Job summary
This is your opportunity to join
Nottingham CityCare's highly regarded MOSAIC (Musculoskeletal Orthopaedic
Spinal, Pain, and Integrated Chronic fatigue syndrome) Service as an Advanced
Practitioner Physiotherapist across the newly appointed Primary Care Networks
(PCNs) in Nottingham City.
Employed as an Advanced
Practitioner Physiotherapist, your First Contact Practitioner role, will
require you to be assigned to a Primary Care Network where you will perform
advanced MSK assessments, diagnosis and first line treatment and (if
appropriate) investigations and referrals with the overarching aim to reduce
primary care resources.
This post is ideal for
experienced clinicians that can demonstrate a high degree of autonomy and
complex decision making across a range of settings, enabling innovative
solutions to enhance patients experience and improve outcomes. Successful
candidates will have completed or started to gather evidence for Stage 1 &
2 of The First Contact Practitioner roadmap.
MOSAIC is a large, friendly and
innovative team of physiotherapists, occupational therapists, pain consultants,
specialist GPs and exercise rehabilitation practitioners.
The ability to travel between clinic locations is
essential. Working hours are ideally between 07:45 and 6pm, but we are open to
flexible working patterns for the right candidate.
For further information please
contact Adam Scott (Team
Manager) or Karen Martini (Clinical Lead Physiotherapist) on 0115 8838300.
Main duties of the job
To enhance your current
skillset, we provide a training package that will include:
-
Bespoke Musculoskeletal
Core Capabilities Framework for our locality
- Bloods made easy
-
IRMER
-
Pharmacy
-
Internal referral
pathway
-
Hand Assessment in primary
care
-
Rheumatology
- Additionally, you will be
integrated into The MOSAIC Service with the opportunity to be involved with:
- Orthopaedic triage of secondary care referrals
- Clinical assessment and treatment planning
within our Integrated Clinical Assessment and Treatment (ICATS) clinics.
- Diagnostic referrals (MRI scans, x-ray, USS
etc.)
- Service evaluation (please see job description
and person spec for further details).
- Regular supervision
- In-service Training (internal and external
speakers)
We offer a high quality and
adaptable service to meet the needs of our local communities, as well as, being
research driven and established links with The University of Nottingham. Not only are we patient focussed, we have a
strong ethos of continuous development and our unique service will allow you to
develop your career down your chosen path with our support.
As a not-for-profit provider of NHS services to
communities in Nottingham and Nottinghamshire, we provide the same patient
centred care, but with the flexibility and freedom to innovate and embrace new
thinking.
About us
We are a provider of NHS Community Health Services, CityCare exists to support the health and wellbeing of all local people, working alongside other health and care partners to achieve this. We are a value driven, people business with a passion for excellence. Our vision and social purpose is to make a difference everyday to the health & wellbeing of our communities and our values of kindness, respect, trust and honesty lie at the heart of everything we do, guiding how we work together with partners and each other to consistently deliver high quality compassionate care. As a social enterprise we aim to add social value by investing in the future of our local communities and helping to make a difference in peoples lives.
CityCare value the benefits of a diverse and inclusive workforce. We encourage applications from candidates who identify as disabled, LGBT+ or from a Black, Asian or Minority Ethnic (BAME) background, as they are currently under-represented within our organisation.
CityCare is an equal opportunities employer. We are positive about employing people with disabilities. If you require your application in a different format please contact Human Resources on 0115 8839418. CityCare is committed to the protection of vulnerable adults and children.
Job description
Job responsibilities
Job
Purpose
- 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.
- 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.
-
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.
Dimensions
- To
be responsible for the delivery of the MOSAIC service for clients referred by
GPs, other health professionals, social services and self-referral.
- To
work autonomously as a First Contact Physiotherapist within Nottingham's
Primary Care Networks.
- To
supervise less experienced physiotherapists, support staff, and
students. To supervise, educate and
assess the performance of under graduate physiotherapy students as required,
ensuring to the standard of practice and teaching meets the standards set by
the degree level qualification.
