Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Advanced Physiotherapist

This job is now closed

Job summary

To assist the Team Lead in the organisation, co-ordination, delivery and evaluation of the Physiotherapy Service to MCSI, to ensure efficient and effective provision of service and care to patients.
To undertake a clinical caseload and treat to a high professional standard using specialist knowledge from theoretical and practical experience. To determine clinical diagnosis and treatment indicated for patients with complex physical and psychological conditions, and maintain comprehensive records as an autonomous practitioner.
To help ensure a cohesive service for the MCSI by ensuring a multi-disciplinary approach to treatment and the patients' successful integration into the community.

Main duties of the job

To perform advanced physiotherapeutic assessment of patients with diverse presentations and highly complex physical and psychological conditions, to provide a diagnosis and develop and deliver an individualised treatment programme.
To undertake all aspects of clinical duties as an autonomous practitioner.
To be a recognised source of clinical expertise on physiotherapy assessment and treatment in spinal cord injuries.
To be a recognised source of clinical expertise in Respiratory Care on MCSI. To support staff throughout the trust in caring for the specialist respiratory needs of Spinal Injured Patient, by education and sharing knowledge.
To supervise, educate and assess the performance of physiotherapy students, and work closely with the university to ensure teaching meets the standards set by the degree level qualification.
To deputise for the Team Lead, MCSI as required.
To promote and ensure the completion of regular audits, surveys and evidence-based projects to further own and team's clinical practice as required. To make recommendations to clinical leader of service and be involved in the implementation of any associated changes to practice by the team.
To participate in the on-call service during the evenings and at weekends.

About us

The Robert Jones and Agnes Hunt Orthopaedic NHS Trust (RJAH)is one of the leading orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for research and innovation.

Joining RJAH is more than just a job - we want our people to have the best opportunities to thrive in their role.We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to outstanding professional development opportunities and state-of-the-art facilities - including our recently-opened £6 million Headley Court Veterans' Orthopaedic Centre (the first unit of its kind in the UK).RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.The hospital is located on a site outside Oswestry in Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.We are based in North Shropshire, close to the border with North and Mid Wales. It is one of the most attractive parts of the country, with a rich historic culture and excellent transport links. It offers outstanding opportunities for anyone who enjoys an outdoor lifestyle or is looking to raise a family.

Date posted

10 July 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

224-PA20230400341

Job locations

RJAH Hospital

Twmpath Lane

Oswestry

SY107AG

Job description

Job responsibilities

To be professionally and legally responsible and accountable for all aspects of own work including the management of patients in your care and supporting less experienced staff to do likewise.
To undertake all aspects of clinical duties as an autonomous practitioner.
To undertake a comprehensive assessment of patients (adults and children) with spinal cord injury, including those with diverse or highly complex presentations / multi pathologies and use advanced clinical reasoning skills and manual assessment techniques to provide an accurate diagnosis of their condition.
Assess patients understanding of treatment plans, gain informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment
To plan and deliver individual physiotherapy treatment programmes based on a specialist knowledge of evidence based practice, using investigative and analytical skills, advanced clinical reasoning skills and knowledge of wide range of treatment skills / options e.g. manual physiotherapy techniques, patient education, correct manual handling techniques, hydrotherapy, electrotherapy techniques, respiratory care.
Continually reassess / evaluate patient progress / evaluate patient progress and alter treatment programmes as required.
To represent the physiotherapy service and / or individual patients at the multi-disclipinary team (MDT) meetings or ward rounds, to ensure the delivery of a coordinated multi-disciplinary service and integrate physiotherapy treatment into the overall treatment programme. This will include discussion of patient care, patient progress, appropriate referrals for further interventions and involvement in discharge plans.
To effectively communicate with patients, families and carers, to progress and encourage compliance with their rehabilitation programmes. Patients may have difficulties in understanding or communicating due to issues with hearing, sight, speech, psychological or learning difficulties. A variety of excellent communication skills will be required to ensure the best outcome for the patient. Communication style will need to be adapted as required.
To provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patient care.
To be clinically responsible for a caseload of patients, and to be able to organise and prioritise effectively.
To be a Key Worker, use the Needs Assessment Checklist, chair Multi-disciplinary Goal Setting meetings and coordinate the individual patients rehabilitation and discharge plans.
To ensure correct provision of equipment for patients to facilitate discharge.
To support patients through acceptance of stressful, complex physical conditions
When working on the emergency on-call rota, undertake the assessment and treatment of acutely unwell/deteriorating patients with respiratory problems, who may have a complex presentation and maintain associated records as an autonomous practitioner.
To be an active member of the evening on-call service, reporting to and advising the medical and nursing staff any necessary assessment findings such as respiratory function or mobility needs and abilities.
Consistently maintain accurate, comprehensive and up-to-date treatment records in the form of reports or letters when appropriate.
To be responsible for the safe and competent use of all appropriate therapeutic equipment.
To demonstrate highly developed dexterity, coordination and palpatory skills for assessment and manual treatment of patients.
To be involved in the assessment for and provision of specialised equipment, including tilt tables, standing frames, wheelchairs and specialised seating included cushions and back rests.
To participate in the provision of a physiotherapy service within the Midlands Centre for Spinal Injuries Outpatients Service as part of a rotation within the senior physiotherapy staff. This may include clinical work outside the centre to support with specialist clinical expertise.
To assess patients suitability for admission for rehabilitation on behalf of the MCSI by means of visits to other trusts as part of the multi-disciplinary team or independently.
To be responsible for the organisation of the aquatic therapy provision for the MCSI patients.

