Job responsibilities
JOBPURPOSE
1 To provide physiotherapy assessment, diagnosis, treatment and management of patients in the Lewisham & Greenwich NHS Trust.
2 To participate in the Band 6 MSK rotation scheme, which involves out-patient clinical areas. Rotations are approximately eight months' duration.
JOB SUMMARY
1 To undertake all aspects of clinical duties as an autonomous practitioner.
2 To perform advanced physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions; to provide a provisional diagnosis and develop and deliver an individualised treatment programme.
3 To take responsibility for own caseload, being responsible for a defined area of the service, with the support of a Band 7/8 physiotherapist.
4 With the team, to participate in evidence-based audit / research activity to further the team's clinical practice within each rotation. To make recommendations to the lead Band 7/8 for any changes to practice by the team.
5 To supervise band 5 physiotherapists physiotherapy assistants and physiotherapy students in the clinical setting.
SPECIFIC DUTIES AND RESPONSIBILITIES
1.1 To be professionally and legally accountable for all aspects of your own work,including the management of patients in your care.
1.2 To undertake a comprehensive and holistic assessment of patients including those with complex presentations / multi-pathologies.
1.3 To use manual and other assessment techniques and clinical reasoning skills toprovide an accurate diagnosis of patients' conditions and identify their problems.
1.4 To assess patients' understanding of treatment proposals, gain valid informedconsent and have the capacity to work within a legal framework with patients wholack the capacity to consent to treatment.
1.5 To use clinical assessment and reasoning skills combined with a specialist knowledge and clinical experience of pathophysiology, evidence-based practice and treatment strategies to provide an effective treatment plan and goals in collaboration with the patient.
1.6 To evaluate patients' progress, re-assess and alter treatment programmes as required.
1.7 To formulate accurate prognoses and liaise with the multi-disciplinary team regarding discharge planning, where necessary, to ensure safe, timely and effective discharge from hospital, or following an outpatient episode of care.
1.8 To be responsible for the safe and competent use of gym, electrotherapy, and manual handling equipment, as well as the use of other aids and appliancesby patients in your working area, ensuring that any Band 5 Physiotherapists andAssistants attain competency prior to use.
1.9 To use a range of verbal and non-verbal communication skills to communicateeffectively with patients during assessment and treatment. To communicateappropriately at all times with all individuals in a respectful manner.
1.10 To use active listening and optimum communication skills to discuss patientsconcerns, worries and prognoses with them and their families, for example patientswho have progressive, degenerative or terminal illnesses and those with newlyacquired disabilities.
1.11 To be an active member of the Orthopaedics and Rehabilitation weekend rotas. When working at weekends and in the absence of Band 7 staff, to be responsible for any Band 5 physiotherapists in the team.
1.13 To supervise and delegate to Assistants and Band 5 Physiotherapists.
1.14 To work within Trust, departmental and CSP guidelines, ensuring a good working knowledge of national and local standards.
1.15 To work in GP outreach clinics as necessary, with telephone support from a senior physiotherapist if required.
2.1 To maintain an accurate and evaluative record keeping system in accordance with the Trust and departmental policies, and which can be used for audit and legal purposes.
2.2 To be responsible for organising, prioritising and planning your own caseload tomeet service needs and patient priorities, adjusting plans as situations arise.
2.3 To identify and manage clinical risk within your own patient caseload and clinicalarea.
2.4 To comply with all Trust policies and procedures, the Health & Safety at WorkAct, and the Data Protection Act. To report on complaints, accidents and clinicalincidents to the immediate senior as soon as possible.
2.5 To be familiar with and comply with local fire procedures.
2.6 To be familiar with all Trust and Therapy emergency and precautionary procedures, both on and off site, and to respond as necessary e.g., hydrotherapy, emergency resuscitation, infection control etc.
2.7 To ensure that all equipment defects are reported to the Therapy Manager immediately, and that appropriate action is then taken.
2.8 To advise and demonstrate to carers, nursing and other staff on the safe manual handling, positioning and moving of patients.
2.9 To provide training on the use of equipment and management of conditions forcarers, nursing and other staff when necessary.
2.10 To deputise for the Band 7 in their absence, taking responsibility for operational management of the team, allocating and organising the work of band 5 and assistant staff to meet service priorities on a daily basis.
2.11 To be responsible for the supervision and co-ordination of students, band 5 staff and assistants on a day-to-day basis.
2.12 To make appropriate referrals to other health professionals following assessment / identification of need.
2.13 To participate in the managerial matters of the department as required, and to attend staff meetings.
2.14 To participate in the induction programme for all new staff where appropriate.
2.15 To undertake additional duties as may be deemed necessary, as requested by theteam leader in the specific rotation.
3.1 To participate in individual performance review (appraisal) and be responsible for complying with your agreed personal development plan to meet set goals.
3.2 To be responsible for maintaining your competence to practise and StateRegistration through C.P.D. activities and maintaining a portfolio which reflectspersonal development.
3.3 To supervise band 5 physiotherapists and assistants, being actively involved in theirsupervision and appraisal, reporting performance issues to a relevant person.
3.4 To participate in and contribute to the in-service education programmes of the specific rotation and of the department.
3.5 To participate in mandatory and statutory training, having an awareness of andcomplying with Trust and departmental procedures.
3.6 To attend Trust in-house training sessions / programmes and external courses asappropriate.
3.7 To contribute to the education of Therapy Assistants when necessary.
3.8 To be responsible for the clinical education of student physiotherapists, teachingthem to graduate level on physiotherapeutic skills and knowledge within the coreclinical areas, reporting performance issues to a relevant person.
