Intensive Rehab Team Senior Physiotherapist - Band 6

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Intensive Rehab Team Senior Physiotherapist - Band 6

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JOB DESCRIPTION

JOB TITLE: SENIOR PHYSIOTHERAPIST BAND: 6 RESPONSIBLE TO: Intensive Rehab Support Clinical Lead KEY RELATIONSHIPS: Internal External

Community Cluster Locality Lead Community Hospital and Rehabilitation Team Community Nursing Teams Intensive Rehabilitation Team Long Term Condition Teams Community Health & Social Care Team Community Liaison Community Treatment Team Integrated Care Liaison Officer Lead Pharmacists Allied Health Professionals Administrators

GP’s Consultants IT Suppliers of Equipment Professional Bodies HPC Commissioners Local Authorities Voluntary Groups University Institutes Secondary Care

CONTROLS ASSURANCE STATEMENT:

The purpose of this job description is to outline the level of responsibility and accountability of this post. This will ensure that all work undertaken by our staff is clearly identified and carried out under clear lines of accountability. Aim of the role The post holder will be expected to support their team, department and organisation to achieve the Trust’s Values in their day to day work. These are the 5P’s: Putting people first Prioritising quality Being progressive, innovative and continually improve Being professional and honest Promoting what is possible – independence, opportunity and choice The post holder will achieve this by:

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Working as part of the Intensive Rehabilitation Service (IRS) to provide high quality, timely rehabilitation for patients requiring step up from the integrated health team or step down from an acute or community bed. Delivering high quality rehabilitation in a patient’s home rather than in a community bed setting for those patients with a rehabilitation need as part of a multi professional service/team. Working with patient centred goal orientated rehabilitation, self management and independence throughout the continuum of care. Providing onward referrals to other community services including health and social care to ensure the safe management of the patient when completing their IRS episode of care. Aim of the role: The post holder will be expected to support their team, department and organisation to achieve the Trust’s Values in their day to day work. These are the 5P’s:

Putting people first

Prioritising quality

Being progressive, innovative and continually improve

Being professional and honest

Promoting what is possible – independence, opportunity and choice

To provide specialist physiotherapist assessment and intervention to patients within the community.

To provide support, specialist advice and clinical supervision within the physiotherapy service and to students on fieldwork placements.

To be an active member of the Integrated team and contribute to effective team working.

To work within community settings.

To ensure the provision of a high standard of therapy care to patients and their families.

To provide, rehabilitation and delivery of the National Service Frameworks.

To provide public health, health promotional programmes to improve the service and reduce inequalities.

To maintain up-to-date written and computerised records.

Key Responsibilities:

To be responsible for organising and prioritising own and others workload in the day to day allocation of work.

To have organisational knowledge relating to Trust protocols and procedures and adhere to them.

To be responsible for providing accurate records of information required by the Trust for audit purposes.

To ensure effective risk management at team level by accident/incident reporting, assessing and controlling risk and ensuring residual risks are added to the Trust register.

To be aware of and implement the Organisation’s Policies & Procedures and participate in the development of new policies as required.

To assist in monitoring the quality of Physiotherapy services offered and contribute to the development of quality measures.

Identify the need for and participate in clinical audit, implement change in clinical practice and participate in monitoring and evaluation processes

To be responsible for the physiotherapy assessment, treatment and evaluation of outcome for patients referred to the service.

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To participate in the recruitment and selection process.

To develop and offer clinical fieldwork placements for physiotherapy students.

To be aware of responsibilities under the Health and Safety at Work Act, and to contribute to the maintenance of a safe working environment for patients and staff, in accordance with the Act.

To assist in monitoring the quality of physiotherapy services offered and contribute to the development of new quality measures.

To provide mentorship and plan learning programmes as appropriate to the needs of students and others on community placements.

Leadership

To prioritise workload, delegate and to supervise more junior staff including support staff and students, to aid provision of high standards of patient care.

To work flexibly and assist in effective and efficient delivery of the service.

To undertake the collection of data for use in service audit and monitoring performance of the service.

To provide planned advice and occasional spontaneous advice to colleagues within the MDT.

To organise and plan own caseload to meet patient and service priorities and follow local procedures to implement change should a situation arise.

