Job summary
A unique and exciting opportunity has arisen for a highly skilled Band 7 Specialist Physiotherapist in MSK Rehabilitation to join Worcestershire Acute Hospitals NHS Trust.
This is a permanent, part time post working 20.75 hours per week.
We provide outpatient physiotherapy services across three acute sites in Worcester, Kidderminster and Redditch. Although this post will be based in Worcester, there is an expectation that the post holder would be able and willing to work across sites as required.
The acute MSK service predominantly receives consultant referrals for patients post-op or post trauma. Within this specialist clinical role, the post-holder will be expected provide high quality, evidence based assessment and rehabilitation to a varied and complex caseload of patients.
The post holder will also be expected to take a leading role within the acute MSK service, ensuring the rehabilitation provided is high quality, effective and evidence based. This will be achieved by the post holder taking the lead on providing training/clinical supervision and alongside the service lead undertake audits, service development projects and ensure patient pathways/protocols are in line with current evidence. There will also be the requirement to assist the Service lead in delivering on agreed performance targets.
Experience in complex musculoskeletal rehabilitation within the NHS at a senior level is essential and an interest in/experience in strength and conditioning is preferred.
Main duties of the job
Working
as an experienced, autonomous practitioner, to provide a high standard of
patient focused care through advanced assessment, accurate diagnosis,
development and delivery of individual treatment programmes for patients within
given speciality. To take responsibility of own caseload in area of speciality.
To
assist in the planning, co-ordination, delivery and evaluation of the
physiotherapy service provided within outpatients at Worcestershire Acute
Hospitals NHS Trust.
To
provide supervision, support and education for qualified and unqualified
physiotherapy staff, and to other members of the multi-disciplinary team.
To participate in departmental audit and
research in support of evidence based practice.
To advise physiotherapists on the physiotherapy treatment and management
of patients within outpatients.
To communicate with the MDT as appropriate
to provide comprehensive assessment to determine admission prevention as
appropriate to given speciality.
To
work alongside the other clinical leads within the speciality to ensure outpatient
services are delivered and evaluated effectively.
About us
We are experts in healthcare services. Dedicated to improving the health of our population, we provide joined up services with partners that meet everyone's needs, nearer to home.
Our purpose is why we exist:
- Helping people to live healthier, more fulfilling lives.
Our mission is what we do every day:
- Being the best team we can be for our patients, each other and partners.
Our vision is where we want to get to:
- Everyone is proud of the difference we make. We are more than a hospital; we bring care together for people.
Our strategic priorities describe how we will get there:
- People nurturing a culture people want to be part of.
- Patients meeting the needs of our patients and communities.
- Collaboration building strong connections and pathways.
- Excellence focusing on continuous improvement.
- Effectiveness enhancing our efficiency and effectiveness.
These are underpinned by our values which are what we believe in.
Our values are:
- Being open and honest:We all communicate clearly and honestly, asking for help when we need it and making it easier for the people around us to share ideas and concerns
- Ensuring people feel cared for: We all take responsibility for actively supporting and nurturing a kind and compassionate environment for ourselves and others
- Showing respect for everyone: We all act with consideration and fairness, valuing each other as individuals and appreciating our different perspectives.
Job description
Job responsibilities
Please see the attached Job Description document for a full overview of this post.
Key Duties:
Clinical:
- To be
professionally and legally accountable for all aspects of practice, including
the management of patients receiving treatment.
-
To ensure the delivery of care to the patient
is of a high clinical and professional standard using a wide range of
physiotherapy techniques and extensive post graduate experience, and to
encourage members of the team to do likewise.
-
To make clinical judgements involving complex
and often multi pathology patients regarding potential for rehabilitation. Such
decisions may cause some conflict and financial implications.
-
To deliver group sessions where appropriate
within area of speciality.
-
To be responsible for own caseload within
specialty and organise all other members of the team in order to provide an
efficient service taking into account clinical priorities that can rapidly
change throughout the course of the day.
-
To ensure that patient confidentiality, privacy
and dignity is maintained at all times.
-
To undertake comprehensive clinical assessment,
including clinical risk of patients, including those with complex/ highly
complex, sensitive and multi pathological presentations using advanced
investigative skills within speciality.
- Using highly specialised analytical and clinical reasoning assessment
skills to interpret findings and to apply these to the development of
individual evidence based patient management plans. Some patients will have
been referred by a medical practitioner but not examined.
