Clinical Specialist PCD Physiotherapist

Job description

Job responsibilities

Clinical Duties

Be an integral member of the PCD Team and work alongside the PCD team at UHL and liaise and work closely with the PCD MDT colleagues at BCH.

Attend PCD clinics at UHL and BCH as appropriate.

Attend shared care clinics within our catchment area.

Physiotherapists in UHL and BCH to cross cover as appropriate.

Work flexibly to ensure attendance in clinics and liaise effectively with members of the MDT to ensure all clinics are attended.

Undertake and lead the planning, co-ordination, delivering and evaluation of the paediatric physiotherapy service to patients with PCD.

Provide clinical and professional leadership to physiotherapy colleagues in the speciality area

Develop clinical practice within the speciality of PCD ensuring compliance with national and local guidelines and frameworks.

Responsible for the clinical standards, evidence based practise and quality metrics within the speciality.

Work as an autonomous practitioner to provide specialist therapy assessments, diagnose and develop individualised treatment programmes based on the patients needs, using advanced clinical reasoning skills. This may be in different setting: out patients clinics (AR or FU), shared care clinics, transition clinics, home visits, school visits or urgent/ad hoc clinical reviews for severely unwell or deteriorating patients. Including sample collection (cough swabs/sputum/nose swab/nasal rinse/ virology).

To be responsible for the physiotherapy needs of clinical caseload of the PCD service; which will include complex cases within the specialist area of PCD. Provide follow up assessment / reviews to monitor effectiveness and compliance to physiotherapy treatments and advice.

Advisory support for patients, families, local physiotherapy teams, schools via phone, emails, case discussions or joint working / case reviews

Undertake an active role in developing and promoting physiotherapy within the speciality

Be responsible for the day to day management of the delivery of physiotherapy in an efficient and effective way

Ensure the training and development of staff within the Therapy Speciality Team and any local physiotherapists working with children with PCD

Liaise with colleagues and work across site/ cross speciality/other centres in order to ensure the provision of a seamless equitable service

Develop the evidence base practice through audit, clinical effectiveness and research

Assist and support the Therapy Management Team and Therapy Speciality Leads and Therapy Team Leaders within the service in the improvement and transformation of Therapy services

To be responsible for the advancement of personal skills and knowledge in a clinical and leadership context and to attend post registration training in order to maintain own and others CPD

Maintain up-to-date knowledge and understanding of the best available evidence for practice for the specialty

Equipment Management

Maintain adequate stock of physiotherapy adjuncts: PEP devices, nebulisers (Pari-boy and eflows), NIPPY Clearway for use of patients within PCD Management Service.

Liaise with suppliers to gain quotes as well as organising updates and teaching sessions for physiotherapy adjuncts.

Liaise with PCD administrator to coordinate equipment ordering and delivery

Ensure all equipment delivered that requires regular service is taken to UHL medical supplies department and logged onto their system.

All nebuliser compressors and Clearways barcodes are inputted on the equipment database in the PCD drive

Maintain documentation of issued equipment in line with service policy.

Any nebulisers/clearways that are issued to patients, to be documented on the equipment database so we have a log of where the equipment is. It is the responsibility of the person that issues the equipment to complete the database form.

Liaise with the physiotherapist at BCH to ensure all equipment that needs servicing is done so in a timely manner

Offer support and advice regarding equipment queries from patients, carers, and local professionals.

Advise patients and families on the appropriate use, care and maintenance of physiotherapy devices/adjuncts and equipment. If necessary use equipment contract to ensure family return device for regular maintenance services in line with UHL policy.

Education & Family Support

Provide tailored education and support to children, young people with PCD and their families on:

PCD and management of PCD symptoms Understanding their baseline symptoms

Understanding their baseline symptoms

Airway clearance techniques and escalation plans

Physiotherapy adjuncts/ devices: use, care and maintenance of this equipment.

Importance of exercise / activity

Infection prevention

Monitor and support compliance with physiotherapy treatment plans via additional virtual calls, home visits or out-patient appointments.

Reassessing, evaluate and delivering training across patient developmental stages to maximise/optimise effectiveness at each stage.

Support transition of care from paediatric PCD to adult PCD Management services.

Liaise, education and support local physiotherapist in management of their PCD caseload.

Liaise, educate and support schools to help children with PCD reach their potential in education and not miss out due to their condition.

Service Delivery & Development

Attend and contribute to regular MDT clinics

Liaise with physiotherapists and teams in shared care hospitals and community settings to ensure continuity of care.

Participate in regional outreach clinics across Central England.

Maintain timely, effective communication with external professionals.

Follow national PCD physiotherapy guidelines and best practice frameworks.

Maintain accurate, timely documentation in line with trust and professional standards.

Participate in on going service development and quality improvement projects.

Attend training and professional development to maintain specialist knowledge.

Support and supervise junior staff or student as appropriate.

Liaise and work closely with the national PCD physiotherapist in England to maintain high standards of care for children with PCD

Develop links with international physiotherapists working with children with PCD

Promote research and development in collaboration with national and international PCD physiotherapists.

Governance

Comply and be aware of all aspects of the clinical governance agenda e.g. risk, audit, evidence based practice, patient involvement

To initiate and develop audit initiatives for the benefit of the Therapy Service, specialty and patients

To lead audit within the speciality and to ensure standards are maintained using the audit process

Use 'Datix' to complete incident forms, untoward incidents and near misses and ensure that appropriate action is identified and implemented and lessons learned is shared

Escalate clinical concerns via agreed MDT or safeguarding pathways.

Person Specification

Qualifications

Essential

• BSc Physiotherapist
• HCPC

Desirable

• Evidence of accredited course or working at Masters level in clinical area

Enthusiasm

Essential

• Enthusiasm for working in paediatrics speciality

Experience

Essential

• Experience of working in the clinical area with respiratory experience
• Evidence of teaching/supervising staff and parents

Desirable

• Experince of working with PCD in paediatrics
• Experience of student education
• Experience of service development/research project

communication

Essential

• Evidence of using communication skills within a professional setting

Trust Values

Essential

• Experience of working to trust values

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

University Hospitals of Leicester NHS Trust

Address

Leicester Royal Infirmary

1, Infirmary Square

Leicester

LE1 5WW

Employer's website

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