Job summary
Intermediate Care Southwark provides integrated health and social care at home to adults aged 18 years and older who live in the borough of Southwark. The people that we support have a range of diagnoses and clinical presentations.
Our service aims to:
- Facilitate the safe discharge of people from healthcare in hospital to healthcare at home.
- Provide intensive, short term multi-disciplinary rehabilitation & care support to promote functional independence.
Our Professional Offer to You:
- Further develop your clinical skills
- Develop your skills in holistic assessment, problem solving, intervention planning and joint working with other health and social care colleagues.
- Develop management and operational skills.
- Access appropriate GSTT leadership development training courses to support career development.
- Support you to be involved in Physio meetings and In-service training.
- Provide supervision and clinical support.
At GSTT we are committed to providing:
- Professional expert advice, including access to our Professional Leads in our Community and Hospital settings.
- An annual appraisal and PDR.
- Structured in-service development programs and supervisions.
- Support to undertake research, audit and service evaluation.
- Training links to London Southbank and King's College Universities.
- Support to develop your skills in preparation and presentations
Main duties of the job
- Have responsibility for specialist rehabilitation/therapy assessment, specialist intervention, care planning and review of individual clients.
- Delegate tasks to RSWs
- Case manage people through intensive short term rehabilitation programmes. Goal setting with clients to maximise independence, facilitate early hospital discharge, reduce reliance on care and reduce admissions to long term domiciliary care.
- Work, as a lone practitioner and at times with colleagues, across a variety of locations within the community to meet the needs of a multi-cultural population in an inner city area.
- Work as an autonomous practitioner complying with the standards set by the regulatory body (HCPC), professional body (CSP), government, Trust and department, thereby being professionally and legally responsible and accountable for all aspects of own work and to meet the requirements for professional registration.
- Work as part of a flexible multidisciplinary team, across traditional professional boundaries to meet the needs of clients using a holistic and client centred approach
- To be responsible for practice, education, assessment, mentorship and preceptorship of students and new/junior members of staff. To work towards organisational priorities and achieving service aims.
Support the department's commitment to meeting patient needs and delivering excellence it is essential the post holder be able to work their hours and contribute to both rotas over a 7 day week, including weekday and weekend.
About us
About the Trust
Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of 'good'. Our adult community services achieved a rating of 'outstanding'.
Integrated Local Services (ILS) at Guy's and St Thomas' NHS Foundation Trust provides a range of community and inpatient health services for adults within the communities of Lambeth and Southwark. Our hospital-based inpatient and outpatient services provide care for adults from across the region.
Our services range from health promotion through to delivery of high-quality care for complex patients in the community centres.
Our valuesOur values help us to define and develop our culture, what we do and how we do it.It is important that we all understand and reflect these values in our work. We are:
Caring - we put patients firstAmbitious - we innovate and strive for excellenceInclusive - we respect each other and work collaboratively
Job description
Job responsibilities
Professional / Clinical responsibilities
- To be professionally and legally responsible for own practice and accountable for all aspects of treatment delivered to the client to ensure a high standard of clinical care.
- To work as an autonomous lone practitioner, case managing clients in the community and co-ordinating their care.
- To carry out timely assessment, treatment, goal setting and rehabilitation of community clients to prevent admission or re-admission to hospital or long term domiciliary care and to facilitate early discharge home from hospital.
- To be competent in using a wide variety of specialised assessment and treatment approaches with adults with a range of conditions, including those with severe physical and cognitive impairment or multiple diagnoses in order to formulate treatment plans, maximise rehabilitation potential and set goals.
- Using advanced clinical reasoning skills, analyse and interpret complex assessment findings, from both standardised and non-standardised assessments in order to formulate an accurate diagnosis and prognosis.
- To be able to analyse and interpret complex clinical and social information from a range of sources.
- To ascertain rehabilitation potential of clients following assessment and devise both uni-disciplinary and multi-disciplinary rehabilitation goals which address clinical rehabilitation needs, client choice, service criteria, urgency of need and clinical risk.
