Chelsea and Westminster Hospital NHS Foundation Trust

Rotational Physiotherapist MSK

Information:

This job is now closed

Job summary

We have a vacancy for a Band 6 Physiotherapist on the MSK rotation.

The post holder completes 9 month rotations in MSK, Hand Therapy and Trauma and Orthopaedic Inpatients. The current vacancy is in MSK.

The advert will close once a suitable number of applications have been received.

Main duties of the job

The post holder will be a clearly identifiable senior clinical staff member. They will have significant clinical experience, provide sound clinical expertise to their team and more junior staff and coordinate and deliver high quality care. They will be a role model for expert clinical care, and lead on specific projects / service developments and management functions as delegated by the Band 7 therapist or Clinical Lead Therapist. They will role model the identified Trust values at all times.

The post holder will work as an autonomous practitioner in providing physiotherapy assessment, treatment and management to their own designated caseload of patients and to maintain up to date physiotherapy records. They will use evidence based principles and current best practise to assess, plan, implement and evaluate physiotherapy interventions.

The post holder will provide supervision, teaching and support to more junior staff, therapy assistants and students on placement. They will participate in CPD and other developmental activities.

There is a requirement to be on the weekend trauma and Orthopaedic Rota. The service is worked on a 5 in 7 day service with rostered time off following the weekend work.

The post holder will rotate within Musculoskeletal Outpatients, Orthopaedics and Hand Therapy.

About us

About the Trust

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East. We have nearly 7,000 members of staff that arePROUD to Carefor nearly one million people.

Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics. We're one of the best performing Trusts in the country. We're also one of the top trusts to work for - our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.

Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection. Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate.

We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.

Details

Date posted

15 September 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£42,471 to £50,364 a year Per Annum

Contract

Permanent

Working pattern

Full-time

Reference number

289-EI-1437-A

Job locations

Chelsea and Westminster Hospital

369 Fulham Road

Fulham

SW10 9NH


Job description

Job responsibilities

Clinical

  • To be professionally and legally responsible for all aspects of work, including the management of patients in your care.
  • To be able to carry and prioritise your own designated clinical caseload, working as an autonomous practitioner without direct supervision.
  • Provide sound evidence based clinical advice as required to staff and patients.
  • To determine the patients understanding of the physiotherapy intervention in order to gain valid, informed consent and to be able to work within a legal framework with patients who lack capacity to consent to treatment.
  • To use a range of verbal and non-verbal communication tools when communicating with patients/carers to maximise the patients rehabilitation potential. This will include communication with people with complex communication difficulties such as dysphasia, deafness, dementia, mental health problems, those who have difficulty accepting their diagnosis and young children. To communicate with people who speak English as a second language through the use of an interpreter.
  • To use good communication skills to agree physiotherapy goals with individual patients using previous experience to ensure goals are specific, measurable, achievable, realistic and appropriately timed. To involve all members of the multidisciplinary team in this process when appropriate.
  • To provide comprehensive written records of assessment and treatment according to departmental, professional and legal standards.
  • To undertake proficient and pertinent physiotherapy assessments in line with department and professional standards, to form diagnoses and/or establish impairments and limitations.
  • To use appropriate and effective assessment and treatment techniques including subjective and observational analysis, manual therapy techniques and therapeutic handling skills.
  • To undertake treatment of a wide variety of acute and chronic musculoskeletal conditions using a variety of techniques including manual therapy, exercise therapy (including classes), electrotherapy, hydrotherapy, provision of aids and patient advice/education.
  • To demonstrate highly developed dexterity, coordination and palpatory sensory skills for the assessment and manual treatment of patients.
  • To take responsibility for certain patient conditions or clinical areas, as delegated by the Band 7, and to develop specialised assessment and treatment skills in these areas with minimal support from a senior.
  • To use clinical reasoning, understanding of the medical diagnosis, previous experience and knowledge of treatment options to plan and implement individual physiotherapy programs for all patients including those with complex conditions.
  • To interpret and analyse relevant clinical and non-clinical facts to formulate accurate prognoses and develop appropriate discharge plans.
  • To make effective use of treatment options such as advice, gait re-education, exercise prescription, manual techniques, electrotherapy and provision of appropriate therapeutic aids and equipment.
  • To monitor and evaluate treatment to measure progress and to ensure effectiveness of the intervention and to identify quickly when treatment requires modifying.
  • To use clinical reasoning skills to modify treatment interventions and to recognise when advice/assistance from supervisor is required.
  • To attend and/or organise multi-disciplinary team meetings such as case conferences, ward rounds and discharge planning meetings to communicate information about individual patient progress and prognosis, including potential discharge dates.
  • To be responsible for the safe and competent use of all physiotherapy equipment in line with department standards.
  • To be responsible for the safe and appropriate provision of physiotherapy aids and equipment to patients in line with department standards and to provide advice and education on their safe use.
  • Promote and maintain a safe therapeutic environment for patients, their families and staff, according to national and local Infection Control guidelines, Health & Safety legislation, safeguarding legislation and procedures and Trust policies and objectives.
  • Understand the Trust clinical governance framework, and participate in the promoting and safeguarding of high standards of care, through effective risk management & governance, and adherence to the Trust values.

