Job description

Job responsibilities

JOB SUMMARY:

To manage a case load of patients with varying diagnosis and/or highly complex needs, using evidence based/patient centred principles to assess, plan, implement and evaluate interventions in a defined clinical area.

To work closely with the Consultant physiotherapists in supporting and co-ordinating clinical education within the service.

To act as a source of expertise in the management of the service and provide an advisory service to patients and other healthcare professionals, GPs and Consultants

P rincipal Duties and Responsibilities

C li n i c a l

To triage, assess, diagnose and manage patients referred to the service from GPs, Consultants and other

AHPs and arrange investigations and organise onward referral where appropriate

To treat and manage patients appropriately within a range of options including referring for diagnostics, referring patients onto a consultant for an expert medical opinion, referring patients to physiotherapy, podiatry, surgical appliances and any other community and secondary care services.

To undertake highly specialised assessment of routine and highly complex patients presenting with spinal, peripheral and chronic pain problems using advanced management and treatment plans utilising a range of specialist treatments.

To interpret and analyse tests and investigations to form accurate diagnosis and prognosis for a wide range of specialist treatments

To recommend the evidence based/best practise intervention for routine, complex and some highly complex conditions. This may include direct referral to Secondary care consultants or allied health professionals and specialist investigations or the decision that no further treatment is required

To determine clinical indication and independently request specific diagnostic investigations e.g. X-ray, MRI, US, nerve conduction tests. To follow up on the results with patients and arrange further management as necessary

To determine and set agreed and realistic outcomes with patients to achieve anticipated outcome of treatment

To independently triage patients into the service referred by GPs, Consultants and AHPs.

To perform steroid injections as appropriate

M a n ag eme n t

To manage a caseload of patients with varying diagnosis and/or complex needs, using evidence based/patients centred principles to assess, plan, implement and evaluate in a defined area.

To hold responsibility for own caseload working without direct supervision. Supervision taking the form of regular formal training and clinical reasoning sessions, peer review, case conferences. Access to advice and support from Clinical Lead, ESPs, GPwSI and externally by local Consultants Surgeon

To be professionally accountable and responsible for own work and to maintain a high standard of clinical care for patients in accordance with recognised standards, guidelines or best practise

To induct and mentor physiotherapists and AHPs and to ensure competencies are completed in a timely fashion

To work within the CSP and Healthshare guidelines to maintain knowledge of national and local standards

and monitor own and colleagues safe and competent practise.

To undertake and assist in audits of the OPD, Extended Scope clinics and other services as required.

To participate in both professional and clinical supervision this might include supervising senior, less experienced physiotherapists and students. This will involve mentoring more than one member of staff.

C o mm u n i c a t i o n

To receive and interpret complex information about patients musculoskeletal health, the impact on their quality of life. To facilitate patients to disclose sensitive information relevant to the presenting problem, this may include exploring work ability, sphincter disturbance and sexual function. Confidentiality is maintained at all times.

To provide complex and sensitive information, in simple terms about diagnosis, prognosis, concerns, treatment options and scientific information to patients, carers and others (within and outside own profession), who may find such ideas difficult to understand due to differences in educational or language background, and who may not want to accept information provided. Information needs to be clearly conveyed without causing offence or distress. This must be done whilst ensuring that patients have full understanding.

To facilitate patients attitudinal change towards their condition and thus engage the patient with treatment choices and empower self-management.

To diffuse potentially hostile and antagonistic situations with patients, staff and relatives, using highly developed negotiation and interpersonal skills.

To communicate with all other healthcare professionals, and professional networks concerning patient care and ensure good working relationships for the effective provision of musculoskeletal management.

To effectively and efficiently escalate information to appropriate senior clinicians where there is clinical concern related to serious pathology. This includes colleagues, GPs, Consultants

To report complaints to service lead or consultant physiotherapist in line with Healthshare formal complaints procedure.

To ensure effective and appropriate communication and reporting takes place at all times, both within the hospital and to General Practitioners and other community based health team members.

To be responsible for typing/dictating and signing clinical letters/reports to referrers and clinical departments at each stage of the pathway of care.

To develop and maintain effective communication channels with the multidisciplinary team involved in the

MSK Triage and Outpatient Physiotherapy Service.

To attend and actively participate in any of the OPD, MSK Triage and team's meetings as required.

Deputising for the Team Leader as required.

To initiate and maintain contacts with local and national clinical interest groups appropriate to the musculoskeletal and spinal fields.

E duc a t i o n

To be responsible for maintaining own competency to practice through undertaking appropriate CPD

To maintain membership of and participate in Special Interest Groups as appropriate.