-
To regularly evaluate subjectively and
objectively the effectiveness of the treatment, using appropriate outcome
measures and to decide when medical review is needed and to adjust treatment
accordingly.
-
To demonstrate a high level of specialised
skill and expertise in the delivery of treatment to patients, including highly
skilled handling.
- To demonstrate highly developed dexterity, co-ordination and manual skills for assessment and treatment of patients.
- Effectively implement appropriate treatments selected from an extensive repertoire of
physiotherapeutic interventions e.g. Normal Movement, manual therapy and exercise therapy
dependent on speciality.
-
To work in partnership with medical, nursing
and MDT to develop services in accordance with local and national service and
clinical guidelines.
-
To co-ordinate with other members of the MDT
to facilitate discharge planning, participating in weekly MDT meetings, home
visits and progress meetings with patients, relatives and carers. This is
according to speciality.
-
To maintain comprehensive, accurate and
contemporaneous treatment records, including valid consent appropriate to the
intervention, and discharge report or referrals for ongoing therapy in another
setting.
-
To liaise closely with other specialist teams
to provide optimal, seamless care to patients.
-
To act as a source of specialised knowledge
and provide advice to other physiotherapy colleagues and the MDT within given
speciality.
- To provide specialist advice, support,
training and mentoring to other members of the multi-disciplinary team and all
staff who participate in rotas / weekend / on call working associated within
the given speciality.
- To co-ordinate and ensure effective delivery
of rotas within area of speciality with assistance of the Therapy Lead.
- With the assistance of the Therapy Lead, to
accept clinical responsibility for outpatients, including
management of the waiting lists across the trust.
- To use advanced judgemental skills and a
comprehensive knowledge of physiotherapy interventions to plan individual
treatment programmes of care, reflecting evidence based practice.
Communications:
- To assess capacity, gain valid consent and to
work within a legal framework with patients who lack the capacity to consent to
treatment.
- To communicate effectively using skills of
persuasion, motivation, reassurance, explanation and negotiation, with patients
where barriers to effective communication may be evident, e.g. expressive and
receptive dysphasia, altered perception, hearing loss, mental disabilities,
pain and fear. Barriers to communication will regularly be evident.
- To give a clear explanation of realistic
expectations and develop a treatment plan in negotiation with the patient using
written information where required.
- To write clear and concise notes based on
physiotherapy assessment and treatment of patients, in accordance with
professional standards.
- To produce written discharge summaries and/or
progress reports to GPs, Consultants, or other referring health professionals
regarding complex conditions within speciality.
- To liaise with ward staff for handover of
patient status, and with other healthcare colleagues as appropriate, and attend
meetings and case conferences.
- To liaise with junior therapists regarding
caseloads.
- To communicate with all health professionals,
patients, relatives and carers personally or by telephone or email to maintain
a seamless service.
- To be part of the specialised physiotherapy
team, communicating effectively to establish current workload and organise
assistance where required.
- To lead the team in the absence of the Therapy Lead, communicating effectively to establish current workload and
organise assistance when required.
- To liaise verbally,
in writing and electronically with medical, nursing staff and other healthcare
professionals, encouraging a multidisciplinary team approach to patient care
utilising best practice to develop and improve clinical services.
- To work in
partnership with all members of the MDT to co-ordinate patient care and
discharge planning, by attending ward rounds, case conferences and regular MDT
meetings as appropriate to given speciality.
Education
and Training:
-
To maintain own clinical professional
development by a variety of means (internal/external courses, journal reviews,
self-directed study) in order to maintain up to date clinical knowledge.
-
To be appraised annually by the Therapy Lead/
Site Manager to formulate a personal development plan. This should take into
account personal objectives with regards to education and development, and
Trust objectives including management and service issues.
- To appraise, mentor and train other members of
the team including rotational staff and assistants.
-
To liaise with the Physiotherapy manager or
Clinical lead as appropriate re the organisation of physiotherapy equipment
specific area. E.g walking aids, orthotic devices and gym equipment.
- To assess and appraise students in line with
University guidelines.
- To provide supervision and training to physiotherapy
students.
- To participate in all mandatory training as
required by the trust.
- To be an active member of the departmental
in-service training programme, by attending and delivering training in the form
of presentations, journal reviews, and demonstrating reflective practice.
- To provide training to junior staff in
physiotherapy medical devices within speciality.
