Job summary
The Therapy Department at the Chelsea and Westminster Hospital has a vacancy for a Highly Specialist Band 7 Physiotherapist or Occupational Therapist to work in the Hand Therapy Team.
The post holder will manage a complex clinical caseload of adult and paediatric patients following trauma or with acquired conditions. The role will comprise working alongside the Hand Surgeons in their clinics, assessing and managing patients following their injury or surgery. The role will further include being the on-call hand therapist; attending ward rounds and prioritisation and clinical reasoning for patient referrals.
There will be involvement in the day to day operational running of the hand therapy team, alongside the band 7's and 8's.
You will work in an ever developing integrated and specialist hand therapy OT/Physio team (15 therapists) alongside 2 other band 7 therapists, with the support of the Advanced Clinical Practitioners and Consultant Hand Therapist.
You will also have a role in teaching and supervising static and rotational band 6 and band 5 therapists in the team.
To have the opportunity to participate in, or lead departmental research projects.
Main duties of the job
To be one of the therapy services expert clinicians for the hand therapy department.
To work as an autonomous practitioner in providing hand therapy assessment, treatment and management of their own designated caseload of adult and paediatric patients and to maintain up to date therapy records.
To utilise expert clinical reasoning and specialist skills to assess, plan, implement and evaluate interventions in trauma and acquired hand and wrist conditions and to provide specialist support and advice to other therapy staff whilst maintaining a caseload as an autonomous practitioner.
Use evidence based principles and current best practise to assess, plan, implement and evaluate hand therapy interventions.
Will be responsible, alongside 2 other band 7's, for the operational day to day running of the hand therapy service ensuring organisation of the dairies, caseloads of team members and staff management are effective and timely.
To provide supervision, teaching and support to more junior staff, therapy assistants and students on placement.
To have the opportunity to participate in, or lead departmental research projects.
About us
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.
The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Job description
Job responsibilities
Clinical:
- To prioritise and manage a specialist clinical caseload, working as an autonomous practitioner and to monitor the caseloads of all hand therapy team members to ensure that an efficient and effective hand therapy service.
- To provide treatment to patients in various locations including hand therapy outpatients, in-patient wards, day surgery/hand management unit and consultant clinics.
- To undertake highly specialised hand therapy assessments and incorporate into treatment session, utilising appropriate therapy techniques and therapeutic handling skills of all types of hand conditions and trauma to form diagnoses and/or establish impairments and disabilities.
- To carry out highly specialist diagnostic assessments on request from consultants when a diagnosis and clinical opinion is required.
- o To monitor and evaluate treatment to measure progress and to ensure effectiveness of the intervention and to identify quickly when treatment requires modifying.
- To cross traditional professional boundaries and demonstrate use of hand therapy assessment and treatment techniques usually performed by occupational therapists and physiotherapists, including static/dynamic splinting, sensory assessments/re-re-education, pressure garment as well as electrotherapy, exercise therapy and some mobilisation techniques.
- To use advanced clinical reasoning skills to determine if any other treatment is required and if necessary ensure timely written and/or verbal referral to other professions
- To support more junior staff, both physiotherapists and occupational therapists in the development of their assessment, treatment and clinical reasoning skills to ensure a high standard of care to hand therapy patients.
- To be available for spontaneous highly specialist advice to patients, therapists and other professionals.
Leadership and Management
- To be responsible for providing an efficient and effective hand therapy service, by demonstrating good leadership, organisational, time management and prioritisation skills.
- To work closely with the other band 7 team leads, as well as the band 8a and 8b at all times to ensure that all organisational roles are covered but without needless duplication.
- To be heavily involved in service development, in conjunction with the clinical specialist and Consultant hand therapist and MDT
- To take a lead role in the teaching, supervision and appraisal of static and rotational band 5 and 6 therapists (both physiotherapist and occupational therapists),
- To jointly organise with the other band 7s the hand therapy team schedule in order to cover all clinical areas with the requisite number of staff and relevant level of experience and to update at least one month in advance
- To be involved in and lead the recruitment and selection of more junior staff
Professional Development
- To be responsible for personal continuous professional development and mandatory training
- To participate in the appraisal system as appraiser and appraisee, and be responsible for fulfilling your agreed objectives and personal development plan
Education and Research
- To participate in and contribute to in-service training programme
- To be responsible for the training and induction of all new members of staff to hand therapy team
- To participate in or lead teaching at a high level including to senior medical and nursing staff
- To provide clinical supervision and teaching to more junior staff, students and therapy assistants
- To be involved in developing, leading and completing local and multicentre research and audits undertaken in hand therapy
- To provide highly specialist advice, teaching and training to other professionals
Job description
Job responsibilities
Clinical:
- To prioritise and manage a specialist clinical caseload, working as an autonomous practitioner and to monitor the caseloads of all hand therapy team members to ensure that an efficient and effective hand therapy service.
