Senior Physiotherapist

Job description

Job summary

Senior Frailty Physiotherapist (Full Time)

Anexciting opportunity has arisen for an experienced physiotherapist with aspecialist interest in Frailty and Older Peoples Medicine.

Thefrailty service is a priority for the trust. The trustwide service is beinginvested in and is under-going exciting positive changes to enhance theservices provided. The right candidate will be a part of this serviceprogression and will be able to positively support and participate in furtherchanges.

This is a permanent full-time post based at the WorcesterAcute Hospital, Worcester

Clinical supervision and line management will be providedto you by the Team Lead in Frailty. You will have the opportunity to developyour leadership and management skills, working closely with senior members ofthe team as well supporting the team leads in managing staffing levels andcaseload.

Youwill be supported in your continued professional development, and will becommitted to improving the quality and development of our service. You will beencouraged to be involved in quality improvement and service development work,and post graduate training is actively promoted.

There is an expectation thatyou participate in existing respiratory or orthopaedic out of hours and weekendservices dependant on experience and service need.

Main duties of the job

You will work as part of an enthusiastic multidisciplinary team and be clinically responsible for providing a timely, evidence-based service to older people living with frailty, who are admitted to our inpatient wards at Worcester Royal Hospital

You will be responsible for the clinical supervision and management of band 5 physiotherapists and physiotherapy support workers. You will also provide support to the rotational band 6s physiotherapists and will be encouraged to participate in the trust wide Band 6 peer group meetings.

You will work closely with the Frailty Team leads across sites to support and deliver cross site training and education for the team.

You will be encouraged to take on a lead role as clinical educator for physiotherapy students. The team facilitates different student placement models such as a 2:1 model, and you will be supported by the Physiotherapy Placement Lead.

About us

Worcestershire Acute Hospitals NHS Trust is a largeacute and specialised hospital trust that provides a range of local acuteservices to the residents of Worcestershire and more specialised services to alarger population in Herefordshire and beyond.

The Trust operates hospital-based services fromthree sites in Kidderminster, Redditch and Worcester

Our workforce is more than 7,000 strong, and ourcaring staff are recognised as providing good and outstanding patient-centredcare. You could be one of them.

We are committed to recruiting the best people towork with us. Our values, which we ask all staff to demonstrate, underpin oureveryday work and remain firmly at the heart of all we do.

Being open and honest

Ensuring people feel cared for

Showing respect to everyone

We are committed to developing a culture of continuous improvement by embedding the principles of our Improvement System.

We are proud to have achieved Timewiseaccreditation - this means we are committed to embedding flexible workingwithin our organisation as a flex positive employer.

DBS Checks and Costs

Any applicants who are offered posts requiring aDBS check as part of their employment check will have the cost of this check(at the current rate) deducted from their salary. Please see link in SupportingInformation section for more details on DBS checks and costs.

Job description

Job responsibilities

PostTitleSeniorStatic Frailty Physiotherapist

PayBand6

Hours37.5hours per week

ContractPermanent

Location / DepartmentWorcester Physiotherapy Department(working across Trust)

Speciality Physiotherapy

Accountable toTherapy Manager

Key WorkingRelationships

Physiotherapistsin given speciality across the three sites.Medical and nursing staff, other health care professionals and membersof the MDT, supports staff, community care co-ordinators, dischargeco-ordinators, patients, carers, relatives, students and university staff,palliative care team.

RiskAssessment

This postinvolves frequent manual handling activities e.g. hoisting, positioning,assisting sitting/standing, transferring, giving physical support duringwalking practice/exercise and occasional pushing of large items of equipment.There is a frequent requirement for moderate physical effort, includingrepetitive techniques e.g. manual chest techniques, passive exercises, bedexercises and an occasional requirement for intensive physical effort forseveral short periods throughout the day. Close contact with patients includingthe performance of invasive techniques such as Airway suction and Blood Gassampling frequently exposes the post holder to bodily fluids e.g. sputum,urine, blood, vomit and faeces. There isfrequent need for prolonged concentration when assessing and treating highlycomplex patients and a need to act rapidly in potentially life-threateningsituations.

Thereis frequent need for prolonged concentration and involvement in emotionallydistressing situations, such as dealing with bad news, terminal illness, deathand bereavement, where empathy and support for patients, carers and other teammembers will be needed. Work pattern isoften unpredictable with frequent interruptions/changes and managerialdeadlines.

JobPurpose

Workingas an autonomous practitioner, to provide high quality patient focussed carethrough assessment, diagnosis, development and delivery of individual treatmentprogrammes.

Totake the responsibility for own caseload within a defined area of service orfor a particular patient type.

Toprovide supervision, support and education to qualified and unqualified staffand students.

Toparticipate in departmental audit in support of evidence-based practice.

