within
the dynamic Portsmouth Severe Asthma Service, delivering expert assessment and
treatment for patients with severe and difficult to treat asthma. As aTertiary
referral centre, the role requires the provision of comprehensive and holistic
physiotherapy management to patients with poorly controlled asthma in line with
the requirements of the NHS England Severe Asthma Service Specification and the
National Asthma and COPD Audit Programme.
This
is an exciting opportunity for a Band 5 physiotherapist looking to take the
next step in their career, or a Band 6 wishing to develop their knowledge and skills
within a highly regarded team. We look forward to hearing from you.
Main duties of the job
You will deliver care in both the in-patient setting and outpatients alongside the asthma nursing and medical team.As an autonomous practitioner delivering clinics, you will assess and treat common co-morbidities in severe asthma, including breathing pattern disorders and cough management. You will also optimise disease control using a variety of specialist respiratory physiotherapy approaches and techniques, with training and supervision provided by a specialist asthma physiotherapy lead. Outcomes of these clinics are presented at the weekly asthma MDT meeting, which is essential in informing decisions and subsequent management of patients with severe asthma.This post is vital in managing the high referral numbers to the service both locally and from tertiary referral sites.
Another exciting opportunity the role offers is to become involved in research which is firmly embedded within the asthma team. Working collaboratively with the respiratory research team ensures all patients are offered the opportunity to participate in research and continues to develop a research culture within the team and PHUT.To date, the asthma team have been integral in the delivery of research projects including ABRS, SCORES, Victory, Propellor and the EMOTIONS study, with the outcomes of these studies presented at National and International conferences.
About us
The Trust is committed to driving excellence in care for our patients and communities and was rated good by the Care Quality Commission report published 2020 and became a University Hospital. We are ranked as the third in the country for research; embedding education and training across the organisation and we continuously strive to achieve our core values which are at the heart of everything we do. The Trusts main hub is the Queen Alexandra Hospital, starting life as a military hospital over a century ago and now one of the largest hospitals on the south coast and you may have seen us on the TV series Nurses on the Ward. The Trust provides comprehensive secondary care and specialist services to a local population of 675,000 people across South East Hampshire. The Trust employs over 8,000 staff and are #ProudtobePHU; our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because its the right thing to do, but because it makes our hospital stronger. If you share our values and our enthusiasm for providing outstanding care and support for patients, colleagues and our community you will find a home at PHU. In recruiting for our team, we welcome the unique contributions that you can bring in
terms of your education, opinions, culture, ethnicity, race, sex, gender
identity and expression, nation of origin, age, languages spoken, veterans
status, colour, religion, disability, sexual orientation and beliefs.
Job description
Job responsibilities
-
To provide specialist care, as part of the Asthma
MDT, for patients with asthma, severe asthma and associated conditions to
ensure delivery of high-quality, patient-centred care with a focus on
education, self-management and personalised care.
-
To work as an integral part of the Asthma MDT in
the delivery of a comprehensive systematic assessment for all patients with
difficult asthma, in an out-patient secondary and tertiary care setting, in
line with the NHS England Severe Asthma Service Specification.
-
To assess and manage common co-morbidities in
asthma, severe asthma and associated conditions including breathing pattern
disorders and upper airway dysfunction.
-
To initiate, deliver and monitor advanced asthma
therapies including biological therapies
-
As an autonomous practitioner to provide a point
of contact for asthma patients, their carers and other healthcare professionals
to obtain advice, education and support with a focus on admission avoidance and
supporting self-management.
-
To deliver an expert and holistic asthma review
for patients with poorly controlled asthma requiring hospital admission in line
with the requirements of the National Asthma and COPD Audit Programme
(including upload of data for the rolling audit programme) and to provide early
follow-up reviews for these patients as well as those attending the Emergency
Department with asthma attacks.
-
To support the Asthma MDT in the delivery of all
NHS England Specialised Commissioning requirements for the Portsmouth Severe
Asthma Service including the NHS England Quality Surveillance Programme and the
national Severe Asthma Registry.
-
To ensure every patient is offered the
opportunity to participate in high-quality clinical research working within a
team that embeds research within the clinical pathway.