- To provide treatment to patients in various locations including hand therapy outpatients, in-patient wards, day surgery/hand management unit and consultant clinics.
- To undertake highly specialised hand therapy assessments and incorporate into treatment session, utilising appropriate therapy techniques and therapeutic handling skills of all types of hand conditions and trauma to form diagnoses and/or establish impairments and disabilities.
- To carry out highly specialist diagnostic assessments on request from consultants when a diagnosis and clinical opinion is required.
- o To monitor and evaluate treatment to measure progress and to ensure effectiveness of the intervention and to identify quickly when treatment requires modifying.
- To cross traditional professional boundaries and demonstrate use of hand therapy assessment and treatment techniques usually performed by occupational therapists and physiotherapists, including static/dynamic splinting, sensory assessments/re-re-education, pressure garment as well as electrotherapy, exercise therapy and some mobilisation techniques.
- To use advanced clinical reasoning skills to determine if any other treatment is required and if necessary ensure timely written and/or verbal referral to other professions
- To support more junior staff, both physiotherapists and occupational therapists in the development of their assessment, treatment and clinical reasoning skills to ensure a high standard of care to hand therapy patients.
- To be available for spontaneous highly specialist advice to patients, therapists and other professionals.
Leadership and Management
- To be responsible for providing an efficient and effective hand therapy service, by demonstrating good leadership, organisational, time management and prioritisation skills.
- To work closely with the other band 7 team leads, as well as the band 8a and 8b at all times to ensure that all organisational roles are covered but without needless duplication.
- To be heavily involved in service development, in conjunction with the clinical specialist and Consultant hand therapist and MDT
- To take a lead role in the teaching, supervision and appraisal of static and rotational band 5 and 6 therapists (both physiotherapist and occupational therapists),
- To jointly organise with the other band 7s the hand therapy team schedule in order to cover all clinical areas with the requisite number of staff and relevant level of experience and to update at least one month in advance
- To be involved in and lead the recruitment and selection of more junior staff
Professional Development
- To be responsible for personal continuous professional development and mandatory training
- To participate in the appraisal system as appraiser and appraisee, and be responsible for fulfilling your agreed objectives and personal development plan
Education and Research
- To participate in and contribute to in-service training programme
- To be responsible for the training and induction of all new members of staff to hand therapy team
- To participate in or lead teaching at a high level including to senior medical and nursing staff
- To provide clinical supervision and teaching to more junior staff, students and therapy assistants
- To be involved in developing, leading and completing local and multicentre research and audits undertaken in hand therapy
- To provide highly specialist advice, teaching and training to other professionals
Person Specification
Qualificiations
Essential
- BSc or Diploma in Physiotherapy or Occupational Therapy
- HCPC Registration
- Evidence of CPD and relevant post graduate courses (CPD Portfolio)
Desirable
- Member of BAHT
- Evidence of working towards Accredited Hand Therapist BAHT
- Acupuncture
- Injection Therapy
- Evidence of Leadership Training
Experience
Essential
- Experience working as an autonomous practitioner in the NHS or equivalent healthcare system
- Minimal 3 years of post graduate experience at Band 6 level in Hand therapy
- Experience of working as part of an Occupational Therapy/Physiotherapy team in a multi disciplinary team (MDT)
- Presentation of in-service training programme related to hand therapy to the MDT
- Evidence of appraisal, supervision and teaching of band 6 staff, band 5 staff, assistants and students
Desirable
- Experience at band 7 level in hand therapy
- Assessment and treatment of the upper quadrant and upper limb
- Evidence of involvement in Research / QI
- Team leader experience
Skills and Knowledge
Essential
- Demonstrates the ability to clinically reason the application of specialist knowledge required for hand therapy assessment and treatment
- Demonstrates generic hand therapy skills incorporating OT and PT skills
- Demonstrates the ability to clinically reason the application of specialist hand therapy treatment and intervention in a variety of clinical settings
- Evidence of a range of static splinting skills for upper limb injuries with adherence to the principles of splint fabrication.