- To
work in an extended scope including but not exclusive to:
- Orthopaedic
triage of secondary care referrals
- Low
Back Pain triage of secondary care referrals
- Clinical
assessment and treatment planning in Integrated Clinical Assessment and
Treatment (ICATS) clinics
- Referral
for diagnostic examinations (MRI scan, x-ray)
- Administering
and evaluating outcome of injection therapy
- To
monitor and maintain performance of clinical sub-team of physiotherapists
Key Responsibilities
Clinical
- To be professionally
and legally responsible and accountable for all aspects of your work,
including the management of clients in your care and to support more junior
staff to do likewise.
- To have a lead role
and determine by assessment and liaison with other relevant agencies the
advice, education and treatment requirements of each client.
- Accountable for
decisions and actions via HCPC registration, supported by a professional
culture of peer networking/review and engagement in evidence-based practice
- To undertake the
comprehensive, advanced assessment of clients including those with complex
and/or chronic presentation using investigative and analytical skills and to
formulate the individualised management and treatment plans, using clinical
reasoning, a wide range of treatment skills and options to devise a
specialised, individualised programme of care.
- Streamlines pathway
of care by providing a responsive service so that patients receive timely
access to care
- To accept clinical
responsibility for a designated caseload of patients and to organise this
effectively and efficiently, with regard to clinical priorities and time
management.
- To provide highly
specialised advice, teaching and training to other members of the primary
health care team regarding physiotherapy management of clients with problems
related to rehabilitation, ageing and obesity.
- To educate, supervise
and manage less experienced members of the team along with support staff and
students. Using appropriate documentation.
- To assess capacity,
gain informed consent and work within a legal framework with clients who lack
the capacity to make informed decisions.
- To provide
spontaneous and planned advice, teaching and instruction to clients carers
and other professionals to promote an understanding of the aims of
physiotherapy and ensure a consistent approach to client care.
- Uses a range of
clinical skills which may include:
a. non-medical
independent prescribing
b. joint / soft
tissue injections
c. joint aspirations
- Exercises
professional judgement, making, justifying and taking responsibility for
decisions in unpredictable situations, including in the context of
incomplete/contradictory information.
- 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 setting
- Works with MDT to
develop more effective and streamlined clinical pathways and services
- Provides learning
opportunities for the whole multi professional team within primary care.
Professional
- To participate in the
development of good practice for physiotherapists within Nottingham CityCare
Partnerships under the guidance of the professional lead for physiotherapist.
- To participate in the
services marketing strategy internally and externally, developing local and
regional networks.
- Demonstrate a
commitment to evidence based practice and make recommendations for change.
- To be responsible for
your own continued professional development, attend training events,
conferences and study days as highlighted within the organisations training
strategy and your own professional and personal development.
- To demonstrate sound
knowledge of clinical Governance and risk management and its application to
the work place.
- To participate in the
staff appraisal scheme and personal development plans as both supervisor and
supervisee.
- To complete all stages
of the FCP Roadmap by April 2024.
Organisational
- To support the team
in implementing targets and objectives, to assist in on-going developments,
to participate in service evaluation and highlight to the team manager the
needs of the local population.
- To be responsible for
delegated management duties when requested by the team manager.
- To liaise effectively
with other professionals and agencies to enhance the rehabilitation of the
client population within the boundaries of Nottingham CityCare Partnerships.
- To ensure the health
and safety of staff and clients at all times in accordance with health and
safety legislation and the organisations policies and procedures.
- To participate in
identified data collection and statistics and to maintain clear concise and
timely records in line with policy.
-
To undertake any other duties which
reasonably be required.
Job description
Job responsibilities
Job
Purpose
- 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.
- 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.
-
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.
Dimensions
- To
be responsible for the delivery of the MOSAIC service for clients referred by
GPs, other health professionals, social services and self-referral.
- To
work autonomously as a First Contact Physiotherapist within Nottingham's
Primary Care Networks.
- To
supervise less experienced physiotherapists, support staff, and
students. To supervise, educate and
assess the performance of under graduate physiotherapy students as required,
ensuring to the standard of practice and teaching meets the standards set by
the degree level qualification.