Tocommunicate with the MDT as appropriate to provide comprehensive assessment todetermine admission prevention as appropriate to given speciality.

Toundertake outpatient activity as appropriate within area of speciality.

Tocontribute 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 asappropriate to speciality.

KeyDuties

Clinical

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

Toundertake clinical assessment, including risk analysis, of patients presentingwith simple and complex/multi pathologies within defined area of speciality.

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

Touse advanced clinical reasoning skills and manual assessment techniques toestablish accurate diagnosis.

Touse judgemental skills and comprehensive knowledge of physiotherapy treatmentsto formulate individual treatment programmes based on evidence of bestpractice.

Todemonstrate a high level of skill in dexterity, co-ordination and sensoryskills to deliver appropriate treatments selected from a range of physiotherapeuticinterventions e.g normal movement, motor relearning, manual therapy techniques,respiratory techniques, use of NIV, exercise therapy, hydrotherapy andelectrotherapy dependant on area of speciality.

Toregularly evaluate the effectiveness of the treatment plan and adjust thetreatment accordingly.

Touse clinical knowledge to formulate a prognosis and recommend an appropriatecourse of action and discharge plan.

Tomaintain comprehensive, accurate and contemporaneous treatment recordsincluding valid consent appropriate to the intervention.

Toensure that patient confidentiality is maintained at all times.

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

Tobe responsible for leading patient classes, e.g. cardiac rehabilitation, kneegroup and rheumatology classes dependant on area of speciality.

Communications

Toassess capacity, gain valid consent and to work within a legal framework withpatients who lack capacity to consent to treatment.

Tocommunicate effectively, verbally and through touch, with patients to maximiserehabilitation potential.

Todemonstrate communication skills of persuasion, motivation, reassurance,explanation and negotiation, with patients with barriers to effectivecommunication may be evident, eg expressive and receptive dysphasia, alteredperception, hearing loss, mental disabilities, pain and fear. Barriers to effective communication willregularly be evident.

Towrite clear and concise notes based on physiotherapy assessment and treatmentof patients, in accordance with professional standards.

Touse written information in assisting the patient to understand their conditionand involvement in the treatment process.

Toliaise with the designated Team Lead Physiotherapist regarding the workload ofthe area.

Toliaise with senior physiotherapy staff regarding highly complex cases.

Toliaise with medical, nursing staff and other health care professionalsregarding patient care.

Toliaise and where appropriate advise patients, carers and relatives regardingpatient care.

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

Toproduce written discharge summaries and/or progress reports to GPs, Consultantsor other referring health professional regarding the patients condition withinSpeciality.

Education and Training

Tobe appraised by the Team Lead Physiotherapist within area of speciality, agreepersonal objectives to be achieved within area of speciality and formulate apersonal development plan.

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

Tokeep abreast of new developments in clinical physiotherapy and evidence basedpractice.

Toparticipate in all annual mandatory training.

Todemonstrate an understanding of clinical governance in physiotherapy practice.To regularly evaluate physiotherapy practice through the use of outcomemeasures and audit.

Toundertake, or assist with Research and Development activity.

Toparticipate in training by the regular delivery of presentations to fellowphysiotherapists, other staff and students.

Tosupervise and appraise more junior members of staff, assistants and students asdelegated by senior staff, to promote a high standard of patient care.

Toadhere to local department and trust policy.

Organisation and Management

Toprioritise and manage own patient workload and that of supervised staff.

Inthe absence of the Team Lead Physiotherapist in the specialty, to manage andallocate staff in order to provide an efficient service.

Toensure the Team Lead is fully informed of all matters affecting the specialityby regular reporting.

Tobe aware of and adhere to National, Professional, Trust and Departmentalpolicies and recommend changes for own work area following audit or research.

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

Toensure safe use of all mechanical and electrical equipment or orthoses andappliances used in the care of patients, providing advice to other staff andcarers as needed.

Toact immediately to rectify any unsafe practices or environments witnessed andreport adverse incidents or near misses according to Trust policy.

Toprovide statistical information regarding own workload as required formanagerial purposes.

Professional

Tomaintain Health Professions Council (HPC) registration adhering to theStandards of Conduct, Performance and Ethics

Tomaintain own Continuing Professional Development in line with ClinicalGovernance and the HPC Standards.

Towork within the Rules of Professional Conduct of the Chartered Society ofPhysiotherapy.

Tobe responsible for maintaining own competence through self-directed learningand reflective practice.

Toassist with research, audit and service development projects.

Job description
Job responsibilities

PostTitleSeniorStatic Frailty Physiotherapist

PayBand6

Hours37.5hours per week

ContractPermanent

Location / DepartmentWorcester Physiotherapy Department(working across Trust)

Speciality Physiotherapy

Accountable toTherapy Manager

Key WorkingRelationships

Physiotherapistsin given speciality across the three sites.Medical and nursing staff, other health care professionals and membersof the MDT, supports staff, community care co-ordinators, dischargeco-ordinators, patients, carers, relatives, students and university staff,palliative care team.

