Job summary
East Lancashire Hospitals NHS Trust is looking to appoint a suitably qualified Band 7 Physiotherapists to work across the MSK pathway as a clinical specialist. The role will be split between Primary Care working as a First Contact Practitioner and within the MSK Service as a clinical specialist.
This is a permanent post
The role would suit individuals already working in an FCP role in Primary Care and who would also like to work in an MSK Service. It would also be a great opportunity for a Band 6 or Band 7 who wishes to develop in this area as full training and support will be provided for the role.
Main duties of the job
- Provide a high standard physiotherapy service in the most appropriate setting to both Consultant and GP referred patients. Patients may also be referred by other Health Care professionals, e.g. Nurse Practitioners and other care professionals.
- Provide first contact assessment and proactive first line management of appropriately identified patients with MSK conditions.
- Independently manage and be responsible for your own clinical caseload.
- Triage of referrals received by the service with the support of the Consultant Physiotherapist, Advanced Practice Physiotherapists/Extended Scope Practitioners and GPwSIs to decide on the most appropriate pathway for patients referred with musculoskeletal conditions/ problems.
- Provide clinical leadership for staff, taking a lead role in Continued Professional Development (CPD) activities and to have a shared responsibility for the clinical development of staff.
- Take a lead role in the advanced assessment and treatment of patients within the clinical speciality, to interpret and analyse clinical and non-clinical facts to form an accurate diagnosis, discuss treatment options and agree a management plan with patients, in order to achieve agreed set goals.
- Act as a source of specialist advice in the management of problems within the clinical area to patients, Physiotherapists, other health care professionals, GPs and Consultants.
About us
Established in 2003 East Lancashire Hospitals NHS Trust (ELHT) is a large integrated health care organisation providing high quality acute secondary healthcare for the people of East Lancashire and Blackburn with Darwen.
Our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 700,000 patients a year from the most serious of emergencies to planned operations and procedures. We employ over 8,000 staff, many of whom are internationally renowned and have won awards for their work and achievements.
The MSK Service is clinically led by a Consultant Physiotherapist and is focused on delivering safe, personal and effective care to our patients and population, and there is an ethos of continuous improvement within the service. This role will be key in supporting MSK pathway between primary and secondary care.
We share a commitment to put patient care at the heart of what we do; to do that effectively we need to support our staff to fulfil their potential. We have an integrated model of supervision and support to aid development of all grades of staff and job plans with protected SPA (10 per cent of job plan).
Job description
Job responsibilities
Detailed job description and main responsibilities
- Provide first contact assessment and proactive first line management of appropriately identified patients with MSK conditions.
- Provide early identification of concerns and plan to mitigate or escalate risks as appropriate.
- Triage of referrals received by the service with the support of the Consultant Physiotherapist, Advanced Practice Physiotherapists and GPSIs to decide on the most appropriate pathway for patients referred with musculoskeletal conditions/ problems.
- Assess a patients understanding of physiotherapy proposals and gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.
- Undertake an advanced specialist assessment of patients, provide a diagnosis, formulate an accurate prognosis, discuss treatment options and agree a goal orientated individual treatment programme, with the patients informed consent.
- Undertake highly skilled and clinically advanced procedures and interventions within the scope of physiotherapy practice, such as Injection therapy.
- Work with outside agencies, e.g. Sports Centres, to facilitate a patients transition to ongoing physical self-management.
- Provide spontaneous and planned advice and instruction to relatives, carers and other professionals to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patient care.
- Be responsible for the comprehensive discharge planning of patients referring them on appropriately if necessary.
- Provide clinical leadership for staff including implementing in-service development within area of specialty.
- Be a recognised source of clinical expertise advice and guidance within an area of clinical specialty for senior colleagues working in the team.
- Provide a specialist opinion for physiotherapy/medical colleagues in more complex cases.
- Accept patients with complex needs, for example, those who require advanced interventions, referred to them from senior physiotherapy colleagues, following discussion and with the patients agreement to the course of action.
- Assist in the co-ordination of student placements within the Physiotherapy Department in liaison with the Clinical Facilitator and the relevant Team Administrator (Co-ordinator). You may be required to allow a student to observe your working practices as a small part of their placement.