To deputise in the absence of the Team Leader in the day to day management of the therapy team and delegation of workload as appropriate.

To act as a role model and motivate team members in working towards an innovative and high standard of practice.

To be responsible for ensuring that clinical records are kept up to date and stored and managed to preserve confidentiality

To demonstrate and apply a sound understanding of the pillars of Clinical Governance and Risk Management and apply these to your own and your team’s clinical and non-clinical practice.

To attend mandatory training and induction courses as designated by the Trust.

To abide by CSP, HCPC rules of professional conduct and local professional and quality standards.

To work effectively and manage frequent and unpredictable interruptions during clinical and managerial work, such as requests for work, telephone calls, requests for advice and information, demonstrating an advanced ability to multi-task on a daily basis.

To manage and prioritise clinical and non-clinical responsibilities of the post including project deadlines, complex patient caseload, team supervision, service development and teaching/mentoring of staff.

To collect statistical and activity information as required.

To be responsible for the evaluation and measurement of own and teams practice through the use and implementation of appropriate outcome measures, audit, patient and referrer surveys and other evidence based quality improvement initiatives.

To recommend and work with the Therapy Lead to implement findings in a timely and appropriate manner.

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Clinical Skills

To maintain high professional standards of behaviour and appearance.

To perform a comprehensive assessment of patients including those with multiple pathologies using clinical reasoning skills and assessment techniques to formulate a treatment plan based on clinical findings of their condition, working without direct supervision as an autonomous practitioner.

To implement the treatment plan involving other health professionals and carers as appropriate, monitor progress and modify treatment plans as and when necessary.

To comply with trust and service guidelines, protocols and policies whilst adhering to CSP and HCPC requirements and to support more junior staff to do so.

To promote effective relationships with other members of the MDT, Social Services, Voluntary and Independent sectors.

To develop skills and expertise to treat patients referred to the Intensive Rehabilitation Service and to and be able to handle emotional, motivational, psychological and social issues.

To act as an expert in respect of physical function offering advice and support to relatives and carers, enabling individuals to achieve and maintain the highest levels of physical independence and ensure a consistent approach to the patients overall management.

Assess patient understanding of suggested physiotherapy treatment gain informed consent and to have the capacity to work within a legal framework with patients who are unable to consent to treatment.

To frequently cope with the physical demands of the post e.g. therapeutic and manual handling, prolonged standing, bending, lifting of equipment and awkward loads complying with the Trust manual handling regulations at all times and ensuring the staff you supervise do likewise.

To cope physically, emotionally and mentally with a complex daily patient caseload, involving lifting, therapeutic handling.

To demonstrate a commitment to evidence based practice by identifying, undertaking and contributing to audit, bench marking or research projects and other research opportunities relevant to physiotherapy, multi-disciplinary and multi-agency practice.

To frequently have to work effectively in an environment that is physically unpleasant e.g. cramped, overcrowded, unhygienic, used by pets or hot and requires the sharing of equipment such as computers or desk space.

To maintain a high level of mental focus frequently throughout the day when writing reports, using clinical reasoning and problem solving.

The above is not an exhaustive list of expected clinical duties to be undertaken. Full training and competencies will be given to ensure that the post holder has the appropriate skills to undertake the above. Computer/Administration

To be computer literate and encourage implementation of the Trust’s IM&T Strategy.

To ensure accurate recording of actions, and updating patient’s records, maintaining confidentiality at all times.

To take part, and assist, in the planning and administration relating to day to day running of the caseload using Systmone (S1)

To record activity and client related information on Systmone

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Communication

To have a wide range of knowledge in approaches to communicating and managing patient care.

To be able to effectively communicate with colleagues, peers, senior managers and clinical leads within the Trust.

To be able to communicate complex patient related information facilitating positive outcomes and ensuring collaborative working.

Participate in the review and development of clinical policies and identifies improvements to service provision.

Responsibility for ensuring that appropriate methods are initiated to facilitate effective communication with clients and informal carers who may experience communication difficulties e.g. those who have mental health issues, learning difficulties, cognitive or sensory impairment or those who require interpreters.

To provide verbal and written communication with the multi-disciplinary team to co-ordinate effective client care or service/clinical development

To provide written communication to other agencies including referrals and sharing of care plans where appropriate to support integrated, patient-centred care, in line with the unique care initiative.