To demonstrate a highly skilled knowledge, understanding and ability to apply new research evidence and established theory into clinical practise across specialties of physiotherapy and orthopaedics.

To contribute to the development and improvement of service guidelines and protocols

To guide and advise less senior members of the team on patient management

E ff o r t

To provide advice to patients relatives, carers and other AHPs to promote understanding of the aims of the care pathway

Assess patient understanding of assessment/treatment proposals to gain valid consent and have the capacity to work within the legal framework with patients who lack capacity to connect to treatment

To demonstrate a sound undertaking of clinical governance and to demonstrate the use of treatment plans with an evidence-based link.

To demonstrate physical ability to carry out physiotherapy assessment and interventions, including highly developed manual physiotherapy techniques and therapeutic handling

To participate as required in appropriate work related research/evaluation projects

To assist in the Management of all Complaints, Incidents and Near Misses.

To undertake monthly marketing activities to enhance the referral rate to the service

To be aware of the boundaries of own extended scope of practise and to manage the associated clinical risk effectively at all times

To provide comprehensive progress and discharge reports to GPs, consultants and patients

To contribute to the induction of new staff into their clinical area To ensure safe practise through checking the standard of new starters documentation, assessment, treatment skills and competences with medical devices.

To contribute to the evaluation of the service through research and audit. To implement appropriate change in clinical practice and service as required and continue the audit cycle to monitor change.

To ensure that all relevant Key Performance Indicators are continually achieved including taking effective action and involving other colleagues where appropriate.

Job responsibilities

JOB SUMMARY:

To manage a case load of patients with varying diagnosis and/or highly complex needs, using evidence based/patient centred principles to assess, plan, implement and evaluate interventions in a defined clinical area.

To work closely with the Consultant physiotherapists in supporting and co-ordinating clinical education within the service.

To act as a source of expertise in the management of the service and provide an advisory service to patients and other healthcare professionals, GPs and Consultants

P rincipal Duties and Responsibilities

C li n i c a l

To triage, assess, diagnose and manage patients referred to the service from GPs, Consultants and other

AHPs and arrange investigations and organise onward referral where appropriate

To treat and manage patients appropriately within a range of options including referring for diagnostics, referring patients onto a consultant for an expert medical opinion, referring patients to physiotherapy, podiatry, surgical appliances and any other community and secondary care services.

To undertake highly specialised assessment of routine and highly complex patients presenting with spinal, peripheral and chronic pain problems using advanced management and treatment plans utilising a range of specialist treatments.

To interpret and analyse tests and investigations to form accurate diagnosis and prognosis for a wide range of specialist treatments

To recommend the evidence based/best practise intervention for routine, complex and some highly complex conditions. This may include direct referral to Secondary care consultants or allied health professionals and specialist investigations or the decision that no further treatment is required

To determine clinical indication and independently request specific diagnostic investigations e.g. X-ray, MRI, US, nerve conduction tests. To follow up on the results with patients and arrange further management as necessary

To determine and set agreed and realistic outcomes with patients to achieve anticipated outcome of treatment

To independently triage patients into the service referred by GPs, Consultants and AHPs.

To perform steroid injections as appropriate

M a n ag eme n t

To manage a caseload of patients with varying diagnosis and/or complex needs, using evidence based/patients centred principles to assess, plan, implement and evaluate in a defined area.

To hold responsibility for own caseload working without direct supervision. Supervision taking the form of regular formal training and clinical reasoning sessions, peer review, case conferences. Access to advice and support from Clinical Lead, ESPs, GPwSI and externally by local Consultants Surgeon

To be professionally accountable and responsible for own work and to maintain a high standard of clinical care for patients in accordance with recognised standards, guidelines or best practise

To induct and mentor physiotherapists and AHPs and to ensure competencies are completed in a timely fashion

To work within the CSP and Healthshare guidelines to maintain knowledge of national and local standards

and monitor own and colleagues safe and competent practise.

To undertake and assist in audits of the OPD, Extended Scope clinics and other services as required.

To participate in both professional and clinical supervision this might include supervising senior, less experienced physiotherapists and students. This will involve mentoring more than one member of staff.

C o mm u n i c a t i o n

To receive and interpret complex information about patients musculoskeletal health, the impact on their quality of life. To facilitate patients to disclose sensitive information relevant to the presenting problem, this may include exploring work ability, sphincter disturbance and sexual function. Confidentiality is maintained at all times.

To provide complex and sensitive information, in simple terms about diagnosis, prognosis, concerns, treatment options and scientific information to patients, carers and others (within and outside own profession), who may find such ideas difficult to understand due to differences in educational or language background, and who may not want to accept information provided. Information needs to be clearly conveyed without causing offence or distress. This must be done whilst ensuring that patients have full understanding.

