Senior Physiotherapist

Job description

Job responsibilities

Post TitleSenior Static Frailty Physiotherapist

Pay Band6

Hours37.5 hours per week

ContractPermanent

Location / DepartmentWorcester Physiotherapy Department (working across Trust)

Speciality Physiotherapy

Accountable toTherapy Manager

Key Working Relationships

Physiotherapists in given speciality across the three sites. Medical and nursing staff, other health care professionals and members of the MDT, supports staff, community care co-ordinators, discharge co-ordinators, patients, carers, relatives, students and university staff, palliative care team.

Risk Assessment

This post involves frequent manual handling activities e.g. hoisting, positioning, assisting sitting/standing, transferring, giving physical support during walking practice/exercise and occasional pushing of large items of equipment. There is a frequent requirement for moderate physical effort, including repetitive techniques e.g. manual chest techniques, passive exercises, bed exercises and an occasional requirement for intensive physical effort for several short periods throughout the day. Close contact with patients including the performance of invasive techniques such as Airway suction and Blood Gas sampling frequently exposes the post holder to bodily fluids e.g. sputum, urine, blood, vomit and faeces. There is frequent need for prolonged concentration when assessing and treating highly complex patients and a need to act rapidly in potentially life-threatening situations.

There is frequent need for prolonged concentration and involvement in emotionally distressing situations, such as dealing with bad news, terminal illness, death and bereavement, where empathy and support for patients, carers and other team members will be needed. Work pattern is often unpredictable with frequent interruptions/changes and managerial deadlines.

Job Purpose

Working as an autonomous practitioner, to provide high quality patient focussed care through assessment, diagnosis, development and delivery of individual treatment programmes.

To take the responsibility for own caseload within a defined area of service or for a particular patient type.

To provide supervision, support and education to qualified and unqualified staff and students.

To participate in departmental audit in support of evidence-based practice.

To communicate with the MDT as appropriate to provide comprehensive assessment to determine admission prevention as appropriate to given speciality.

To undertake outpatient activity as appropriate within area of speciality.

To contribute to our 7-day service on a rota basis dependant on specialty of work. To complete on call over a 24 hrs period / complete weekend working as appropriate to speciality.

Key Duties

Clinical

To be professionally and legally accountable for all aspects of practice, including the management of patients receiving treatment.

To undertake clinical assessment, including risk analysis, of patients presenting with simple and complex/multi pathologies within defined area of speciality.

To be able to apply knowledge and highly developed skills from a wide range of specialties e.g. respiratory, neurology, musculoskeletal outpatients, care of the elderly dependant on given area of speciality underpinned by evidence.

To use advanced clinical reasoning skills and manual assessment techniques to establish accurate diagnosis.

To use judgemental skills and comprehensive knowledge of physiotherapy treatments to formulate individual treatment programmes based on evidence of best practice.

To demonstrate a high level of skill in dexterity, co-ordination and sensory skills to deliver appropriate treatments selected from a range of physiotherapeutic interventions e.g normal movement, motor relearning, manual therapy techniques, respiratory techniques, use of NIV, exercise therapy, hydrotherapy and electrotherapy dependant on area of speciality.

To regularly evaluate the effectiveness of the treatment plan and adjust the treatment accordingly.

To use clinical knowledge to formulate a prognosis and recommend an appropriate course of action and discharge plan.

To maintain comprehensive, accurate and contemporaneous treatment records including valid consent appropriate to the intervention.

To ensure that patient confidentiality is maintained at all times.

To be an active participant on the evening and weekend On Call Service, which includes advanced respiratory techniques and non-invasive ventilatory aids. This may also include the treatment of children. Rota will depend on Speciality

To be responsible for leading patient classes, e.g. cardiac rehabilitation, knee group and rheumatology classes dependant on area of speciality.

Communications

To assess capacity, gain valid consent and to work within a legal framework with patients who lack capacity to consent to treatment.

To communicate effectively, verbally and through touch, with patients to maximise rehabilitation potential.

To demonstrate communication skills of persuasion, motivation, reassurance, explanation and negotiation, with patients with barriers to effective communication may be evident, eg expressive and receptive dysphasia, altered perception, hearing loss, mental disabilities, pain and fear. Barriers to effective communication will regularly be evident.

To write clear and concise notes based on physiotherapy assessment and treatment of patients, in accordance with professional standards.

To use written information in assisting the patient to understand their condition and involvement in the treatment process.

To liaise with the designated Team Lead Physiotherapist regarding the workload of the area.

To liaise with senior physiotherapy staff regarding highly complex cases.

