Guy's and St Thomas' NHS Foundation Trust

Critical Care and Cardiothoracics Clinical Specialist

Information:

This job is now closed

Job summary

A new and exciting opportunity has arisen for a 1 year fixed term Band 8a role in Critical Care and Cardiothoracics to cover maternity leave at The Royal Brompton Hospital. Although predominantly Critical Care and Cardiothoracics, the role will also include cover for cardiology and adult congenital heart disease patients as well as the private patient ward.

The post holder will lead a team of 6 physiotherapists and 3 therapy practitioners and work closely with other AHP's that form The Heart Therapy Team at The Royal Brompton Hospital.

The post holder will report to the Heart Therapy Team Lead.

Main duties of the job

The post holder will be

  • Responsible for the operational management of a specialist Physiotherapy service in conjunction with the Therapy Lead in their specialist area and contributes to/leads departmental management and Trust initiatives in strategic planning and development of a specialist Physiotherapy service across the whole organisation.
  • Able to use expert clinical reasoning skills to provide highly specialist support and advice to the physiotherapy team and other medical staff, whilst maintaining a clinical caseload of highly complex patients
  • Able to provide professional and clinical Leadership in the development and implementation of a comprehensive training and personal development plan for all designated physiotherapy staff and, in conjunction with the management team, strives to ensure excellence of training across the whole organisation.
  • Able to support the Therapy Lead in a specialist area to identify and implement clinical research, audit and data collection priorities within the area of own expertise to inform departmental clinical development strategy
  • Responsible for maintaining and improving all aspects of clinical governance, evidence based practice and quality assurance in designated area.

About us

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.

Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Weprovide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.

Details

Date posted

01 September 2023

Pay scheme

Agenda for change

Band

Band 8a

Salary

£58,698 to £65,095 a year p.a. inclusive of HCA

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-RBH023

Job locations

Royal Brompton Hospital

Sydney Street

London

SW3 6NP


Job description

Job responsibilities

Professional / Clinical responsibilities

  • To be professionally and legally responsible and accountable for all aspects of the practitioners professional activities.
  • To carry out assessment, analysis and formulation of best care programmes for a wide range of patients as an expert autonomous practitioner, including those with highly complex presentations and to use clinical reasoning skills, knowledge of evidence based practice and advanced rehabilitation expertise to determine appropriate care plan utilising highly specialist treatment skills and options.
  • To be responsible and accountable for own and department patient care plans, including discharge planning, and to provide consultation as an expert on physiotherapy within the specialist area with advice and guidance for junior and senior team members and other health care professionals both within and outside the Trust.
  • To co-ordinate intervention which may include other disciplines; advise and educate patient/carers/relatives/other health professionals
  • To manage clinical risk within own caseload at all times and ensure clinical risk is effectively managed across the specialist Physiotherapy service
  • To demonstrate physical ability to carry out physiotherapy assessment and interventions including manual therapy techniques and therapeutic handling.
  • To demonstrate highly developed dexterity, co-ordination and palpatory sensory skills for assessment and manual treatment of patients.
  • To be highly competent in assessing and managing a wide range of conditions withintheir own specialist area based on advanced theoretical knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present
  • Able to interpret and analyse clinical and non-clinical facts, which may be conflicting, to form accurate diagnoses in the most highly complex types of conditions for patients in the designated area.
  • To use advanced theoretical and practical knowledge to refer to other health disciplines as appropriate and to ensure appropriate referral systems are used by departmental and other health professional staff.
  • To provide expert Physiotherapy input to the development of both Trust and National level initiatives within own specialist area.

