Job summary
The Specialist Physiotherapist is an experienced clinician who independently
manages a full specialised clinical caseload. They are responsible for supervising
designated members of staff within the specialist team.
The post holder rotates through speciality pathways on an 8-monthly basis and
works under supervision of an allocated Team Lead for the Clinical Area. Rotations
span the University Hospital Lewisham, the Queen Elizabeth Hospital, Greenwich
and Lewisham Community Services.
The rotations associated with this post may change in response to future service
demands and the postholder may be required to work at any of the sites within the
Trust.
7-day working for Therapies is under development within the Trust and it is
anticipated that the postholder will be required to work at weekends on a roster basis
during some of the above rotations.
Clinical Governance and clinical support will be provided to rotational staff by the
Band 7 Physiotherapy Team Lead. In conjunction with the Team Lead, the post
holder participates in a rolling programme of education, clinical evaluation, audit and
research across the speciality
Main duties of the job
1. To undertake all aspects of clinical duties and to carry a significant caseload of
patients as an autonomous practitioner, including those with complex
presentations
2. To work at an advanced level and to be professionally and legally accountable
for a specialised patient caseload and to decide priorities for own work area,
balancing other patient related and professional demands
3. To be professionally and legally responsible and accountable for all aspects of
own work, and the work of staff under the postholders supervision. This will
include the management of clinical risk, clinical governance, knowledge of
indications and precautions of chosen techniques in line with National and Trust
clinical guidelines and protocols where they exist.
4. To assess patients capacity, gain valid informed consent to treatment and
where such capacity is lacking/absent to work within a legal framework in the
management of the patient
5. To undertake the comprehensive assessment and accurate diagnosis of
patients, including those with complex presentation, using investigative,
palpatory, analytical and clinical reasoning skills
6. To undertake physical treatment techniques utilising highly developed manual
skills
About us
Lewisham and Greenwich NHS
Trust is a community focused provider of local and acute care, providing high
quality services to over one million people living across the London boroughs
of Lewisham, Greenwich and Bexley.
With a turnover of around
£700 million, we provide services at Queen Elizabeth Hospital in Woolwich,
University Hospital Lewisham and a range of community settings in Lewisham. We
also provide some services at Queen Marys Hospital in Sidcup.
The Trust has 7,500 staff and
we have recently invested in our workforce to grow our establishment across a
number of key services. In 2020 we won a London NHS Parliamentary Award
in recognition of a wide range of initiatives to make the organisation a great
place to work. We are accredited as a flexible working employer offering a
number of flexible working options for staff. We are also accredited as a
London Living Wage employer for our substantive, bank and contractors
Job description
Job responsibilities
To be responsible for the safe and competent use of the inpatient/outpatient
gym, electrotherapy and manual handling equipment, as well as other aids and
appliances by patients in your working area, ensuring that any Band 5
Physiotherapists and Assistants obtain competency prior to use.
To formulate individualised clinical management programmes, utilising a wide
range of treatment skills and options to plan a specialised programme of care
To use recognised outcome measures to evaluate the effect of physiotherapy
interventions and ensure that treatment programmes are progressing
appropriately.
To provide spontaneous and planned advice, teaching and instruction to
relatives, carers, other disciplines and agencies. To promote understanding of
the aims of physiotherapy and to ensure continuation of the treatment
programme. To be consulted by staff under the postholders supervision
To participate in and where indicated, initiate multidisciplinary/multi-agency
team meetings and case conferences to ensure the co-ordination of patient
care. This may include the review of patient progress and discharge planning
To maintain good working links and liase with GPs and all relevant others
involved with each patients care, ensuring consultation, feedback and
discharge communication.
To ensure accurate, comprehensive and up to date clinical records are
maintained in accordance with Trust guidance and professionally agreed
criteria
To identify and employ suitable verbal and non-verbal communication skills with
patients where there may be barriers to understanding or the inability to accept
diagnosis. To facilitate the best possible communication outcome in every
situation and use appropriate services e.g. interpreters
To ensure that individual practice and that of the local pathway team is user
focused and patient views are incorporated into treatment planning
To employ appropriate skills such as persuasion, motivation and negotiation to
gain co-operation in the continuation of the agreed treatment programme.
