Torbay and South Devon NHS Foundation Trust

Clinical Specialist Physiotherapist

Information:

This job is now closed

Job summary

If you are passionate about providing high quality individualised patient care, enthusiastic about supporting patients' rehabilitation and increasing their independence and quality of life we would like to hear from you.

Your role will be to provide a high standard of Intermediate care and Community physiotherapy service within the Moor2Sea Locality. Provision of leadership to the Intermediate Care team within Moor2Sea and to be part of the locality's management team, providing leadership to the wider, locality-based Health & Wellbeing Team, contributing to the strategic development of Moor2Sea locality and to work as a supportive and inspirational clinical leader within the physiotherapist team and integrated Locality team, providing a high standard of service-specific expertise

You will be working closely with the primary care networks to ensure that Intermediate Care services are delivered in a safe and effective way; with the outcome of providing an alternative to hospital admission, enabling earlier hospital discharge and preventing early admission to long term care and develop and maintain professional working relationships with the Care Homes commissioned to provide Intermediate Care bed-based care.

We are looking forward to meeting you...Join us, you'll love it.

Main duties of the job

  • To act as a source of expertise on the assessment and management of patients presenting with a wide range of pathologies to physiotherapists, student physiotherapists, skilled non-registered staff, other healthcare professionals, GPs, Consultants, patients and their carers.
  • To educate and train physiotherapists, students and other healthcare professionals in the physiotherapeutic management of chronic and acute conditions.
  • Deputise for the zone professional leads in their absence (daily/weekly basis), taking responsibility for operational management of the team, allocating and organising the work of juniors, assistant and support staff to meet priorities on a daily basis.
  • T
  • By taking personal responsibility you will play your part in sustainably improving services by implementing change positively and contributing to MDT discussions in a constructive and flexible way
  • To work in partnership to achieve the best possible outcomes for our people
  • Helping and supporting your colleagues so that you work well together to achieve common goals and objectives
  • To act as a role model, valuing everyone's opinion and experiences
  • To seek out, recognise and value the contributions of others and the role they play in a patient's life
  • To strive to provide excellent, innovative services that helps our people to be able to live their lives to the full
  • Taking every opportunity to encourage and support individuals to improve their own health and wellbeing

About us

Intermediate Care supports the acutely unwell people of South Devon, to manage as safely and as independently as possible in their own homes. Intermediate Care has three main goals:

  • Preventing unnecessary hospital admissions
  • Facilitating timely hospital discharges
  • Preventing the need for long term care packages and care home placements, where possible

We pride ourselves on being person centred and flexible, providing high quality, short term interventions.

Most Rewarding Part of the Role

Opportunity to work autonomously but alongside an MDT of professionals working together to achieve the best patient outcomes.

Making a difference and helping patients through their recovery and returning back to health and independence.

Opportunity to work with a varied caseload of multitude of conditions and needs.

Close working with other health and social care providers and community assets.

Why work with us - 1 (pagetiger.com)

Details

Date posted

27 December 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year per annum pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