Delivery of high-quality patient care- As an autonomous practitioner ensure delivery of
high-quality, patient-centred care with a focus on personalised care and
education for patients (and their carers) to support them in the
self-management of their condition and recognising changing health needs.
- Work as an integral part of the Asthma MDT in
the delivery of a comprehensive systematic assessment for all patients with
difficult asthma, in a secondary and tertiary care setting, in line with the
NHS England Severe Asthma Service Specification.
- Assess and manage common co-morbidities in
asthma, severe asthma and associated conditions including breathing pattern
disorders and upper airway dysfunction as well as supporting patients to
optimise airway clearance and physical activity levels.
- Review patients with asthma, severe asthma and
associated conditions in physiotherapist-led asthma clinics including new
referrals to the asthma service, post-hospital discharges and patients
requiring close follow-up including those on steroid weaning programmes and
pregnant women.
- Accept referrals to agreed criteria and work
across professional boundaries and in partnership with other healthcare
professionals to deliver coordinated programmes of care adapting practice to
the needs of the asthma service.
- Support the triaging of referrals to the asthma
service and out-patient clinic lists to best utilise available clinical
resources.
- Implement and review changes in treatments for
asthma and common asthma related co-morbidities in accordance with local and
national guidelines and with the support of medical colleagues.
- Adopt a solution focused approach and work
flexibly to meet the needs of the service ensuring optimal patient care (this
may include undertaking clinics at primary care and spoke sites).
The Asthma MDT and delivery of advanced
asthma therapies- Identify, collect and participate in the
evaluation of information at the Asthma MDT meetings.
- Work closely with the Asthma Administrative team
to make referrals to inter-dependent specialties as requested by Consultants
and the Asthma MDT as well as triaging clinic lists and arranging necessary
investigations prior to clinic review
- Initiate, deliver and monitor advanced asthma
therapies including biological therapies in line with local and national
guidelines ensuring cases are discussed at the Asthma MDT meeting where
appropriate.
Supporting patients with asthma exacerbations- Provide an expert and holistic asthma review, in
line with local and national guidelines, for patients with poorly controlled
asthma within an in-patient setting (including some Emergency Department
attendances) and to support discharge where appropriate.
- For patients hospitalised with asthma
exacerbations this includes the delivery of admission and discharge care
bundles in line with the requirements of the National Asthma and COPD Audit
Programme (NACAP) incorporating elements of education, self-management planning
and inhaler technique.
- Ensure the upload of data to the NACAP database
in a timely fashion (this will be a combined responsibility).
- Provide early follow-up reviews for all patients
with asthma discharged from hospital and the Emergency Department both by
telephone and in the out-patient clinic setting.
Working effectively with colleagues
- Liaise with patients and colleagues in primary
and secondary care to ensure robust assessments of treatment adherence and
clear understanding of the underlying reasons for this.
- Create and maintain effective communication
between primary/secondary care and the Asthma MDT in relation to patient care
always ensuring timely and accurate communication with patients and colleagues.
- Work with the paediatric services to provide a
specialist asthma nurse service for adolescents transitioning into the adult
asthma care service.
Supporting patients and their carers
- Provide a telephone support and assessment
service for patients with asthma, severe asthma and associated conditions
acting as a point of contact for patients, their carers and other healthcare professionals
working in a primary and secondary care as well as other Severe Asthma Centres with
a focus on admission avoidance and supporting self-management.
- Support the wider MDT in the management of
complex patients at high-risk of adverse asthma outcomes to ensure timely and
appropriate management of these patients (this may include attendance at best
interest meetings, case conferences and ward rounds).
- Facilitate patients and their carers taking an
active role in their care. Undertake practice sensitive to the needs of
patients, carers and relatives from multi-cultural backgrounds. Communicate in
ways that empower them to make informed choices about their health and
healthcare.
- Assess patients understanding of proposed
treatments or investigations ensuring valid informed consent and where
appropriate working according to local and national guidelines for patients who
do not have capacity to consent to treatment.
- Act as the patients advocate at Asthma MDT
meetings particularly around the discussion of treatment options.
Severe Asthma Centre requirements
- Support the Asthma MDT in the delivery of all
NHS England Specialised Commissioning requirements for the Portsmouth Severe
Asthma Service including the NHS England Quality Surveillance Programme the national
Severe Asthma Registry. This includes the collection and upload of data as well
as obtaining consent for upload of data to the national Severe Asthma Registry.
