Job summary
At Guy's and St Thomas' Regional Prosthetic Service, we have a fantastic opportunity for an experienced clinician in amputee and prosthetic rehabilitation to become our Clinical Lead Physiotherapist. Based in our community rehabilitation centre in Crystal Palace, you'll join a passionate, specialist MDT that's dedicated to delivering exceptional care.
The post is part time (0.5), onsite over 3 days. Days and exact hours can be discussed, however working on a Thursday is essential due to existing MDT meetings and commitments.
The case load is varied : adults and children, acquired or congenital, primary and established, unilateral and multi limb loss. The amputee rehabilitation pathway at GSTT includes the acute and sub acute amputee rehabilitation unit. You will forge close working relationships with their lead physiotherapists.
If you love working closely with a tight-knit team, thrive on service development, and are inspired by the possibilities of prosthetic technology, we'd love to meet you.
Due to the Christmas period it is likely interviews will be completed in early January. Face to face interviews are preferred.
If you would like to know more or arrange a site visit, please contact :
Primary contact :
Amy Jones, clinical lead and head of community amputee services
0203 989 0416 / 07469414346 amy.jones4@nhs.net
Secondary contact :
Rachael Lovegrove, clinical lead occupational therapist
0203 0497724 rachael.lovegrove@nhs.net
Main duties of the job
1. Responsible for leading and providing an efficient and effective specialist physiotherapy service for people considering amputation and those with acquired or congenital lower limb loss referred to the team.
You will maintain and develop the clinical support, education and service links with referring acute trusts and be an expert physiotherapist in prosthetic rehabilitation in the South East London area. Responsible for the clinical management and development of the physiotherapy team based Bowley Close. You will contribute nationally to specialist amputee and physiotherapy organisations and education events.
Work jointly with counselling and specialist MDT to develop MDT policies, protocols, guidelines and standards to promote best practice for the service both uni professional and MDT
Lead physiotherapy specific areas of amputee and prosthetic clinical practice development, governance, service improvement and the development of care pathways.
About us
The job is based at the Bowley Close Rehabilitation Centre, Crystal Palace. The post is an onsite role with no weekly remote working allocated.
Bowley Close Rehabilitation Centre is the main site for Guys and St. Thomas's regional specialist rehabilitation (RSR) services which includes regional prosthetic services, regional orthotics, wheelchairs and assistive communication services. Other RSR services based on different sites include the amputee rehabilitation unit, orthotics at Kings College Hospital, diabetic foot clinic & other community based orthotics clinics and patient appliances at Guy's and St.Thomas.
The services are led by head of regional specialist rehabilitation, service manager, assistance service managers and supported by administrative teams. We sit within the integrated local services directorate.
The prosthetics MDT assesses and provides rehabilitation new and established patients with lower limb, upper limb and multiple limb loss; acquired or congenital. Our services support both adults and children. Pre amputation and second opinion specialist consultations are also provided.
Job description
Job responsibilities
Duties and responsibilities
Clinical and professional
Responsible for all aspects of physiotherapy assessment and treatment of outpatient amputees (acquired and congenital) and patients referred for pre-amputation consultation to the regional amputee and prosthetic centre. The client group includes all ages from birth to the elderly; primary and established amputees
Responsible for the provision of specialist physiotherapy and patient caseload management the complexity of patients varies and includes multi limb loss patients and complex rehabilitation needs due to associated pathologies.
Responsible for and ensure quality of intervention given and opportunity for staff development by providing specialist advice and expertise.
Use clinical reasoning and specialist skills and knowledge to ensure the best ongoing treatment for all patients. Provide expert advice and expertise to other physiotherapist and students in the team to ensure equitable levels of standards of care between team members
Carry own caseload of amputees likely to be patients with the highly complex physical, social and psychological needs
Professionally and legally responsible and accountable for all aspects of own work including knowledge of indications and precautions chosen techniques/equipment provision in line with national and trust clinical guidelines, protocols and pathways where they exist.