- To provide supervision, teaching and training
to junior staff within given speciality, to promote a high standard of patient
care through the delivery of skilled assessment and treatment.
- To demonstrate an understanding of clinical
governance in physiotherapy practice.
- To regularly evaluate current
physiotherapy practice through the use of outcome measures and audit, and to
use this information to recommend service improvements.
- To promote physiotherapy within specific
speciality by the provision of teaching and instruction to patients, carers,
relatives and other health professionals.
- To keep abreast of new developments in
physiotherapy, evidence based practice, ensuring that physiotherapists working
within given speciality are also informed.
- To assist with the planning, coordination and
delivery of specific training within given speciality.
- To take an active
role in multi-disciplinary training, both as provider and participant, giving
specialist advice / training to MDT colleagues where needed.
- To be responsible for
the Physiotherapy training programmes and continued assessment and competency
of staff from other professions as appropriate to speciality.
- To adhere to local
departmental and trust policies.
- In the absence of the Therapy Lead, to represent the Physiotherapy department in appropriate
management and directorate meetings.
- To provide spontaneous and planned advice,
teaching and instruction to relatives, carers and other healthcare professionals both within the trust and externally to
promote an understanding of the aims of physiotherapy
and to ensure a consistent approach to patient care.
Organisation and
Management:
-
To assist in the leadership of the outpatient team.
- To provide and be part responsible for organising and monitoring the
specialised physiotherapy service within
a designated area.
- To be responsible for prioritising and allocating work and
ensuring the effective selection and use of resources.
- To be responsible for own caseload and organise
other members of the team in order to provide an efficient service, taking into
account clinical priorities, that can rapidly change throughout the course of a
day.
- To ensure the Therapy Lead/ Site Manager is
fully informed of all matters affecting the speciality by regular reporting.
- To be aware of, adhere to National,
Professional, Trust and Departmental policies.
- To assist in forming new departmental policies if necessary, and propose
ideas for development of the service.
- To collect accurate and up to date statistical
information to assist in audit and departmental evidence regarding
physiotherapy treatment.
- To be involved in managing human resources
within the department (recruitment and selection process/absence management/
performance management)
Job description
Job responsibilities
Please see the attached Job Description document for a full overview of this post.
Key Duties:
Clinical:
- To be
professionally and legally accountable for all aspects of practice, including
the management of patients receiving treatment.
-
To ensure the delivery of care to the patient
is of a high clinical and professional standard using a wide range of
physiotherapy techniques and extensive post graduate experience, and to
encourage members of the team to do likewise.
-
To make clinical judgements involving complex
and often multi pathology patients regarding potential for rehabilitation. Such
decisions may cause some conflict and financial implications.
-
To deliver group sessions where appropriate
within area of speciality.
-
To be responsible for own caseload within
specialty and organise all other members of the team in order to provide an
efficient service taking into account clinical priorities that can rapidly
change throughout the course of the day.
-
To ensure that patient confidentiality, privacy
and dignity is maintained at all times.
-
To undertake comprehensive clinical assessment,
including clinical risk of patients, including those with complex/ highly
complex, sensitive and multi pathological presentations using advanced
investigative skills within speciality.
- Using highly specialised analytical and clinical reasoning assessment
skills to interpret findings and to apply these to the development of
individual evidence based patient management plans. Some patients will have
been referred by a medical practitioner but not examined.
-
To regularly evaluate subjectively and
objectively the effectiveness of the treatment, using appropriate outcome
measures and to decide when medical review is needed and to adjust treatment
accordingly.
-
To demonstrate a high level of specialised
skill and expertise in the delivery of treatment to patients, including highly
skilled handling.
- To demonstrate highly developed dexterity, co-ordination and manual skills for assessment and treatment of patients.
- Effectively implement appropriate treatments selected from an extensive repertoire of
physiotherapeutic interventions e.g. Normal Movement, manual therapy and exercise therapy
dependent on speciality.
-
To work in partnership with medical, nursing
and MDT to develop services in accordance with local and national service and
clinical guidelines.
-
To co-ordinate with other members of the MDT
to facilitate discharge planning, participating in weekly MDT meetings, home
visits and progress meetings with patients, relatives and carers. This is
according to speciality.
-
To maintain comprehensive, accurate and
contemporaneous treatment records, including valid consent appropriate to the
intervention, and discharge report or referrals for ongoing therapy in another
setting.