Management and Leadership

  • To lead, in liaison with Therapy Lead in own specialist area and Associate Director, in policy and service development and implementation within their specialist Physiotherapy service and to ensure that quality standards and effectiveness of patient care are continually monitored and improved.
  • To manage, in liaison with the Therapy Lead for the speciality, the areas team and workload [( inpatients and outpatients)] including staff appraisals, teaching.
  • To ensure that the service responds to Trust, KHP and national initiatives and policy within the framework of clinical governance including clinical effectiveness, evidence-based healthcare, managing clinical risk and, research and development issues.
  • To assist the Therapy Lead in developing the role of the Clinical Specialist Physiotherapist, proposing extension of practice beyond traditional scope of practice
  • To be the Physiotherapy Lead [if appropriate] in liaison with the Therapy Lead in own area and Associate Director, ensuring Physiotherapy is integrated within the Trust and KHP initiatives and implementing, in liaison with the management team, appropriate developments.
  • To liaise and work with other Therapy Leads and Clinical Specialists to effectively support the specialist Physiotherapy services across trust sites.
  • To be responsible for protection, maintenance and repair of all equipment within the specialist Physiotherapy service and to ensure that designated staff attain competency prior to use
  • To provide clinical teaching and staff development of peers, medical colleagues and other health professionals within this clinical area, across the trust and outside the organisation. This may be to large groups and may include Consultants, GPs and nurses
  • To assist the management team in the recruitment of staff as a clinical specialist panel member
  • To provide highly specialist clinical opinion, as required, in the development of clinical policy and service development within the physiotherapy department and related health specialities
  • To maintain service links with KHP, external NHS, voluntary and speciality related organisations to ensure seamless inpatient, outpatient and community based care
  • To ensure teams are user focused and patient views are incorporated into service planning.

Planning and organisation

  • To flexibly manage responsibility for the clinical caseload for own specialist Physiotherapy Team including own complex caseload, clinical education, departmental and external teaching, service development, and quality assurance, including research and audit.
  • To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service

Communication

  • To demonstrate an ability to communicate complex, emotive and sensitive information to patients, carers and other staff, where there may be barriers to communication or may include information about long-term / permanent disabilities ensuring confidentiality at all times
  • To clearly convey complex knowledge of techniques, biomechanics, anatomy and physiology to patients and staff, where evidence underpinning practice may be conflicting and ensuring sensitivity to the audiences level of understanding and prior knowledge
  • To be able to motivate and persuade others (including staff and patients) through advanced communication skills, with the benefit of verbal, non-verbal skills, using written and electronic information
  • To facilitate patients attitudinal change towards their condition thus encouraging health/function promoting behaviour
  • To articulate effectively the specialist physiotherapeutic perspective on a patients condition with medical colleagues and members of the multidisciplinary team, negotiating when various patient management options are available.
  • To diffuse potentially hostile and antagonistic situations with staff, patients and relatives, using highly developed negotiation and interpersonal skills
  • To use a wide variety of adult learning techniques to optimise clinical development
  • To represent the Rehab and Therapies Directorate within the Trust and to external agencies regularly, and on a district and national level occasionally
  • To resolve written and verbal complaints and to be well versed with the Trusts formal complaints procedure within specialist area, in conjunction with the Rehabilitation and Therapies Leadership Team
  • To promote the role of Physiotherapy in own specialty within the Trust, local communities and nationally.
  • To cascade corporate strategic ideas and information to all staff within designated area, whilst being sensitive to their levels of understanding and prior knowledge

Education and Professional Development.

  • To present service development/research regularly at local and occasionally national level.
  • To maintain a CPD portfolio reflecting personal professional development and ensure members within the specialty Physiotherapy team have a comprehensive performance plan
  • To ensure the Physiotherapy special service has a comprehensive annual audit programme based on the Trusts corporate objectives and to report all research and audit activities to senior management within Trust guidelines.
  • To keep abreast of physiotherapy evidenced based practice by use of relevant reading, attendance at in-service training, external courses and database searches.
  • To develop local departmental standards based on a good working knowledge of National standards where they exist and on best evidence and to ensure these standards are monitored and adhered to by all members of own Physiotherapy specialty team and other Physiotherapy staff as appropriate.
  • To influence the National agenda in the development of standards and guidance in own specialist Physiotherapy service.
  • To promote a research environment within the specialist Physiotherapy team and offer support and guidance to research teams, MSc projects and external agencies using Trust property and patients and to identify sources of research funding where appropriate

As part of the Rehab and Therapies Directorates commitment to meeting patient needs and delivering excellence physiotherapy services are provided 7 days a week. It is therefore essential the post holder be able to work their hours flexibly and contribute fully to both existing and new rotas.

