Job summary
We are looking for a Senior Specialist Paediatric Respiratory Physiotherapist with wide experience in respiratory care to join our Hospital at Home team for a 12-month fixed term new post. It is 0.6 WTE, 22.5 hours per week.
Main duties of the job
The post holder will work alongside the hospital at home team providing respiratory physiotherapy advice and treatment to patients in their home environment and to facilitate early discharge from hospital and prevention of admissions.
This is an exciting new role that provides opportunity for shaping a new service. The post holder will be embedded within the hospital at home team whilst working closely with the inpatient LTV/chronic respiratory physiotherapy team. There will be opportunity for peer support with the inpatient team including complex patient discussion meetings. Shared supervision and on call training will be provided by the inpatient physiotherapy team. As part of this role will be the initiation and adjustment of respiratory physiotherapy treatment plans, including clear escalation and weaning plans. The post holder will demonstrate advanced skills in the use of a wide range of treatment skills and respiratory physiotherapy devices including cough assist, the oscillating vest and various airway clearance adjuncts. The post holder will organise and carry out training for patients, parents, carers, schools and where appropriate to the wider MDT.
For further information please contact Chlo Meehan, Clinical Specialist Physiotherapist, on 02071889426 or chloe.meehan@gstt.nhs.uk or Beth Abraham Beth.Abraham@gstt.nhs.uk
About us
Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services. St Thomas' has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children's Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. The Duchess of Cambridge became the Patron of Evelina London in 2018.
In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
Job description
Job responsibilities
- To provide a high standard of physiotherapy assessment and treatments, including the review of treatment programmes for LTV patients and patients with chronic respiratory conditions at home. This will comprise of patients who have multi-pathologies and those who have highly complex presentations including LTV needs and acute-on-chronic disease.
- Initiation and adjustment of treatment plans, including clinically reasoned clear escalation and weaning plans. The post holder will demonstrate advanced skills in the use of a wide range of treatment skills and devices including cough assist, the oscillating vest and various airway clearance adjuncts.
- This role requires the use of advanced communication skills, to provide clear instructions to the patient and families/carers and to clearly communicate and document these plans in a timely manner to the wider MDT.
- Education and teaching physiotherapy techniques and delivering education to families, carers, schools and patients will be a large part of this new role, requiring advanced organisational skills.
- To provide respiratory physiotherapy support and advice to the respiratory MDT. To create close working relationships and links with the in-patient respiratory physiotherapy team.
- To demonstrate service development skills in the form of scoping other services, exploring current research and carrying out regular service reviews including audits. Data collection will be part of this role.
Job description
Job responsibilities
- To provide a high standard of physiotherapy assessment and treatments, including the review of treatment programmes for LTV patients and patients with chronic respiratory conditions at home. This will comprise of patients who have multi-pathologies and those who have highly complex presentations including LTV needs and acute-on-chronic disease.
- Initiation and adjustment of treatment plans, including clinically reasoned clear escalation and weaning plans. The post holder will demonstrate advanced skills in the use of a wide range of treatment skills and devices including cough assist, the oscillating vest and various airway clearance adjuncts.
- This role requires the use of advanced communication skills, to provide clear instructions to the patient and families/carers and to clearly communicate and document these plans in a timely manner to the wider MDT.
- Education and teaching physiotherapy techniques and delivering education to families, carers, schools and patients will be a large part of this new role, requiring advanced organisational skills.
- To provide respiratory physiotherapy support and advice to the respiratory MDT. To create close working relationships and links with the in-patient respiratory physiotherapy team.
- To demonstrate service development skills in the form of scoping other services, exploring current research and carrying out regular service reviews including audits. Data collection will be part of this role.
Person Specification
Knowledge / Qualifications
Essential
- Diploma / Degree in Physiotherapy/ HCPC Registration.
- MSc in relevant subject or equivalent level of post-graduate specialist training including short courses or specific training in relevant area.
Desirable
- Post graduate course(s) in management or leadership.
- Membership of relevant National SIG - e.g. APCP/APCRP.
Previous experience
Essential
- Extensive post-registration experience including experience of respiratory physiotherapy management including LTV, neuromuscular respiratory dysfunction, acute and chronic respiratory conditions.
- Broad range of experience at Band 5 level including respiratory, rehabilitation and out patients. Significant experience in a range of Paediatric Care at band 6 (neuro, ortho, resp, developmental, community care, and musculoskeletal).