- Work within the aims and philosophies of the
Wessex Asthma Network and to develop guidelines, protocols, integrated
care-pathways and educational materials in conjunction with the Wessex Asthma
Network.
Maintaining knowledge and competencies
- Maintain core competencies for the role
including being able to perform spirometry (with reversibility testing),
exhaled nitric oxide measurements (and other airway inflammommetry techniques),
skin prick allergy testing and venepuncture as required for patient care with
the potential to develop new skills according to the needs of the Asthma
Service.
- Work within the clinical guidelines of the
Trusts and the Chartered Society of Physiotherapists with a good working
knowledge of national and local standards and monitor quality of practice as
appropriate.
- Maintain knowledge of the diagnosis and
management of asthma, severe asthma and related conditions adhering to
evidence-based practice.
- Keep accurate, legible and timely records of
patients care and be professionally accountable for all aspects of your own
work including the management of patients in your care.
Management/Leadership
- Contribute to the delivery of recognised
national standards of care for patients with asthma, severe asthma and
associated conditions. This includes the delivery of all NHS England
Specialised Commissioning requirements for the Portsmouth Severe Asthma Service
including the NHS England Quality Surveillance Programme the national Severe
Asthma Registry and the adult asthma component of the National Asthma and COPD
Audit Programme.
- Work within competency level with an awareness
of personal limitations.
- Manage clinical risk within your patient
case-load
- Co-ordinate
clinical cover and manage the variable and unpredictable caseload of patients
on the wards and respond to urgent referrals as appropriate.
- Initiate change
within the team to ensure staff are adequately supported, delivery of service
is optimal, and that patient needs are being met.
- Manage, and help
staff to manage, stressful, upsetting or emotional situations in an empathic
manner.
- Take an active role in service development and
embrace innovation to enhance patient care.
- To be involved in
the proposal/development and implementation of departmental policies, and
review unit practices with other senior MDT staff.
- Attend and actively participate in departmental
meetings including governance meetings (complaints, morbidity and mortality and
audit).
- Be proactive in the prevention and management of
complaints and when these occur investigate and respond in a timely manner
ensuring any learning is shared to improve patient care.
Job description
Job responsibilities
-
To provide specialist care, as part of the Asthma
MDT, for patients with asthma, severe asthma and associated conditions to
ensure delivery of high-quality, patient-centred care with a focus on
education, self-management and personalised care.
-
To work as an integral part of the Asthma MDT in
the delivery of a comprehensive systematic assessment for all patients with
difficult asthma, in an out-patient secondary and tertiary care setting, in
line with the NHS England Severe Asthma Service Specification.
-
To assess and manage common co-morbidities in
asthma, severe asthma and associated conditions including breathing pattern
disorders and upper airway dysfunction.
-
To initiate, deliver and monitor advanced asthma
therapies including biological therapies
-
As an autonomous practitioner to provide a point
of contact for asthma patients, their carers and other healthcare professionals
to obtain advice, education and support with a focus on admission avoidance and
supporting self-management.
-
To deliver an expert and holistic asthma review
for patients with poorly controlled asthma requiring hospital admission in line
with the requirements of the National Asthma and COPD Audit Programme
(including upload of data for the rolling audit programme) and to provide early
follow-up reviews for these patients as well as those attending the Emergency
Department with asthma attacks.
-
To support the Asthma MDT in the delivery of all
NHS England Specialised Commissioning requirements for the Portsmouth Severe
Asthma Service including the NHS England Quality Surveillance Programme and the
national Severe Asthma Registry.
-
To ensure every patient is offered the
opportunity to participate in high-quality clinical research working within a
team that embeds research within the clinical pathway.
Delivery of high-quality patient care- As an autonomous practitioner ensure delivery of
high-quality, patient-centred care with a focus on personalised care and
education for patients (and their carers) to support them in the
self-management of their condition and recognising changing health needs.
- Work as an integral part of the Asthma MDT in
the delivery of a comprehensive systematic assessment for all patients with
difficult asthma, in a secondary and tertiary care setting, in line with the
NHS England Severe Asthma Service Specification.