Education and Research

To lead and undertake audit / research into specific areas of clinical practice and service delivery using a range of research methodologies as part of MDT audit and / or physiotherapy department research initiatives.
To investigate and participate in research and / or audit projects within profession and / or with multi-disciplinary colleagues
To lecture / present to medical and multi-disciplinary teams, both national and international, who come to MCSI for training and at external conferences
To be responsible for teaching student physiotherapists to graduate and post graduate level on physiotherapeutic skills and knowledge within the area of spinal injuries. This will involve the completion of the necessary documentation to the necessary standard.
To promote and lead on IST to ensure an appropriate level of training and supervision of MCSI physiotherapy staff. To support and assist in the organisation of education for MDT colleagues and another healthcare professionals.
To keep up to date with all Statutory training as per RJAH policy.

Professional

Be responsible for maintaining and developing specialist knowledge and skills through a variety of CPD opportunities including relevant courses to ensure a high level of knowledge and skills and maintain a portfolio which reflects development. Keep up to date of developments in the profession and encourage others to do likewise. To be aware of professional clinical interest groups.
To set high personal and professional standards of work within the CSP / Trusts clinical guidelines, National Service Frameworks (NSF) and NICE guidance and monitor own and others quality of practice as appropriate.
To be recognised source of clinical expertise on physiotherapy assessment and treatment in spinal cord injuries.
To be a recognised source of clinical expertise in Respiratory Care on MCSI. To support staff throughout the trust in caring for the specialist respiratory needs of Spinal Injured Patient, by education and sharing knowledge.
To participate in the staff appraisal and mentoring schemes and personal development plan as both appraiser and appraisee.
Ensure patients, students and staff are competent with the use all relevant therapeutic equipment and provide any necessary training and supervision.
Undertake to measure and evaluate own work in line with current physiotherapy practice through application of EBP, audit, research, outcome measures and reflective practice
To work autonomously on a day to day basis, prioritising workload effectively.
To communicate effectively and work collaboratively with medical, nursing and professionals allied to medicine, to ensure delivery of a coordinated multi-disciplinary service.

Organisational

To be responsible for organising and planning own work caseload to meet service and patient priorities, realising the need to be flexible and being able to adjust plans / delegate, as situations arise.
To provide supervision and coordination of less experienced senior staff, students, TIs and assistants on a daily basis.
To assist the Team Lead in the provision of an effective and efficient physiotherapy service to the MCSI.
To deputise for the Team Lead as required, taking responsibility for the operational management of the team, allocating and organising staff to meet service priorities on a daily basis.
To undertake as directed the collection of appropriate data or statistics for use in service audit and research projects. To undertake audit / research into specific areas of clinical practice and service delivery using a range of research methodologies as part of MDT audit and / or physiotherapy department research initiatives.
To help organise and take part in patients sporting and social activities.
To identify opportunities, make recommendations and help implement improvements / developments to the physiotherapy service to MCSI in order to provide the best patient care within the resources available.
To comply with the organisational and department Policies and procedures and to assist in the regular review and updating of said policies as appropriate.
To participate in departmental meetings, to contribute ideas for the progress and planning of the service.

