Guy's and St Thomas' NHS Foundation Trust

Highly Specialist Physiotherapist- Royal Brompton Hospital

This job is now closed

Job summary

We are looking for a new and dynamic physiotherapist to join our team as we innovate and develop our service. CF care has dramatically changed over the last few years and we want someone interested in supporting patients with chronic lung disease throughout their lives.

If you are passionate about chronic respiratory disease/health promotion/cystic fibrosis and want an opportunity to work in a specialist service developing your skills then please apply. This role may appeal to those already in a band 7 post or those with CF experience looking for leadership opportunities.

Main duties of the job

Undertake a highly specialist team leader role alongside the Clinical Specialty Lead in Adult CF in planning, co-ordinating, delivering and evaluating the Physiotherapy service provided, in particular to the respiratory wards and the Cystic Fibrosis/PCD service on a day-to-day basis.
To take a lead role in the advanced assessment and treatment of patients within the speciality (adult CF/PCD) who may have highly complex needs, and to determine clinical diagnosis and physiotherapy treatment indicated, maintain records as an autonomous practitioner. In particular to give highly specialist advice with regard to exercise and posture/musculo-skeletal provision within adult CF.
To be responsible for the supervision of junior team members within the Adult CF and respiratory medicine physiotherapy team.
To deputise for the Clinical Specialty Lead - Adult CF as required.
To be responsible for the continuing professional development and overall performance of all physiotherapy staff in the adult CF service.
To play a major role in the continuous development of the Trust as a member of the Rehabilitation & Therapies Management team and as a potential member of a range of Trust quality/ process improvement project groups.
To work alongside other Therapy professionals e.g. specialist dietitians in the multi-professional adult CF therapy team.

About us

We are a very friendly MDT in the middle of some very exciting innovations around utilising digital healthcare and health promotion. You will be involved in service development/QI projects, research, lecturing and conference attendance and presentation. The role works alongside fellow band 7 specialist physiotherapists and an 8a clinical lead to co-ordinate and lead the physiotherapy care patients receive.

Date posted

16 February 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,036 to £55,049 a year pa

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-RBH-0226

Job locations

Royal Brompton Hospital

Fulham Road

London

SW3 6NP

Job description

Job responsibilities

Communication

To sensitively explain results of investigations, including poor prognosis, and occasionally, with the consultant, the existence of possibly fatal pathology or end-stage disease requiring palliative care. To provide emotional support for dying patients and to emotionally support families and carers during end stage disease and death of the patient. This extends to family support after death also.
To utilise all skills to overcome diverse barriers to communication.
To provide highly specialist advice to physiotherapy colleagues working in other clinical areas re: paediatric critical care, cardiac surgery and respiratory medicine. To provide specialist advice to physiotherapists and health care professionals from other trusts.
To represent the trust externally (locally, regionally, nationally and internationally) regarding medical management/ physiotherapy services provided to respiratory medicine patients. For example at conferences and lectures.
To provide specialist education in the form of teaching, lectures and workshops.
To communicate effectively and work collaboratively with medical, nursing and allied health professional and other colleagues to ensure delivery of a co-ordinated multi-disciplinary service. This will include case conferences, ward rounds, discharge planning and joint working.
To deal with complaints in accordance with trust policy.
To instigate and maintain communication flows both within the hospital and local trusts/ health authorities regarding on-going care for patients. Communication may be face to face, via e-mail, telephone or in written form.
To work with Universities to ensure standards of practice and teaching meet the appropriate level.

Patient/customer care (both direct and indirect)