Leadership and Management

  • To demonstrate good time management and organisational skills during daily management of own workload and to be able to adapt flexibly to sudden changes in workload.
  • To carry an identified bleep as required by each clinical area and be able to respond to frequent interruptions.
  • To ensure timely communication of assessment findings, treatment and outcomes to other involved disciplines through the provision of social services reports, discharge letters etc. To make appropriate and timely referrals to other physiotherapists and other members of the multidisciplinary team when required.
  • To keep accurate and up-to-date patient records and statistics at all times in line with departmental, professional and legal standards.
  • To be responsible for the safe use of all therapeutic equipment and aids (including gym equipment, hydrotherapy, respiratory equipment and electrotherapy) by patients.
  • To delegate specific tasks to therapy assistants in line with departmental and professional guidelines.
  • To deputise for the band 7 therapist during periods of absence, with the support of the therapy lead, to ensure effective day to day organisation of the teams workload.
  • To understand and apply clinical governance principles to your own caseload and to be involved in departmental clinical governance sessions.
  • To contribute to service and policy developments.
  • To be responsible for complying with all mandatory training requirements To be responsible for maintenance of stock/equipment supplies.
  • To develop and maintain effective communication and working relationships with other professional groups, and staff generally within the Division and the Trust.
  • To assist in the delivery of induction / orientation of new staff.
  • To provide clinical support and guidance to staff and to act as a resource for clinical knowledge to staff.
  • To participate in recruitment and selection and develop effective selection and interviewing skills.
  • To undertake appraisals of staff, following training.
  • To understand and manage local change with team members, including the embedding of new projects.

Education & research

  • To participate in and contribute to in-service training programmes.
  • To be responsible for the teaching and assessment of graduate level therapeutic skills and knowledge to more junior staff, physiotherapy students and therapy assistants.
  • To provide clinical supervision to more junior staff, students and therapy assistants.
  • To be involved in data collection during any research and audits being undertaken in each area and to be able to monitor and implement change.
  • To have the opportunity to lead, or be involved in audit and research projects.

Professional Development

  • To comply with the Chartered Society of Physiotherapy and the Health and Care Professions Council codes of professional conduct at all times.
  • To maintain professional registration with the Health and Care Professions Council.
  • To be responsible for personal continuous professional development by the use of self-education, reflective practice, active participation in the in-service training program including giving presentations and attendance at postgraduate courses as agreed in your personal development plan and to maintain an up to date CPD portfolio.
  • To ensure that all mandatory training is completed within the required timescales.
  • Have an awareness of current professional and clinical developments within your area of practice and promote this to others.
  • To further develop understanding and use of evidence-based practice, physiotherapy techniques, therapeutic handling skills and detailed knowledge of particular conditions, pertinent to the specialist area.
  • To understand and apply clinical governance principles to your own caseload and to be involved in departmental clinical governance sessions.
  • To participate in the appraisal system as appraisee and be responsible for fulfilling your agreed objectives and personal development plan.
  • To ensure adherence to Trust policy and guidelines at all times.
  • To role model Trust values at all times.
  • This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager.
  • All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.