- Be responsible for the safe and competent use of all equipment utilised in accordance with Trust policies and procedures.
Quality Improvement
- Evaluate service provision and develop evidence-based practice forwarding change as needed.
- Be an essential part of the process of developing the clinical effectiveness agenda, liaising with Clinical Lead and clinical colleagues and with support from the management team to identify, initiate and undertake relevant audit topics and research projects.
- Be actively involved in the process of the development, implementation and maintenance of clinical standards, protocols and guidelines within the area of practice.
- Critically appraise evidence from diverse sources to make informed judgements about its quality and application to practice.
Training and Development
- Act as a leader in In-Service activities, journal clubs, tutorials, etc.
- Identify training needs of and provide CPD opportunities for Senior Clinical Staff.
- Identify own training and development needs.
- Provide CPD and training to senior professionals working within the service.
- Contribute to training, supervision, and development of PCN staff
Communication
- Use a range of verbal and non-verbal communication tools to communicate effectively with patients. This will include patients who have cognitive and other problems, for example they may be dysphasic, hearing impaired, visually impaired or depressed.
- Use a range of verbal and non-verbal communication tools to communicate effectively with patients who have difficulty in coming to terms with diagnosis/prognosis.
- Discuss and communicate with the Team Leader on decisions taken regarding information that needs to be brought to the attention of the Clinical Service Lead.
- Communicate effectively with all members of the Physiotherapy Team Staff on site and also with members of the wider team across the service.
- Maintain and further develop links with Secondary Care colleagues.
- Communicate effectively with patients in order to meet their differing needs.
- Where indicated and in agreement with the patient, to communicate with other members of medical staff, relatives and carers.
- Undertake written communication providing feedback to referring agents or referring patients onto other professionals by compiling clinical written reports.
- Discuss clinical physiotherapy issues with other partners in health when required and in agreement with the Clinical Area Service Lead.
- Communicate effectively with other professionals from Health Care and outside organisations when representing the Physiotherapy Service.
- Communicate with other organisations, etc to ensure information available for patients is current, for example, advice leaflets from voluntary organisations, which the Physiotherapy Service issues to patients.
Professional Responsibilities
- Be professionally and legally accountable for all aspects of own work including the management of patients in your care, in accordance with the Chartered Society of Physiotherapy (CSP) Core Standards 2005 and Trust clinical guidelines.
- Be responsible for maintaining own competency to practice through continued professional development activities and the maintenance of a portfolio, keeping up-to-date of any developments and bringing them to the attention of the wider team as appropriate.
- Undertake valuation of your work and current practices through the use of evidence based practice, audit and outcome measures either individually or with other Senior Physiotherapists.
- Undertake relevant post-graduate modules at Masters level and to use knowledge gained from the experience to benefit the Service.
- Maintain and develop skills required to practice at a clinical specialist level.
- Supervise and delegate duties to Assistants, which will involve compiling and giving written instructions, ensuring they are carried out appropriately.
- Act as a clinical lead on clinical governance issues in the area of speciality in liaison with other clinical specialists and the clinical facilitator.
- Complete all mandatory training as stipulated by the organisation.
- Attend Team Meetings as required and any absence should be agreed with the Line Manager.
- To be actively involved in the staff appraisal scheme as an appraiser of Band 6 Staff and/or other grades as appropriate. To also be involved in the staff appraisal scheme as an appraisee and to comply with your agreed Personal Development Plan.
- Be proactive in representing the Trusts Physiotherapy Service regarding your Clinical Speciality; this could be locally, contributing specialist knowledge for strategic planning, regionally at clinical forums or nationally at, for example Conferences.
Job description
Job responsibilities
Detailed job description and main responsibilities
- Provide first contact assessment and proactive first line management of appropriately identified patients with MSK conditions.
- Provide early identification of concerns and plan to mitigate or escalate risks as appropriate.
- Triage of referrals received by the service with the support of the Consultant Physiotherapist, Advanced Practice Physiotherapists and GPSIs to decide on the most appropriate pathway for patients referred with musculoskeletal conditions/ problems.
