Job summary
A fantastic opportunity has opened for a dynamic and enthusiastic experienced rotational physiotherapist to join a multidisciplinary therapy service at Royal Brompton Hospital.
This individual will work with adults and children with complex chronic heart and lung disease in a world-renowned centre. The post holder will work alongside and be supported by a friendly therapies directorate. If you are keen to develop your cardiorespiratory skills in a centre of excellence, then please apply.
Main duties of the job
To provide a specialist physiotherapy service in respiratory medicine, cardiothoracic surgery/cardiology, paediatric respiratory and surgical services.
To independently perform advanced physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions to provide a diagnosis and deliver an individualised and specialised treatment programme of care.
To manage own patient caseload and be responsible for a defined area of service or a particular patient type, working without direct supervision. Supervision takes the form of regular formal training, clinical reasoning sessions and peer review. Access to advice and support from a senior physiotherapist is available via a bleep system if required.
To undertake all aspects of clinical duties as an autonomous practitioner with freedom to act on own interpretation of data.
Supervise, educate and assess the performance of physiotherapy students; this would be to a graduate standard and involve working with Universities to ensure standard of practice and teaching meets the standards set by degree level qualification.
Supervise, educate and assess the performance of junior physiotherapy staff to ensure theoretical and clinical knowledge meets departmental standards.
Undertake evidence-based audit, formulate guidelines and research projects to further own and department clinical practice within each rotation.
The post holder maybe required to work at sites across the organisation.
About us
Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Weprovide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.
Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.
We are working in partnership with King's Health Partners, to deliver our vision of creating a new centre of excellence, which will be the global leader in the research into and treatment of heart and lung disease, in patients from pre-birth to old age.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.
Job description
Job responsibilities
Communication
- To ensure a patients understanding of their physiotherapy intervention in order to gain valid, informed consent and to be able to work within a legal framework with patients who lack the ability to consent to treatment
- To use a range of verbal and non-verbal communication tools when communicating with patients /carers. This will include communication with people with complex communication difficulties such as deafness, dysphasia, dementia, mental health problems, speak English as a second language or who have difficulty accepting their diagnosis/prognosis
- To deal sensitively with patients who have high levels of anxiety and aggression caused by pain, dementia or limited mobility
- To provide and receive sensitive and/or complex information to individual members of staff and in multidisciplinary group meetings and ward rounds
Patient/customer care (both direct and indirect)
- To be professionally and legally accountable for all aspects of own work and those being supervised by you, including the management of patients in your care.
- Analyse multiple sources of information to undertake a comprehensive assessment of patients including those with diverse or complex presentations/pathologies.
- To use advanced clinical reasoning skills and manual assessment skills to provide an accurate diagnosis and/or establish impairments and disabilities of patients
- To use clinical reasoning, understanding of medical diagnosis and knowledge of treatment options to plan and implement individual physiotherapy treatment programmes.
- To have a comprehensive working knowledge of physiotherapy adjuncts such as IPPB, oscillating PEP, PEP, etc. and indications / contraindications for use across a range of respiratory conditions
- To use and have a comprehensive working knowledge of manual physiotherapy techniques
- To deliver individual and group patient education and exercise classes and be responsible for the safety of patients during these classes
- To independently evaluate progress for patients with complex pathologies, reassess, modify and progress or discontinue individual treatment programmes as required
- To manage clinical risk within own patient caseload to self, patient and environment.
- To use clinical reasoning, understanding of medical diagnosis and knowledge of treatment options to plan and implement the use of Non-Invasive Ventilation (NIV)
- Physiotherapy staff may co-ordinate 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.
- Analyse and interpret complex situations to formulate accurate prognoses and recommend best course of intervention, developing comprehensive discharge plans
- To analyse and review patient progress on NIV, to independently modify ventilation settings, interface selection. To take the clinical lead in the weaning from NIV, liaising with the MDT as appropriate
- To participate in active management of long-term patients with a tracheostomy and be responsible for their physical rehabilitation and ventilation progression.
- To be responsible for patient and family/carer education of NIV including use of and maintenance of equipment.
- To be responsible for carrying and responding to a bleep. As required to immediately change planned activity without prior knowledge. To give specialist advice to junior staff or MDT members over the telephone
- To be an active member of the respiratory overnight and weekend on-call rota. To act as clinical lead for the working weekend team and, when necessary, provide support and advice for junior staff and peers whilst they are on call
- Whilst on call to work without supervision and support, maintaining associated records as an autonomous practitioner
Policy & Service development
- To comply with Trust clinical guidelines and the Chartered Society of Physiotherapy (CSP) codes of professional conduct at all times
- To monitor own and others quality of practice.
