Job summary
An opportunity has arisen for a fixed term position for an Advanced Physiotherapist Practitioner to join the Integrated Community Musculoskeletal service at Central London Community Healthcare NHS Trust. CLCH is one of the largest community trusts and is an aspirant foundation status community NHS trust. You will be managing the day to day running of the Barnet service in partnership with the service manager and clinical lead.
The ICMSK service is led by a Consultant Physiotherapist and includes an Advanced Practice Physiotherapy Interface service, injection therapy, access to imaging and diagnostics. The service is linked to a MSK Physiotherapy service and provides support to this service which includes MSK, Pelvic health and Paediatric MSK. The CLCH MSK Physiotherapy service is committed to ongoing research and innovation.
We are looking for someone who is highly motivated, well organised and has experience in working in a busy MSK service. Experience of advanced clinical practice, injection therapy, managing people and on-going service development will be key to the role. We would also expect the successful candidate to be actively engaged with evidence based practice and adaptable to the rapidly changing healthcare agenda.
Main duties of the job
To work autonomously using skills within the four pillars of physiotherapy and advanced clinical practice including injection therapy, musculoskeletal triage and assessment, diagnosis and treatment of patients including highly complex patients.
To provide expert clinical opinion to managers which assists the strategic direction of the physiotherapy service across the whole organisation utilising the principles of clinical governance.
To educate and train physiotherapists, healthcare professionals, undergraduate and postgraduate physiotherapy students in the physiotherapeutic management of musculoskeletal conditions.
To provide advanced support and advice to clinical staff within and outside the organisation.
To identify clinical research, audit and data collection priorities within area of expertise to drive departmental clinical development strategy, in line with the governance agenda and in conjunction with the management team
About us
Just as we care about our patients' wellbeing, we care about yours!
We can offer you:
- A comprehensive induction into the community service followed by a local induction to introduce you to the role
- Single occupancy accommodation in Central London - (we can help you find accommodation in London, support you with your deposit)
- Support with gaining your driving license *T&C's apply
- Car lease scheme *T&C's apply
- Flexible working options
- Annual travel card loan
- Training, support and development in your career
To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits
Job description
Job responsibilities
To be professionally and legally responsible and accountable for all aspects of the practitioners professional activities
To utilise expert clinical reasoning skills and evidence based knowledge to assess patients with highly complex presentations and implement physiotherapy management plans as an autonomous practitioner
To interpret and analyse clinical and non-clinical facts, which may be conflicting to regularly provide expert advice and second opinion to peers, medical colleagues and other health professionals. This includes the formulation of accurate prognoses, recommendation of best course of intervention and development of comprehensive discharge plans
To request and use the results of specialist investigations (e.g. x-rays, blood tests, ultrasound and MRI scans) to assist the formulation of diagnoses and plan patient management
If appropriate training is undertaken the clinician may choose to use injection therapy when indicated under a Patient Group Directive (PGD)
To use advanced theoretical and practical knowledge to refer on to other departments/medical colleagues within or outside the Trust as necessary, based on investigation results and advanced clinical assessment
To provide written reports of clinical opinion to medical colleagues as required
To advise patients, employers and occupational health departments on the appropriate time to return to work, sports and other activities
To co-ordinate patient management which may include advising patients, carers, relatives, other health professionals and medical colleagues
To provide expert opinion, which informs the development of clinical pathways in collaboration with stakeholders
To manage clinical risk within own caseload at all times and ensure clinical risk is effectively managed across the whole department
To be aware of the boundaries of own advanced practise and to manage the associated clinical risk effectively at all times
To be responsible for maintenance of accurate written records using POMR system.
To include comprehensive progress and discharge reports to medical referrers and legal and disability reports.
To demonstrate the highly developed dexterity, co-ordination and palpatory sensory skills necessary for assessment and manual treatment of patients including complex manual therapy techniques, therapeutic handling and use of specialised physiotherapy equipment
Please refer to the attached Job Description for full list of responsibilities
Job description
Job responsibilities
To be professionally and legally responsible and accountable for all aspects of the practitioners professional activities
To utilise expert clinical reasoning skills and evidence based knowledge to assess patients with highly complex presentations and implement physiotherapy management plans as an autonomous practitioner
To interpret and analyse clinical and non-clinical facts, which may be conflicting to regularly provide expert advice and second opinion to peers, medical colleagues and other health professionals. This includes the formulation of accurate prognoses, recommendation of best course of intervention and development of comprehensive discharge plans
To request and use the results of specialist investigations (e.g. x-rays, blood tests, ultrasound and MRI scans) to assist the formulation of diagnoses and plan patient management
If appropriate training is undertaken the clinician may choose to use injection therapy when indicated under a Patient Group Directive (PGD)
To use advanced theoretical and practical knowledge to refer on to other departments/medical colleagues within or outside the Trust as necessary, based on investigation results and advanced clinical assessment
To provide written reports of clinical opinion to medical colleagues as required
To advise patients, employers and occupational health departments on the appropriate time to return to work, sports and other activities
To co-ordinate patient management which may include advising patients, carers, relatives, other health professionals and medical colleagues
To provide expert opinion, which informs the development of clinical pathways in collaboration with stakeholders
To manage clinical risk within own caseload at all times and ensure clinical risk is effectively managed across the whole department
To be aware of the boundaries of own advanced practise and to manage the associated clinical risk effectively at all times
To be responsible for maintenance of accurate written records using POMR system.