RiskAssessment

This postinvolves frequent manual handling activities e.g. hoisting, positioning,assisting sitting/standing, transferring, giving physical support duringwalking practice/exercise and occasional pushing of large items of equipment.There is a frequent requirement for moderate physical effort, includingrepetitive techniques e.g. manual chest techniques, passive exercises, bedexercises and an occasional requirement for intensive physical effort forseveral short periods throughout the day. Close contact with patients includingthe performance of invasive techniques such as Airway suction and Blood Gassampling frequently exposes the post holder to bodily fluids e.g. sputum,urine, blood, vomit and faeces. There isfrequent need for prolonged concentration when assessing and treating highlycomplex patients and a need to act rapidly in potentially life-threateningsituations.

Thereis frequent need for prolonged concentration and involvement in emotionallydistressing situations, such as dealing with bad news, terminal illness, deathand bereavement, where empathy and support for patients, carers and other teammembers will be needed. Work pattern isoften unpredictable with frequent interruptions/changes and managerialdeadlines.

JobPurpose

Workingas an autonomous practitioner, to provide high quality patient focussed carethrough assessment, diagnosis, development and delivery of individual treatmentprogrammes.

Totake the responsibility for own caseload within a defined area of service orfor a particular patient type.

Toprovide supervision, support and education to qualified and unqualified staffand students.

Toparticipate in departmental audit in support of evidence-based practice.

Tocommunicate with the MDT as appropriate to provide comprehensive assessment todetermine admission prevention as appropriate to given speciality.

Toundertake outpatient activity as appropriate within area of speciality.

Tocontribute 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 asappropriate to speciality.

KeyDuties

Clinical

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

Toundertake clinical assessment, including risk analysis, of patients presentingwith simple and complex/multi pathologies within defined area of speciality.

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

Touse advanced clinical reasoning skills and manual assessment techniques toestablish accurate diagnosis.

Touse judgemental skills and comprehensive knowledge of physiotherapy treatmentsto formulate individual treatment programmes based on evidence of bestpractice.

Todemonstrate a high level of skill in dexterity, co-ordination and sensoryskills to deliver appropriate treatments selected from a range of physiotherapeuticinterventions e.g normal movement, motor relearning, manual therapy techniques,respiratory techniques, use of NIV, exercise therapy, hydrotherapy andelectrotherapy dependant on area of speciality.

Toregularly evaluate the effectiveness of the treatment plan and adjust thetreatment accordingly.

Touse clinical knowledge to formulate a prognosis and recommend an appropriatecourse of action and discharge plan.

Tomaintain comprehensive, accurate and contemporaneous treatment recordsincluding valid consent appropriate to the intervention.

Toensure that patient confidentiality is maintained at all times.

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

Tobe responsible for leading patient classes, e.g. cardiac rehabilitation, kneegroup and rheumatology classes dependant on area of speciality.

Communications

Toassess capacity, gain valid consent and to work within a legal framework withpatients who lack capacity to consent to treatment.

Tocommunicate effectively, verbally and through touch, with patients to maximiserehabilitation potential.

Todemonstrate communication skills of persuasion, motivation, reassurance,explanation and negotiation, with patients with barriers to effectivecommunication may be evident, eg expressive and receptive dysphasia, alteredperception, hearing loss, mental disabilities, pain and fear. Barriers to effective communication willregularly be evident.

Towrite clear and concise notes based on physiotherapy assessment and treatmentof patients, in accordance with professional standards.

Touse written information in assisting the patient to understand their conditionand involvement in the treatment process.

Toliaise with the designated Team Lead Physiotherapist regarding the workload ofthe area.

Toliaise with senior physiotherapy staff regarding highly complex cases.

Toliaise with medical, nursing staff and other health care professionalsregarding patient care.

Toliaise and where appropriate advise patients, carers and relatives regardingpatient care.

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

Toproduce written discharge summaries and/or progress reports to GPs, Consultantsor other referring health professional regarding the patients condition withinSpeciality.

Education and Training

Tobe appraised by the Team Lead Physiotherapist within area of speciality, agreepersonal objectives to be achieved within area of speciality and formulate apersonal development plan.

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

Tokeep abreast of new developments in clinical physiotherapy and evidence basedpractice.

Toparticipate in all annual mandatory training.

Todemonstrate an understanding of clinical governance in physiotherapy practice.To regularly evaluate physiotherapy practice through the use of outcomemeasures and audit.

Toundertake, or assist with Research and Development activity.

Toparticipate in training by the regular delivery of presentations to fellowphysiotherapists, other staff and students.

