Job summaryWe are looking for an enthusiastic, organised and caring individual with good communication and interpersonal skills to join our Emergency Department Therapy Team.
The post holder will work alongside the band 8a Physiotherapist, as well as the Occupational Therapy band 7s, to lead and develop therapy services within the Emergency Department (ED) at University Hospital Lewisham. In addition the post holder will be required to support band 7 Physiotherapy and Occupational Therapy colleagues within the team, with the service provision and development within the Emergency Department and wider physiotherapy service.
The role will include a large clinical caseload, clinical governance activity, supervision and the development of Band 6, 5, 4 and assistant staff working within the Emergency Department Therapy Team. The post holder will be expected to provide clinical education to undergraduates. The post holder will also coordinate a rolling programme of audit and training within the pathway.
Main duties of the jobThe Emergency Department pathway includes developing practice within the following patient groups: Acute Medicine, Frailty, and Falls.
The post holder will need to have previous experience in working in an Emergency Department and or Same Day Emergency Care setting, as well as with patients presenting with frailty. A commitment to development is required.
The post holder will also be required to develop and maintain senior respiratory physiotherapy skills and competence and will be required to contribute to the on-call and emergency weekend respiratory and ED physiotherapy rota.
If you are a motivated Physiotherapist looking to progress as a Band 7 Physiotherapist do not miss this opportunity to work within a progressive, friendly department with all the benefits of being a large London Trust.
About usOur people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations: Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development; Widening access (anchor institution) and employability; Improving the experience of staff with disability; Improving the EDI literacy and confidence of trust staff through training and development; Making equalities mainstream.
Job responsibilities- 01. To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with complex presentations.
- 02. To work at an advanced level and to be professionally and legally accountable for a highly-specialized patient caseload and to decide priorities for own work area, balancing other patient related and professional demand.
- 03. To be professionally and legally responsible and accountable for all aspects of own work, and of the local pathway teams work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with national and trust clinical guidelines and protocols where they exist.
- 04. To assess patients capacity, gain valid and informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient.
- 05. To undertake the comprehensive assessment and accurate diagnosis of patients including those with complex presentation, using investigative, palpatory, analytical and clinical reasoning skills.
- 06. Under supervision of the Physiotherapy Inpatient Site Lead to request diagnostic procedures that will inform clinical decision making as appropriate to individual competency level and the job role.
- 07. To undertake physical treatment techniques utilizing highly developed manual skills.
- 08. To formulate individualized clinical management programs, utilizing a wide range of treatment skills and options to plan a highly-specialized program of care.
- 09. To use recognized outcome measures to evaluate the effect of physiotherapy interventions and ensure that treatment program are progressing appropriately.
- 10. To provide spontaneous and planned expert advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of physiotherapy and to ensure continuation of the treatment program. To be consulted by staff within the local pathway and the trust.
- 11. To participate in and where indicated, initiate multidisciplinary / multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning.
- 12. To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria.
- 13. To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services, e.g. interpreters, SALT
- 14. To ensure that individual practice and that of the local pathway team is patient focused and patient views are incorporated into treatment planning.
- 15. To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment program.
- 16. To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome.
- 17. To receive complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management.
- 18. To communicate and advise regarding complex patient related information effectively to ensure collaborative working within the physiotherapy service and with other professionals across health and other agencies to ensure the delivery of a coordinated multidisciplinary service.
- 19. To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge report
- 20. To produce comprehensive patient related reposts for other disciplines or agencies relating to assessment findings and or treatment outcome
- 21. To undertake an extended scope role as appropriate to the needs of the service and supervised by the Physiotherapy Site Lead (an extended scope practioners undertakes delegated responsibility on behalf of medical practioner(s) including the independent management of complete episodes of care of patients from referral to discharge
- 22. To undertake the measurement and evaluation of work through audit, outcome measurement, the application of evidence based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway.
- 23. To facilitate the implementation and evaluation of physiotherapy clinical outcomes within a designated pathway and monitor adherence with professional and national standard
- 24. To work to Trust and Chartered Society of Physiotherapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored
- 25. To raise physiotherapy staff awareness of current clinical developments and the implication these may have on clinical practice.
- 26. To be accessible and provide expert clinical advice to colleagues in particular for complex case management.
- 27. Once considered competent to participate in the on-call, week-end, bank holiday and extended working rotas where clinically appropriate.
- 28. To fully participate in whatever pattern of working (including 7-day rosters) is required by the service in the future.
All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies.
Person SpecificationQualificationsEssential- Diploma/Degree in Physiotherapy
- HPC registration
- Undertaken a range of relevant postgraduate courses
- Undertaken clinical educators training
Desirable- MCSP
- Member of Special Interest Group
- MSc or working at M level or equivalent experience / qualification
- Undertaken appropriate managerial training
Skills and abilitiesEssential- The ability to discuss clinical reasoning in the management of complex cases
- The ability to identify and act upon adverse clinical signs
- Ability to communicate complex and sensitive information to patients, carers, other health professionals and team.
- Excellent ability to work effectively in a team environment
- Excellent time management skills with ability to organize, prioritize and delegate
- Ability to self direct learning, be critical and evaluate own learning needs, demonstrated in a CPD portfolio
- Demonstrates leadership ability and motivational skills
- Able to provide a high standard of clear concise, written and verbal reports in English
- Good teaching and presentation skills
- IT skills, including using hospital data bases, word processing, excel, email and power point
- Ability to manage own stress and work in a stressful and unpredictable environment. To show empathy and fairness to give support to others
Desirable- IT skills - Ability to create and/or format data and/or spreadsheets using computerized systems
KnowledgeEssential- Specialist knowledge of evidenced based physiotherapy for designated specialist pathway
- Knowledge of national guidelines and standards pertaining to specialist pathway and physiotherapy
- Understanding of clinical governance and its implication for physiotherapy
- Awareness and understanding of NHS structure, current issues and developments
- Understanding of the legal responsibilities of the profession
ExperienceEssential- Comprehensive post graduate physiotherapy experience including experience of relevant specialist pathway
- Experience of working autonomously and unsupervised
- Experience of having supervised staff who are directly accountable to the post holder
- Experience of having supervised staff who are directly accountable to post holder
- Experience in completing audit and evidence-based projects
- Evidence of actively participating in in-service training and evaluation effectiveness of training
- Experience and ability to work collaboratively within MPT
- Experience of joint working alongside Occupational Therapists
Desirable- Previous experience at band 7 level
- Attended external courses relevant to subject area
- Involvement in research in relevant specialist pathway
- Evidence of leading change management and innovation in clinical practice
- Evidence of presenting to MDT groups, undergraduate and postgraduate staff
- Occupational Therapy Competencies
OtherEssential- Self motivated with a clear vision of role / commitment to specialty
- Demonstrate professional independence
- Work in a flexible manner and adapt to changing environments
- Physically fit and able to comply with Trusts moving and handling guidelines, therapeutic handling
- Professional manner and appearance
- Available for on-call, extended hours and 7-day working patterns
Disclosure and Barring Service CheckThis 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 RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsLewisham and Greenwich NHS Trust
Queen Elizabeth Hospital, Stadium Road, London, SE18 4QH
For questions about the job, contact:Band 8a Inpatient Physiotherapy Lead, Zara Ewing, zara.ewing@nhs.net, 02083333000