Prioritise own and teams clinical caseload considering clinical service priorities using specialist and managerial knowledge to underpinning decisions.
Communicate timely and effectively with clinical lead & head of community amputee pathway and service manager
Make expert recommendations to the Consultant and Rehabilitation medicine or AHP equivalent and clinical lead of service and prosthetists regarding initial prosthetic prescription or related changes to prescription identifying clinical reasoning for prescription choice.
Be responsible for the physiotherapy staff clinical recommendations regarding prosthetic prescription and provide specialist advice and guidance.
Provide physiotherapy to the visiting ward round service at Kings College Hospital or other hospitals as required in order to best support the ward-based physiotherapists and patients needs.
Lead the visiting ward around the Kings College Hospital in the absence of the head of service (or equivalent) or at their request
Responsible for the physiotherapy assessment and treatment of people considering lower limb amputation providing professional opinion regarding their likely functional outcome and prosthetic use. Facilitate these patients to have opportunity to meet other patients having undergone the same level amputation and provide contact details for specialist amputee support organisations.
Be the expert in physiotherapy for this patient cohort based on theoretical knowledge and experience. Be available to frequent requests for specialist advice and guidance by colleagues, junior team members and other healthcare professionals both within and external to the trust.
Job description
Job responsibilities
Duties and responsibilities
Clinical and professional
Responsible for all aspects of physiotherapy assessment and treatment of outpatient amputees (acquired and congenital) and patients referred for pre-amputation consultation to the regional amputee and prosthetic centre. The client group includes all ages from birth to the elderly; primary and established amputees
Responsible for the provision of specialist physiotherapy and patient caseload management the complexity of patients varies and includes multi limb loss patients and complex rehabilitation needs due to associated pathologies.
Responsible for and ensure quality of intervention given and opportunity for staff development by providing specialist advice and expertise.
Use clinical reasoning and specialist skills and knowledge to ensure the best ongoing treatment for all patients. Provide expert advice and expertise to other physiotherapist and students in the team to ensure equitable levels of standards of care between team members
Carry own caseload of amputees likely to be patients with the highly complex physical, social and psychological needs
Professionally and legally responsible and accountable for all aspects of own work including knowledge of indications and precautions chosen techniques/equipment provision in line with national and trust clinical guidelines, protocols and pathways where they exist.
Prioritise own and teams clinical caseload considering clinical service priorities using specialist and managerial knowledge to underpinning decisions.
Communicate timely and effectively with clinical lead & head of community amputee pathway and service manager
Make expert recommendations to the Consultant and Rehabilitation medicine or AHP equivalent and clinical lead of service and prosthetists regarding initial prosthetic prescription or related changes to prescription identifying clinical reasoning for prescription choice.
Be responsible for the physiotherapy staff clinical recommendations regarding prosthetic prescription and provide specialist advice and guidance.
Provide physiotherapy to the visiting ward round service at Kings College Hospital or other hospitals as required in order to best support the ward-based physiotherapists and patients needs.
Lead the visiting ward around the Kings College Hospital in the absence of the head of service (or equivalent) or at their request
Responsible for the physiotherapy assessment and treatment of people considering lower limb amputation providing professional opinion regarding their likely functional outcome and prosthetic use. Facilitate these patients to have opportunity to meet other patients having undergone the same level amputation and provide contact details for specialist amputee support organisations.
Be the expert in physiotherapy for this patient cohort based on theoretical knowledge and experience. Be available to frequent requests for specialist advice and guidance by colleagues, junior team members and other healthcare professionals both within and external to the trust.