- Represent physiotherapy service and individual patients at the multi-disciplinary team meetings, discharge planning meetings, case conferences and ward rounds to ensure the delivery of a co-ordinated multi-disciplinary service. This will include active discussion of patient care with suggestions to modify treatment plan, patient progress and discharge planning
- Actively participate in the rotational appraisal system as appraiser. To be responsible for setting agreed objectives and providing guidance to junior staff
Resource management
- To be responsible for the safe and competent use of all therapy equipment in line with departmental standards. To be responsible for the safety of the patient and self when using any equipment
- To be responsible for the safe and appropriate provision of therapy aids and equipment to patients in line with departmental standards
People management
- To take delegated responsibility from the Band 7 and / or Clinical Lead physiotherapist for managing patients with particular conditions and be responsible for providing specialist physiotherapy assessment and treatment plans for patients with these conditions within each rotation.
- To take delegated responsibility from the Band 7 and / or Clinical Lead physiotherapist for the co-ordination and supervision of departmental patient caseload for junior staff and assistants on a daily basis.
- Deputise for the Band 7 in their absence, in any area, taking responsibility for daily operational management of the team, allocating and organising the workload of junior and assistant staff to meet service priorities on a daily basis
- To be responsible for teaching student physiotherapists to a graduatelevel on physiotherapeutic skills and their knowledge within core clinicalTo manage the workload of students during their placement
- To be responsible for appraising student physiotherapists to a graduate level on their placement. To formulate objectives and provide a structure for achievement of their goals.
- To be an active member of the in-service training programme by attendance at and participation in individual and group training sessions, external courses and peer review.
- To play an active role in the education of junior physiotherapy staff and other members of the MDT in NIV.
Information management
- To use problem oriented medical records in line with CSP standards of practice to aid the clinical reasoning process in the assessment and treatment of all patients
- To provide accurate and comprehensive written or computer generated records of assessment, treatment and statistical data according to departmental standards
Research and development
- To undertake an evidence-based project within each rotation and propose improvements to service delivery and clinical practice within that area
- Actively participate in the annual appraisal system as an appraiser. To develop and oversee an annual Professional Development Plan (PDP) for peers and/or junior staffe
Job description
Job responsibilities
Communication
- To ensure a patients understanding of their physiotherapy intervention in order to gain valid, informed consent and to be able to work within a legal framework with patients who lack the ability to consent to treatment
- To use a range of verbal and non-verbal communication tools when communicating with patients /carers. This will include communication with people with complex communication difficulties such as deafness, dysphasia, dementia, mental health problems, speak English as a second language or who have difficulty accepting their diagnosis/prognosis
- To deal sensitively with patients who have high levels of anxiety and aggression caused by pain, dementia or limited mobility
- To provide and receive sensitive and/or complex information to individual members of staff and in multidisciplinary group meetings and ward rounds
Patient/customer care (both direct and indirect)
- To be professionally and legally accountable for all aspects of own work and those being supervised by you, including the management of patients in your care.
- Analyse multiple sources of information to undertake a comprehensive assessment of patients including those with diverse or complex presentations/pathologies.
- To use advanced clinical reasoning skills and manual assessment skills to provide an accurate diagnosis and/or establish impairments and disabilities of patients
- To use clinical reasoning, understanding of medical diagnosis and knowledge of treatment options to plan and implement individual physiotherapy treatment programmes.
- To have a comprehensive working knowledge of physiotherapy adjuncts such as IPPB, oscillating PEP, PEP, etc. and indications / contraindications for use across a range of respiratory conditions
- To use and have a comprehensive working knowledge of manual physiotherapy techniques
- To deliver individual and group patient education and exercise classes and be responsible for the safety of patients during these classes
- To independently evaluate progress for patients with complex pathologies, reassess, modify and progress or discontinue individual treatment programmes as required
- To manage clinical risk within own patient caseload to self, patient and environment.
- To use clinical reasoning, understanding of medical diagnosis and knowledge of treatment options to plan and implement the use of Non-Invasive Ventilation (NIV)
- Physiotherapy staff may co-ordinate 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.