388-5809067-AHP

Job locations

Totnes Hospital

Coronation Road

Totnes

TQ9 5GH


Job description

Job responsibilities

  • To undertake all aspects of clinical duties as an autonomous practitioner, including professional and legal accountability and managing clinical risk for all aspects of own work. Some aspects of work will involve delivery of the care as part of a multidisciplinary team. In most cases to be the sole health professional with responsibility for that patients episode of care.
  • To work as part of a multi-disciplinary team contributing to joint decisions regarding the management of patients, including acutely ill patients referred by their GP or A&E/ED.
  • To be able to triage and prioritise work according to urgency and establishing presenting risks.
  • Working with a patient centred approach, taking responsibility for assessment and making autonomous decisions/recommendations regarding packages of care, equipment provision and ongoing treatment to maintain patients at home, thereby preventing hospital admission. Be alert to changes in patients medical condition and discuss the appropriate course of action with members of the multi-disciplinary team and directly with the general practitioner in charge of the patients medical care.
  • Identify appropriate agencies and services for onward referral of patients, and liaise with them regarding continuing patient care e.g mental health services, local falls clinics, orthotics.
  • To undertake advanced physiotherapeutic assessment of patients with diverse or complex physical, psychological, cognitive and behavioural conditions in order to provide an accurate diagnosis and prognosis. To formulate and deliver individualised physiotherapy treatment programmes, including manual therapy techniques, therapeutic handling, patient education, provision of exercise (individual/group), and other alternative options. This includes the appropriate selection of referrals for inclusion in a range of treatment programmes, one toone sessions, using advanced treatment options, advanced communication, questioning and reasoning skills.
  • Supervision takes the form of regular formal training, clinical reasoning sessions and peer review. Access to advice and support from senior physiotherapists is available if required.
  • To undertake as directed collection of data for use in service audit and research projects. To manage and undertake research in specific areas of clinical practice and service delivery using a range of research methodologies as part of MDT audit and departmental research initiatives. To make recommendations to clinical lead/manager of service, for changes to team practice. To implement specific changes to practice as required.
  • To be responsible for safe and competent assessment for, provision, and use of physiotherapy equipment, gym equipment and patient appliances and aids by patients, ensuring that junior staff/assistants/technical instructor/support workers attain competency prior to use.
  • To have a good working knowledge of, and ensure compliance with, National and Local guidelines, policies and procedures. To keep up to date with clinical developments by the use of clinicaldatabases and electronic technology.
  • To provide support and physiotherapy updates to the physiotherapy team within Moor2Sea.
  • To organise locality physio group supervision and ensure regular updates on evidence base,reviewing clinical practice and service improvements.
  • To be responsible for maintaining own competency to practise, through CPD activities, and to maintain a portfolio which reflects personal development. To maintain and develop current knowledge of evidence-based practice, developing specialist knowledge of particular conditions and patienttypes.
  • To participate in the staff Achievement Review scheme as a reviewee and reviewer. To take responsibility for complying with agreed personal development programmes to meet setknowledge and competencies.
  • To lead in the physiotherapy training and be an active member of the in-service trainingprogramme by attendance at, participation in and contribution to in-service training programmes, tutorials, individual training sessions, external courses and peer review; organising specific sessions and groups as required for the wider physiotherapy team within the trust.
  • To take delegated responsibility for the teaching, supervision and co-ordination of physiotherapist and support with ensuring appropriate delegation of supervision and teaching for Band 6s managing staff, students (to graduate level), physiotherapy assistants and support workers on a dailybasis.
  • To be responsible for organising and planning own caseload to meet service and patient priorities, readjusting plans as situations change/arise.
  • To be responsible for ensuring team allocation and support with appropriate use ofresources for the team on a daily basis, utilising all skill mixes each day for visits.
  • To lead when required with any team meetings and updates as required.
  • To assess patients understanding of treatment proposals, gain valid formal consent and jointly agree goals. To have the capacity to work within a legal framework with patients who lack capacity to consent to treatment. To conduct joint visits with complex patients.
  • Communication will include imparting sensitive and comprehensive information relating to diagnosis, prognosis, physical and functional recovery, and potential life style adjustments, to patients and their relatives. This may involve informing patients that they may be unable to return home or return to their previous level of activity/work/leisure.
  • To use, regularly and spontaneously, verbal and non-verbal communication tools to discuss complex information about underlying influences, prognosis, and progression of rehabilitation and treatment programmes with patients and/or carers. This will include patients who may have difficulties with regard to complex emotional/ psychological/ physical conditions relating to the presenting complaint. This client group includes those who may be depressed, deaf, blind, and unable to accept their diagnosis, or have difficulty in understanding or communicating. Communication will involve the use of skills in motivating, negotiating, counselling, training, empathising and reassuring.
  • To support with clinical discussions on complex cases and support with appropriate joint visits.
  • To maintain accurate, comprehensive and up to date documentation, in line with legal, departmental and CSP standards of practice, and to monitor that of less experienced staff.
  • To be responsible for accurate and timely data input into the Care Trusts data collection system for patient registration, contact information and discharge.
  • To represent the physiotherapy service, and/or the individual patient, in order to ensurethe delivery of a coordinated, multidisciplinary service. This will involve advising the multidisciplinary/multiagency team on the management of physical recovery, anddiscussion of patient care, patient progress and discharge planning. Information will beprovided in several formats including verbal feedback during Multidisciplinary caseconferences, comprehensive written assessment and discharge summaries and via email.
  • To review and feedback any incidence reports and any learning for the team to takeforward.
  • Information will be shared with the IC and Therapy Lead relating to service planning, changes of clinical practice, complaints and audits.
  • External communication may include discussion with employers and related agencies regarding return to work issues, and discussion regarding patient management with multidisciplinary/multiagency team members, including GPs, District Nurses, carer services and Social Services.