- To be able to identify significant health changes that would warrant medical intervention and liaise with the relevant practitioner in a timely manner.
- To educate clients, carers and family members on the clients medical condition, prognosis and physical management encouraging their involvement and actively promoting healthy lifestyles.
- To implement a range of interventions including, but not limited to, physical and cognitive rehabilitation in functional tasks, work and leisure.
- To undertake patient moving and handling assessments, make recommendations and provide training to informal carers when required.
- To provide recommendations for posture and seating, minor home adaptations, and specialist housing.
- Assess clients needs for any rehabilitative equipment and aids to improve safety and functioning within the home as part of a Trusted Assessor role.
- To train RSWs, therapy assistants, students, informal carers, family members in the use of appropriate equipment.
- Demonstrate the safe use of equipment to external providers of care where appropriate.
- Assess and manage clinical, physical and/or environmental risk.
- To adhere to incident reporting procedures and to support RSWs to do likewise.
- To act as lead health professional for clients when required. This may include initiating and co-ordinating multi-disciplinary/multi-agency meetings, liaising with clients/families and onward referrals to other professionals/agencies.
- To identify significant health changes that would warrant medical intervention and liaise with the relevant practitioner.
- To liaise with the multidisciplinary team and identify when referral on to other professions within the team or outside agencies is indicated. This may include making recommendations on package of care needs when appropriate.
- To maintain accurate and up to date individual client records and ensure safekeeping and confidentiality of these records (including use of the Trust electronic patient records system) in line with Trust, legal and professional requirements.
- To evaluate client intervention and progress in a timely manner using appropriate outcome measures and evaluation tools. To adapt care plans accordingly and delegate tasks appropriately to RSWs.
- To discharge clients in a timely manner having reviewed the clients needs and goals, making appropriate onward referrals where necessary.
- To participate in the duty therapy rota for the single point of access, responsible for triage and prioritisation of new referrals.
- To respect an individuals ethnicity and cultural and religious beliefs.
Please review Job description document for main responsibilities.
Job description
Job responsibilities
Professional / Clinical responsibilities
- To be professionally and legally responsible for own practice and accountable for all aspects of treatment delivered to the client to ensure a high standard of clinical care.
- To work as an autonomous lone practitioner, case managing clients in the community and co-ordinating their care.
- To carry out timely assessment, treatment, goal setting and rehabilitation of community clients to prevent admission or re-admission to hospital or long term domiciliary care and to facilitate early discharge home from hospital.
- To be competent in using a wide variety of specialised assessment and treatment approaches with adults with a range of conditions, including those with severe physical and cognitive impairment or multiple diagnoses in order to formulate treatment plans, maximise rehabilitation potential and set goals.
- Using advanced clinical reasoning skills, analyse and interpret complex assessment findings, from both standardised and non-standardised assessments in order to formulate an accurate diagnosis and prognosis.
- To be able to analyse and interpret complex clinical and social information from a range of sources.
- To ascertain rehabilitation potential of clients following assessment and devise both uni-disciplinary and multi-disciplinary rehabilitation goals which address clinical rehabilitation needs, client choice, service criteria, urgency of need and clinical risk.
- To be able to identify significant health changes that would warrant medical intervention and liaise with the relevant practitioner in a timely manner.
- To educate clients, carers and family members on the clients medical condition, prognosis and physical management encouraging their involvement and actively promoting healthy lifestyles.
- To implement a range of interventions including, but not limited to, physical and cognitive rehabilitation in functional tasks, work and leisure.
- To undertake patient moving and handling assessments, make recommendations and provide training to informal carers when required.
- To provide recommendations for posture and seating, minor home adaptations, and specialist housing.
- Assess clients needs for any rehabilitative equipment and aids to improve safety and functioning within the home as part of a Trusted Assessor role.
- To train RSWs, therapy assistants, students, informal carers, family members in the use of appropriate equipment.