To liaise with medical, nursing staff and other health care professionals regarding patient care.

To liaise and where appropriate advise patients, carers and relatives regarding patient care.

To liaise with members of the multidisciplinary team and attend case conferences, MDT meetings and ward rounds as appropriate.

To produce written discharge summaries and/or progress reports to GPs, Consultants or other referring health professional regarding the patients condition within Speciality.

Education and Training

To be appraised by the Team Lead Physiotherapist within area of speciality, agree personal objectives to be achieved within area of speciality and formulate a personal development plan.

To maintain own clinical professional development by a variety of means (internal/external courses, journal reviews, self-directed study) in order to maintain up to date clinical knowledge.

To keep abreast of new developments in clinical physiotherapy and evidence based practice.

To participate in all annual mandatory training.

To demonstrate an understanding of clinical governance in physiotherapy practice. To regularly evaluate physiotherapy practice through the use of outcome measures and audit.

To undertake, or assist with Research and Development activity.

To participate in training by the regular delivery of presentations to fellow physiotherapists, other staff and students.

To supervise and appraise more junior members of staff, assistants and students as delegated by senior staff, to promote a high standard of patient care.

To adhere to local department and trust policy.

Organisation and Management

To prioritise and manage own patient workload and that of supervised staff.

In the absence of the Team Lead Physiotherapist in the specialty, to manage and allocate staff in order to provide an efficient service.

To ensure the Team Lead is fully informed of all matters affecting the speciality by regular reporting.

To be aware of and adhere to National, Professional, Trust and Departmental policies and recommend changes for own work area following audit or research.

To maintain a safe environment at all times for patients, visitors and staff.

To ensure safe use of all mechanical and electrical equipment or orthoses and appliances used in the care of patients, providing advice to other staff and carers as needed.

To act immediately to rectify any unsafe practices or environments witnessed and report adverse incidents or near misses according to Trust policy.

To provide statistical information regarding own workload as required for managerial purposes.

Professional

To maintain Health Professions Council (HPC) registration adhering to the Standards of Conduct, Performance and Ethics

To maintain own Continuing Professional Development in line with Clinical Governance and the HPC Standards.

To work within the Rules of Professional Conduct of the Chartered Society of Physiotherapy.

To be responsible for maintaining own competence through self-directed learning and reflective practice.

To assist with research, audit and service development projects.

Job responsibilities

Post TitleSenior Static Frailty Physiotherapist

Pay Band6

Hours37.5 hours per week

ContractPermanent

Location / DepartmentWorcester Physiotherapy Department (working across Trust)

Speciality Physiotherapy

Accountable toTherapy Manager

Key Working Relationships

Physiotherapists in given speciality across the three sites. Medical and nursing staff, other health care professionals and members of the MDT, supports staff, community care co-ordinators, discharge co-ordinators, patients, carers, relatives, students and university staff, palliative care team.

Risk Assessment

This post involves frequent manual handling activities e.g. hoisting, positioning, assisting sitting/standing, transferring, giving physical support during walking practice/exercise and occasional pushing of large items of equipment. There is a frequent requirement for moderate physical effort, including repetitive techniques e.g. manual chest techniques, passive exercises, bed exercises and an occasional requirement for intensive physical effort for several short periods throughout the day. Close contact with patients including the performance of invasive techniques such as Airway suction and Blood Gas sampling frequently exposes the post holder to bodily fluids e.g. sputum, urine, blood, vomit and faeces. There is frequent need for prolonged concentration when assessing and treating highly complex patients and a need to act rapidly in potentially life-threatening situations.

There is frequent need for prolonged concentration and involvement in emotionally distressing situations, such as dealing with bad news, terminal illness, death and bereavement, where empathy and support for patients, carers and other team members will be needed. Work pattern is often unpredictable with frequent interruptions/changes and managerial deadlines.

Job Purpose

Working as an autonomous practitioner, to provide high quality patient focussed care through assessment, diagnosis, development and delivery of individual treatment programmes.

To take the responsibility for own caseload within a defined area of service or for a particular patient type.

To provide supervision, support and education to qualified and unqualified staff and students.

To participate in departmental audit in support of evidence-based practice.

To communicate with the MDT as appropriate to provide comprehensive assessment to determine admission prevention as appropriate to given speciality.

To undertake outpatient activity as appropriate within area of speciality.

To contribute to our 7-day service on a rota basis dependant on specialty of work. To complete on call over a 24 hrs period / complete weekend working as appropriate to speciality.

Key Duties

Clinical

To be professionally and legally accountable for all aspects of practice, including the management of patients receiving treatment.