- Assess a patients understanding of physiotherapy proposals and gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.
- Undertake an advanced specialist assessment of patients, provide a diagnosis, formulate an accurate prognosis, discuss treatment options and agree a goal orientated individual treatment programme, with the patients informed consent.
- Undertake highly skilled and clinically advanced procedures and interventions within the scope of physiotherapy practice, such as Injection therapy.
- Work with outside agencies, e.g. Sports Centres, to facilitate a patients transition to ongoing physical self-management.
- Provide spontaneous and planned advice and instruction to relatives, carers and other professionals to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patient care.
- Be responsible for the comprehensive discharge planning of patients referring them on appropriately if necessary.
- Provide clinical leadership for staff including implementing in-service development within area of specialty.
- Be a recognised source of clinical expertise advice and guidance within an area of clinical specialty for senior colleagues working in the team.
- Provide a specialist opinion for physiotherapy/medical colleagues in more complex cases.
- Accept patients with complex needs, for example, those who require advanced interventions, referred to them from senior physiotherapy colleagues, following discussion and with the patients agreement to the course of action.
- Assist in the co-ordination of student placements within the Physiotherapy Department in liaison with the Clinical Facilitator and the relevant Team Administrator (Co-ordinator). You may be required to allow a student to observe your working practices as a small part of their placement.
- Be responsible for the safe and competent use of all equipment utilised in accordance with Trust policies and procedures.
Quality Improvement
- Evaluate service provision and develop evidence-based practice forwarding change as needed.
- Be an essential part of the process of developing the clinical effectiveness agenda, liaising with Clinical Lead and clinical colleagues and with support from the management team to identify, initiate and undertake relevant audit topics and research projects.
- Be actively involved in the process of the development, implementation and maintenance of clinical standards, protocols and guidelines within the area of practice.
- Critically appraise evidence from diverse sources to make informed judgements about its quality and application to practice.
Training and Development
- Act as a leader in In-Service activities, journal clubs, tutorials, etc.
- Identify training needs of and provide CPD opportunities for Senior Clinical Staff.
- Identify own training and development needs.
- Provide CPD and training to senior professionals working within the service.
- Contribute to training, supervision, and development of PCN staff
Communication
- Use a range of verbal and non-verbal communication tools to communicate effectively with patients. This will include patients who have cognitive and other problems, for example they may be dysphasic, hearing impaired, visually impaired or depressed.
- Use a range of verbal and non-verbal communication tools to communicate effectively with patients who have difficulty in coming to terms with diagnosis/prognosis.
- Discuss and communicate with the Team Leader on decisions taken regarding information that needs to be brought to the attention of the Clinical Service Lead.
- Communicate effectively with all members of the Physiotherapy Team Staff on site and also with members of the wider team across the service.
- Maintain and further develop links with Secondary Care colleagues.
- Communicate effectively with patients in order to meet their differing needs.
- Where indicated and in agreement with the patient, to communicate with other members of medical staff, relatives and carers.
- Undertake written communication providing feedback to referring agents or referring patients onto other professionals by compiling clinical written reports.
- Discuss clinical physiotherapy issues with other partners in health when required and in agreement with the Clinical Area Service Lead.
- Communicate effectively with other professionals from Health Care and outside organisations when representing the Physiotherapy Service.
- Communicate with other organisations, etc to ensure information available for patients is current, for example, advice leaflets from voluntary organisations, which the Physiotherapy Service issues to patients.
Professional Responsibilities
- Be professionally and legally accountable for all aspects of own work including the management of patients in your care, in accordance with the Chartered Society of Physiotherapy (CSP) Core Standards 2005 and Trust clinical guidelines.
- Be responsible for maintaining own competency to practice through continued professional development activities and the maintenance of a portfolio, keeping up-to-date of any developments and bringing them to the attention of the wider team as appropriate.
- Undertake valuation of your work and current practices through the use of evidence based practice, audit and outcome measures either individually or with other Senior Physiotherapists.
- Undertake relevant post-graduate modules at Masters level and to use knowledge gained from the experience to benefit the Service.
- Maintain and develop skills required to practice at a clinical specialist level.