- Demonstrate the safe use of equipment to external providers of care where appropriate.
- Assess and manage clinical, physical and/or environmental risk.
- To adhere to incident reporting procedures and to support RSWs to do likewise.
- To act as lead health professional for clients when required. This may include initiating and co-ordinating multi-disciplinary/multi-agency meetings, liaising with clients/families and onward referrals to other professionals/agencies.
- To identify significant health changes that would warrant medical intervention and liaise with the relevant practitioner.
- To liaise with the multidisciplinary team and identify when referral on to other professions within the team or outside agencies is indicated. This may include making recommendations on package of care needs when appropriate.
- To maintain accurate and up to date individual client records and ensure safekeeping and confidentiality of these records (including use of the Trust electronic patient records system) in line with Trust, legal and professional requirements.
- To evaluate client intervention and progress in a timely manner using appropriate outcome measures and evaluation tools. To adapt care plans accordingly and delegate tasks appropriately to RSWs.
- To discharge clients in a timely manner having reviewed the clients needs and goals, making appropriate onward referrals where necessary.
- To participate in the duty therapy rota for the single point of access, responsible for triage and prioritisation of new referrals.
- To respect an individuals ethnicity and cultural and religious beliefs.
Please review Job description document for main responsibilities.
Person Specification
Knowledge/Qualifications
Essential
- Graduate Diploma or Degree in Physiotherapy
- State Registration with HCPC
Previous Experience
Essential
- Significant broad based post registration experience at band 5 or above
- Experience of working in an adult rehabilitation team environment
- Experience of working within an MDT
Desirable
- Experience of working within the community
- Experience of direct supervision of more junior staff
- Experience of supervision of pre-registration students
- Experience of clinical audit, benchmarking and evaluation of services
Skills
Essential
- Good organisational, time management and prioritisation skills
- Demonstrable Skills in assessing patients with complex conditions, identifying the problems and selecting and implementing the relevant treatment/management programme
- Developed skills in rehabilitation
- Excellent communication skills and ability to communicate sensitive and complex information within different settings, good negotiation skills.
- Understanding of issues related to working within a multi-cultural community
- Understanding of manual handling and Health and Safety issues related to community working
- Knowledge and understanding of clinical governance and evidence based practice
- Ability to demonstrate skill-sharing and collaborative working at a variety of levels
- Able to manage own caseload and work autonomously in the community and domiciliary settings
- Ability to analyse and understand complex information and communicate appropriately
Physical Requirements
Essential
- Fit for active physical workload and resilient under reasonable pressure of work
- Able to travel around Southwark
Person Specification
Knowledge/Qualifications
Essential
- Graduate Diploma or Degree in Physiotherapy
- State Registration with HCPC
Previous Experience
Essential
- Significant broad based post registration experience at band 5 or above
- Experience of working in an adult rehabilitation team environment
- Experience of working within an MDT
Desirable
- Experience of working within the community
- Experience of direct supervision of more junior staff
- Experience of supervision of pre-registration students
- Experience of clinical audit, benchmarking and evaluation of services
Skills
Essential
- Good organisational, time management and prioritisation skills
- Demonstrable Skills in assessing patients with complex conditions, identifying the problems and selecting and implementing the relevant treatment/management programme
- Developed skills in rehabilitation
- Excellent communication skills and ability to communicate sensitive and complex information within different settings, good negotiation skills.
- Understanding of issues related to working within a multi-cultural community
- Understanding of manual handling and Health and Safety issues related to community working
- Knowledge and understanding of clinical governance and evidence based practice
- Ability to demonstrate skill-sharing and collaborative working at a variety of levels
- Able to manage own caseload and work autonomously in the community and domiciliary settings
- Ability to analyse and understand complex information and communicate appropriately
Physical Requirements
Essential
- Fit for active physical workload and resilient under reasonable pressure of work
- Able to travel around Southwark
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).
