Community Rehabilitation Physiotherapist

Your Healthcare CIC

This job is now closed

Job summary

The Physiotherapist will work in the community as well as with residents, service users and Care Home staff in assessing need, setting goals and reviewing outcomes. Formulating goal focused treatment plans and delegate appropriately to care staff within the Care Home setting and work alongside an Exercise and Wellbeing Coach within the team who will be leading on the delivery of therapeutic exercise and activity interventions and falls prevention. As well as providing supervision and support to junior staff, assistants, other professionals and act as clinical educator.

Main duties of the job

In addition, the successful candidate will be working to reduce the risk of deconditioning of care home residents and supporting facilitation of discharges from acute setting. You will work in partnership with the Community Physiotherapy Service, Care Home residents, Care Home staff, the Urgent Care & Support Service staff and other Health Care Professionals.

About us

Welcome to Your Healthcare CIC, proud of delivering patient-led, high quality health and social care community services for residents in Kingston & Richmond as part of the NHS family.

Date posted

26 April 2024

Pay scheme

Agenda for change

Band

Band 6

Salary

£40,701 to £48,054 a year including HCAS / pro rata

Contract

Fixed term

Duration

1 years

Working pattern

Part-time, Flexible working

Reference number

B9811-24-0075

Job locations

Hollyfield House, 22 Hollyfield Road

Surbiton

KT5 9AL

Job description

Job responsibilities

2. Job Purpose

The Physiotherapist will work in the community as well as with residents, service users and Care Home staff in assessing need, setting goals and reviewing outcomes. The aim is to support patients to optimise their function supporting their independence wherever possible.

To formulate goal focused treatment plans and delegate appropriately to care staff within the Care Home setting and work alongside an Exercise and Wellbeing Coach within the team who will be leading on the delivery of therapeutic exercise and activity interventions and falls prevention.

To provide supervision and support to junior staff, assistants, other professionals and act as clinical educator.

Working to reduce the risk of deconditioning of care home residents and supporting facilitation of discharges from acute setting. Working in partnership with the Community Physiotherapy Service, Care Home residents, Care Home staff, the Urgent Care & Support Service staff and other Health Care Professionals.

3. Key Result Areas

KEY RESPONSIBILITIES

Proactively manage people in the care home setting to avoid unnecessary attendances at hospital and subsequent in-patient stays.
To perform physiotherapeutic assessments of residents with diverse presentations and complex physical and psychological conditions
To design and deliver individual physiotherapy treatment programmes based on a sound knowledge of evidence-based practice and treatment options using clinical assessment, reasoning skills and knowledge of treatment skills e.g., manual physiotherapy techniques, resident education, exercise classes and other alternative options
To facilitate residents and carers in the development of support plans, which meet their needs, outcomes and cover identified risks, offering the widest possible flexibility and choice allowing them to take control of their short-term goals
To evaluate resident progress through person-centred reviews and alter treatment programmes if required in partnership with other professionals in the multi-disciplinary team
To plan the discharge from the Urgent Care & Support Service in partnership with residents/ service users, their families and care home staff giving advice and information about their options and if necessary putting appropriate services in place
To facilitate service user choice and empowerment through promoting independence, in particular through the timely provision of information, advice and support to ensure service users maintain independent for as long as possible.
To ensure the highest level of data quality for all information recorded, ensuring that the information is timely, accurate and complete, to ensure the service meets all the statutory recording requirements.

To work as an autonomous practitioner and as a member of the Urgent Care & Support Service to be professionally and legally accountable for all aspects of their professional and clinical work within agreed national, local and professional standards and guidelines.

Undertake joint visits to service users in the care home with colleagues within the team and from other multi-disciplinary teams as directed/required.

Feedback effectively to members of the Urgent Care & Support Service team and external agencies on clients performance and progress towards identified exercise goals.

Respect the individuality, values, cultural and religious diversity of service users and contribute to provision of a service sensitive to these needs.