To communicate with empathy, patient information which may be of a complex
and sensitive nature including details of prognosis or disability that may be
unwelcome
To receive complex patient related information from patients, relatives, carers
and other professionals to effectively plan and develop individual case
management
To communicate and advise regarding complex patient related information
effectively to ensure collaborative working within the physiotherapy service and
with other professionals across health and other agencies to ensure the delivery
of a co-ordinated multidisciplinary service
To be integral in discharge planning including liaison with referring hospitals or
community staff to which patients are discharged, providing timely discharge
reports
To produce comprehensive patient related reports for other disciplines or
agencies relating to assessment findings and/or treatment outcomes
To undertake the measurement and evaluation of own work through audit,
outcome measurement, the application of evidence based practice and
research where appropriate. To identify and initiate audit projects to review
current clinical practice within the pathway
To facilitate the implementation and evaluation of physiotherapy clinical
outcomes within a designated pathway and monitor adherence with
professional and national standards.
To work to Trust and Chartered Society of Physiotherapy clinical guidelines and
have a good working knowledge of relevant national standards to which quality
of practice should be monitored
To raise physiotherapy staff awareness of current clinical developments and
the implications these may have on clinical practice
To be accessible and provide specialist clinical advice to colleagues in
particular for complex case management
Once considered competent, to participate in the on-call, week-end, bank
holiday and extended working rotas where clinically appropriate and in the
absence of Band 7 staff to be responsible for any Band 5 physiotherapists in
the team
To fully participate in whatever pattern of working is required by the service in
the future.
To work in GP outreach clinics as necessary, with telephone support from a
senior physiotherapist if required.
Job description
Job responsibilities
To be responsible for the safe and competent use of the inpatient/outpatient
gym, electrotherapy and manual handling equipment, as well as other aids and
appliances by patients in your working area, ensuring that any Band 5
Physiotherapists and Assistants obtain competency prior to use.
To formulate individualised clinical management programmes, utilising a wide
range of treatment skills and options to plan a specialised programme of care
To use recognised outcome measures to evaluate the effect of physiotherapy
interventions and ensure that treatment programmes are progressing
appropriately.
To provide spontaneous and planned advice, teaching and instruction to
relatives, carers, other disciplines and agencies. To promote understanding of
the aims of physiotherapy and to ensure continuation of the treatment
programme. To be consulted by staff under the postholders supervision
To participate in and where indicated, initiate multidisciplinary/multi-agency
team meetings and case conferences to ensure the co-ordination of patient
care. This may include the review of patient progress and discharge planning
To maintain good working links and liase with GPs and all relevant others
involved with each patients care, ensuring consultation, feedback and
discharge communication.
To ensure accurate, comprehensive and up to date clinical records are
maintained in accordance with Trust guidance and professionally agreed
criteria
To identify and employ suitable verbal and non-verbal communication skills with
patients where there may be barriers to understanding or the inability to accept
diagnosis. To facilitate the best possible communication outcome in every
situation and use appropriate services e.g. interpreters
To ensure that individual practice and that of the local pathway team is user
focused and patient views are incorporated into treatment planning
To employ appropriate skills such as persuasion, motivation and negotiation to
gain co-operation in the continuation of the agreed treatment programme.
To communicate with empathy, patient information which may be of a complex
and sensitive nature including details of prognosis or disability that may be
unwelcome
To receive complex patient related information from patients, relatives, carers
and other professionals to effectively plan and develop individual case
management
To communicate and advise regarding complex patient related information
effectively to ensure collaborative working within the physiotherapy service and
with other professionals across health and other agencies to ensure the delivery
of a co-ordinated multidisciplinary service
To be integral in discharge planning including liaison with referring hospitals or
community staff to which patients are discharged, providing timely discharge
reports
To produce comprehensive patient related reports for other disciplines or
agencies relating to assessment findings and/or treatment outcomes
To undertake the measurement and evaluation of own work through audit,
outcome measurement, the application of evidence based practice and
research where appropriate. To identify and initiate audit projects to review
current clinical practice within the pathway
To facilitate the implementation and evaluation of physiotherapy clinical
outcomes within a designated pathway and monitor adherence with
professional and national standards.