Job description

Job responsibilities

To be professionally and legally responsible and accountable for all aspects of own work including the management of patients in your care and supporting less experienced staff to do likewise.
To undertake all aspects of clinical duties as an autonomous practitioner.
To undertake a comprehensive assessment of patients (adults and children) with spinal cord injury, including those with diverse or highly complex presentations / multi pathologies and use advanced clinical reasoning skills and manual assessment techniques to provide an accurate diagnosis of their condition.
Assess patients understanding of treatment plans, gain informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment
To plan and deliver individual physiotherapy treatment programmes based on a specialist knowledge of evidence based practice, using investigative and analytical skills, advanced clinical reasoning skills and knowledge of wide range of treatment skills / options e.g. manual physiotherapy techniques, patient education, correct manual handling techniques, hydrotherapy, electrotherapy techniques, respiratory care.
Continually reassess / evaluate patient progress / evaluate patient progress and alter treatment programmes as required.
To represent the physiotherapy service and / or individual patients at the multi-disclipinary team (MDT) meetings or ward rounds, to ensure the delivery of a coordinated multi-disciplinary service and integrate physiotherapy treatment into the overall treatment programme. This will include discussion of patient care, patient progress, appropriate referrals for further interventions and involvement in discharge plans.
To effectively communicate with patients, families and carers, to progress and encourage compliance with their rehabilitation programmes. Patients may have difficulties in understanding or communicating due to issues with hearing, sight, speech, psychological or learning difficulties. A variety of excellent communication skills will be required to ensure the best outcome for the patient. Communication style will need to be adapted as required.
To provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patient care.
To be clinically responsible for a caseload of patients, and to be able to organise and prioritise effectively.
To be a Key Worker, use the Needs Assessment Checklist, chair Multi-disciplinary Goal Setting meetings and coordinate the individual patients rehabilitation and discharge plans.
To ensure correct provision of equipment for patients to facilitate discharge.
To support patients through acceptance of stressful, complex physical conditions
When working on the emergency on-call rota, undertake the assessment and treatment of acutely unwell/deteriorating patients with respiratory problems, who may have a complex presentation and maintain associated records as an autonomous practitioner.
To be an active member of the evening on-call service, reporting to and advising the medical and nursing staff any necessary assessment findings such as respiratory function or mobility needs and abilities.
Consistently maintain accurate, comprehensive and up-to-date treatment records in the form of reports or letters when appropriate.
To be responsible for the safe and competent use of all appropriate therapeutic equipment.
To demonstrate highly developed dexterity, coordination and palpatory skills for assessment and manual treatment of patients.
To be involved in the assessment for and provision of specialised equipment, including tilt tables, standing frames, wheelchairs and specialised seating included cushions and back rests.
To participate in the provision of a physiotherapy service within the Midlands Centre for Spinal Injuries Outpatients Service as part of a rotation within the senior physiotherapy staff. This may include clinical work outside the centre to support with specialist clinical expertise.
To assess patients suitability for admission for rehabilitation on behalf of the MCSI by means of visits to other trusts as part of the multi-disciplinary team or independently.
To be responsible for the organisation of the aquatic therapy provision for the MCSI patients.

Education and Research

To lead and undertake audit / research into specific areas of clinical practice and service delivery using a range of research methodologies as part of MDT audit and / or physiotherapy department research initiatives.
To investigate and participate in research and / or audit projects within profession and / or with multi-disciplinary colleagues
To lecture / present to medical and multi-disciplinary teams, both national and international, who come to MCSI for training and at external conferences
To be responsible for teaching student physiotherapists to graduate and post graduate level on physiotherapeutic skills and knowledge within the area of spinal injuries. This will involve the completion of the necessary documentation to the necessary standard.
To promote and lead on IST to ensure an appropriate level of training and supervision of MCSI physiotherapy staff. To support and assist in the organisation of education for MDT colleagues and another healthcare professionals.
To keep up to date with all Statutory training as per RJAH policy.

Professional

Be responsible for maintaining and developing specialist knowledge and skills through a variety of CPD opportunities including relevant courses to ensure a high level of knowledge and skills and maintain a portfolio which reflects development. Keep up to date of developments in the profession and encourage others to do likewise. To be aware of professional clinical interest groups.
To set high personal and professional standards of work within the CSP / Trusts clinical guidelines, National Service Frameworks (NSF) and NICE guidance and monitor own and others quality of practice as appropriate.
To be recognised source of clinical expertise on physiotherapy assessment and treatment in spinal cord injuries.
To be a recognised source of clinical expertise in Respiratory Care on MCSI. To support staff throughout the trust in caring for the specialist respiratory needs of Spinal Injured Patient, by education and sharing knowledge.
To participate in the staff appraisal and mentoring schemes and personal development plan as both appraiser and appraisee.
Ensure patients, students and staff are competent with the use all relevant therapeutic equipment and provide any necessary training and supervision.
Undertake to measure and evaluate own work in line with current physiotherapy practice through application of EBP, audit, research, outcome measures and reflective practice
To work autonomously on a day to day basis, prioritising workload effectively.
To communicate effectively and work collaboratively with medical, nursing and professionals allied to medicine, to ensure delivery of a coordinated multi-disciplinary service.

