Extended Scope Physiotherapist/Advance Practice Physiotherapist

Job description

Job responsibilities

Clinical Duties:

Assess musculoskeletal patients where it appears they will require investigations or interventions beyond the core skills of physiotherapy. These patients will comply with the protocols for patients to be seen by ESPs under the Locomotor service.

Request appropriate routine x-rays, MRI, ultrasound imaging, haematological and biochemistry investigations as agreed under the Locomotor service protocols. Use the results of these investigations to determine the appropriate course of management for musculoskeletal patients.

Refer patients directly to the appropriate secondary care specialist, Rheumatology, Orthopaedics, and Neurology in lines with best practice and agreed Locomotor service protocols.

Act as an autonomous practitioner within the bounds of competency seeking advice when appropriate from peers, or advanced members of the multidisciplinary healthcare team, such as Consultants and GPs.

Autonomous practitioner via assessment diagnosis and treatment of patients with a high degree of skill, via manual therapy, gym based programs, referral to a departmental class, external class, or a combination of these.

To provide extended skills treatments such as injections, ultrasound diagnosis, ultrasound guided injections.

To jointly lead and supervise the process of screening of musculoskeletal referrals received by the trust.

To provide expertise in the management of Chronic Pain Patients and able to apply biopsycho-social model of care to patients with complex presentations

Identification of those patients appropriate for multidisciplinary intervention based on a biopsychosocial approach, and providing assistance for other staff members in doing the same.

Prescribe medicines and development of supplementary prescribing as appropriate

Service delivery:

Contribute to the development of policy and procedures for efficient delivery of the service to ensure that the appropriate resources are utilised in all episodes of patient care as per the aims of the Locomotor service.

Liaise with consultants, GPs, First Contact Practitioners and work closely with A&E staff and other key stakeholders to improve service delivery.

To lead audit of service delivery and implement appropriate reasoned change.

Provide a clinical perspective on service delivery to identify potential risk to service standards and assist in service development.

To act as a lead for departmental queries in relation to the triage or screening of

musculoskeletal referrals so that patients are seen in the appropriate department in line with service protocols and policies.

Managerial Duties:

To assist in the development of the extended skills physiotherapists role. Dealing with challenging patients.

Ensuring that CPD components recommended by the professional body are factored into the work schedule of all therapists within the department.

Supervise and manage Band 7, Band 6 and Band 5 physiotherapists within the Locomotor Service. Facilitating the personal and professional development of staff. This involves identifying training and development needs, providing suitable development opportunities and evaluating development actions in accordance with the Trusts appraisal and training procedures.

Monitor the level and standard of work undertaken by your staff and to guide, coach and advise them as appropriate.

Effectively induct new staff into the Trust/department in accordance with the Trusts induction programme.

Administrative:

Responsible for dissemination of information throughout the department relating to professional issues, education, trust initiatives.

Maintain records of ESP clinics and recording actions and activity resulting from patient contact and investigations

Provide relevant statistics required by the department and trust.

Be responsible for maintaining accurate and comprehensive patient records in line with CSP standards of Practice using POMR.

Complete MRI, ultrasography, X-ray and blood test request as appropriate, handle medical records and reports with care and in line with trust guidelines on information governance

Professional:

Be professionally and legally responsible and accountable for all aspects of your own work as per the standards established by the professional body (CSP).

Educate other staff to ensure the CSP standards are met.

Ongoing evaluation of competency of core physiotherapy and extended scope of practice skills.

A commitment to evidence based practice individually and sharing a responsibility to promote this within the department.

Act as an senior appraiser of Junior members of staff.

Collaborative input into formulating teaching programs for less experienced members of the department.

To be an active member of the in-service training program by the attendance of,and presentation of, departmental teaching sessions.

Attending external courses appropriate to the post and ongoing professional development.

Undertake the measurement and evaluation of work and current practices through the use of evidence based projects, audit and outcome measures, either individually or departmental liaison with senior members of staff. Make recommendations for change.

Demonstrate a sound understanding of all components of Clinical Governance and Risk Management and apply to work situation.

Assist with education on musculoskeletal assessment and management of other professions, including qualified medical staff.

Be actively involved in professional and clinical groups, such as the Departmental Journal Club, CSP Clinical Interest Groups, Peer Review Groups and other professional development activities.

Maintain accurate and legible patient records in line with CSP standards.

Person Specification

Qualifications

Essential

• Degree/Diploma in Physiotherapy with HCPC & masters level education

Desirable

• MSc in MSK physio/M level skills in MSK ESP

Experience

Essential

• Senior physio clinical experience, Supervision and training, clinical leadership

Desirable

• experience at senior level working with GPs & consultants in MSK

Skills & Abilities

Essential

• Clinical skills & abilities
• High level communication, supervision, complex problem solving

Desirable

• Ultrasonography and injection skills, ability to conduct training

Trust values & other

Essential

• Trust values, flexibility and initiative

Knowledge

Essential

• Clinical MSK knowledge of diagnosis & physio Mx of complex MSK disorders
• Knowledge of healthcare issues, C&H, Primary & community healthcare

Desirable

• Knowledge Ortho, rheum, physio professional issues

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

Homerton Healthcare NHS Foundation Trust

Address

Locomotor service, St Leonards

Nuttall Street

London

N1 5LZ

Employer's website

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