Job responsibilities
Job Title: First Contact Physiotherapist
Responsible to: South Islington PCN
Place of Work: Within Islington Practices
Hours: Full time 37.5 hours a week,Part part-time and job-share will also be considered and supported
Duration:Permanent
About Islington GP Federation
Islington GP
Federation (IGPF) is a growing organisation representing 31 practices; we have
established ourselves as a leader in new ways of working, including running
Islingtons extended access primary care services (I:HUB) as well as supporting
the Islington Primary Care Networks -PCNs. Our current range of services
include the Extended Access Service, I:HUB, Community Ear, Nose and Throat
(ENT), Integrated Community Gynaecology, practice-based pharmacists and a range
of practice support mechanisms.
IGPF works very
closely with a range of partners including the regional commissioning group,
NHS England, Healthy London Partnership, Public Health, local hospitals such as
UCLH, the Whittington Health and the London Borough of Islington.
IGPF is the
host organisation for the Primary Care Network-PCN workforce and the
Islington Training Hub, and has been working for over two years to create
training and development programmes that meet the needs of staff working in
primary and community care settings. IGPF
runs two Islington GP practices on caretaking contracts; a third practice will
be taken on within this financial quarter.
About South Islington PCN
The
South Islington Primary Care Network- PCN is a group of 7 independent GP
practices in the South of Islington, covering a population of around 75,000
residents. The PCN is brought together by NHS Englands PCN DES contract to
deliver against its specifications and other tasks. The PCN works with multiple
stakeholders as part of the South Locality, a multi-agency group focused on
identifying population health needs and identifying streams of work to support
these. This is part of Islingtons Fairer Together borough partnership.
The
population within the PCN geography is diverse, often with significant and
complex health and wellbeing needs. There is an exciting opportunity for
enthusiastic and motivated individuals to support the co-ordination of this
care and working closely with people to support them to achieve improved health
outcomes and a better quality of life.
As
this is a new role and the guidance around PCNs is constantly changing, there
is a need for the post holder to be flexible and adaptable in this evolving
environment. As a consequence, the post will be subject to ongoing review and
inevitable iteration the post holder may be required
to work at other sites as dictated by the needs of the service,
and will help inform how roles like these can be effectively used to support
patient care.
Job
Purpose
Provide
clinical expertise, acting as a First-Contact Physiotherapist and making
decisions about the best course of action for patients' care (including in
relation to undifferentiated conditions. This will involve seeing patients,
without prior contact with their GP, in order to establish a rapid and accurate
diagnosis and management plan.
To
act as a clinical role model providing leadership and support to a team of
clinical staff delivering care at GP surgeries across the South Islington PCN
Reduce
local health inequalities
Enable patient access to MSK
Physiotherapy at the start of the pathway, ensuring timely access to diagnosis,
early management and onward referral if necessary
Support patients to stay well and make
informed decisions and choices through shared decision making when their health
changes
Empower patients to build knowledge,
skills and confidence to live well with their health conditions
Job Role
To apply, you should be a
fully HCPC and CSP registered physiotherapist with at least 5 years
post-graduate experience, including 3 years of relevant MSK clinical experience
in line with HEE's Roadmap to Practice.
You should be a confident
MSK practitioner and communicator who thrives from engaging with a variety of
colleagues internally and within the GP practice multidisciplinary teams you
are integrated into.
The
successful candidate will play a key role in proactively working with people,
who would need support around MSK-related conditions and to provide
coordination and navigation of care and support across health and care
services.
They
will work closely with GPs and practice teams, making sure that appropriate
support is made available to people; supporting them to understand and manage
their condition and ensuring their changing needs are addressed. They will
enable people to access the services and support they require to meet their
health and wellbeing needs, helping to improve peoples quality of life.
Responsibilities will include, but are not limited
to:
Work within primary care, seeing patients
directly from reception booking ad triage.
Assess, diagnose, triage, and manage patients,
taking responsibility for the management of a complex caseload.
Where required refer patients to other health
professionals within the PCN
Work as part of a multi-disciplinary team in a
patient facing role, using their expert knowledge of movement and function
issues, to create stronger links for wider services through clinical
leadership, teaching and evaluation
Develop integrated and tailored care programmes
in partnership with patients, providing a range of first line treatment options
including self-management, referral to rehabilitation focussed services and
social prescribing
Make use of their full scope of practice,
developing skills relating to independent prescribing, injection therapy and
investigation to make professional judgements and decisions in unpredictable
situations, including when provided with incomplete or contradictory
information.
Manage complex interactions, including working
with patients with psychosocial and mental health needs, referring onwards as
required and including social prescribing when appropriate
Communicate effectively with patients, and their
carers where applicable, complex and sensitive information regarding diagnoses,
pathology, prognosis and treatment choices supporting personalised care
Implement all aspects of effective clinical
governance for own practice, including undertaking regular audit and
evaluation, supervision and training
Develop integrated and tailored care programmes
in partnership with patients through:
-
Effective shared decision-making
-
Assessing levels of Patient Activation to support
their own level of knowledge
-
Designing and implementing plans that facilitate
behavioural change
Request and progress investigations such as
x-rays and blood tests and referrals to facilitate the diagnosis and choice of
treatment regime including, considering the limitations of these
investigations, interpret and act on results and feedback to aid patients
diagnoses and management plans
Be accountable for decisions and actions via
Health and Care Professions Council -HCPC registration, supported by a
professional culture of peer networking/review and engagement in evidence-based
practice.
Provide feedback and support to other PCN
clinical team members on appropriate referral criteria.
Confidentiality:
In the
performance of the duties outlined in this Job Description, the post-holder may
have access to confidential information relating to patients and their carers,
staff and other healthcare workers. They may also have access to information
relating to the Federation as a business organisation. All such information
from any source is to be regarded as strictly confidential.
Information
relating to patients, carers, colleagues, other healthcare workers or the
business of the Federation may only be divulged to authorised persons in
accordance with the Federation policies and procedures relating to
confidentiality and the protection of personal and sensitive data.
Health &
Safety:
The
post-holder will assist in promoting and maintaining their own and others
health, safety and security as defined in the Federations Health & Safety
Policy, to include:
Using personal security
systems within the workplace according to IGPF guidelines
Identifying the risks
involved in work activities and undertaking such activities in a way that
manages those risks
Making effective use of
training to update knowledge and skills
Equality
and Diversity:
The
post-holder will support the equality, diversity and rights of patients, carers
and colleagues, to include:
Acting in a way that
recognizes the importance of peoples rights, interpreting them in a way that
is consistent with Federation and organisational procedures and policies, and
current legislation
Respecting the privacy,
dignity, needs and beliefs of patients, carers and colleagues
Behaving in a manner which is
welcoming to and of the individual, is non-judgmental and respects their
circumstances, feelings priorities and rights.