- Supervise and delegate duties to Assistants, which will involve compiling and giving written instructions, ensuring they are carried out appropriately.
- Act as a clinical lead on clinical governance issues in the area of speciality in liaison with other clinical specialists and the clinical facilitator.
- Complete all mandatory training as stipulated by the organisation.
- Attend Team Meetings as required and any absence should be agreed with the Line Manager.
- To be actively involved in the staff appraisal scheme as an appraiser of Band 6 Staff and/or other grades as appropriate. To also be involved in the staff appraisal scheme as an appraisee and to comply with your agreed Personal Development Plan.
- Be proactive in representing the Trusts Physiotherapy Service regarding your Clinical Speciality; this could be locally, contributing specialist knowledge for strategic planning, regionally at clinical forums or nationally at, for example Conferences.
Person Specification
Qualifications
Essential
- Diploma/Degree level in Physiotherapy or equivalent qualification
- Health and Care Professionals Council Registration
Desirable
- Membership of the Charted Society of Physiotherapy
Courses/Training
Essential
- Appropriate post graduate clinical courses linked to speciality
Desirable
- Management
- Clinical Educators course
Work Experience/Knowledge
Essential
- Recent post-registration experience
- Relevant experience at Band 6 level
- Experience of MDT working
- Demonstrate a problem solving approach
- Demonstrates evidence of continuing professional education
- Demonstrates IT literacy to an appropriate level
- General experience relevant to the post at masters level or equivalent
- Special aptitudes / Abilities/ Interest
Desirable
- Knowledge/experience of FCP
Monitored/Supervised
Essential
- Junior Staff
- Assistants / A.P's
Desirable
Taught
Essential
- Junior Staff
- Involvement in appraisal scheme
- Ability to prioritise
- Awareness of developments in NHS and service delivery
- Knowledge of research / evaluation of practice
- Participate in audit
- Evidence of participation in service developments
- Demonstrate the ability to work in a team
Desirable
- Other professionals
- General Public
- Students
- Involvement in SIG
- Published research of practice evaluation
Motivation and Disposition
Essential
- Interest in Team Leadership
- Ability to work at clinical specialist level
- Personally and professionally responsible
- Ability to self-motivate
- Flexible approach to changing circumstances
- Able to demonstrate excellent communication skills, including evidence of presentation skills
Person Specification
Qualifications
Essential
- Diploma/Degree level in Physiotherapy or equivalent qualification
- Health and Care Professionals Council Registration
Desirable
- Membership of the Charted Society of Physiotherapy
Courses/Training
Essential
- Appropriate post graduate clinical courses linked to speciality
Desirable
- Management
- Clinical Educators course
Work Experience/Knowledge
Essential
- Recent post-registration experience
- Relevant experience at Band 6 level
- Experience of MDT working
- Demonstrate a problem solving approach
- Demonstrates evidence of continuing professional education
- Demonstrates IT literacy to an appropriate level
- General experience relevant to the post at masters level or equivalent
- Special aptitudes / Abilities/ Interest
Desirable
- Knowledge/experience of FCP
Monitored/Supervised
Essential
- Junior Staff
- Assistants / A.P's
Desirable
Taught
Essential
- Junior Staff
- Involvement in appraisal scheme
- Ability to prioritise
- Awareness of developments in NHS and service delivery
- Knowledge of research / evaluation of practice
- Participate in audit
- Evidence of participation in service developments
- Demonstrate the ability to work in a team
Desirable
- Other professionals
- General Public
- Students
- Involvement in SIG
- Published research of practice evaluation
Motivation and Disposition
Essential
- Interest in Team Leadership
- Ability to work at clinical specialist level
- Personally and professionally responsible
- Ability to self-motivate
- Flexible approach to changing circumstances
- Able to demonstrate excellent communication skills, including evidence of presentation 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.
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).
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.
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
East Lancashire Hospitals NHS Trust
Address
Across East Lancashire MSK Sites / Pendle East Primary Care Network Practices
Across East Lancashire Sites
BB4 7PL
Employer's website
http://jobs.elht.nhs.uk/ (Opens in a new tab)