To be able to communicate complex and sensitive information in an understandable form to clients and carers who may be distressed or have difficulty coming to terms with a diagnosis and its implications.

To maintain clear and effective communication with the rest of the multi-disciplinary team, patients, carers and other agencies on the assessment, intervention and progress of patients.

To provide specialist physiotherapy advice and write reports regarding care needs in order to enable safe discharge and to maintain living at home where appropriate.

To provide clear record of all physiotherapy intervention and ensure confidentiality is maintained.

Use a range of verbal and non-verbal communication tools to communicate effectively with patients/clients to progress rehabilitation and treatment programmes. This will include patients who may have difficulties understanding or communicating. For example, a person may be dysphasic, depressed, hearing impaired, visually impaired or may be unable to accept a diagnosis.

To articulate and work to the principles that underpins physiotherapy practice when dealing with complex and sensitive situations and to disseminate information which represents and promotes the unique role of physiotherapy in relation to interdisciplinary working.

Being able, on a frequent basis to convey information to a patient of a sensitive and sometimes distressing nature to a patient/carer/family regarding progress in rehabilitation and potential for improvement.

Training

Maintain and develop current knowledge of evidence-based practice for conditions and treatments and inform more junior staff of such developments.

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To be an active member of the training programme and clinical supervision by attendance at, participation in and occasional facilitation/leading training sessions to junior, senior and support intermediate care staff.

To undertake external and internal courses identified as part of appraisal by individual line managers leading to a personal development plan (PDP).

To undertake, and assist, in the planning of own mandatory training and workshops.

To support new staff and their integration within the team.

To ensure own continued professional development and support a culture of lifelong learning in self and others.

To undertake, and assist, in the planning of own mandatory training and workshops.

To undertake a regular appraisal, developing a personal development plan that includes clinical competencies reflecting the health needs of the local population and relates to Trust strategy.

To support new staff and their integration within the team.

To support training as part of the role including changes to professional development and implementation of new policies and guidelines.

To actively take responsibility for identifying own personal training needs and participate in on-going professional development ensuring taking advantage for maintaining and developing professional knowledge and skills.

To be actively involved with professional clinical groups; such as journal clubs, specialist section, peer review groups and other professional developmental activities.

Give feedback to colleagues following training.

Additional Information

Health & Safety

Employees must be aware of the responsibilities placed upon them under the Health & Safety at Work Act (1974) and subsequently published regulations to ensure that the Trust’s Health and Safety policies and procedures are complied with to maintain a safe working environment for patients, visitors and employees. Infection Control

Each staff member has a duty to take personal responsibility for the prevention and control of infection, in accordance with Trust Infection Prevention and Control Policies, which reflect the statutory requirements of the Health Act 2006 – Code of Practice for the Prevention and Control of Healthcare Associated Infection. They must attend mandatory training in Infection Control and be compliant with all measures required by the Trust to reduce HCAIs.

Risk Management You will be responsible for adopting the Risk Management Culture and ensuring that you identify and assess all risks to your systems, processes and environment and report such risks for inclusion within the Trust Risk Register. You will also attend mandatory and statutory training, report all incidents/accidents including near misses and report unsafe occurrences as laid down within the Trust Incidents

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Smoking Policy

It is the Trust’s policy to promote health. Smoking, therefore, is actively discouraged. It is illegal within the Trust buildings and vehicles. Codes of Conduct North East London NHS Foundation Trust (NELFT) requires the highest standards of personal and professional conduct from all of its employees. All employees must comply with the Code of Professional Conduct appropriate to their professional governing body. As an NHS employee, you are required to observe the following principles:

Make the care and safety of patients my first concern and act to protect them from risk;

Respect the public, patients, relatives, carers, NHS staff and partners in other agencies;

Be honest and act with integrity;

Accept responsibility for my own work and the proper performance of the people I manage;

Show my commitment to working as a team member of working with all my colleagues in the NHS and the wider community;