To facilitate patients attitudinal change towards their condition and thus engage the patient with treatment choices and empower self-management.

To diffuse potentially hostile and antagonistic situations with patients, staff and relatives, using highly developed negotiation and interpersonal skills.

To communicate with all other healthcare professionals, and professional networks concerning patient care and ensure good working relationships for the effective provision of musculoskeletal management.

To effectively and efficiently escalate information to appropriate senior clinicians where there is clinical concern related to serious pathology. This includes colleagues, GPs, Consultants

To report complaints to service lead or consultant physiotherapist in line with Healthshare formal complaints procedure.

To ensure effective and appropriate communication and reporting takes place at all times, both within the hospital and to General Practitioners and other community based health team members.

To be responsible for typing/dictating and signing clinical letters/reports to referrers and clinical departments at each stage of the pathway of care.

To develop and maintain effective communication channels with the multidisciplinary team involved in the

MSK Triage and Outpatient Physiotherapy Service.

To attend and actively participate in any of the OPD, MSK Triage and team's meetings as required.

Deputising for the Team Leader as required.

To initiate and maintain contacts with local and national clinical interest groups appropriate to the musculoskeletal and spinal fields.

E duc a t i o n

To be responsible for maintaining own competency to practice through undertaking appropriate CPD

To maintain membership of and participate in Special Interest Groups as appropriate.

To demonstrate a highly skilled knowledge, understanding and ability to apply new research evidence and established theory into clinical practise across specialties of physiotherapy and orthopaedics.

To contribute to the development and improvement of service guidelines and protocols

To guide and advise less senior members of the team on patient management

E ff o r t

To provide advice to patients relatives, carers and other AHPs to promote understanding of the aims of the care pathway

Assess patient understanding of assessment/treatment proposals to gain valid consent and have the capacity to work within the legal framework with patients who lack capacity to connect to treatment

To demonstrate a sound undertaking of clinical governance and to demonstrate the use of treatment plans with an evidence-based link.

To demonstrate physical ability to carry out physiotherapy assessment and interventions, including highly developed manual physiotherapy techniques and therapeutic handling

To participate as required in appropriate work related research/evaluation projects

To assist in the Management of all Complaints, Incidents and Near Misses.

To undertake monthly marketing activities to enhance the referral rate to the service

To be aware of the boundaries of own extended scope of practise and to manage the associated clinical risk effectively at all times

To provide comprehensive progress and discharge reports to GPs, consultants and patients

To contribute to the induction of new staff into their clinical area To ensure safe practise through checking the standard of new starters documentation, assessment, treatment skills and competences with medical devices.

To contribute to the evaluation of the service through research and audit. To implement appropriate change in clinical practice and service as required and continue the audit cycle to monitor change.

To ensure that all relevant Key Performance Indicators are continually achieved including taking effective action and involving other colleagues where appropriate.

Person Specification

Experience

Essential

• Excellent knowledge in the relevant clinical
• area
• Experience of ordering and interpreting medical investigations such as MRI, X-ray and Blood tests
• Experience of Quality and Audit and how to implement change.
• Experience of working in an autonomous role
• Clinical Supervision skills and experience

Desirable

• Previous experience of triage
• Understanding of strategic and political issues affecting the Independent Sector

Qualifications

Essential

• Degree/Diploma in Physiotherapy.
• Registered with HCPC & CSP Recognised/ validated
• Orthopaedic musculoskeletal postgraduate training
• Relevant evidence of CPD

Desirable

• MSc in Physiotherapy
• IRMER qualifications Experience in research
• Have attained some modules at the level of Master Degree or working towards full
• MSc or similar
• Injection therapy qualification

Experience

Essential

• Excellent knowledge in the relevant clinical
• area
• Experience of ordering and interpreting medical investigations such as MRI, X-ray and Blood tests
• Experience of Quality and Audit and how to implement change.
• Experience of working in an autonomous role
• Clinical Supervision skills and experience

Desirable

• Previous experience of triage
• Understanding of strategic and political issues affecting the Independent Sector

Qualifications

Essential

• Degree/Diploma in Physiotherapy.
• Registered with HCPC & CSP Recognised/ validated
• Orthopaedic musculoskeletal postgraduate training
• Relevant evidence of CPD

Desirable

• MSc in Physiotherapy
• IRMER qualifications Experience in research
• Have attained some modules at the level of Master Degree or working towards full
• MSc or similar
• Injection therapy qualification

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Healthshare Group

Address

Hill House 67-71

Lowlands Road

Harrow

Middlesex

HA1 3AW

Employer's website

https://healthshare.org.uk/ (Opens in a new tab)