First Contact Physiotherapist Band 8a

Job description

Job responsibilities

The physiotherapist will be primarily based within the practices that constitute the network but may need to work from other premises within the local area as determined by the networks clinical director and management team.

JOB PURPOSE

1. Provide clinical expertise, acting as first-contact physiotherapist and making decisions about the best course of action for patients' care (including in relation to undifferentiated conditions). This will involve seeing patients, without prior contact with their GP, in order to establish a rapid and accurate diagnosis and management plan.

2. Progress and request investigations to facilitate diagnosis and choice of treatment

regime, understanding the information limitations derived from these and the relative

sensitivity and specificity of particular tests diagnostic services such as x-rays and blood test and interpret and act on results to aid diagnosis and the management plans of patients.

3. Deliver programmes of supported patient self-management, in ways that facilitate

behavioural change, optimise individuals' physical activity, mobility, fulfilment of

personal goals and independence, and that minimise the need for pharmacological

interventions.

CORE RESPONSIBILITIES

1. Takes professional responsibility as a first-contact physiotherapist, with high-level

decision-making and clinical-reasoning skills to assess, diagnose and triage of patients.

2. Manages a complex caseload (including patients with long-term conditions, comorbidities and multi-factorial needs),

3. Leads, manages and contributes to service delivery,

4. Accountable for decisions and actions via HCPC registration, supported by a

professional culture of peer networking/review and engagement in evidence-based

practice

5. Streamlines pathway of care by providing a responsive service so that patients receive timely access to care.

6. Ensures care is proactive, preventive in focus and population based, with an emphasis on early intervention.

7. Provides care which is tailored to the individual needs. This would include, appraising

the impact of individuals' clinical status on their general health, well-being, employment status (including in relation to function, physical activity, mobility and independence.

8. Supports patients to set their own goals and be confident in their approach to self-management

9. Communicates effectively and appropriately with patients and carers complex and

sensitive information regarding diagnosis, pathology and prognosis.

10.Uses a range of clinical skills which may include:

a. non-medical independent prescribing

b. joint / soft tissue injections

c. joint aspirations

11.Provides learning opportunities for the whole multi professional team within primary

care.

12.Works with MDT to develop more effective and streamlined clinical pathways and

services

13.Exercises professional judgement, making, justifying and taking responsibility for

decisions in unpredictable situations, including in the context of incomplete/contradictory information

14.Manages interactions in complex situations, including with individuals with particular psychosocial and mental health needs and with colleagues across the primary care team, sectors and settings.

EXPERT PROFESSIONAL PRACTICE

1. Demonstrates general physiotherapy skills and knowledge in core areas

2. Is able to plan, manage, monitor, advise and review general physiotherapy care

programmes for patients in core areas, including disease states / long term conditions

identified by local Needs Assessment

3. Demonstrates accountability for delivering professional expertise and direct service

provision

4. Exercise a critical understanding of personal scope of practice and to identify when a

patient needs referring on and where there are opportunities for developing the scope

and competence of the wider MDT to meet patient care needs

5. Integrates a broad range of interventions into practice, including injection therapy and

independent prescribing, while also promoting non-pharmacological solutions to patient

care

6. Through patient assessment and working in partnership with patients and their carers,

make decisions about the best pathway of care, informed by the urgency and severity of

patient need, patient acuity and dependency, and the most appropriate deployment of

resources

7. Manage risk in unpredictable, uncertain situations to uphold patient safety, including by

referring on to other primary care team members and to specialist services, as needed

8. Able to follow legal, ethical, professional and organisational policies/procedures and

codes of conduct

9. Involves patients in decision making and supporting adherence as per NICE guidance

COLLABORATIVE WORKING RELATIONSHIPS

- Operate as a full member of the primary care team, including contributing to leadership, service evaluation/improvement and research activity

- Manage and co-ordinate the care that individual patients receive, including through

liaising with other members of the MDT and with patients' carers

- Lead primary care activity, with a strong emphasis on prevention and early intervention, including through the delivery of public health advice (e.g. relating to physical activity, weight management and smoking cessation)

- Contribute to the use of healthcare technologies to optimise the integration of service

delivery (across teams, sectors and settings) and patients access and continuity of care

- Contribute to the development of primary care teams, including through contributing to others' learning.

LEADERSHIP

- Demonstrates understanding of the physiotherapy role in governance and is able to

implement this appropriately within the workplace

- Demonstrates understanding of, and contributes to, the workplace vision

- Demonstrates ability to improve quality within limitations of service

- Reviews last years progress and develops clear plans to achieve results within

priorities set by others.

- Demonstrates ability to motivate self to achieve goals

MANAGEMENT

- Demonstrates understanding of the implications of national priorities for the team and/or service.