Take responsibility for my own and continuous learning and development

Data Protection

Personal data is protected under the Data Protection Act (1999) and the post holder will ensure that it is securely held and that the requirements of the Act are followed. It is the responsibility of all staff whose jobs requires them to record information in Trust Computer systems (e. g RIO and ESR) to ensure that the data entered into these systems is of high data quality and that information is recorded correctly and in a timely manner. Failure to adhere to this requirement could be considered a disciplinary matter Information Security and Confidentiality All employees are required to observe the strictest confidence with regard to any patient/client information that they may have access to, or accidentally gain knowledge of, in the course of their duties. All employees are required to observe the strictest confidence regarding any information relating to the work of the Trust and its employees. You are required not to disclose any confidential information either during or after your employment with the Trust, other than in accordance with the relevant professional codes. All person identifiable information must be held in the strictest confidence and should be disclosed only to authorised people in accordance with NHS Confidentiality Guidelines [Caldicott] and the Data Protection Act 1998 unless explicit written consent has been given by the person identified, or where information sharing protocols exist. Failure to comply with these regulations whilst in the employment of the Trust could result in action being taken under the Trust Disciplinary Policy and Procedure.

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Equality and Diversity North East London NHS Foundation Trust (NELFT) is committed to the implementation of the Equality and Diversity at Workplace policy which ensures equal opportunities for all. NELFT is also committed to embracing diversity and eliminating discrimination in both its role as an employer and as a provider of services. It aims to create a culture that respects and values each other’s differences, promotes dignity, equality and diversity and encourages individuals to develop and maximise their potential. The Trust will ensure that it provides equal and fairness for all, and not to discriminate on the grounds of gender, marital status, race/ethnicity, disability, sexual orientation, religion, transgender or gender reassignment status, age, marriage or civil partnership/same sex marriage, and because of you being pregnant or being on maternity/paternity leave. All staff are required to observe this policy in their behaviour to employees and patients/service users. For HR Use Only: Date of template: 12/12/2016 Version: 1 For Manager Use Only:

Date last reviewed: Insert date job description approved by panel

Date to be reviewed: Insert date job description to be reviewed by manager Signed:………………………………………….. Dated: …………………………….. (Manager) Signed: ………………………………………….. Dated:……………………………... (Employee)

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Person specification

Essential Desirable Measurement

Demonstration of Trust Values

Putting people first Application Form Interview

Assessment

Prioritising quality Application Form Interview

Assessment

Being progressive, innovative and continually improve

Application Form Interview

Assessment

Being professional and honest


Assessment

Promoting what is possible, independence, opportunity and choice


Assessment

Qualifications

Physiotherapy Degree/Diploma or equivalent


Assessment

State Registration Application Form

MCSP Application Form

Evidence of professional up-dating


Academic ability to study at degree level


Experience

Has experience of team working that will assist the individual to manage an effective team


Interagency and collaborative working


Evidence of teaching and assessing individuals


Ability to manage staff conflict and difficult situations


Experience of ensuring practice is based on sound evidence and clinical audit


To have broad clinical

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experience during undergraduate placements

12-18 months post registration experience as a physiotherapist

A minimum of 1 year of NHS experience

post registration experience in relevant clinical settings

Documented evidence of CPD

Experience of working as part of a multi-disciplinary team

Advice, training and support to more junior staff, assistants and students

Knowledge

Sound clinical knowledge

Knowledge of current NHS agenda and guidelines

Understand the legal responsibilities of the profession

A good range of clinical skills, including assessment


Maintain accurate and contemporaneous written or computerised records


An understanding of working within budgetary and resource constraints


Awareness of current policy and professional, primary care and social issues


Regularly participate in clinical audit


An understanding of clinical governance and its application in practice


Provide statistical data and reports as required for service delivery


Understands the need for confidentiality when relating patient’s condition to relatives


Ensure all risks are assessed and appropriate


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action taken to eliminate any risk to others

Manual handling procedures are carried out in line with Trust policy


Make recommendations as necessary to improve service delivery


Skills

Basic awareness of IT and IT skills


Assessment

Excellent interpersonal, communication and leadership skills


Good organisation and time management skills with the ability to prioritise and work in a self-directed way


Manage, implement and evaluate rehabilitation needs and make recommendations


Ability to work on own initiative and exercise leadership


Effective management of team members, planning and delegating of caseload appropriately


Computer skills including the use of Excel, Power Point and access databases


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Involvement in providing learning environment for students. A client centred approach. Effective role model


Intensive Rehab Team Senior Physiotherapist - Band 6

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