Person Specification
Qualifications/Education
Essential
- Degree in physiotherapy
- Evidence of continued professional development to M level including post graduate courses relevant to speciality or clear evidence of working at this level
- Full member of relevant national specialist interest Group (BACPAR)
Desirable
- MSc/MPhil/PhD in relevant topic(s)
- Post graduate course in management
- Leadership training
Knowledge, Skills and experience
Essential
- Advanced and significant post graduate experience in physiotherapy
- Expert physiotherapy skills in specialty in acute and rehabilitative care (trauma and orthopaedics, polytrauma, paediatrics, congenital skeletal deficiencies, multi limb loss)
- Significant Band 7 level experience of working within amputee rehabilitation specialties in both inpatient and outpatient environments, including management of highly complex patients with complex cases relevant to specialty
- Advanced skills in gait analysis fit and gait deviations, problem solving of socket fit and wound management
- In depth and specialist knowledge and experience working with a wide range of prosthetic componentry with understanding of prescription reasoning
- Proven ability to adapt rehabilitation skills for self and physiotherapy team with new prosthetic componentry
- In depth knowledge and experience in Clinical governance - audit, risk management, evidence based practise, user involvement
Desirable
- Research experience
- oAdvanced use of IT including data base development and data analysis
Leadership, Communication and relationship skills
Essential
- Highly developed communication skills with ability to deal with highly sensitive, emotional, conflicting and contentious matters.
- Significant experience in physiotherapy staff and student management and development
- High level of understanding of roles of team members and scope of practice within RSR and directorate
- Proven experience in motivational and negotiation skills
- Ability to cope with stress and frequent interruptions throughout working day
- Understands varied wider demands of the prosthetic physiotherapy, MDT and amputee pathway service in SE London
- Able to give and receive constructive criticism.
Desirable
- Investigation and management of complaints and incidents
- Understands National challenges to amputee rehabilitation and prosthetic provision
Analytical Skills
Essential
- Able to think logically
- Able to critique research papers
- Able to problem solve and evaluate complex clinical situations in the multidisciplinary team and on own
- Able to support therapists in other Trusts to problem solve complex amputee rehab issues
- Able to analyse conflicting demands on service, demand and capacity, financial constraints and staffing levels
Person Specification
Qualifications/Education
Essential
- Degree in physiotherapy
- Evidence of continued professional development to M level including post graduate courses relevant to speciality or clear evidence of working at this level
- Full member of relevant national specialist interest Group (BACPAR)
Desirable
- MSc/MPhil/PhD in relevant topic(s)
- Post graduate course in management
- Leadership training
Knowledge, Skills and experience
Essential
- Advanced and significant post graduate experience in physiotherapy
- Expert physiotherapy skills in specialty in acute and rehabilitative care (trauma and orthopaedics, polytrauma, paediatrics, congenital skeletal deficiencies, multi limb loss)
- Significant Band 7 level experience of working within amputee rehabilitation specialties in both inpatient and outpatient environments, including management of highly complex patients with complex cases relevant to specialty
- Advanced skills in gait analysis fit and gait deviations, problem solving of socket fit and wound management
- In depth and specialist knowledge and experience working with a wide range of prosthetic componentry with understanding of prescription reasoning
- Proven ability to adapt rehabilitation skills for self and physiotherapy team with new prosthetic componentry
- In depth knowledge and experience in Clinical governance - audit, risk management, evidence based practise, user involvement
Desirable
- Research experience
- oAdvanced use of IT including data base development and data analysis
Leadership, Communication and relationship skills
Essential
- Highly developed communication skills with ability to deal with highly sensitive, emotional, conflicting and contentious matters.
- Significant experience in physiotherapy staff and student management and development
- High level of understanding of roles of team members and scope of practice within RSR and directorate
- Proven experience in motivational and negotiation skills
- Ability to cope with stress and frequent interruptions throughout working day
- Understands varied wider demands of the prosthetic physiotherapy, MDT and amputee pathway service in SE London
- Able to give and receive constructive criticism.
Desirable
- Investigation and management of complaints and incidents
- Understands National challenges to amputee rehabilitation and prosthetic provision
Analytical Skills
Essential
- Able to think logically
- Able to critique research papers
- Able to problem solve and evaluate complex clinical situations in the multidisciplinary team and on own
- Able to support therapists in other Trusts to problem solve complex amputee rehab issues
- Able to analyse conflicting demands on service, demand and capacity, financial constraints and staffing levels
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).