Job description

Job responsibilities

Clinical

  • To be professionally and legally responsible for all aspects of work, including the management of patients in your care.
  • To be able to carry and prioritise your own designated clinical caseload, working as an autonomous practitioner without direct supervision.
  • Provide sound evidence based clinical advice as required to staff and patients.
  • To determine the patients understanding of the physiotherapy intervention in order to gain valid, informed consent and to be able to work within a legal framework with patients who lack capacity to consent to treatment.
  • To use a range of verbal and non-verbal communication tools when communicating with patients/carers to maximise the patients rehabilitation potential. This will include communication with people with complex communication difficulties such as dysphasia, deafness, dementia, mental health problems, those who have difficulty accepting their diagnosis and young children. To communicate with people who speak English as a second language through the use of an interpreter.
  • To use good communication skills to agree physiotherapy goals with individual patients using previous experience to ensure goals are specific, measurable, achievable, realistic and appropriately timed. To involve all members of the multidisciplinary team in this process when appropriate.
  • To provide comprehensive written records of assessment and treatment according to departmental, professional and legal standards.
  • To undertake proficient and pertinent physiotherapy assessments in line with department and professional standards, to form diagnoses and/or establish impairments and limitations.
  • To use appropriate and effective assessment and treatment techniques including subjective and observational analysis, manual therapy techniques and therapeutic handling skills.
  • To undertake treatment of a wide variety of acute and chronic musculoskeletal conditions using a variety of techniques including manual therapy, exercise therapy (including classes), electrotherapy, hydrotherapy, provision of aids and patient advice/education.
  • To demonstrate highly developed dexterity, coordination and palpatory sensory skills for the assessment and manual treatment of patients.
  • To take responsibility for certain patient conditions or clinical areas, as delegated by the Band 7, and to develop specialised assessment and treatment skills in these areas with minimal support from a senior.
  • To use clinical reasoning, understanding of the medical diagnosis, previous experience and knowledge of treatment options to plan and implement individual physiotherapy programs for all patients including those with complex conditions.
  • To interpret and analyse relevant clinical and non-clinical facts to formulate accurate prognoses and develop appropriate discharge plans.
  • To make effective use of treatment options such as advice, gait re-education, exercise prescription, manual techniques, electrotherapy and provision of appropriate therapeutic aids and equipment.
  • To monitor and evaluate treatment to measure progress and to ensure effectiveness of the intervention and to identify quickly when treatment requires modifying.
  • To use clinical reasoning skills to modify treatment interventions and to recognise when advice/assistance from supervisor is required.
  • To attend and/or organise multi-disciplinary team meetings such as case conferences, ward rounds and discharge planning meetings to communicate information about individual patient progress and prognosis, including potential discharge dates.
  • To be responsible for the safe and competent use of all physiotherapy equipment in line with department standards.
  • To be responsible for the safe and appropriate provision of physiotherapy aids and equipment to patients in line with department standards and to provide advice and education on their safe use.
  • Promote and maintain a safe therapeutic environment for patients, their families and staff, according to national and local Infection Control guidelines, Health & Safety legislation, safeguarding legislation and procedures and Trust policies and objectives.
  • Understand the Trust clinical governance framework, and participate in the promoting and safeguarding of high standards of care, through effective risk management & governance, and adherence to the Trust values.

Leadership and Management

  • To demonstrate good time management and organisational skills during daily management of own workload and to be able to adapt flexibly to sudden changes in workload.
  • To carry an identified bleep as required by each clinical area and be able to respond to frequent interruptions.
  • To ensure timely communication of assessment findings, treatment and outcomes to other involved disciplines through the provision of social services reports, discharge letters etc. To make appropriate and timely referrals to other physiotherapists and other members of the multidisciplinary team when required.
  • To keep accurate and up-to-date patient records and statistics at all times in line with departmental, professional and legal standards.
  • To be responsible for the safe use of all therapeutic equipment and aids (including gym equipment, hydrotherapy, respiratory equipment and electrotherapy) by patients.
  • To delegate specific tasks to therapy assistants in line with departmental and professional guidelines.
  • To deputise for the band 7 therapist during periods of absence, with the support of the therapy lead, to ensure effective day to day organisation of the teams workload.
  • To understand and apply clinical governance principles to your own caseload and to be involved in departmental clinical governance sessions.
  • To contribute to service and policy developments.
  • To be responsible for complying with all mandatory training requirements To be responsible for maintenance of stock/equipment supplies.
  • To develop and maintain effective communication and working relationships with other professional groups, and staff generally within the Division and the Trust.
  • To assist in the delivery of induction / orientation of new staff.
  • To provide clinical support and guidance to staff and to act as a resource for clinical knowledge to staff.
  • To participate in recruitment and selection and develop effective selection and interviewing skills.
  • To undertake appraisals of staff, following training.
  • To understand and manage local change with team members, including the embedding of new projects.

Education & research

  • To participate in and contribute to in-service training programmes.
  • To be responsible for the teaching and assessment of graduate level therapeutic skills and knowledge to more junior staff, physiotherapy students and therapy assistants.
  • To provide clinical supervision to more junior staff, students and therapy assistants.
  • To be involved in data collection during any research and audits being undertaken in each area and to be able to monitor and implement change.
  • To have the opportunity to lead, or be involved in audit and research projects.