- Demonstrates understanding of the process for effective resource utilisation

- Demonstrates understanding of, and conforms to, relevant standards of practice

- Demonstrates ability to identify and resolve risk management issues according to

policy/protocol

- Follows professional and organisational policies/procedures relating to performance

Management

- Represents the physiotherapy service on relevant committees and meetings, as a lead

physiotherapy clinician, provide input in relation to specialist issues and clinical matters as required.

- Assists Team Leaders in the efficient day to day management of the musculoskeletal

service.

EDUCATION, LEARNING AND DEVELOPMENT

- Understands and demonstrates the characteristics of a role model to members in the

team and/or service

- Demonstrates understanding of the mentorship process

- Demonstrates ability to conduct teaching and assessment effectively according to a

learning plan with supervision from a more experienced colleague

- Demonstrates self-development through continuous professional development activity

- Participates in the delivery of formal education programmes

- Demonstrates an understanding of current educational policies relevant to working

areas of practice and keeps up to date with relevant clinical practice

- As clinical supervisor and educator, designs, develops and delivers programmes of

specialised learning in line with evidence-based practice to peers and junior staff

RESEARCH AND EVALUATION

- Demonstrates ability to critically evaluate and review literature

- Demonstrates ability to identify where there is a gap in the evidence base to support

practice

- Demonstrates ability to generate evidence suitable for presentation at local level

- Demonstrates ability to apply the research evidence base into working practice

- Demonstrates understanding of the principles of research governance

- Demonstrates ability to work as a member of the research team

Person Specification

Experience

Essential

• Essential criteria
• Evidence of leadership and management expertise and knowledge acquired through CPD and experience Knowledge and experience of using standardised assessments and development of relevant outcome measures Demonstrates knowledge of equipment available and able to assess and fit where applicable Knowledge and understanding of national legislation, guidance and regulatory framework including NSF, NICE, Information Governance, Equality and Diversity, Data Protection, Safe Guarding, Professional and Clinical Guidelines. Knowledge of Clinical Governance and implications for service area Knowledge and evidence of participation in clinical audit and evidence gathering methods Evidence of continuous improvement through benchmarking and sharing and utilising best practice Knowledge and understanding of Health & Safety in the work environment and implications for service area Awareness and understanding of relevant health and Social Care legislation

Desirable

• Evidence of utilising systems of performance management Membership of Regional /National Specialist groups/forums Research and/or publications or contributions to

Qualifications

Essential

• Qualifications:
• Essential criteria
• Diploma/Degree in Physiotherapy Current HCPC Registration Current full driving licence Post-graduate qualifications relevant to MSK & Orthopaedic speciality to Masters level or equivalent

Desirable

• Desirable criteria
• Non-medical prescribing or willingness to complete Membership of Chartered Society of Physiotherapy Management/leadership qualification or equivalent Completed recognised IT course e.g. ECDL/Elite/MOST

Skills & Abilities

Essential

• IT skills Demonstrates skills & ability in use of computer packages on a regular basis Planning and organising: Demonstrates an ability to prioritise own and team workload and meet required timescales Responds appropriately to urgent and emergency situations Analytical and Judgement: Ensures the collection of data and analyses complex data obtained from several data sources in order to inform decision making within therapy services Ability to reflect and critically appraise own performance and that of others Ability to identify need for service development and implementation of action plans to address Proven ability to prioritise and delegate Communication and relationships: Able to present and receive complex information within a multi professional team. Ability to convey sensitive information in an empathetic manner to patient/clients/clients relative/ carers and staff. Demonstrate effective written, verbal and non-verbal communication skills. Leadership skills and ability to lead, motivate and support others Ability to adapt skills to ensure effective communication at all levels Negotiation and conflict resolution skills Training and Education: Provides learning and development to other professionals within own work area and other clinical areas/agencies Evidence of up to date continuing professional development within NMSK & Orthopaedics Physiotherapy Physical/Practical: Able to demonstrate advanced patient/client clinical reasoning and assessment skills e.g. manual therapy techniques in MSK Physiotherapy Dexterity and accuracy in undertaking clinical skills, use of equipment and documentation Ability to utilise technology for the recording and collection of data and to support clinical care Produce timely, accurate written/electronic records and documents Ability to use own/lease car on a daily basis Experience: Broad post registration clinical experience of working within NMSK Physiotherapy Services Evidence of developing and utilising systems of performance management Experience of management of resources Experience of user/carer participation and engagement in development of services Evidence of development and supervision of staff and students Up to date documented evidence of CPD and able to demonstrate in practice portfolio experience in core physiotherapy and MSK physiotherapy Experience of leading a multi-professional team Experience of leading service developments Demonstrates Core Values: Able to demonstrate behaviours consistent with Safecare Network Ltd Core Values

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

The Central Surgery

Address

10 King Street

Barton Upon Humber

DN18 5ER

Employer's website

https://www.centralsurgery-barton.co.uk/ (Opens in a new tab)