CLINICAL RESPONSIBILITIES

To be professionally and legally accountable and responsible for all aspects of own work including the management of individual caseload, working within accepted codes of professional conduct and clinical guidelines (where indicated), to minimise clinical risk.
Support the Urgent Care & Support Service and care homes with facilitating discharges from acute settings.
Ensure care homes provide baseline health data if the resident is admitted to hospital to support integrated, consistent care and facilitate discharge.
To recommend, determine and administer appropriate care plans utilising specialist treatment skills.
To identify appropriate care pathways and liaise / co-ordinate and facilitate multi-disciplinary and multi-agency referrals for clients with complex conditions and their families / carers.
Accept clinical responsibility for a designated caseload of patients and to organise this effectively and efficiently with regard to clinical priorities and use of time.
To provide specialist advice and guidance to other health or social care professionals, voluntary agencies and other organisations.
To formulate and be responsible for patient care plans carried out by assistant staff within health and social care services.
Provide advice in a variety of clinical and non-clinical situations, teaching and instruction to relatives, carers and other professionals, to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patient care.
To be responsible for the competent use of clinical equipment, and patient appliances as indicated, and to report any defects or malfunctions to the senior clinicians/healthcare professionals.
Assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
To be responsible for maintenance of accurate written patient records within Organisational, Professional and Service protocols and guidelines. To complete any necessary documentation/reports for other professionals/agencies as required.
Use a range of verbal and non-verbal communication tools to communicate effectively with residents and service users to progress rehabilitation and treatment programmes
To provide a high standard physiotherapy service within the Urgent Care & Support Service, which involves working autonomously and as part of the multidisciplinary team
To work closely with the Urgent Care & Support Service lead/s and the other members of the team and follow up residents care as assessed by clinicians through the process of monitoring and evaluating to reflect the residents changing needs/condition
To prescribe and train use of rehabilitation equipment as appropriate.

Competent in training on recognising soft signs, vital signs, NEWS2 and escalation pathways

Demonstrate a high level of clinical judgement, acting autonomously to support care homes to interpret clinical signs

To undertake risk assessments at initial and subsequent visits to determine the safety or otherwise of the residents ability to receive their care within the care home, referring to the most appropriate service when required.

SERVICE DELIVERY RESPONSIBILITIES

To record accurate, legible clinical observations in a timely manner.
Delivers services in line with Better Standards for Health Care and relevant legislation.
Contribute to the development and implementation of guidelines, protocols and patient care pathways where required.
Act as a resource and educator for residents, carers, families, team members, GPs and other professionals within the MDT to provide and advise on evidence-based practices, including effective health promotional aspects, in order to fulfil requirements of local and national guidelines.
Be actively involved in the collection of appropriate data and statistics for the use of the service.
To take part in any integration and alignment programmes with our fellow provider services that are initiated by our commissioners.
Decide priorities for own work area and that of the team, balancing other patient related and professional demands and ensure that these remain in accordance with those of the service area as a whole.
At all times respecting the rights and choice of the individual including the need to consider their cultural and religious beliefs.
Ensure timely and accurate assessment and support plans which best describe individual needs and offer the most appropriate intervention to maximise independence
Ensure every person has a self-care management plan to empower people to manage some of their own condition

TRAINING/EDUCATION RESPONSIBILITIES

To maintain and improve personal professional knowledge and competence through education, reflective practice, and research.

To provide Physiotherapy expertise to other colleagues
To be responsible for maintaining own competency to practice through personal development activities furthering specialist knowledge within a particular field incorporating evidence-based practice
To review and reflect on practise and identify areas for self-development through participation in the annual appraisal system, personal development plan and regular clinical and professional supervision
To plan, actively participate in and contribute to the in-service education programme for the multi-disciplinary team

RESEARCH AND DEVELOPMENT

To keep up to date with current research and national guidelines to demonstrate an evidenced based approach to resident care and clinical practice.

To identify opportunities to improve the Physiotherapy Service within the Urgent Care & Support Service in order to provide the best possible resident care and to participate in initiatives to improve the service

COMMUNICATION AND WORKING RELATIONSHIPS

To cascade information to staff within area of responsibility.
To attend team briefing meetings and provide input in relation to specialist area involving day to day issues and clinical matters as indicated.

Job description

Job responsibilities

2. Job Purpose

To provide supervision and support to junior staff, assistants, other professionals and act as clinical educator.

3. Key Result Areas

KEY RESPONSIBILITIES

Proactively manage people in the care home setting to avoid unnecessary attendances at hospital and subsequent in-patient stays.
To perform physiotherapeutic assessments of residents with diverse presentations and complex physical and psychological conditions
To design and deliver individual physiotherapy treatment programmes based on a sound knowledge of evidence-based practice and treatment options using clinical assessment, reasoning skills and knowledge of treatment skills e.g., manual physiotherapy techniques, resident education, exercise classes and other alternative options
To facilitate residents and carers in the development of support plans, which meet their needs, outcomes and cover identified risks, offering the widest possible flexibility and choice allowing them to take control of their short-term goals
To evaluate resident progress through person-centred reviews and alter treatment programmes if required in partnership with other professionals in the multi-disciplinary team
To plan the discharge from the Urgent Care & Support Service in partnership with residents/ service users, their families and care home staff giving advice and information about their options and if necessary putting appropriate services in place
To facilitate service user choice and empowerment through promoting independence, in particular through the timely provision of information, advice and support to ensure service users maintain independent for as long as possible.
To ensure the highest level of data quality for all information recorded, ensuring that the information is timely, accurate and complete, to ensure the service meets all the statutory recording requirements.