- Assess and manage common co-morbidities in
asthma, severe asthma and associated conditions including breathing pattern
disorders and upper airway dysfunction as well as supporting patients to
optimise airway clearance and physical activity levels.
- Review patients with asthma, severe asthma and
associated conditions in physiotherapist-led asthma clinics including new
referrals to the asthma service, post-hospital discharges and patients
requiring close follow-up including those on steroid weaning programmes and
pregnant women.
- Accept referrals to agreed criteria and work
across professional boundaries and in partnership with other healthcare
professionals to deliver coordinated programmes of care adapting practice to
the needs of the asthma service.
- Support the triaging of referrals to the asthma
service and out-patient clinic lists to best utilise available clinical
resources.
- Implement and review changes in treatments for
asthma and common asthma related co-morbidities in accordance with local and
national guidelines and with the support of medical colleagues.
- Adopt a solution focused approach and work
flexibly to meet the needs of the service ensuring optimal patient care (this
may include undertaking clinics at primary care and spoke sites).
The Asthma MDT and delivery of advanced
asthma therapies- Identify, collect and participate in the
evaluation of information at the Asthma MDT meetings.
- Work closely with the Asthma Administrative team
to make referrals to inter-dependent specialties as requested by Consultants
and the Asthma MDT as well as triaging clinic lists and arranging necessary
investigations prior to clinic review
- Initiate, deliver and monitor advanced asthma
therapies including biological therapies in line with local and national
guidelines ensuring cases are discussed at the Asthma MDT meeting where
appropriate.
Supporting patients with asthma exacerbations- Provide an expert and holistic asthma review, in
line with local and national guidelines, for patients with poorly controlled
asthma within an in-patient setting (including some Emergency Department
attendances) and to support discharge where appropriate.
- For patients hospitalised with asthma
exacerbations this includes the delivery of admission and discharge care
bundles in line with the requirements of the National Asthma and COPD Audit
Programme (NACAP) incorporating elements of education, self-management planning
and inhaler technique.
- Ensure the upload of data to the NACAP database
in a timely fashion (this will be a combined responsibility).
- Provide early follow-up reviews for all patients
with asthma discharged from hospital and the Emergency Department both by
telephone and in the out-patient clinic setting.
Working effectively with colleagues
- Liaise with patients and colleagues in primary
and secondary care to ensure robust assessments of treatment adherence and
clear understanding of the underlying reasons for this.
- Create and maintain effective communication
between primary/secondary care and the Asthma MDT in relation to patient care
always ensuring timely and accurate communication with patients and colleagues.
- Work with the paediatric services to provide a
specialist asthma nurse service for adolescents transitioning into the adult
asthma care service.
Supporting patients and their carers
- Provide a telephone support and assessment
service for patients with asthma, severe asthma and associated conditions
acting as a point of contact for patients, their carers and other healthcare professionals
working in a primary and secondary care as well as other Severe Asthma Centres with
a focus on admission avoidance and supporting self-management.
- Support the wider MDT in the management of
complex patients at high-risk of adverse asthma outcomes to ensure timely and
appropriate management of these patients (this may include attendance at best
interest meetings, case conferences and ward rounds).
- Facilitate patients and their carers taking an
active role in their care. Undertake practice sensitive to the needs of
patients, carers and relatives from multi-cultural backgrounds. Communicate in
ways that empower them to make informed choices about their health and
healthcare.
- Assess patients understanding of proposed
treatments or investigations ensuring valid informed consent and where
appropriate working according to local and national guidelines for patients who
do not have capacity to consent to treatment.
- Act as the patients advocate at Asthma MDT
meetings particularly around the discussion of treatment options.
Severe Asthma Centre requirements
- Support the Asthma MDT in the delivery of all
NHS England Specialised Commissioning requirements for the Portsmouth Severe
Asthma Service including the NHS England Quality Surveillance Programme the national
Severe Asthma Registry. This includes the collection and upload of data as well
as obtaining consent for upload of data to the national Severe Asthma Registry.
- Work within the aims and philosophies of the
Wessex Asthma Network and to develop guidelines, protocols, integrated
care-pathways and educational materials in conjunction with the Wessex Asthma
Network.