To undertake clinical assessment, including risk analysis, of patients presenting with simple and complex/multi pathologies within defined area of speciality.

To be able to apply knowledge and highly developed skills from a wide range of specialties e.g. respiratory, neurology, musculoskeletal outpatients, care of the elderly dependant on given area of speciality underpinned by evidence.

To use advanced clinical reasoning skills and manual assessment techniques to establish accurate diagnosis.

To use judgemental skills and comprehensive knowledge of physiotherapy treatments to formulate individual treatment programmes based on evidence of best practice.

To demonstrate a high level of skill in dexterity, co-ordination and sensory skills to deliver appropriate treatments selected from a range of physiotherapeutic interventions e.g normal movement, motor relearning, manual therapy techniques, respiratory techniques, use of NIV, exercise therapy, hydrotherapy and electrotherapy dependant on area of speciality.

To regularly evaluate the effectiveness of the treatment plan and adjust the treatment accordingly.

To use clinical knowledge to formulate a prognosis and recommend an appropriate course of action and discharge plan.

To maintain comprehensive, accurate and contemporaneous treatment records including valid consent appropriate to the intervention.

To ensure that patient confidentiality is maintained at all times.

To be an active participant on the evening and weekend On Call Service, which includes advanced respiratory techniques and non-invasive ventilatory aids. This may also include the treatment of children. Rota will depend on Speciality

To be responsible for leading patient classes, e.g. cardiac rehabilitation, knee group and rheumatology classes dependant on area of speciality.

Communications

To assess capacity, gain valid consent and to work within a legal framework with patients who lack capacity to consent to treatment.

To communicate effectively, verbally and through touch, with patients to maximise rehabilitation potential.

To demonstrate communication skills of persuasion, motivation, reassurance, explanation and negotiation, with patients with barriers to effective communication may be evident, eg expressive and receptive dysphasia, altered perception, hearing loss, mental disabilities, pain and fear. Barriers to effective communication will regularly be evident.

To write clear and concise notes based on physiotherapy assessment and treatment of patients, in accordance with professional standards.

To use written information in assisting the patient to understand their condition and involvement in the treatment process.

To liaise with the designated Team Lead Physiotherapist regarding the workload of the area.

To liaise with senior physiotherapy staff regarding highly complex cases.

To liaise with medical, nursing staff and other health care professionals regarding patient care.

To liaise and where appropriate advise patients, carers and relatives regarding patient care.

To liaise with members of the multidisciplinary team and attend case conferences, MDT meetings and ward rounds as appropriate.

To produce written discharge summaries and/or progress reports to GPs, Consultants or other referring health professional regarding the patients condition within Speciality.

Education and Training

To be appraised by the Team Lead Physiotherapist within area of speciality, agree personal objectives to be achieved within area of speciality and formulate a personal development plan.

To maintain own clinical professional development by a variety of means (internal/external courses, journal reviews, self-directed study) in order to maintain up to date clinical knowledge.

To keep abreast of new developments in clinical physiotherapy and evidence based practice.

To participate in all annual mandatory training.

To demonstrate an understanding of clinical governance in physiotherapy practice. To regularly evaluate physiotherapy practice through the use of outcome measures and audit.

To undertake, or assist with Research and Development activity.

To participate in training by the regular delivery of presentations to fellow physiotherapists, other staff and students.

To supervise and appraise more junior members of staff, assistants and students as delegated by senior staff, to promote a high standard of patient care.

To adhere to local department and trust policy.

Organisation and Management

To prioritise and manage own patient workload and that of supervised staff.

In the absence of the Team Lead Physiotherapist in the specialty, to manage and allocate staff in order to provide an efficient service.

To ensure the Team Lead is fully informed of all matters affecting the speciality by regular reporting.

To be aware of and adhere to National, Professional, Trust and Departmental policies and recommend changes for own work area following audit or research.

To maintain a safe environment at all times for patients, visitors and staff.

To ensure safe use of all mechanical and electrical equipment or orthoses and appliances used in the care of patients, providing advice to other staff and carers as needed.

To act immediately to rectify any unsafe practices or environments witnessed and report adverse incidents or near misses according to Trust policy.

To provide statistical information regarding own workload as required for managerial purposes.

Professional

To maintain Health Professions Council (HPC) registration adhering to the Standards of Conduct, Performance and Ethics

To maintain own Continuing Professional Development in line with Clinical Governance and the HPC Standards.

To work within the Rules of Professional Conduct of the Chartered Society of Physiotherapy.

To be responsible for maintaining own competence through self-directed learning and reflective practice.

To assist with research, audit and service development projects.