Job description

Job responsibilities

Professional / Clinical responsibilities

  • To be professionally and legally responsible and accountable for all aspects of the practitioners professional activities.
  • To carry out assessment, analysis and formulation of best care programmes for a wide range of patients as an expert autonomous practitioner, including those with highly complex presentations and to use clinical reasoning skills, knowledge of evidence based practice and advanced rehabilitation expertise to determine appropriate care plan utilising highly specialist treatment skills and options.
  • To be responsible and accountable for own and department patient care plans, including discharge planning, and to provide consultation as an expert on physiotherapy within the specialist area with advice and guidance for junior and senior team members and other health care professionals both within and outside the Trust.
  • To co-ordinate intervention which may include other disciplines; advise and educate patient/carers/relatives/other health professionals
  • To manage clinical risk within own caseload at all times and ensure clinical risk is effectively managed across the specialist Physiotherapy service
  • To demonstrate physical ability to carry out physiotherapy assessment and interventions including manual therapy techniques and therapeutic handling.
  • To demonstrate highly developed dexterity, co-ordination and palpatory sensory skills for assessment and manual treatment of patients.
  • To be highly competent in assessing and managing a wide range of conditions withintheir own specialist area based on advanced theoretical knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present
  • Able to interpret and analyse clinical and non-clinical facts, which may be conflicting, to form accurate diagnoses in the most highly complex types of conditions for patients in the designated area.
  • To use advanced theoretical and practical knowledge to refer to other health disciplines as appropriate and to ensure appropriate referral systems are used by departmental and other health professional staff.
  • To provide expert Physiotherapy input to the development of both Trust and National level initiatives within own specialist area.

Management and Leadership

  • To lead, in liaison with Therapy Lead in own specialist area and Associate Director, in policy and service development and implementation within their specialist Physiotherapy service and to ensure that quality standards and effectiveness of patient care are continually monitored and improved.
  • To manage, in liaison with the Therapy Lead for the speciality, the areas team and workload [( inpatients and outpatients)] including staff appraisals, teaching.
  • To ensure that the service responds to Trust, KHP and national initiatives and policy within the framework of clinical governance including clinical effectiveness, evidence-based healthcare, managing clinical risk and, research and development issues.
  • To assist the Therapy Lead in developing the role of the Clinical Specialist Physiotherapist, proposing extension of practice beyond traditional scope of practice
  • To be the Physiotherapy Lead [if appropriate] in liaison with the Therapy Lead in own area and Associate Director, ensuring Physiotherapy is integrated within the Trust and KHP initiatives and implementing, in liaison with the management team, appropriate developments.
  • To liaise and work with other Therapy Leads and Clinical Specialists to effectively support the specialist Physiotherapy services across trust sites.
  • To be responsible for protection, maintenance and repair of all equipment within the specialist Physiotherapy service and to ensure that designated staff attain competency prior to use
  • To provide clinical teaching and staff development of peers, medical colleagues and other health professionals within this clinical area, across the trust and outside the organisation. This may be to large groups and may include Consultants, GPs and nurses
  • To assist the management team in the recruitment of staff as a clinical specialist panel member
  • To provide highly specialist clinical opinion, as required, in the development of clinical policy and service development within the physiotherapy department and related health specialities
  • To maintain service links with KHP, external NHS, voluntary and speciality related organisations to ensure seamless inpatient, outpatient and community based care
  • To ensure teams are user focused and patient views are incorporated into service planning.

Planning and organisation

  • To flexibly manage responsibility for the clinical caseload for own specialist Physiotherapy Team including own complex caseload, clinical education, departmental and external teaching, service development, and quality assurance, including research and audit.
  • To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service

Communication

  • To demonstrate an ability to communicate complex, emotive and sensitive information to patients, carers and other staff, where there may be barriers to communication or may include information about long-term / permanent disabilities ensuring confidentiality at all times
  • To clearly convey complex knowledge of techniques, biomechanics, anatomy and physiology to patients and staff, where evidence underpinning practice may be conflicting and ensuring sensitivity to the audiences level of understanding and prior knowledge
  • To be able to motivate and persuade others (including staff and patients) through advanced communication skills, with the benefit of verbal, non-verbal skills, using written and electronic information
  • To facilitate patients attitudinal change towards their condition thus encouraging health/function promoting behaviour
  • To articulate effectively the specialist physiotherapeutic perspective on a patients condition with medical colleagues and members of the multidisciplinary team, negotiating when various patient management options are available.
  • To diffuse potentially hostile and antagonistic situations with staff, patients and relatives, using highly developed negotiation and interpersonal skills
  • To use a wide variety of adult learning techniques to optimise clinical development
  • To represent the Rehab and Therapies Directorate within the Trust and to external agencies regularly, and on a district and national level occasionally
  • To resolve written and verbal complaints and to be well versed with the Trusts formal complaints procedure within specialist area, in conjunction with the Rehabilitation and Therapies Leadership Team
  • To promote the role of Physiotherapy in own specialty within the Trust, local communities and nationally.
  • To cascade corporate strategic ideas and information to all staff within designated area, whilst being sensitive to their levels of understanding and prior knowledge

Education and Professional Development.