- To
work in an extended scope including but not exclusive to:
- Orthopaedic
triage of secondary care referrals
- Low
Back Pain triage of secondary care referrals
- Clinical
assessment and treatment planning in Integrated Clinical Assessment and
Treatment (ICATS) clinics
- Referral
for diagnostic examinations (MRI scan, x-ray)
- Administering
and evaluating outcome of injection therapy
- To
monitor and maintain performance of clinical sub-team of physiotherapists
Key Responsibilities
Clinical
- To be professionally
and legally responsible and accountable for all aspects of your work,
including the management of clients in your care and to support more junior
staff to do likewise.
- To have a lead role
and determine by assessment and liaison with other relevant agencies the
advice, education and treatment requirements of each client.
- Accountable for
decisions and actions via HCPC registration, supported by a professional
culture of peer networking/review and engagement in evidence-based practice
- To undertake the
comprehensive, advanced assessment of clients including those with complex
and/or chronic presentation using investigative and analytical skills and to
formulate the individualised management and treatment plans, using clinical
reasoning, a wide range of treatment skills and options to devise a
specialised, individualised programme of care.
- Streamlines pathway
of care by providing a responsive service so that patients receive timely
access to care
- To accept clinical
responsibility for a designated caseload of patients and to organise this
effectively and efficiently, with regard to clinical priorities and time
management.
- To provide highly
specialised advice, teaching and training to other members of the primary
health care team regarding physiotherapy management of clients with problems
related to rehabilitation, ageing and obesity.
- To educate, supervise
and manage less experienced members of the team along with support staff and
students. Using appropriate documentation.
- To assess capacity,
gain informed consent and work within a legal framework with clients who lack
the capacity to make informed decisions.
- To provide
spontaneous and planned advice, teaching and instruction to clients carers
and other professionals to promote an understanding of the aims of
physiotherapy and ensure a consistent approach to client care.
- Uses a range of
clinical skills which may include:
a. non-medical
independent prescribing
b. joint / soft
tissue injections
c. joint aspirations
- Exercises
professional judgement, making, justifying and taking responsibility for
decisions in unpredictable situations, including in the context of
incomplete/contradictory information.
- 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 setting
- Works with MDT to
develop more effective and streamlined clinical pathways and services
- Provides learning
opportunities for the whole multi professional team within primary care.
Professional
- To participate in the
development of good practice for physiotherapists within Nottingham CityCare
Partnerships under the guidance of the professional lead for physiotherapist.
- To participate in the
services marketing strategy internally and externally, developing local and
regional networks.
- Demonstrate a
commitment to evidence based practice and make recommendations for change.
- To be responsible for
your own continued professional development, attend training events,
conferences and study days as highlighted within the organisations training
strategy and your own professional and personal development.
- To demonstrate sound
knowledge of clinical Governance and risk management and its application to
the work place.
- To participate in the
staff appraisal scheme and personal development plans as both supervisor and
supervisee.
- To complete all stages
of the FCP Roadmap by April 2024.
Organisational
- To support the team
in implementing targets and objectives, to assist in on-going developments,
to participate in service evaluation and highlight to the team manager the
needs of the local population.
- To be responsible for
delegated management duties when requested by the team manager.
- To liaise effectively
with other professionals and agencies to enhance the rehabilitation of the
client population within the boundaries of Nottingham CityCare Partnerships.
- To ensure the health
and safety of staff and clients at all times in accordance with health and
safety legislation and the organisations policies and procedures.
- To participate in
identified data collection and statistics and to maintain clear concise and
timely records in line with policy.
-
To undertake any other duties which
reasonably be required.
Person Specification
Qualifications
Essential
- BSc (Hons) in Physiotherapy.
- MSc (or working towards)
- HCPC Registered.
- Clinical Educators course.
- Evidence of continued professional development
- Evidence of achievement of appropriate competencies for clinical grade.
- To have completed stage 1 of The First Contact Practitioner roadmap and be in a position to complete stage 2 by April 2024.
Desirable
- Accredited Injection Therapy (corticosteroid) qualification
- Other qualifications at Advanced Practice level e.g. MSc module in Advanced Practice, FCP, diagnostic requests etc.
- Completed stage 1 & 2 of The First Contact Practitioner roadmap
Skills & Attributes
Essential
- Knowledge of:
- Current local and national policy and practice developments.
- Equality, diversity and inclusion as it applies to employment and service provision.
- Skills:
- Teaching skills, 1:1 and to groups/teams
- Advanced clinical decision-making skills.