Professional Development

  • To comply with the Chartered Society of Physiotherapy and the Health and Care Professions Council codes of professional conduct at all times.
  • To maintain professional registration with the Health and Care Professions Council.
  • To be responsible for personal continuous professional development by the use of self-education, reflective practice, active participation in the in-service training program including giving presentations and attendance at postgraduate courses as agreed in your personal development plan and to maintain an up to date CPD portfolio.
  • To ensure that all mandatory training is completed within the required timescales.
  • Have an awareness of current professional and clinical developments within your area of practice and promote this to others.
  • To further develop understanding and use of evidence-based practice, physiotherapy techniques, therapeutic handling skills and detailed knowledge of particular conditions, pertinent to the specialist area.
  • To understand and apply clinical governance principles to your own caseload and to be involved in departmental clinical governance sessions.
  • To participate in the appraisal system as appraisee and be responsible for fulfilling your agreed objectives and personal development plan.
  • To ensure adherence to Trust policy and guidelines at all times.
  • To role model Trust values at all times.
  • This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager.
  • All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.

Person Specification

Education and Qualification

Essential

  • oBSc or Diploma in Physiotherapy
  • oHCPC Registration
  • oEvidence of recent ongoing relevant CPD

Desirable

  • oMember of special interest group

Previous Experience

Essential

  • oRelevant post registration experience at Band 5 level in core areas ( resp, neuro, ortho, msk)
  • oExperience of autonomous participation in Orthopaedic Rota
  • oExperience of working as part of an MDT in clinical practice
  • oEvidence of active participation in in-service training

Desirable

  • oExperience as a band 6 in MSK
  • oExperience in hand therapy

Skills, knowledge and abilities

Essential

  • oAbility to clinically reason in a variety of clinical settings
  • oIdentifies challenges of working in varying hospital settings and demonstrates the ability to adapt own practice accordingly
  • oThe ability to use reflective practice as a tool for growth and development
  • oUnderstanding of the professional and legal responsibilities of clinical practice
  • oawareness and sensitivity to cultural differences and belief
  • oEvidence of ability to prioritise and good time management
  • oThe ability to guide and direct therapy assisstants and students in clinical practice
  • oExcellent communication skills
  • oknowledge of safety issues through clinical governance and risk management
  • oKnowledge of current and challenging issues in profession

Desirable

  • oEvidence of participation in research or audit
  • oEvidence of working in a supervisory capacity
  • oEvidence of clinical educator training and/or appraisal skills
Person Specification

Education and Qualification

Essential

  • oBSc or Diploma in Physiotherapy
  • oHCPC Registration
  • oEvidence of recent ongoing relevant CPD

Desirable

  • oMember of special interest group

Previous Experience

Essential

  • oRelevant post registration experience at Band 5 level in core areas ( resp, neuro, ortho, msk)
  • oExperience of autonomous participation in Orthopaedic Rota
  • oExperience of working as part of an MDT in clinical practice
  • oEvidence of active participation in in-service training

Desirable

  • oExperience as a band 6 in MSK
  • oExperience in hand therapy

Skills, knowledge and abilities

Essential

  • oAbility to clinically reason in a variety of clinical settings
  • oIdentifies challenges of working in varying hospital settings and demonstrates the ability to adapt own practice accordingly
  • oThe ability to use reflective practice as a tool for growth and development
  • oUnderstanding of the professional and legal responsibilities of clinical practice
  • oawareness and sensitivity to cultural differences and belief
  • oEvidence of ability to prioritise and good time management
  • oThe ability to guide and direct therapy assisstants and students in clinical practice
  • oExcellent communication skills
  • oknowledge of safety issues through clinical governance and risk management
  • oKnowledge of current and challenging issues in profession

Desirable

  • oEvidence of participation in research or audit
  • oEvidence of working in a supervisory capacity
  • oEvidence of clinical educator training and/or appraisal skills

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

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster Hospital

369 Fulham Road

Fulham

SW10 9NH


Employer's website

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

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster Hospital

369 Fulham Road

Fulham

SW10 9NH


Employer's website

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

Employer contact details

For questions about the job, contact:

Clinical Lead MSK Physiotherapy

Trak Lowry

trak.lowry@nhs.net

02033155251

Details

Date posted

15 September 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£42,471 to £50,364 a year Per Annum

Contract

Permanent

Working pattern

Full-time

Reference number

289-EI-1437-A

Job locations

Chelsea and Westminster Hospital

369 Fulham Road

Fulham

SW10 9NH


Supporting documents

Privacy notice

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