To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care. To ensure a high standard of clinical care for the patients under your management and to support more junior staff to do likewise on a daily basis.
To co-ordinate and ensure effective delivery of the weekend and on-call services ensuring that the rotas are covered.
To participate in co-ordination and delivery of training to on-call staff ensuring competence in carrying out on-call and weekend duties on the respiratory medicine wards and HDU and to supervise all team members in all areas during a weekend.
To interpret and analyse clinical and non-clinical facts to form accurate diagnosis and prognoses in a wide range of highly complex conditions, to recommend the best course of intervention, and to develop comprehensive discharge plans.
To undertake an advanced comprehensive assessment and treatment of patients, including those with a highly complex presentation, using investigative and analytical skills, and to formulate individualised management and treatment plans using clinical reasoning, and utilising a wide range of treatment skills and options to formulate a specialised programme of care.
This role will require staff to work in a variety of clinical areas including critical care areas, wards, in clinics, out-patients and virtual service including telephone and video calls.
To accept clinical responsibility for a designated highly specialised caseload of patients, and to organise this effectively and efficiently with regard to clinical priorities and use of time.
To demonstrate highly developed dexterity, co-ordination and palpatory senses for assessment and of patients.
To be responsible for the training of staff in the care of hospital patients from basic to complex including terminally ill patients.
To provide spontaneous and planned advice, teaching and instruction to relatives, carers, patients and other professionals to promote understanding of the aims of physiotherapy, and to ensure a consistent approach to patient care.
To give highly specialist advice, teaching and training to other members of the Multidisciplinary team (MDT) regarding the medical management of patients with cardio-respiratory problems.
To give specialist advice to the MDT and medical staff (to consultant level) regarding physiotherapy techniques.
To assist in regular teaching on Non-Invasive Ventilation (NIV) to the medical and nursing staff on all wards; set up and on-going management of NIV in a variety of patient groups in particular those with complex illnesses and those at the terminal stage of condition.
Physiotherapy staff may coordinate transfers between sites/ other trusts of critically ill patients on non-invasive ventilation, through the competent use of the machine and battery pack, when appropriate.
To identify acutely deteriorating patients to their appropriate medical team or nursing team.
To communicate effectively with patients and carers to maximise physiotherapy treatment/ rehabilitation potential and to ensure understanding of condition and physiotherapy involvement.
To be an active member of the overnight and weekend on call service, and to provide specialist advice on a daily basis to other on-call staff regarding all aspects of cardiorespiratory physiotherapy with highly specialist advice in respiratory medicine.
To be responsible for physiotherapy provision and to coordinate the patient case load within the respiratory medicine wards in conjunction with the Clinical Specialty Lead Adult CF.
To demonstrate highly developed time management skills and supervise junior staff with this. This includes clinical and non-clinical responsibilities.
To be contactable throughout the working day via the bleep system (this could be by physiotherapy staff or the MDT) and to be able to immediately change planned activity without prior knowledge, sometimes in order to respond to emergency situations.
To be responsible for ensuring effective selection and use of all treatment resources available.
To maintain accurate, comprehensive and up to date documentation, in line with legal and departmental requirements, and to communicate assessment and treatment results to the appropriate disciplines and patients in the form of reports and letters.
To be aware of health and safety aspects of your work and implement any policies, which may be required to improve the safety of your work area including your prompt recording and reporting of accidents to senior staff, and ensuring that equipment use by all physiotherapy staff members is safe.
To carry out risk assessment within own patient caseload and environment on a daily basis (health & safety and clinical) and to minimise risk within the team.
To provide home-care physiotherapy (assessment and treatment) to Cystic Fibrosis patients at home, anywhere within the Greater London area, driving and working alone where appropriate. To organise and complete drug responsive assessments and virtual physiotherapy reviews.
To attend or ensure attendance at regular clinics, ward rounds and daily bed management meeting.
To 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.

Job description

Job responsibilities

Communication

To sensitively explain results of investigations, including poor prognosis, and occasionally, with the consultant, the existence of possibly fatal pathology or end-stage disease requiring palliative care. To provide emotional support for dying patients and to emotionally support families and carers during end stage disease and death of the patient. This extends to family support after death also.
To utilise all skills to overcome diverse barriers to communication.
To provide highly specialist advice to physiotherapy colleagues working in other clinical areas re: paediatric critical care, cardiac surgery and respiratory medicine. To provide specialist advice to physiotherapists and health care professionals from other trusts.
To represent the trust externally (locally, regionally, nationally and internationally) regarding medical management/ physiotherapy services provided to respiratory medicine patients. For example at conferences and lectures.
To provide specialist education in the form of teaching, lectures and workshops.
To communicate effectively and work collaboratively with medical, nursing and allied health professional and other colleagues to ensure delivery of a co-ordinated multi-disciplinary service. This will include case conferences, ward rounds, discharge planning and joint working.
To deal with complaints in accordance with trust policy.
To instigate and maintain communication flows both within the hospital and local trusts/ health authorities regarding on-going care for patients. Communication may be face to face, via e-mail, telephone or in written form.
To work with Universities to ensure standards of practice and teaching meet the appropriate level.

