Job summary
An exciting opportunity has arisen for Barts Health NHS Trust to recruit four Exercise Physiologists as part of a new Prehab Service. This service is building upon the innovative work started with lung cancer patients, and is funded by the NEL Cancer Alliance in partnership with Barts Health for 12 months. The service uniquely includes using digital technology ('Living with' and 'ONKO' apps) to support patients, alongside traditional face to face provision, according to patient risk stratification. The project supports the prehab of cancer patients prior to surgery, chemotherapy, and radiotherapy, aiming to prepare and optimise patients immediately prior to their treatment. The service will be offered across all 4 Barts Health sites with each Exercise Physiologist being responsible for one site, under the oversight of a Band 7 Physiotherapist. A focus of the service is improving the cardio vascular fitness of each patient by providing high quality, evidence based, intensive exercise interventions. This can only be achieved through holistic consideration of needs, including psychological and nutritional wellbeing, and post holders will be expected to address each of these pillars of prehab with every patient.
The post holder will be responsible for a prehab caseload, conducting baseline and review assessments, providing monitoring via the app, telephone/virtual support, and running both one to one and group exercise sessions as appropriate.
Main duties of the job
The post holder will be working as part of a new prehab team; working under the supervision of a band 7 physiotherapist and will be responsible for supporting an innvoative prehab service using a hybrid model of digitial and face to face delivery of care. The post-holder will be expected to:
- Support the identification of appropriate patients for enrolment into the prehab service
- Carry out baseline holistic assessments of patients' functional status and needs, including their psychological and nutritional wellbeing. Post holders will be expected to address each of the pillars of prehab with every patient.
- Devising personalised, evidence based prehab plans including exercise, nutrition and psychological elements based on risk assessment and patient choice.
- Using motivational interviewing techniques to support patients in goal setting, identification of barriers, coping strategies in order to prepare patients for upcoming treatments and in making long-term health changes
- Monitoring patients' progress via the digital solution app and providing telephone/virtual support
- conducting review assessments and collating robust metrics for outcome data analysis
- contributing to the review of service provision and outcomes
About us
Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment where staff treat one another with dignity and respect. We aim to create an equitable working environment where every individual can fulfil their potential
Job description
Job responsibilities
Clinical Responsibilities
- To be professionally and legally responsible for all aspects of your work including the management of patients in your care. To work within Trust clinical protocols, procedures and guidelines. To have good working knowledge of national and local standards, national Prehabilitation guidelines and monitor own and others quality of practice as appropriate.
- To be able to carry and prioritise your own designated clinical caseload, working as an autonomous practitioner.
- To undertake advanced assessment of prehabilitation patients with diverse or complex physical, psychological, cognitive and behavioural conditions, using appropriate techniques in line with departmental standards, in order to deliver appropriate exercise, nutrition and psychological based interventions.
- To use problem orientated medical records to aid the clinical reasoning process in the assessment and treatment of all patients.
- To use good communication skills to negotiate therapy goals with individual patients and multidisciplinary team using previous experience to ensure goals and treatment plans are specific, measurable, achievable, realistic, appropriately timed and relevant to diagnosis.
- To use in depth clinical reasoning, evidence based practice, understanding of the medical diagnosis, previous experience and wide-ranging knowledge of treatment options to plan and implement individual or group therapy programmes.
Please see attached JD for further responsibilities
Job description
Job responsibilities
Clinical Responsibilities
- To be professionally and legally responsible for all aspects of your work including the management of patients in your care. To work within Trust clinical protocols, procedures and guidelines. To have good working knowledge of national and local standards, national Prehabilitation guidelines and monitor own and others quality of practice as appropriate.
- To be able to carry and prioritise your own designated clinical caseload, working as an autonomous practitioner.
- To undertake advanced assessment of prehabilitation patients with diverse or complex physical, psychological, cognitive and behavioural conditions, using appropriate techniques in line with departmental standards, in order to deliver appropriate exercise, nutrition and psychological based interventions.
- To use problem orientated medical records to aid the clinical reasoning process in the assessment and treatment of all patients.
- To use good communication skills to negotiate therapy goals with individual patients and multidisciplinary team using previous experience to ensure goals and treatment plans are specific, measurable, achievable, realistic, appropriately timed and relevant to diagnosis.
- To use in depth clinical reasoning, evidence based practice, understanding of the medical diagnosis, previous experience and wide-ranging knowledge of treatment options to plan and implement individual or group therapy programmes.
Please see attached JD for further responsibilities
Person Specification
Qualifications
Essential
- oBSc in Physiology/Sports Science or equivalent
Desirable
- oMember of the Register of Exercise Professionals (REP), or other associated body (BASES,BACR)
- oTraining in motivational linterviewing
- oCancer rehabilitation qualification
- oIntermediate Life Support Skills
Experience
Essential
- oExperience of working to time schedules.
- oExperience of planning exercise programmes and evaluating outcome.
- oAbility to deliver educational talks and leading group exercise sessions
- oExperience using Motivational Interviewing in people with long term conditions
Desirable
- oExperience of developing, leading and evaluating exercise based cardiac rehabilitation for specialist populations in prehabilitation
- oExperience of data collection and analysis
- oExperience or knowledge of prehabilitation / rehabilitation services
- oParticipation in Research/ audit
- oPrevious experience of working with cancer patients in an exercise setting
- oExperience of working in field of cancer or other chronic conditions
Knowledge
Essential
- oUp to date knowledge of national and local strategies relating to prehabilitation
- oHigh level knowledge of existing exercises testing and prescription guidelines
- oDemonstrable and competent knowledge of exercise physiology and impact of varied clinical pathologies.
- oRecognises boundaries of own responsibilities
Person Specification
Qualifications
Essential
- oBSc in Physiology/Sports Science or equivalent
Desirable
- oMember of the Register of Exercise Professionals (REP), or other associated body (BASES,BACR)
- oTraining in motivational linterviewing
- oCancer rehabilitation qualification
- oIntermediate Life Support Skills
Experience
Essential
- oExperience of working to time schedules.
- oExperience of planning exercise programmes and evaluating outcome.
- oAbility to deliver educational talks and leading group exercise sessions
- oExperience using Motivational Interviewing in people with long term conditions
Desirable
- oExperience of developing, leading and evaluating exercise based cardiac rehabilitation for specialist populations in prehabilitation
- oExperience of data collection and analysis
- oExperience or knowledge of prehabilitation / rehabilitation services
- oParticipation in Research/ audit
- oPrevious experience of working with cancer patients in an exercise setting
- oExperience of working in field of cancer or other chronic conditions
Knowledge
Essential
- oUp to date knowledge of national and local strategies relating to prehabilitation
- oHigh level knowledge of existing exercises testing and prescription guidelines
- oDemonstrable and competent knowledge of exercise physiology and impact of varied clinical pathologies.
- oRecognises boundaries of own responsibilities
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).
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).
