Job responsibilities
Core Responsibilities
Work as an extended scope practitioner providing
a high standard of specialist assessment and treatment of musculoskeletal
patients within the Primary Care Network.
Work independently, without day to day
supervision, to assess, diagnose, triage, and manage patients, taking
responsibility for prioritising and managing a caseload of the PCNs Registered
Patients.
Work as part of a multi-disciplinary team in a patient
facing role, using your 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 your 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. You will
take responsibility for making and justifying these decisions.
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:
o effective
shared decision-making with a range of first line management options
(appropriate for a patients level of activation).
o assessing
levels of Patient Activation to support a patients own level of knowledge,
skills and confidence to self-manage their conditions, ensuring they are able
to evaluate and improve the effectiveness of self-management interventions,
particularly for those at low levels of activation.
o agreeing
with patients appropriate support for self-management through referral to
rehabilitation focussed services and wider social prescribing as appropriate;
and
o designing
and implementing plans that facilitate. behavioural change, optimise patients
physical activity and mobility, support fulfilment of personal goals and
independence, and reduce the need for pharmacological interventions.
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.
Communicate effectively and appropriately with
patients and carers complex and sensitive information regarding diagnosis,
pathology and prognosis.
Work across the multi-disciplinary team to
create and evaluate effective and streamlined clinical pathways and services.
Develop relationships and collaborative working
approach across the PCN supporting the integration of pathways in primary care
and actively suggesting and engaging with initiatives to help improve patient
care.
Encourage collaborative working across the wider
health economy and be a key contributor to supporting the development of
physiotherapy clinical services across the PCN.
Liaising with secondary and community care
services, and secondary and community MSK services where required, using local
social and community interventions as required to support the management of
patients within the PCN; and
To fully understand the wider MSK service and
local MSK pathways: across primary care, secondary care and the voluntary
sector, including in depth knowledge of referral criteria and scope of services.
Actively pursue development opportunities for
practice and service delivery, policy implementation and lead specific projects
within specific area of practice.
Accountable for decisions and actions supported
by a professional culture of peer networking/review and engagement in
evidence-based practice.
Implement all aspects of effective clinical
governance for own practice, including regular audit and evaluation,
supervision and training.
Maintain professional knowledge and skills
through attending relevant courses both internally and externally.
Maintain a professional portfolio for CPD in
line with CSP and HCPC guidelines, recording learning outcomes through
participation in internal and external development opportunities and to
demonstrate acquired highly specialist skills and knowledge of professional
practice.
Support regional and national research and audit
programmes to evaluate and improve the effectiveness of the First Contact
Practitioner (FCP) programme. This will include communicating outcomes and
integrating findings into own and wider service practice and pathway
development.
Health and Safety
To comply with the Health and Safety at Work
etc. Act 1974.
To take responsibility for his/her own health
and safety and that of other persons who may be affected by his/her own acts or
omissions.
Equality and Diversity
To comply with the Equality Act 2010.
The post-holder will support the equality,
diversity and rights of patients, carers and colleagues, to include:
o Acting
in a way that recognises the importance of peoples rights, interpreting them
in a way that is consistent with practice procedures and policies, and current
legislation.
o Respecting
the privacy, dignity, needs and beliefs of patients, carers and colleagues.
o Behaving
in a manner that is welcoming to and of the individual, is non-judgmental and
respects their circumstances, feelings priorities and rights.
Risk Management and Clinical Governance
To work within the Clinical Governance Framework
of the practice, incorporating Risk Management and all other quality
initiatives.
Confidentiality
To maintain confidentiality of information
relating to patients, clients, staff and other users of the services in
accordance with the Data Protection Act 2018 and Caldicott Guardian. Any breach
of confidentiality may render an individual liable for dismissal and/or
prosecution.
In the course of seeking treatment, patients
entrust us with, or allow us to gather, sensitive information in relation to
their health and other matters. They do
so in confidence and have the right to expect that staff will respect their
privacy and act appropriately.
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, practice staff and other
healthcare workers. They may also have
access to information relating to the practice 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 practice may only
be divulged to authorised persons in accordance with the practice policies and
procedures relating to confidentiality and the protection of personal and
sensitive data.
General
To undertake any other duties commensurate with
the role, within the bounds of his/her own competence.
To work across PCN sites.
To work flexibly to accommodate meetings as
required.