Highly Specialist Pelvic Health Physiotherapist

Job description

Job responsibilities

• DUTIES AND RESPONSIBILITIES- SUMMARY

  Assessment and management to those experiencing pelvic floor dysfunction during the perinatal perio

• Assessment and management of women with perineal trauma and/or at risk of developing pelvic floor dysfunction in the postnatal period

  Supporting the Midwifery and the Obstetric teams in identifying and referring women to the Perinatal Pelvic Health Service

  Early screening and identification of women or birthing people suffering with pelvic health related mental health issues

  Provision of antenatal and postnatal virtual education classes about the prevention and management of Pelvic floor dysfunction

  Training and educating midwifery staff in pelvic health, and updating staff in best practice

  Supporting maternity services in the identification of pelvic floor dysfunction, to include mentoring where appropriate Develop and maintain a specialised PPH quality screening and diagnostic service for all patients through their pregnancy journey

  Organise onward referral to appropriate services in a timely manner

  KEY RELATIONSHIPS:

  Internal: Obstetricians, Midwifery matrons; specialist midwives, consultant midwives, practice development midwives, other senior midwives, medical, midwifery and nursing staff at all levels in the maternity and community services, including obstetrician/gynaecologists, physiotherapists, urologists, sexual health services and mental health services.

  External: multidisciplinary and multiagency community teams, CCGs, GPs, women and their families.

  CLINICAL

  To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with complex presentations.

  To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands.

  To be professionally and legally responsible and accountable for all aspects of own work, and of the local pathway teams work. 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.

  To assess patients capacity, gain valid and informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient.

  To undertake the comprehensive assessment and accurate diagnosis of patients including those with complex presentation, using investigative, palpatory, analytical and clinical reasoning skills.

  Under supervision of the Clinical lead of PPHS and Physiotherapy Out-Patient Team Lead to request diagnostic procedures that will inform clinical decision making as appropriate to individual competency level and the job role.

  To undertake physical treatment techniques utilising highly developed manual skills.

  To formulate individualized clinical management programs, utilizing a wide range of treatment skills and options to plan a highlyspecialised program of care.

  To use recognized outcome measures to evaluate the effect of physiotherapy interventions and ensure that treatment programs are progressing appropriately

  To provide spontaneous and planned expert 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 program. To be consulted by staff within the local pathway and the trust

  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 patient 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 program

  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, midwives, obstetricians, 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 and maternity service and with other professionals across health and other agencies to ensure the delivery of a coordinated multidisciplinary service

  To be integral in discharge planning including liaison with referring hospitals/maternity services 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 an extended scope role as appropriate to the needs of the service and supervised by the team lead (an extended scope practioner undertakes delegated responsibility on behalf of medical practioner(s) including the independent management of complete episodes of care of patients from referral to discharge)

Person Specification

Qualifications & Training

Essential

• Diploma/Degree in Physiotherapy
• HPC registration
• Undertaken a range of relevant postgraduate courses
• Undertaken clinical educators training

Desirable

• MCSP
• Member of Special Interest Group
• MSc or working at M level or equivalent experience / qualification
• Undertaken appropriate managerial training

Experience

Essential

• Comprehensive post graduate physiotherapy experience including experience of relevant specialist pathway
• Experience of working autonomously and unsupervised
• Experience of having supervised staff who are directly accountable to the post holder
• Experience of having supervised staff who are directly accountable to post holder
• Experience in completing audit and evidence based projects
• Evidence of actively participating in in-service training and evaluation effectiveness of training
• Experience and ability to work collaboratively within MPT

Desirable

• Previous experience at band 7 level.
• Attended external courses relevant to subject area
• Involvement in research in relevant specialist pathway
• Evidence of leading change management and innovation in clinical practice
• Evidence of presenting to MDT groups, undergraduate and postgraduate staff

Knowledge

Essential

• Specialist knowledge of evidenced based physiotherapy for designated specialist pathway
• Knowledge of national guidelines and standards pertaining to specialist pathway and physiotherapy
• Understanding of clinical governance and it's implication for physiotherapy
• Awareness and understanding of NHS structure, current issues and developments
• Understanding of the legal responsibilities of the profession

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).

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Lewisham Hospital

Lewisham High St

London

SE13 6LH

Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)