-
To liaise closely with other specialist teams
to provide optimal, seamless care to patients.
-
To act as a source of specialised knowledge
and provide advice to other physiotherapy colleagues and the MDT within given
speciality.
- To provide specialist advice, support,
training and mentoring to other members of the multi-disciplinary team and all
staff who participate in rotas / weekend / on call working associated within
the given speciality.
- To co-ordinate and ensure effective delivery
of rotas within area of speciality with assistance of the Therapy Lead.
- With the assistance of the Therapy Lead, to
accept clinical responsibility for outpatients, including
management of the waiting lists across the trust.
- To use advanced judgemental skills and a
comprehensive knowledge of physiotherapy interventions to plan individual
treatment programmes of care, reflecting evidence based practice.
Communications:
- To assess capacity, gain valid consent and to
work within a legal framework with patients who lack the capacity to consent to
treatment.
- To communicate effectively using skills of
persuasion, motivation, reassurance, explanation and negotiation, with patients
where barriers to effective communication may be evident, e.g. expressive and
receptive dysphasia, altered perception, hearing loss, mental disabilities,
pain and fear. Barriers to communication will regularly be evident.
- To give a clear explanation of realistic
expectations and develop a treatment plan in negotiation with the patient using
written information where required.
- To write clear and concise notes based on
physiotherapy assessment and treatment of patients, in accordance with
professional standards.
- To produce written discharge summaries and/or
progress reports to GPs, Consultants, or other referring health professionals
regarding complex conditions within speciality.
- To liaise with ward staff for handover of
patient status, and with other healthcare colleagues as appropriate, and attend
meetings and case conferences.
- To liaise with junior therapists regarding
caseloads.
- To communicate with all health professionals,
patients, relatives and carers personally or by telephone or email to maintain
a seamless service.
- To be part of the specialised physiotherapy
team, communicating effectively to establish current workload and organise
assistance where required.
- To lead the team in the absence of the Therapy Lead, communicating effectively to establish current workload and
organise assistance when required.
- To liaise verbally,
in writing and electronically with medical, nursing staff and other healthcare
professionals, encouraging a multidisciplinary team approach to patient care
utilising best practice to develop and improve clinical services.
- To work in
partnership with all members of the MDT to co-ordinate patient care and
discharge planning, by attending ward rounds, case conferences and regular MDT
meetings as appropriate to given speciality.
Education
and Training:
-
To maintain own clinical professional
development by a variety of means (internal/external courses, journal reviews,
self-directed study) in order to maintain up to date clinical knowledge.
-
To be appraised annually by the Therapy Lead/
Site Manager to formulate a personal development plan. This should take into
account personal objectives with regards to education and development, and
Trust objectives including management and service issues.
- To appraise, mentor and train other members of
the team including rotational staff and assistants.
-
To liaise with the Physiotherapy manager or
Clinical lead as appropriate re the organisation of physiotherapy equipment
specific area. E.g walking aids, orthotic devices and gym equipment.
- To assess and appraise students in line with
University guidelines.
- To provide supervision and training to physiotherapy
students.
- To participate in all mandatory training as
required by the trust.
- To be an active member of the departmental
in-service training programme, by attending and delivering training in the form
of presentations, journal reviews, and demonstrating reflective practice.
- To provide training to junior staff in
physiotherapy medical devices within speciality.
- To provide supervision, teaching and training
to junior staff within given speciality, to promote a high standard of patient
care through the delivery of skilled assessment and treatment.
- To demonstrate an understanding of clinical
governance in physiotherapy practice.
- To regularly evaluate current
physiotherapy practice through the use of outcome measures and audit, and to
use this information to recommend service improvements.
- To promote physiotherapy within specific
speciality by the provision of teaching and instruction to patients, carers,
relatives and other health professionals.
- To keep abreast of new developments in
physiotherapy, evidence based practice, ensuring that physiotherapists working
within given speciality are also informed.
- To assist with the planning, coordination and
delivery of specific training within given speciality.
- To take an active
role in multi-disciplinary training, both as provider and participant, giving
specialist advice / training to MDT colleagues where needed.
- To be responsible for
the Physiotherapy training programmes and continued assessment and competency
of staff from other professions as appropriate to speciality.
- To adhere to local
departmental and trust policies.
- In the absence of the Therapy Lead, to represent the Physiotherapy department in appropriate
management and directorate meetings.