Job description

Job responsibilities

  • To undertake all aspects of clinical duties as an autonomous practitioner, including professional and legal accountability and managing clinical risk for all aspects of own work. Some aspects of work will involve delivery of the care as part of a multidisciplinary team. In most cases to be the sole health professional with responsibility for that patients episode of care.
  • To work as part of a multi-disciplinary team contributing to joint decisions regarding the management of patients, including acutely ill patients referred by their GP or A&E/ED.
  • To be able to triage and prioritise work according to urgency and establishing presenting risks.
  • Working with a patient centred approach, taking responsibility for assessment and making autonomous decisions/recommendations regarding packages of care, equipment provision and ongoing treatment to maintain patients at home, thereby preventing hospital admission. Be alert to changes in patients medical condition and discuss the appropriate course of action with members of the multi-disciplinary team and directly with the general practitioner in charge of the patients medical care.
  • Identify appropriate agencies and services for onward referral of patients, and liaise with them regarding continuing patient care e.g mental health services, local falls clinics, orthotics.
  • To undertake advanced physiotherapeutic assessment of patients with diverse or complex physical, psychological, cognitive and behavioural conditions in order to provide an accurate diagnosis and prognosis. To formulate and deliver individualised physiotherapy treatment programmes, including manual therapy techniques, therapeutic handling, patient education, provision of exercise (individual/group), and other alternative options. This includes the appropriate selection of referrals for inclusion in a range of treatment programmes, one toone sessions, using advanced treatment options, advanced communication, questioning and reasoning skills.
  • Supervision takes the form of regular formal training, clinical reasoning sessions and peer review. Access to advice and support from senior physiotherapists is available if required.
  • To undertake as directed collection of data for use in service audit and research projects. To manage and undertake research in specific areas of clinical practice and service delivery using a range of research methodologies as part of MDT audit and departmental research initiatives. To make recommendations to clinical lead/manager of service, for changes to team practice. To implement specific changes to practice as required.
  • To be responsible for safe and competent assessment for, provision, and use of physiotherapy equipment, gym equipment and patient appliances and aids by patients, ensuring that junior staff/assistants/technical instructor/support workers attain competency prior to use.
  • To have a good working knowledge of, and ensure compliance with, National and Local guidelines, policies and procedures. To keep up to date with clinical developments by the use of clinicaldatabases and electronic technology.
  • To provide support and physiotherapy updates to the physiotherapy team within Moor2Sea.
  • To organise locality physio group supervision and ensure regular updates on evidence base,reviewing clinical practice and service improvements.
  • To be responsible for maintaining own competency to practise, through CPD activities, and to maintain a portfolio which reflects personal development. To maintain and develop current knowledge of evidence-based practice, developing specialist knowledge of particular conditions and patienttypes.
  • To participate in the staff Achievement Review scheme as a reviewee and reviewer. To take responsibility for complying with agreed personal development programmes to meet setknowledge and competencies.
  • To lead in the physiotherapy training and be an active member of the in-service trainingprogramme by attendance at, participation in and contribution to in-service training programmes, tutorials, individual training sessions, external courses and peer review; organising specific sessions and groups as required for the wider physiotherapy team within the trust.
  • To take delegated responsibility for the teaching, supervision and co-ordination of physiotherapist and support with ensuring appropriate delegation of supervision and teaching for Band 6s managing staff, students (to graduate level), physiotherapy assistants and support workers on a dailybasis.
  • To be responsible for organising and planning own caseload to meet service and patient priorities, readjusting plans as situations change/arise.
  • To be responsible for ensuring team allocation and support with appropriate use ofresources for the team on a daily basis, utilising all skill mixes each day for visits.
  • To lead when required with any team meetings and updates as required.
  • To assess patients understanding of treatment proposals, gain valid formal consent and jointly agree goals. To have the capacity to work within a legal framework with patients who lack capacity to consent to treatment. To conduct joint visits with complex patients.
  • Communication will include imparting sensitive and comprehensive information relating to diagnosis, prognosis, physical and functional recovery, and potential life style adjustments, to patients and their relatives. This may involve informing patients that they may be unable to return home or return to their previous level of activity/work/leisure.
  • To use, regularly and spontaneously, verbal and non-verbal communication tools to discuss complex information about underlying influences, prognosis, and progression of rehabilitation and treatment programmes with patients and/or carers. This will include patients who may have difficulties with regard to complex emotional/ psychological/ physical conditions relating to the presenting complaint. This client group includes those who may be depressed, deaf, blind, and unable to accept their diagnosis, or have difficulty in understanding or communicating. Communication will involve the use of skills in motivating, negotiating, counselling, training, empathising and reassuring.
  • To support with clinical discussions on complex cases and support with appropriate joint visits.
  • To maintain accurate, comprehensive and up to date documentation, in line with legal, departmental and CSP standards of practice, and to monitor that of less experienced staff.
  • To be responsible for accurate and timely data input into the Care Trusts data collection system for patient registration, contact information and discharge.
  • To represent the physiotherapy service, and/or the individual patient, in order to ensurethe delivery of a coordinated, multidisciplinary service. This will involve advising the multidisciplinary/multiagency team on the management of physical recovery, anddiscussion of patient care, patient progress and discharge planning. Information will beprovided in several formats including verbal feedback during Multidisciplinary caseconferences, comprehensive written assessment and discharge summaries and via email.
  • To review and feedback any incidence reports and any learning for the team to takeforward.
  • Information will be shared with the IC and Therapy Lead relating to service planning, changes of clinical practice, complaints and audits.
  • External communication may include discussion with employers and related agencies regarding return to work issues, and discussion regarding patient management with multidisciplinary/multiagency team members, including GPs, District Nurses, carer services and Social Services.