To include comprehensive progress and discharge reports to medical referrers and legal and disability reports.
To demonstrate the highly developed dexterity, co-ordination and palpatory sensory skills necessary for assessment and manual treatment of patients including complex manual therapy techniques, therapeutic handling and use of specialised physiotherapy equipment
Please refer to the attached Job Description for full list of responsibilities
Person Specification
Education/Qualification
Essential
- Degree or equivalent in physiotherapy
- HCPC registration
- Minimum 5 years' experience in musculoskeletal physiotherapy
- Evidence of CPD in MSK physiotherapy in the form of a detailed personal development portfolio
- Portfolio of evidence for advance clinical practice consolidation
- Postgraduate education/courses in MSK
- Masters degree/equivalent level in MSK
Desirable
- Formal management training
- Clinical interest group membership
- Leadership training
- Injection Therapy qualification
Experience and Knowledge
Essential
- NHS experience
- Previous experience of working under the advance practice framework as an Advanced Physiotherapy Practitioner autonomously.
- Experience of undertaking Advanced Physiotherapy Practitioner duties within the advanced practice framework
- Experience in requesting and interpreting imaging
- Experience of managing complex patients including those with red flag presentations and potentially suspicious pathology
- Experience of communicating highly complex, sensitive or contentious information to patients and colleagues
- Experience of teaching and training colleagues and peers in specialist skills associated with the role.
- Experience of planning, organising and undertaking high level audit and research and development relevant to the service
- Advanced awareness of the developments on the NHS/DoH and multi-agency MSK Service Delivery
- Understanding of the role of Clinical Governance in Health Care Services and its application to MSK Physiotherapy
Desirable
- Experience of teaching / training high level clinicians such as GP's
- Previously published data relating to research / audit undertaken
Skills
Essential
- Highly developed physical skills and manual dexterity which are used with a high degree of precision to assess and diagnose MSK disorders.
- Established communication skills to disseminate extremely complex and sensitive information including details of poor prognosis or possible suspicious pathology
- Established planning / organisational / time management skills to ensure continuity of service and further service development
- Demonstrates the ability to develop a specific package of care for a specialised / complex patient caseload
- Ability to work under pressure with an unpredictable work pattern with frequent interruptions while still being responsive to the needs of the patient and the service.
- Ability to deal with emotional circumstances relating to patients condition and diagnosis
- Ability to undertake moderate physical effort including manual handling activity associated with manoeuvring patients and equipment.
- Strong team player with the ability to lead developments within their sphere of responsibility.
- To carry out highly skilled assessments via a number of modalities such as telephone, video or face to face.
- Computer literate skills
- Ability to complete supervision and appraisal of own and others skills
Other job related requirements
Essential
- Willing to work across site
- Able to demonstrate a flexible approach to change circumstances and department needs
- Excellent organisation and time management skills
Person Specification
Education/Qualification
Essential
- Degree or equivalent in physiotherapy
- HCPC registration
- Minimum 5 years' experience in musculoskeletal physiotherapy
- Evidence of CPD in MSK physiotherapy in the form of a detailed personal development portfolio
- Portfolio of evidence for advance clinical practice consolidation
- Postgraduate education/courses in MSK
- Masters degree/equivalent level in MSK
Desirable
- Formal management training
- Clinical interest group membership
- Leadership training
- Injection Therapy qualification
Experience and Knowledge
Essential
- NHS experience
- Previous experience of working under the advance practice framework as an Advanced Physiotherapy Practitioner autonomously.
- Experience of undertaking Advanced Physiotherapy Practitioner duties within the advanced practice framework
- Experience in requesting and interpreting imaging
- Experience of managing complex patients including those with red flag presentations and potentially suspicious pathology
- Experience of communicating highly complex, sensitive or contentious information to patients and colleagues
- Experience of teaching and training colleagues and peers in specialist skills associated with the role.
- Experience of planning, organising and undertaking high level audit and research and development relevant to the service
- Advanced awareness of the developments on the NHS/DoH and multi-agency MSK Service Delivery
- Understanding of the role of Clinical Governance in Health Care Services and its application to MSK Physiotherapy
Desirable
- Experience of teaching / training high level clinicians such as GP's
- Previously published data relating to research / audit undertaken
Skills
Essential
- Highly developed physical skills and manual dexterity which are used with a high degree of precision to assess and diagnose MSK disorders.
- Established communication skills to disseminate extremely complex and sensitive information including details of poor prognosis or possible suspicious pathology
- Established planning / organisational / time management skills to ensure continuity of service and further service development
- Demonstrates the ability to develop a specific package of care for a specialised / complex patient caseload
- Ability to work under pressure with an unpredictable work pattern with frequent interruptions while still being responsive to the needs of the patient and the service.
- Ability to deal with emotional circumstances relating to patients condition and diagnosis
- Ability to undertake moderate physical effort including manual handling activity associated with manoeuvring patients and equipment.
- Strong team player with the ability to lead developments within their sphere of responsibility.
- To carry out highly skilled assessments via a number of modalities such as telephone, video or face to face.
- Computer literate skills
- Ability to complete supervision and appraisal of own and others skills
Other job related requirements
Essential
- Willing to work across site
- Able to demonstrate a flexible approach to change circumstances and department needs
- Excellent organisation and time management 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).