Patient/customer care (both direct and indirect)

To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care. To ensure a high standard of clinical care for the patients under your management and to support more junior staff to do likewise on a daily basis.
To co-ordinate and ensure effective delivery of the weekend and on-call services ensuring that the rotas are covered.
To participate in co-ordination and delivery of training to on-call staff ensuring competence in carrying out on-call and weekend duties on the respiratory medicine wards and HDU and to supervise all team members in all areas during a weekend.
To interpret and analyse clinical and non-clinical facts to form accurate diagnosis and prognoses in a wide range of highly complex conditions, to recommend the best course of intervention, and to develop comprehensive discharge plans.
To undertake an advanced comprehensive assessment and treatment of patients, including those with a highly complex presentation, using investigative and analytical skills, and to formulate individualised management and treatment plans using clinical reasoning, and utilising a wide range of treatment skills and options to formulate a specialised programme of care.
This role will require staff to work in a variety of clinical areas including critical care areas, wards, in clinics, out-patients and virtual service including telephone and video calls.
To accept clinical responsibility for a designated highly specialised caseload of patients, and to organise this effectively and efficiently with regard to clinical priorities and use of time.
To demonstrate highly developed dexterity, co-ordination and palpatory senses for assessment and of patients.
To be responsible for the training of staff in the care of hospital patients from basic to complex including terminally ill patients.
To provide spontaneous and planned advice, teaching and instruction to relatives, carers, patients and other professionals to promote understanding of the aims of physiotherapy, and to ensure a consistent approach to patient care.
To give highly specialist advice, teaching and training to other members of the Multidisciplinary team (MDT) regarding the medical management of patients with cardio-respiratory problems.
To give specialist advice to the MDT and medical staff (to consultant level) regarding physiotherapy techniques.
To assist in regular teaching on Non-Invasive Ventilation (NIV) to the medical and nursing staff on all wards; set up and on-going management of NIV in a variety of patient groups in particular those with complex illnesses and those at the terminal stage of condition.
Physiotherapy staff may coordinate transfers between sites/ other trusts of critically ill patients on non-invasive ventilation, through the competent use of the machine and battery pack, when appropriate.
To identify acutely deteriorating patients to their appropriate medical team or nursing team.
To communicate effectively with patients and carers to maximise physiotherapy treatment/ rehabilitation potential and to ensure understanding of condition and physiotherapy involvement.
To be an active member of the overnight and weekend on call service, and to provide specialist advice on a daily basis to other on-call staff regarding all aspects of cardiorespiratory physiotherapy with highly specialist advice in respiratory medicine.
To be responsible for physiotherapy provision and to coordinate the patient case load within the respiratory medicine wards in conjunction with the Clinical Specialty Lead Adult CF.
To demonstrate highly developed time management skills and supervise junior staff with this. This includes clinical and non-clinical responsibilities.
To be contactable throughout the working day via the bleep system (this could be by physiotherapy staff or the MDT) and to be able to immediately change planned activity without prior knowledge, sometimes in order to respond to emergency situations.
To be responsible for ensuring effective selection and use of all treatment resources available.
To maintain accurate, comprehensive and up to date documentation, in line with legal and departmental requirements, and to communicate assessment and treatment results to the appropriate disciplines and patients in the form of reports and letters.
To be aware of health and safety aspects of your work and implement any policies, which may be required to improve the safety of your work area including your prompt recording and reporting of accidents to senior staff, and ensuring that equipment use by all physiotherapy staff members is safe.
To carry out risk assessment within own patient caseload and environment on a daily basis (health & safety and clinical) and to minimise risk within the team.
To provide home-care physiotherapy (assessment and treatment) to Cystic Fibrosis patients at home, anywhere within the Greater London area, driving and working alone where appropriate. To organise and complete drug responsive assessments and virtual physiotherapy reviews.
To attend or ensure attendance at regular clinics, ward rounds and daily bed management meeting.
To 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.

Person Specification

Qualifications

Essential

HCPC registered physiotherapist

Desirable

M level qualification
Teaching qualification
Management/ Leadership qualification

Experience

Essential

Significant post-qualification experience with a minimum of three years in acute medicine/cardio-respiratory/critical care.
research and audit experience
People management
teaching experience

Desirable

Previous B7 experience

Skills

Essential

Excellent IT skills
excellent organisational skills
advanced communication skills

Desirable

change management

Person Specification

Qualifications

Essential

HCPC registered physiotherapist

Desirable

M level qualification
Teaching qualification
Management/ Leadership qualification

Experience

Essential

Significant post-qualification experience with a minimum of three years in acute medicine/cardio-respiratory/critical care.
research and audit experience
People management
teaching experience

Desirable

Previous B7 experience

Skills

Essential

Excellent IT skills
excellent organisational skills
advanced communication skills

Desirable

change management

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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

Certificate of Sponsorship

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

Guy's and St Thomas' NHS Foundation Trust

Address

Royal Brompton Hospital

Fulham Road

London

SW3 6NP

Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Royal Brompton Hospital

Fulham Road

London

SW3 6NP

Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)