- Excellent prioritisation, organisation and time management skills.
- Ability to relate well to all groups of people and to create and maintain effective working relationships.
- Good team worker.
- Ability to motivate self and others.
- Excellent written and verbal communication skills.
Desirable
- Skills:
- Ability to teach physiotherapy students in a group environment e.g. lecturing
- Confidence and competence to make informed decisions relating to service provision, in the absence of line manager.
Experience
Essential
- Working at a senior level in a musculoskeletal service.
- Treating patients with complex and chronic presentations, using a biopsychosocial approach
- Individual and group rehabilitation.
- Partnership and multi-agency working.
- Service development and audit
- Providing supervision for less experienced staff and students, including carrying out appraisals
- Prior experience in a First Contact Physiotherapy role.
Desirable
- Working in an Advanced Practice role e.g. Orthopaedic triage, carrying out steroid injections
- Working in a Chronic Pain Service
- Referral for diagnostic examinations (MRI scan, x-ray)
- Research activity
Physical & Special Requirements
Essential
- Physical Requirements
- Ability to undertake frequent moderate physical effort for several short periods during the working day. Activities may include moving, manoeuvring people operating physiotherapy equipment.
- Periods of prolonged concentration as work pattern dictates and frequent exposure to distressing or emotional circumstances, and occasional unpleasant conditions.
- Full driving licence
- Special Requirements
- Proactive. Use of initiative and aware of own limitations.
- The ability to travel between locations
Desirable
- Physical Requirements
- Experience of working within multi- cultural communities
- Special Requirements
- Assertive, good delegations skills, evidence of negotiation and managing conflict.
- Full driving licence with access to a car for driving between clinical venues.
Person Specification
Qualifications
Essential
- BSc (Hons) in Physiotherapy.
- MSc (or working towards)
- HCPC Registered.
- Clinical Educators course.
- Evidence of continued professional development
- Evidence of achievement of appropriate competencies for clinical grade.
- To have completed stage 1 of The First Contact Practitioner roadmap and be in a position to complete stage 2 by April 2024.
Desirable
- Accredited Injection Therapy (corticosteroid) qualification
- Other qualifications at Advanced Practice level e.g. MSc module in Advanced Practice, FCP, diagnostic requests etc.
- Completed stage 1 & 2 of The First Contact Practitioner roadmap
Skills & Attributes
Essential
- Knowledge of:
- Current local and national policy and practice developments.
- Equality, diversity and inclusion as it applies to employment and service provision.
- Skills:
- Teaching skills, 1:1 and to groups/teams
- Advanced clinical decision-making skills.
- Excellent prioritisation, organisation and time management skills.
- Ability to relate well to all groups of people and to create and maintain effective working relationships.
- Good team worker.
- Ability to motivate self and others.
- Excellent written and verbal communication skills.
Desirable
- Skills:
- Ability to teach physiotherapy students in a group environment e.g. lecturing
- Confidence and competence to make informed decisions relating to service provision, in the absence of line manager.
Experience
Essential
- Working at a senior level in a musculoskeletal service.
- Treating patients with complex and chronic presentations, using a biopsychosocial approach
- Individual and group rehabilitation.
- Partnership and multi-agency working.
- Service development and audit
- Providing supervision for less experienced staff and students, including carrying out appraisals
- Prior experience in a First Contact Physiotherapy role.
Desirable
- Working in an Advanced Practice role e.g. Orthopaedic triage, carrying out steroid injections
- Working in a Chronic Pain Service
- Referral for diagnostic examinations (MRI scan, x-ray)
- Research activity
Physical & Special Requirements
Essential
- Physical Requirements
- Ability to undertake frequent moderate physical effort for several short periods during the working day. Activities may include moving, manoeuvring people operating physiotherapy equipment.
- Periods of prolonged concentration as work pattern dictates and frequent exposure to distressing or emotional circumstances, and occasional unpleasant conditions.
- Full driving licence
- Special Requirements
- Proactive. Use of initiative and aware of own limitations.
- The ability to travel between locations
Desirable
- Physical Requirements
- Experience of working within multi- cultural communities
- Special Requirements
- Assertive, good delegations skills, evidence of negotiation and managing conflict.
- Full driving licence with access to a car for driving between clinical venues.
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).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