- To provide spontaneous and planned advice,
teaching and instruction to relatives, carers and other healthcare professionals both within the trust and externally to
promote an understanding of the aims of physiotherapy
and to ensure a consistent approach to patient care.
Organisation and
Management:
-
To assist in the leadership of the outpatient team.
- To provide and be part responsible for organising and monitoring the
specialised physiotherapy service within
a designated area.
- To be responsible for prioritising and allocating work and
ensuring the effective selection and use of resources.
- To be responsible for own caseload and organise
other members of the team in order to provide an efficient service, taking into
account clinical priorities, that can rapidly change throughout the course of a
day.
- To ensure the Therapy Lead/ Site Manager is
fully informed of all matters affecting the speciality by regular reporting.
- To be aware of, adhere to National,
Professional, Trust and Departmental policies.
- To assist in forming new departmental policies if necessary, and propose
ideas for development of the service.
- To collect accurate and up to date statistical
information to assist in audit and departmental evidence regarding
physiotherapy treatment.
- To be involved in managing human resources
within the department (recruitment and selection process/absence management/
performance management)
Person Specification
Skills & Knowledge
Essential
- High standard of written communication, including presentation skills.
- Evidence of appropriate personal skills (e.g. responsible, flexible, highly organised).
- Evidence of effective leadership and team working.
- Teaching skills.
- Examples of on-going and varied people management.
- Advanced clinical knowledge and highly developed skills in the specialised area
- Thorough understanding of professional, legal and clinical governance responsibilities
- In depth knowledge of current local and national NHS issues.
Desirable
- Management /leadership training/qualification.
Qualifications
Essential
- Diploma or degree in physiotherapy.
- Health and Care Professions Council registration.
- Appropriate, recognised post graduate qualification/training.
Desirable
- Member of CSP.
- Relevant MSc or working towards.
- Demonstrable interest and practical experience in Strength & Conditioning.
Experience
Essential
- Completed rotations within each of the core specialties at a Band 5 / junior level or can demonstrate a broad range of experience within area of speciality.
- Appropriate experience in an acute NHS setting at a senior level.
- Extensive and wide-ranging post registration experience within MSK.
- Comprehensive evidence of recent, relevant CPD.
- Experience of providing high quality supervision, appraisal and development of more junior staff and students.
- Participation in audit/research.
Desirable
- Participation in service improvement projects.
- Experience of managing a clinical team/workload.
Other Job Requirements
Essential
- Able and willing to commute between sites
- Able and willing to work across 7 days
- Ability to meet the physical demands of the role
- Commitment to working in Worcestershire
Personal Qualities
Essential
- Professional attitude and manner
- Enthusiastic and inspirational about health care.
- Ability to show Initiative and make decisions.
- To be approachable and have excellent interpersonal skills.
Person Specification
Skills & Knowledge
Essential
- High standard of written communication, including presentation skills.
- Evidence of appropriate personal skills (e.g. responsible, flexible, highly organised).
- Evidence of effective leadership and team working.
- Teaching skills.
- Examples of on-going and varied people management.
- Advanced clinical knowledge and highly developed skills in the specialised area
- Thorough understanding of professional, legal and clinical governance responsibilities
- In depth knowledge of current local and national NHS issues.
Desirable
- Management /leadership training/qualification.
Qualifications
Essential
- Diploma or degree in physiotherapy.
- Health and Care Professions Council registration.
- Appropriate, recognised post graduate qualification/training.
Desirable
- Member of CSP.
- Relevant MSc or working towards.
- Demonstrable interest and practical experience in Strength & Conditioning.
Experience
Essential
- Completed rotations within each of the core specialties at a Band 5 / junior level or can demonstrate a broad range of experience within area of speciality.
- Appropriate experience in an acute NHS setting at a senior level.
- Extensive and wide-ranging post registration experience within MSK.
- Comprehensive evidence of recent, relevant CPD.
- Experience of providing high quality supervision, appraisal and development of more junior staff and students.
- Participation in audit/research.
Desirable
- Participation in service improvement projects.
- Experience of managing a clinical team/workload.
Other Job Requirements
Essential
- Able and willing to commute between sites
- Able and willing to work across 7 days
- Ability to meet the physical demands of the role
- Commitment to working in Worcestershire
Personal Qualities
Essential
- Professional attitude and manner
- Enthusiastic and inspirational about health care.
- Ability to show Initiative and make decisions.
- To be approachable and have excellent interpersonal 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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