- Analyse and interpret complex situations to formulate accurate prognoses and recommend best course of intervention, developing comprehensive discharge plans
- To analyse and review patient progress on NIV, to independently modify ventilation settings, interface selection. To take the clinical lead in the weaning from NIV, liaising with the MDT as appropriate
- To participate in active management of long-term patients with a tracheostomy and be responsible for their physical rehabilitation and ventilation progression.
- To be responsible for patient and family/carer education of NIV including use of and maintenance of equipment.
- To be responsible for carrying and responding to a bleep. As required to immediately change planned activity without prior knowledge. To give specialist advice to junior staff or MDT members over the telephone
- To be an active member of the respiratory overnight and weekend on-call rota. To act as clinical lead for the working weekend team and, when necessary, provide support and advice for junior staff and peers whilst they are on call
- Whilst on call to work without supervision and support, maintaining associated records as an autonomous practitioner
Policy & Service development
- To comply with Trust clinical guidelines and the Chartered Society of Physiotherapy (CSP) codes of professional conduct at all times
- To monitor own and others quality of practice.
- Represent physiotherapy service and individual patients at the multi-disciplinary team meetings, discharge planning meetings, case conferences and ward rounds to ensure the delivery of a co-ordinated multi-disciplinary service. This will include active discussion of patient care with suggestions to modify treatment plan, patient progress and discharge planning
- Actively participate in the rotational appraisal system as appraiser. To be responsible for setting agreed objectives and providing guidance to junior staff
Resource management
- To be responsible for the safe and competent use of all therapy equipment in line with departmental standards. To be responsible for the safety of the patient and self when using any equipment
- To be responsible for the safe and appropriate provision of therapy aids and equipment to patients in line with departmental standards
People management
- To take delegated responsibility from the Band 7 and / or Clinical Lead physiotherapist for managing patients with particular conditions and be responsible for providing specialist physiotherapy assessment and treatment plans for patients with these conditions within each rotation.
- To take delegated responsibility from the Band 7 and / or Clinical Lead physiotherapist for the co-ordination and supervision of departmental patient caseload for junior staff and assistants on a daily basis.
- Deputise for the Band 7 in their absence, in any area, taking responsibility for daily operational management of the team, allocating and organising the workload of junior and assistant staff to meet service priorities on a daily basis
- To be responsible for teaching student physiotherapists to a graduatelevel on physiotherapeutic skills and their knowledge within core clinicalTo manage the workload of students during their placement
- To be responsible for appraising student physiotherapists to a graduate level on their placement. To formulate objectives and provide a structure for achievement of their goals.
- To be an active member of the in-service training programme by attendance at and participation in individual and group training sessions, external courses and peer review.
- To play an active role in the education of junior physiotherapy staff and other members of the MDT in NIV.
Information management
- To use problem oriented medical records in line with CSP standards of practice to aid the clinical reasoning process in the assessment and treatment of all patients
- To provide accurate and comprehensive written or computer generated records of assessment, treatment and statistical data according to departmental standards
Research and development
- To undertake an evidence-based project within each rotation and propose improvements to service delivery and clinical practice within that area
- Actively participate in the annual appraisal system as an appraiser. To develop and oversee an annual Professional Development Plan (PDP) for peers and/or junior staffe
Person Specification
Knowledge/Qualifications
Essential
- Degree in Physiotherapy
- HCPC registration
Desirable
- Member of CSP,
- Experience at B6 level
Experience
Essential
- Significant post-qualification experience
- Experience at Band 5/6 level in the cardiac/respiratory field and / or accredited courses
Desirable
- Specialist cardiorespiratory experience
- Relevant courses
Skills
Essential
- Assessment skills
- Cardio-respiratory theoretical knoweldge
- Independent working
- Organisation / prioritisation / delegation skills
- Team working skills
- Sharing knowledge and skills with others
Desirable
- Audit/ research
- Experience of student supervision
Person Specification
Knowledge/Qualifications
Essential
- Degree in Physiotherapy
- HCPC registration
Desirable
- Member of CSP,
- Experience at B6 level
Experience
Essential
- Significant post-qualification experience
- Experience at Band 5/6 level in the cardiac/respiratory field and / or accredited courses
Desirable
- Specialist cardiorespiratory experience
- Relevant courses
Skills
Essential
- Assessment skills
- Cardio-respiratory theoretical knoweldge
- Independent working
- Organisation / prioritisation / delegation skills
- Team working skills
- Sharing knowledge and skills with others
Desirable
- Audit/ research
- Experience of student supervision
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).