- Significant experience of working as an integral member of a multidisciplinary team, including those with complex team dynamics. Experience of multidisciplinary goal planning, development of care pathways and using outcome measures.
- Experience of managing other physiotherapists, student supervision/clinical education.
- Experience of service development / change management.
- Participation in paediatric respiratory out of hours working. Experience of working independently within a clinic or a community-based environment.
- Experience of teaching physiotherapy techniques to families and carers.
Desirable
- Previous experience at Band 7 in the relevant clinical area.
- Experience of formal presentations to MDT audiences.
- Previous experience in research and/or clinical audit.
- Previous experience of assessment of the acute on chronic unwell child especially long-term respiratory management assessment and onward planning.
Skills
Essential
- Knowledge of a wide range of assessment and treatment techniques and interpretation of complex presentations of respiratory symptoms, evidence of advanced clinical reasoning.
- Ability to teach in a range of settings including clinical and academic.
- Remains updated with professional practice and new research.
- Competent IT skills e.g. word, spreadsheets, Power Point and the ability to present information, written and orally, in a clear and logical manner.
- Understanding of Clinical Governance and the implications for physiotherapy services including experience of quality issues and audit. Understand the legal responsibilities of the profession.
- Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and Health and Safety to meet the differing needs of the patients. EDI awareness and examples.
- Advanced communication skills, including teaching those with varying educational background or those with poor understanding of English, use of alternative communication methods.
Desirable
- Understanding of modes and weaning of long-term ventilation.
- Knowledge of nebulisers and a range of medications to optimise the respiratory function of patients with long term respiratory condition.
Physical Requirements
Essential
- Able to carry out moderate to intense physical effort throughout the working day and carry out concurrent activities. Ability to cope with working in a stressful and unpredictable environment. Ability to work on-call and weekends for respiratory services as required.
Person Specification
Knowledge / Qualifications
Essential
- Diploma / Degree in Physiotherapy/ HCPC Registration.
- MSc in relevant subject or equivalent level of post-graduate specialist training including short courses or specific training in relevant area.
Desirable
- Post graduate course(s) in management or leadership.
- Membership of relevant National SIG - e.g. APCP/APCRP.
Previous experience
Essential
- Extensive post-registration experience including experience of respiratory physiotherapy management including LTV, neuromuscular respiratory dysfunction, acute and chronic respiratory conditions.
- Broad range of experience at Band 5 level including respiratory, rehabilitation and out patients. Significant experience in a range of Paediatric Care at band 6 (neuro, ortho, resp, developmental, community care, and musculoskeletal).
- Significant experience of working as an integral member of a multidisciplinary team, including those with complex team dynamics. Experience of multidisciplinary goal planning, development of care pathways and using outcome measures.
- Experience of managing other physiotherapists, student supervision/clinical education.
- Experience of service development / change management.
- Participation in paediatric respiratory out of hours working. Experience of working independently within a clinic or a community-based environment.
- Experience of teaching physiotherapy techniques to families and carers.
Desirable
- Previous experience at Band 7 in the relevant clinical area.
- Experience of formal presentations to MDT audiences.
- Previous experience in research and/or clinical audit.
- Previous experience of assessment of the acute on chronic unwell child especially long-term respiratory management assessment and onward planning.
Skills
Essential
- Knowledge of a wide range of assessment and treatment techniques and interpretation of complex presentations of respiratory symptoms, evidence of advanced clinical reasoning.
- Ability to teach in a range of settings including clinical and academic.
- Remains updated with professional practice and new research.
- Competent IT skills e.g. word, spreadsheets, Power Point and the ability to present information, written and orally, in a clear and logical manner.
- Understanding of Clinical Governance and the implications for physiotherapy services including experience of quality issues and audit. Understand the legal responsibilities of the profession.
- Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and Health and Safety to meet the differing needs of the patients. EDI awareness and examples.
- Advanced communication skills, including teaching those with varying educational background or those with poor understanding of English, use of alternative communication methods.
Desirable
- Understanding of modes and weaning of long-term ventilation.
- Knowledge of nebulisers and a range of medications to optimise the respiratory function of patients with long term respiratory condition.
Physical Requirements
Essential
- Able to carry out moderate to intense physical effort throughout the working day and carry out concurrent activities. Ability to cope with working in a stressful and unpredictable environment. Ability to work on-call and weekends for respiratory services as required.
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.
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
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.
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).