  • To present service development/research regularly at local and occasionally national level.
  • To maintain a CPD portfolio reflecting personal professional development and ensure members within the specialty Physiotherapy team have a comprehensive performance plan
  • To ensure the Physiotherapy special service has a comprehensive annual audit programme based on the Trusts corporate objectives and to report all research and audit activities to senior management within Trust guidelines.
  • To keep abreast of physiotherapy evidenced based practice by use of relevant reading, attendance at in-service training, external courses and database searches.
  • To develop local departmental standards based on a good working knowledge of National standards where they exist and on best evidence and to ensure these standards are monitored and adhered to by all members of own Physiotherapy specialty team and other Physiotherapy staff as appropriate.
  • To influence the National agenda in the development of standards and guidance in own specialist Physiotherapy service.
  • To promote a research environment within the specialist Physiotherapy team and offer support and guidance to research teams, MSc projects and external agencies using Trust property and patients and to identify sources of research funding where appropriate

As part of the Rehab and Therapies Directorates commitment to meeting patient needs and delivering excellence physiotherapy services are provided 7 days a week. It is therefore essential the post holder be able to work their hours flexibly and contribute fully to both existing and new rotas.

Person Specification

Qualifications

Essential

  • Degree in Physiotherapy
  • Post graduate Physiotherapy qualification in appropriate area of specialty
  • Evidence of Continued Professional Development at 'M' level including attendance at recent post graduate courses relevant to own specialty
  • Full membership of a relevant Chartered Society of Physiotherapy SIG

Desirable

  • Membership of other relevant Special Interest Groups
  • MSc

Professional Registration

Essential

  • Member of HCPC
  • Member of CSP

Desirable

  • Member of SIG

Previous Experience

Essential

  • Experience in physiotherapy team management
  • Significant Band 7 level experience of working within the specialty in both inpatient and outpatient environments, including management of highly complex patients with complex cases relevant to own specialty
  • Experience of leading clinical Governance in clinical area
  • Experience in leading service development
  • Previous experience of staff and student supervision and clinical education
  • Previous experience of formal presentations to multi professional groups

Desirable

  • Previous experience working in a Clinical Specialist role
Person Specification

Qualifications

Essential

  • Degree in Physiotherapy
  • Post graduate Physiotherapy qualification in appropriate area of specialty
  • Evidence of Continued Professional Development at 'M' level including attendance at recent post graduate courses relevant to own specialty
  • Full membership of a relevant Chartered Society of Physiotherapy SIG

Desirable

  • Membership of other relevant Special Interest Groups
  • MSc

Professional Registration

Essential

  • Member of HCPC
  • Member of CSP

Desirable

  • Member of SIG

Previous Experience

Essential

  • Experience in physiotherapy team management
  • Significant Band 7 level experience of working within the specialty in both inpatient and outpatient environments, including management of highly complex patients with complex cases relevant to own specialty
  • Experience of leading clinical Governance in clinical area
  • Experience in leading service development
  • Previous experience of staff and student supervision and clinical education
  • Previous experience of formal presentations to multi professional groups

Desirable

  • Previous experience working in a Clinical Specialist role

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Royal Brompton Hospital

Sydney Street

London

SW3 6NP


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Royal Brompton Hospital

Sydney Street

London

SW3 6NP


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Heart Therapy Team Lead

Trudi Scott

t.scott@rbht.nhs.uk

Details

Date posted

01 September 2023

Pay scheme

Agenda for change

Band

Band 8a

Salary

£58,698 to £65,095 a year p.a. inclusive of HCA

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-RBH023

Job locations

Royal Brompton Hospital

Sydney Street

London

SW3 6NP


Supporting documents

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