Person Specification

Knowledge and Experience

Essential

  • Diploma/degree in physiotherapy
  • State registration - current HCPC certificate
  • Evidence of CPD maintained in a portfolio, including attendance at recent Postgraduate courses relevant to the clinical field
  • Post graduate training/experience in rehabilitation and elderly care
  • Experience within the NHS including experience as a junior in a broad rotational post covering a range of experience in orthopaedics, respiratory, elderly care, medical, surgical, neurological and musculoskeletal conditions
  • Working knowledge of a broad range of musculoskeletal, neurological and medical conditions common in the elderly
  • Experience of primary care rehabilitation

Desirable

  • Post graduate qualification in leadership or project management
  • Knowledge of the safeguarding adults process.
  • Experience with Amputee management, treatment and rehabilitation.
  • Knowledge of up to date BACPAR and NICE guidelines for management. Experience with respiratory management of patients with COPD, Asthma, Lung Cancer, Pneumonia, Respiratory Infections, COVID-19 and other respiratory conditions.
Person Specification

Knowledge and Experience

Essential

  • Diploma/degree in physiotherapy
  • State registration - current HCPC certificate
  • Evidence of CPD maintained in a portfolio, including attendance at recent Postgraduate courses relevant to the clinical field
  • Post graduate training/experience in rehabilitation and elderly care
  • Experience within the NHS including experience as a junior in a broad rotational post covering a range of experience in orthopaedics, respiratory, elderly care, medical, surgical, neurological and musculoskeletal conditions
  • Working knowledge of a broad range of musculoskeletal, neurological and medical conditions common in the elderly
  • Experience of primary care rehabilitation

Desirable

  • Post graduate qualification in leadership or project management
  • Knowledge of the safeguarding adults process.
  • Experience with Amputee management, treatment and rehabilitation.
  • Knowledge of up to date BACPAR and NICE guidelines for management. Experience with respiratory management of patients with COPD, Asthma, Lung Cancer, Pneumonia, Respiratory Infections, COVID-19 and other respiratory conditions.

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).

Employer details

Employer name

Torbay and South Devon NHS Foundation Trust

Address

Totnes Hospital

Coronation Road

Totnes

TQ9 5GH


Employer's website

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

Employer details

Employer name

Torbay and South Devon NHS Foundation Trust

Address

Totnes Hospital

Coronation Road

Totnes

TQ9 5GH


Employer's website

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

Employer contact details

For questions about the job, contact:

IC and Physio Lead; Therapy Lead ; CSM

Rachel Sims ; Laura Boak ; Emily West

emily.west@nhs.net

03004569001

Details

Date posted

27 December 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year per annum pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

388-5809067-AHP

Job locations

Totnes Hospital

Coronation Road

Totnes

TQ9 5GH


Supporting documents

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