Undertake joint visits to service users in the care home with colleagues within the team and from other multi-disciplinary teams as directed/required.

Feedback effectively to members of the Urgent Care & Support Service team and external agencies on clients performance and progress towards identified exercise goals.

Respect the individuality, values, cultural and religious diversity of service users and contribute to provision of a service sensitive to these needs.

CLINICAL RESPONSIBILITIES

To be professionally and legally accountable and responsible for all aspects of own work including the management of individual caseload, working within accepted codes of professional conduct and clinical guidelines (where indicated), to minimise clinical risk.
Support the Urgent Care & Support Service and care homes with facilitating discharges from acute settings.
Ensure care homes provide baseline health data if the resident is admitted to hospital to support integrated, consistent care and facilitate discharge.
To recommend, determine and administer appropriate care plans utilising specialist treatment skills.
To identify appropriate care pathways and liaise / co-ordinate and facilitate multi-disciplinary and multi-agency referrals for clients with complex conditions and their families / carers.
Accept clinical responsibility for a designated caseload of patients and to organise this effectively and efficiently with regard to clinical priorities and use of time.
To provide specialist advice and guidance to other health or social care professionals, voluntary agencies and other organisations.
To formulate and be responsible for patient care plans carried out by assistant staff within health and social care services.
Provide advice in a variety of clinical and non-clinical situations, teaching and instruction to relatives, carers and other professionals, to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patient care.
To be responsible for the competent use of clinical equipment, and patient appliances as indicated, and to report any defects or malfunctions to the senior clinicians/healthcare professionals.
Assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
To be responsible for maintenance of accurate written patient records within Organisational, Professional and Service protocols and guidelines. To complete any necessary documentation/reports for other professionals/agencies as required.
Use a range of verbal and non-verbal communication tools to communicate effectively with residents and service users to progress rehabilitation and treatment programmes
To provide a high standard physiotherapy service within the Urgent Care & Support Service, which involves working autonomously and as part of the multidisciplinary team
To work closely with the Urgent Care & Support Service lead/s and the other members of the team and follow up residents care as assessed by clinicians through the process of monitoring and evaluating to reflect the residents changing needs/condition
To prescribe and train use of rehabilitation equipment as appropriate.

Competent in training on recognising soft signs, vital signs, NEWS2 and escalation pathways

Demonstrate a high level of clinical judgement, acting autonomously to support care homes to interpret clinical signs

SERVICE DELIVERY RESPONSIBILITIES

To record accurate, legible clinical observations in a timely manner.
Delivers services in line with Better Standards for Health Care and relevant legislation.
Contribute to the development and implementation of guidelines, protocols and patient care pathways where required.
Act as a resource and educator for residents, carers, families, team members, GPs and other professionals within the MDT to provide and advise on evidence-based practices, including effective health promotional aspects, in order to fulfil requirements of local and national guidelines.
Be actively involved in the collection of appropriate data and statistics for the use of the service.
To take part in any integration and alignment programmes with our fellow provider services that are initiated by our commissioners.
Decide priorities for own work area and that of the team, balancing other patient related and professional demands and ensure that these remain in accordance with those of the service area as a whole.
At all times respecting the rights and choice of the individual including the need to consider their cultural and religious beliefs.
Ensure timely and accurate assessment and support plans which best describe individual needs and offer the most appropriate intervention to maximise independence
Ensure every person has a self-care management plan to empower people to manage some of their own condition

TRAINING/EDUCATION RESPONSIBILITIES

To maintain and improve personal professional knowledge and competence through education, reflective practice, and research.

To provide Physiotherapy expertise to other colleagues
To be responsible for maintaining own competency to practice through personal development activities furthering specialist knowledge within a particular field incorporating evidence-based practice
To review and reflect on practise and identify areas for self-development through participation in the annual appraisal system, personal development plan and regular clinical and professional supervision
To plan, actively participate in and contribute to the in-service education programme for the multi-disciplinary team

RESEARCH AND DEVELOPMENT

To keep up to date with current research and national guidelines to demonstrate an evidenced based approach to resident care and clinical practice.