To work to Trust and Chartered Society of Physiotherapy clinical guidelines and
have a good working knowledge of relevant national standards to which quality
of practice should be monitored
To raise physiotherapy staff awareness of current clinical developments and
the implications these may have on clinical practice
To be accessible and provide specialist clinical advice to colleagues in
particular for complex case management
Once considered competent, to participate in the on-call, week-end, bank
holiday and extended working rotas where clinically appropriate and in the
absence of Band 7 staff to be responsible for any Band 5 physiotherapists in
the team
To fully participate in whatever pattern of working is required by the service in
the future.
To work in GP outreach clinics as necessary, with telephone support from a
senior physiotherapist if required.
Person Specification
Skills And Abilities
Essential
- The ability to discuss clinical
- reasoning in the management of
- complex cases
- The ability to identify and act upon
- adverse clinical signs
- Able to communicate complex
- information to patients, carers other
- health professionals and team.
- Excellent ability to work effectively in
- a team environment
- Excellent time management skills
- with ability to organise, prioritise and
- delegate.
- Ability to self direct learning, be
- critical and evaluate own learning
- needs, demonstrated in a CPD
- portfolio.
- Able to provide a high standard of
- clear concise, written and verbal
- reports in English
- Good teaching and presentation
- skills
- IT skills, including using hospital
- data bases, word processing, excel,
- email and power point
- Ability to manage own stress and
- work in a stressful and unpredictable
- environment. To show empathy and
- fairness to give support to others
Desirable
- IT skills - Ability to create
- and/or format data and/or
- complex spreadsheets
- using computerised
- systems
- Demonstrates excellent
- leadership ability and
- motivational skills
Experience
Essential
- Wide ranging rotational
- physiotherapy experience at Band 5 level
- Experience of participating in audit
- and evidence based projects.
- Evidence of actively participating in
- in-service training and MDT groups,
- and evaluating effectiveness of
- training
- Experience and ability to work
- collaboratively within MDT
- Experience in managing limited
- resources and high workloads
Desirable
- Previous experience at
- band 6 level
- Research experience.
- Experience of supervision
- and appraisal of
- physiotherapy staff and
- students with ability to give
- constructive feedback
Qualifications
Essential
- Diploma / Degree in Physiotherapy.
- HCPC registration
- Undertaken a range of relevant postgraduate courses
- Undertaken clinical educators training
Desirable
- MCSP
- Member of Special interest
- Group
- Undertaken appropriate
- managerial training
Person Specification
Skills And Abilities
Essential
- The ability to discuss clinical
- reasoning in the management of
- complex cases
- The ability to identify and act upon
- adverse clinical signs
- Able to communicate complex
- information to patients, carers other
- health professionals and team.
- Excellent ability to work effectively in
- a team environment
- Excellent time management skills
- with ability to organise, prioritise and
- delegate.
- Ability to self direct learning, be
- critical and evaluate own learning
- needs, demonstrated in a CPD
- portfolio.
- Able to provide a high standard of
- clear concise, written and verbal
- reports in English
- Good teaching and presentation
- skills
- IT skills, including using hospital
- data bases, word processing, excel,
- email and power point
- Ability to manage own stress and
- work in a stressful and unpredictable
- environment. To show empathy and
- fairness to give support to others
Desirable
- IT skills - Ability to create
- and/or format data and/or
- complex spreadsheets
- using computerised
- systems
- Demonstrates excellent
- leadership ability and
- motivational skills
Experience
Essential
- Wide ranging rotational
- physiotherapy experience at Band 5 level
- Experience of participating in audit
- and evidence based projects.
- Evidence of actively participating in
- in-service training and MDT groups,
- and evaluating effectiveness of
- training
- Experience and ability to work
- collaboratively within MDT
- Experience in managing limited
- resources and high workloads
Desirable
- Previous experience at
- band 6 level
- Research experience.
- Experience of supervision
- and appraisal of
- physiotherapy staff and
- students with ability to give
- constructive feedback
Qualifications
Essential
- Diploma / Degree in Physiotherapy.
- HCPC registration
- Undertaken a range of relevant postgraduate courses
- Undertaken clinical educators training
Desirable
- MCSP
- Member of Special interest
- Group
- Undertaken appropriate
- managerial training
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