Maintaining knowledge and competencies
- Maintain core competencies for the role
including being able to perform spirometry (with reversibility testing),
exhaled nitric oxide measurements (and other airway inflammommetry techniques),
skin prick allergy testing and venepuncture as required for patient care with
the potential to develop new skills according to the needs of the Asthma
Service.
- Work within the clinical guidelines of the
Trusts and the Chartered Society of Physiotherapists with a good working
knowledge of national and local standards and monitor quality of practice as
appropriate.
- Maintain knowledge of the diagnosis and
management of asthma, severe asthma and related conditions adhering to
evidence-based practice.
- Keep accurate, legible and timely records of
patients care and be professionally accountable for all aspects of your own
work including the management of patients in your care.
Management/Leadership
- Contribute to the delivery of recognised
national standards of care for patients with asthma, severe asthma and
associated conditions. This includes the delivery of all NHS England
Specialised Commissioning requirements for the Portsmouth Severe Asthma Service
including the NHS England Quality Surveillance Programme the national Severe
Asthma Registry and the adult asthma component of the National Asthma and COPD
Audit Programme.
- Work within competency level with an awareness
of personal limitations.
- Manage clinical risk within your patient
case-load
- Co-ordinate
clinical cover and manage the variable and unpredictable caseload of patients
on the wards and respond to urgent referrals as appropriate.
- Initiate change
within the team to ensure staff are adequately supported, delivery of service
is optimal, and that patient needs are being met.
- Manage, and help
staff to manage, stressful, upsetting or emotional situations in an empathic
manner.
- Take an active role in service development and
embrace innovation to enhance patient care.
- To be involved in
the proposal/development and implementation of departmental policies, and
review unit practices with other senior MDT staff.
- Attend and actively participate in departmental
meetings including governance meetings (complaints, morbidity and mortality and
audit).
- Be proactive in the prevention and management of
complaints and when these occur investigate and respond in a timely manner
ensuring any learning is shared to improve patient care.
Person Specification
Qualifications
Essential
- BSc (Hons) Physiotherapy or equivalent, Health Care Professions Council Registration and Member of the Chartered Society of Physiotherapy.
Desirable
- Mentorship course.
- Teaching qualification/experience including the supervision of students.
- Good clinical practice certificate and previous experience of clinical research.
Skills and Knowledge
Essential
- Clinically competent.
- Research awareness.
- Knowledge and application of Physiotherapy assessments and interventions including outcome measures.
- Clinical decision making skills.
- Good communication skills.
- Effective leadership skills.
- Organisational skills and forward planning,
- Responsive and flexible attitude/approach.
- Articulate and knowledgeable of current professional issues.
- Able to support development of others.
- Coaching and mentoring skills.
- Critical appraisal skills.
- Strong customer service skills.
- IT literate.
- Ability to present relevant written and visual educational material.
- Understanding of the theory and application of Clinical Governance.
Experience
Essential
- Minimum 2 years post registration experience including experience in Respiratory care.
Desirable
- Demonstrable experience within specialty with respiratory qualification.
- Evidence of leadership.
- Evidence of change management with relevant management/leadership course.
- Evidence of developing policy, guidelines and managing resources.
Person Specification
Qualifications
Essential
- BSc (Hons) Physiotherapy or equivalent, Health Care Professions Council Registration and Member of the Chartered Society of Physiotherapy.
Desirable
- Mentorship course.
- Teaching qualification/experience including the supervision of students.
- Good clinical practice certificate and previous experience of clinical research.
Skills and Knowledge
Essential
- Clinically competent.
- Research awareness.
- Knowledge and application of Physiotherapy assessments and interventions including outcome measures.
- Clinical decision making skills.
- Good communication skills.
- Effective leadership skills.
- Organisational skills and forward planning,
- Responsive and flexible attitude/approach.
- Articulate and knowledgeable of current professional issues.
- Able to support development of others.
- Coaching and mentoring skills.
- Critical appraisal skills.
- Strong customer service skills.
- IT literate.
- Ability to present relevant written and visual educational material.
- Understanding of the theory and application of Clinical Governance.
Experience
Essential
- Minimum 2 years post registration experience including experience in Respiratory care.
Desirable
- Demonstrable experience within specialty with respiratory qualification.
- Evidence of leadership.
- Evidence of change management with relevant management/leadership course.
- Evidence of developing policy, guidelines and managing resources.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