To identify opportunities to improve the Physiotherapy Service within the Urgent Care & Support Service in order to provide the best possible resident care and to participate in initiatives to improve the service

COMMUNICATION AND WORKING RELATIONSHIPS

To cascade information to staff within area of responsibility.
To attend team briefing meetings and provide input in relation to specialist area involving day to day issues and clinical matters as indicated.

Person Specification

Experience

Essential

Minimum 2-3 years
post graduate experience in field of rehabilitation.
Experience of clinical supervision of junior staff and students.
Experience in Assessment and Rehabilitation of Adults and Older People presenting with complex pathology, including neurological rehabilitation, orthopaedics, falls, musculoskeletal conditions, respiratory, rheumatology and palliative care
Experience of the use of evidence-based practice in the clinical setting
Experience of audit, research and understanding quality issues
Experience of supervising assistant staff, implementing service changes

Desirable

Experience of functional and organic mental health difficulties

Skills and abilities

Essential

Able to work as a team member being flexible, reliable and committed as well as working as an autonomous practitioner and have the ability to organise, problem solve, prioritise including timely discharge planning and delegate work
Excellent oral & written communication skills
Report writing and Computer literacy, Information Technology Skills
Ability to work flexibly and work under pressure
Ability to prioritise
Ability to influence and effect change using a range of skills including negotiation, teaching and assertiveness

Desirable

Clinical knowledge and skills in functional and organic mental health difficulties

Knowledge

Essential

Sound knowledge of relevant social care and health legislation, relevant policies, clinical guidelines and the ability to apply these
Knowledge of physiotherapy assessments /treatment
Understanding of National Health and Social Care and local strategies, initiatives and guidance.

Desirable

Ability to influence and effect change using a range of skills including negotiation, teaching and assertiveness
Clinical knowledge and assessment skills in management of falls prevention.

Qualifications

Essential

Diploma/degree in Physiotherapy
Current professional HCPC registration
Evidence of continuing professional development
Evidence of a range of relevant specialised and validated postgraduate courses
Relevant CPD portfolio

Desirable

Membership of CSP
Member of relevant Clinical Interest Group

Other factors

Essential

Current driving licence and access to vehicle for work purposes (business class 1 use) is essential as this is a community post

Personal qualities

Essential

Ability to demonstrate empathy, sensitivity and tact
Able to reflect and critically appraise own performance
Confident and self-motivated

Person Specification

Experience

Essential

Minimum 2-3 years
post graduate experience in field of rehabilitation.
Experience of clinical supervision of junior staff and students.
Experience in Assessment and Rehabilitation of Adults and Older People presenting with complex pathology, including neurological rehabilitation, orthopaedics, falls, musculoskeletal conditions, respiratory, rheumatology and palliative care
Experience of the use of evidence-based practice in the clinical setting
Experience of audit, research and understanding quality issues
Experience of supervising assistant staff, implementing service changes

Desirable

Experience of functional and organic mental health difficulties

Skills and abilities

Essential

Able to work as a team member being flexible, reliable and committed as well as working as an autonomous practitioner and have the ability to organise, problem solve, prioritise including timely discharge planning and delegate work
Excellent oral & written communication skills
Report writing and Computer literacy, Information Technology Skills
Ability to work flexibly and work under pressure
Ability to prioritise
Ability to influence and effect change using a range of skills including negotiation, teaching and assertiveness

Desirable

Clinical knowledge and skills in functional and organic mental health difficulties

Knowledge

Essential

Sound knowledge of relevant social care and health legislation, relevant policies, clinical guidelines and the ability to apply these
Knowledge of physiotherapy assessments /treatment
Understanding of National Health and Social Care and local strategies, initiatives and guidance.

Desirable

Ability to influence and effect change using a range of skills including negotiation, teaching and assertiveness
Clinical knowledge and assessment skills in management of falls prevention.

Qualifications

Essential

Diploma/degree in Physiotherapy
Current professional HCPC registration
Evidence of continuing professional development
Evidence of a range of relevant specialised and validated postgraduate courses
Relevant CPD portfolio

Desirable

Membership of CSP
Member of relevant Clinical Interest Group

Other factors

Essential

Current driving licence and access to vehicle for work purposes (business class 1 use) is essential as this is a community post

Personal qualities

Essential

Ability to demonstrate empathy, sensitivity and tact
Able to reflect and critically appraise own performance
Confident and self-motivated

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.