Tosupervise and appraise more junior members of staff, assistants and students asdelegated by senior staff, to promote a high standard of patient care.

Toadhere to local department and trust policy.

Organisation and Management

Toprioritise and manage own patient workload and that of supervised staff.

Inthe absence of the Team Lead Physiotherapist in the specialty, to manage andallocate staff in order to provide an efficient service.

Toensure the Team Lead is fully informed of all matters affecting the specialityby regular reporting.

Tobe aware of and adhere to National, Professional, Trust and Departmentalpolicies and recommend changes for own work area following audit or research.

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

Toensure safe use of all mechanical and electrical equipment or orthoses andappliances used in the care of patients, providing advice to other staff andcarers as needed.

Toact immediately to rectify any unsafe practices or environments witnessed andreport adverse incidents or near misses according to Trust policy.

Toprovide statistical information regarding own workload as required formanagerial purposes.

Professional

Tomaintain Health Professions Council (HPC) registration adhering to theStandards of Conduct, Performance and Ethics

Tomaintain own Continuing Professional Development in line with ClinicalGovernance and the HPC Standards.

Towork within the Rules of Professional Conduct of the Chartered Society ofPhysiotherapy.

Tobe responsible for maintaining own competence through self-directed learningand reflective practice.

Toassist with research, audit and service development projects.

Person Specification

Other Job Requirements

Essential

• Able and willing to commute between sites Able and willing to work across 7 days and take part in on call duties through a 24 hour period
• Ability to meet the physical demands of the role Commitment to working in Worcestershire

Personal Qualities

Essential

• Professional manner Team player Flexible, Assertive & Enthusiastic Able to show initiative Excellent interpersonal skills Approachable and consistent

Qualifications

Essential

• Diploma or degree in physiotherapy Health Profession Council Registration Appropriate postgraduate qualifications / training

Desirable

• Member of CSP

Trust values and behaviours

Essential

• Able to demonstrate our Trust values and behaviours Being open and honest we all communicate clearly and honestly, asking for
• help when we need it, and making it easier for the people around us to share ideas and concerns. Ensuring people feel cared for we all take responsibility for actively supporting and nurturing a kind and compassionate environment for ourselves and others. Showing respect for everyone we all act with consideration and fairness, valuing each other as individuals and appreciating our different perspectives

Experience

Essential

• Appropriate and broad experience in core rotations can demonstrate a broad range of knowledge from different specialities or within speciality if a static post Experience of working in an acute NHS environment Evidence of relevant and recent CPD
• Supervision and development of assistants and students

Desirable

• Training of other MDT members Active participation in audit or research Experience of working in speciality at a senior level

Knowledge and Skills

Essential

• Effective and appropriate written communication skills Comprehensive clinical knowledge and skills in core areas and within speciality Effective team working skills Understanding of Professional, Legal and Clinical Governance responsibilities Understanding of current NHS issues

Desirable

• Teaching skills Leadership skills Presentation Skills

Person Specification
Other Job Requirements

Essential

• Able and willing to commute between sites Able and willing to work across 7 days and take part in on call duties through a 24 hour period
• Ability to meet the physical demands of the role Commitment to working in Worcestershire

Personal Qualities

Essential

• Professional manner Team player Flexible, Assertive & Enthusiastic Able to show initiative Excellent interpersonal skills Approachable and consistent

Qualifications

Essential

• Diploma or degree in physiotherapy Health Profession Council Registration Appropriate postgraduate qualifications / training

Desirable

• Member of CSP

Trust values and behaviours

Essential

• Able to demonstrate our Trust values and behaviours Being open and honest we all communicate clearly and honestly, asking for
• help when we need it, and making it easier for the people around us to share ideas and concerns. Ensuring people feel cared for we all take responsibility for actively supporting and nurturing a kind and compassionate environment for ourselves and others. Showing respect for everyone we all act with consideration and fairness, valuing each other as individuals and appreciating our different perspectives

Experience

Essential

• Appropriate and broad experience in core rotations can demonstrate a broad range of knowledge from different specialities or within speciality if a static post Experience of working in an acute NHS environment Evidence of relevant and recent CPD
• Supervision and development of assistants and students

Desirable

• Training of other MDT members Active participation in audit or research Experience of working in speciality at a senior level

Knowledge and Skills

Essential

• Effective and appropriate written communication skills Comprehensive clinical knowledge and skills in core areas and within speciality Effective team working skills Understanding of Professional, Legal and Clinical Governance responsibilities Understanding of current NHS issues

Desirable

• Teaching skills Leadership skills Presentation 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.
Certificate of Sponsorship

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 .

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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

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.
Certificate of Sponsorship

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 .

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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust
Address

Charles Hastings Way

Worcester

Worcestershire

WR5 1DD

United Kingdom

Employer's website