Organisational

To be responsible for organising and planning own work caseload to meet service and patient priorities, realising the need to be flexible and being able to adjust plans / delegate, as situations arise.
To provide supervision and coordination of less experienced senior staff, students, TIs and assistants on a daily basis.
To assist the Team Lead in the provision of an effective and efficient physiotherapy service to the MCSI.
To deputise for the Team Lead as required, taking responsibility for the operational management of the team, allocating and organising staff to meet service priorities on a daily basis.
To undertake as directed the collection of appropriate data or statistics for use in service audit and research projects. To undertake audit / research into specific areas of clinical practice and service delivery using a range of research methodologies as part of MDT audit and / or physiotherapy department research initiatives.
To help organise and take part in patients sporting and social activities.
To identify opportunities, make recommendations and help implement improvements / developments to the physiotherapy service to MCSI in order to provide the best patient care within the resources available.
To comply with the organisational and department Policies and procedures and to assist in the regular review and updating of said policies as appropriate.
To participate in departmental meetings, to contribute ideas for the progress and planning of the service.

Person Specification

Qualifications/Training

Essential

Degree in Physiotherapy or Grad. Dip. Phys.
HCPC registration
CPD Portfolio with evidence of IST and reflective learning
Evidence of post graduate courses in clinical skills and neurological conditions

Desirable

Member of special interest group Validated courses in neurological rehabilitation

Experience

Essential

Broad rotational experience as a Junior & experience at working at a senior level in spinal injuries

Desirable

Experience in neurological rehabilitation

Skills and Competencies

Essential

Ability to work in a multi disciplinary team and independently
Ability to organise and prioritise
Ability to cope with stressful environment / patients / carers
Excellent interpersonal skills
Supervision of Junior therapy staff
Ability to pass on skills / knowledge to others
Must be able to take part in the on-call rota

Desirable

Leadership skills

Knowledge (including specialist or technical knowledge required)

Essential

Specialist knowledge of range of neurological and musculo-skeletal conditions
Knowledge of clinical governance and its implications e.g. quality, audit
Ability to operate medical equipment

Desirable

Involvement in audit, research and quality issues
Competent IT Skills
Presentation skills

Person Specification

Qualifications/Training

Essential

Degree in Physiotherapy or Grad. Dip. Phys.
HCPC registration
CPD Portfolio with evidence of IST and reflective learning
Evidence of post graduate courses in clinical skills and neurological conditions

Desirable

Member of special interest group Validated courses in neurological rehabilitation

Experience

Essential

Broad rotational experience as a Junior & experience at working at a senior level in spinal injuries

Desirable

Experience in neurological rehabilitation

Skills and Competencies

Essential

Ability to work in a multi disciplinary team and independently
Ability to organise and prioritise
Ability to cope with stressful environment / patients / carers
Excellent interpersonal skills
Supervision of Junior therapy staff
Ability to pass on skills / knowledge to others
Must be able to take part in the on-call rota

Desirable

Leadership skills

Knowledge (including specialist or technical knowledge required)

Essential

Specialist knowledge of range of neurological and musculo-skeletal conditions
Knowledge of clinical governance and its implications e.g. quality, audit
Ability to operate medical equipment

Desirable

Involvement in audit, research and quality issues
Competent IT Skills
Presentation skills

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

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

RJAH Hospital

Twmpath Lane

Oswestry

SY107AG

Employer's website

https://www.rjah.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

RJAH Hospital

Twmpath Lane

Oswestry

SY107AG

Employer's website

https://www.rjah.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Therapy Team Lead

Julie Smith

jsmith116@nhs.net

01691404408

Date posted

10 July 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£43,742 to £50,056 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

224-PA20230400341

Job locations

RJAH Hospital

Twmpath Lane

Oswestry

SY107AG

Supporting documents

Privacy notice

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust's privacy notice (opens in a new tab)

Advanced Physiotherapist

Job summary

Main duties of the job

About us

Details

Date posted

Pay scheme

Band

Salary

Contract

Working pattern

Reference number

Job locations

Job description

Job responsibilities

Job responsibilities

Person Specification

Qualifications/Training

Essential

Desirable

Experience

Essential

Desirable

Skills and Competencies

Essential

Desirable

Knowledge (including specialist or technical knowledge required)

Essential

Desirable

Qualifications/Training

Essential

Desirable

Experience

Essential

Desirable

Skills and Competencies

Essential

Desirable

Knowledge (including specialist or technical knowledge required)

Essential

Desirable

Disclosure and Barring Service Check

Certificate of Sponsorship

UK Registration

Disclosure and Barring Service Check

Certificate of Sponsorship

UK Registration

Employer details

Employer name

Address

Employer's website

Employer details

Employer name

Address

Employer's website

Employer contact details

For questions about the job, contact:

Details

Date posted

Pay scheme

Band

Salary

Contract

Working pattern

Reference number

Job locations

Supporting documents

Privacy notice