Epsom and St Helier University Hospitals NHS Trust
This job is now closed
Band 6 Specialist Physiotherapist
Work as part of the Sutton Health and Care Home First service to support avoidable hospital admissions and early supported discharges from the hospital.
Post holders will be working as part of an integrated multidisciplinary team including nurses, occupational therapists, physiotherapists, social workers, rehabilitation assistants, Reablement assistants and administrators as well as the voluntary sector.
The post holder will be based in one of the areas of Home First service initially in the new Richard Bright Reablement Unit but may also have the opportunity to work in the other areas which include rapid response hospital hub (the Emergency Department, Acute Medical Unit and Acute Frailty wards of St. Helier Hospital, rapid response community and intermediate care (bedded and home based care).
Main duties of the job
- To have clinical responsibility for assessment and treatment planning for adults referred as well as active Inreach case finding within the Sutton Health and care (SHC) Home First service
- To work with individual patients, their carers and their families, involving them in decision making about their care and to develop their own health and care plans.
- The post holder will be required to work autonomously and as part of the multidisciplinary care team.
- To supervise junior colleagues and assistants.
- To assist in the overall development and management of physiotherapy and the development of integrated care pathways within (SHC) Home First.
- To collaborate with colleagues across SHC and within the wider health and social care network to optimise patient journey, care, wellbeing and outcomes.
- Participate in flexible working patterns covering extended hours across a seven day service.
Epsom and St Helier University Hospitals NHS Trust offersan extensive range of services, includingcancer,pathology,surgery, andgynaecologyto over 490,000 people in south west London and north east Surrey. We operate two busy general hospitals,Epsom HospitalandSt Helier Hospital, andrun services from other locations, includingSutton Hospital.
St Helier Hospital is home to theSouth West Thames Renal and Transplantation UnitandQueen Mary's Hospital for Children, while Epsom Hospital is home to theSouth West London Elective Orthopaedic Centre (SWLEOC). Both Epsom and St Helier hospitals haveAccident and Emergency departments (A&E)andMaternity services (Obstetrics).
The Trust also plays an active role in the local healthcare economy. Surrey Downs Health and Carebrings together our staff, CSH and the GP groups in Surrey Downs, andSurrey County Council in a partnership to improve care for local people. Also health and care teams from organisations (the London Borough of Sutton, Epsom and St Helier University Hospitals NHS Trust, Sutton GP services, The Royal Marsden NHS Foundation Trust and South West London & St George's Mental Health Trust) across Sutton that provide care to Sutton's older population are coming together to work as one team. The team will ensure people have the right support in place for them to maintain their independence and live healthily and safely at home for as long as possible.
- To develop a high level of specialist, clinical skill in assessment, treatment planning and implementation of agreed goal orientated intervention with client/carers.
- To assess and treat own workload of patients who may have a highly complex presentation and maintain associated records as an autonomous practitioner.
- To contribute towards single assessment and trusted assessment processes.
- To provide comprehensive intervention to patients, making use of assessment and treatment facilities where appropriate.
- To provide training with patients and their formal and informal carers in the safe use of prescribed equipment and other techniques to optimise a patients functional ability and independence.
- To be responsible for a clinical caseload working with multidisciplinary teams ensuring clients and carers receive optimum level of therapy within available resources.
- To carry out multidisciplinary screening assessments and discuss outcomes with multidisciplinary team members.
- To keep accurate up-to-date records on patient care and equipment provision, which comply with quality standards of Trust/Professional/Service policies, meet legal requirements and that can be shared with colleagues and carers where appropriate.
- To provide complex written and/or verbal reports to referrers and other agencies involved in a clients care and participate in clinical meetings as necessary.
- To assist in the development of physiotherapy within SHC Home First and effectively contribute to the patient/care pathway, and to develop the skills required to undertake this.
- To monitor the effectiveness of intervention through goal setting, outcome measurement and evaluation of practice.
- To contribute to the development of patient education programmes.
- To utilise rapid assessment skills to enable a discharge to assess model of care within agreed policies and pathways.
- The post holder will be supported to undertake new skills traditionally performed by other professionals e.g. nursing, Occupational Therapy according to clinical need and within agreed competence framework. These additional skills may include for example
- Basic clinical observation skills
- Nutritional screening and skin integrity checks
- Mobility assessment and provision of walking aids
- Cognitive and frailty screening and assessments.
- Manage clinical risk within own patient caseload and working environment, adhering to Trust and professional policies.
- To be responsible for personal development by identifying relevant internal and external courses, attending in-service training, completing reflective practice and keeping CPD up to date.
- To be responsible for attending all mandatory training requirements and induction courses.
- To identify own learning needs through appraisal to complement service developments and take responsibility for achieving objectives set at appraisal.
- To maintain links with relevant professional networks.
- To comply with the Health Care Professions Councils CPD requirements and Standards of Proficiency, Conduct, Performance and Ethics.
- To comply with the HCPC/CSP Codes of Conduct and Practice.
- To behave in a professional manner at all times and to all people. To establish and maintain clear professional boundaries.
- To discuss service provision issues with senior staff and to report any untoward incidents, clinical or non-clinical, promptly, co-operating with any investigation undertaken and action plans.
- To be flexible according to the needs of the service and in terms of hours of work.
Education and Research
- To participate in, organise and/or run education and training sessions as required.
- To supervise the education of physiotherapy students during their fieldwork practice.
- To represent and promote SHC Home First to relevant stakeholders.
- To undertake relevant audits in service area, leading when required, and effecting change in professional practice.
- To critically appraise current research and latest evidence for practice and present findings to colleagues and others.
- To contribute to research as/when opportunities arise and identify potential research areas.
- To manage own diary to ensure an appropriate balance of clinical responsibility along with the ability to be flexible when dealing with emergencies.
- To take responsibility for day to day co-ordination of the team, deputising for Band 7 when necessary and delegating effectively.
- To respond to urgent referrals, re-prioritising planned workload as necessary.
- To plan annual leave in conjunction with needs of the service and local and Trust policies.
- To implement and monitor Trust and Departmental/Local Policies and Procedures as applicable to staff (Supervisors and Manager).
- To liaise closely with the senior clinicians in monitoring the level and quality of service provided, working within service standards and response times.
- To line manage junior colleagues and unqualified staff, ensuring competencies and appraisals are completed within Trust policy.
- To participate in team objectives, to include service development projects.
- To participate at meetings where appropriate for professional and educational purposes. To chair or minute take when required.
- To maintain up-to-date statistics on clinical and non-clinical practice in accordance with service specifications and key performance indicators.
- To carry out all necessary administration involved in ordering equipment within budget limits. To know the process involved when ordering from suppliers, being able to query and trace orders through the system.
Communication and Working Relationships
- To obtain and communicate highly complex information, gaining consent to client understanding of, and client compliance with treatment programmes. Recognising clients may present with complex conditions or may have emotional, physical or physiological conditions, requiring the use of verbal and non-verbal communication skills.
- Communicate complex and sensitive patient-related information effectively to ensure collaborative working with MDT colleagues across health and social care sectors to ensure delivery of a co-ordinated multidisciplinary service and assist in developing comprehensive discharge plans.
- To critically consider own role and style and that of other team members and respond appropriately in order to contribute as an effective team member.
- To be aware of, and sensitive to, team dynamics and manage conflict effectively and to be sensitive to working in open plan environments with regards to the needs of colleagues.
Qualifications and Training
Knowledge and Skills
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).