- Specialised knowledge application and analysis of standardised and non-standardised assessment tools i.e. goniometry, grip strength and Semmes-Weinstein monofilaments
- Evidence of treatment of trauma hand and wrist conditions to include tendon and nerve injuries and fractures
- Evidence of treatment of acquired hand and wrist conditions
- Able to impart skills and knowledge both formally and informally, to other therapists from the same profession, from differing professions, therapy assistants and students in clinical practice.
Desirable
- Evidence of dynamic and neoprene splinting skills for hand and wrist injuries and acquired conditions
Personal Qualities
Essential
- Identifies challenges of working in varying hospital settings and demonstrates the ability to adapt own practice accordingly
- Demonstrates ability to lead a team in day to day operational tasks and to facilitate therapy team working.
- Demonstrates awareness and sensitivity to cultural differences and beliefs.
- Demonstrates evidence of the ability to use reflective practice as a tool for growth and development.
- Ability to work under pressure, respond and assist others with service problems and clinical supervision coping positively with inter-professional tensions or barriers.
- Demonstrates the use of professional communication strategies with patients, carers and members of the MDT and the ability to modify appropriately
- Ability to work autonomously, acting decisively on behalf of self and others
- Demonstrate strategies for management of change in day to day operational tasks and in project management
- Ability to manage stressful situations, emotional or aggressive patients and relatives and to be flexible and manage the situation positively.
Desirable
- Emotional intelligence in differing communication situations
Person Specification
Qualificiations
Essential
- BSc or Diploma in Physiotherapy or Occupational Therapy
- HCPC Registration
- Evidence of CPD and relevant post graduate courses (CPD Portfolio)
Desirable
- Member of BAHT
- Evidence of working towards Accredited Hand Therapist BAHT
- Acupuncture
- Injection Therapy
- Evidence of Leadership Training
Experience
Essential
- Experience working as an autonomous practitioner in the NHS or equivalent healthcare system
- Minimal 3 years of post graduate experience at Band 6 level in Hand therapy
- Experience of working as part of an Occupational Therapy/Physiotherapy team in a multi disciplinary team (MDT)
- Presentation of in-service training programme related to hand therapy to the MDT
- Evidence of appraisal, supervision and teaching of band 6 staff, band 5 staff, assistants and students
Desirable
- Experience at band 7 level in hand therapy
- Assessment and treatment of the upper quadrant and upper limb
- Evidence of involvement in Research / QI
- Team leader experience
Skills and Knowledge
Essential
- Demonstrates the ability to clinically reason the application of specialist knowledge required for hand therapy assessment and treatment
- Demonstrates generic hand therapy skills incorporating OT and PT skills
- Demonstrates the ability to clinically reason the application of specialist hand therapy treatment and intervention in a variety of clinical settings
- Evidence of a range of static splinting skills for upper limb injuries with adherence to the principles of splint fabrication.
- Specialised knowledge application and analysis of standardised and non-standardised assessment tools i.e. goniometry, grip strength and Semmes-Weinstein monofilaments
- Evidence of treatment of trauma hand and wrist conditions to include tendon and nerve injuries and fractures
- Evidence of treatment of acquired hand and wrist conditions
- Able to impart skills and knowledge both formally and informally, to other therapists from the same profession, from differing professions, therapy assistants and students in clinical practice.
Desirable
- Evidence of dynamic and neoprene splinting skills for hand and wrist injuries and acquired conditions
Personal Qualities
Essential
- Identifies challenges of working in varying hospital settings and demonstrates the ability to adapt own practice accordingly
- Demonstrates ability to lead a team in day to day operational tasks and to facilitate therapy team working.
- Demonstrates awareness and sensitivity to cultural differences and beliefs.
- Demonstrates evidence of the ability to use reflective practice as a tool for growth and development.
- Ability to work under pressure, respond and assist others with service problems and clinical supervision coping positively with inter-professional tensions or barriers.
- Demonstrates the use of professional communication strategies with patients, carers and members of the MDT and the ability to modify appropriately
- Ability to work autonomously, acting decisively on behalf of self and others
- Demonstrate strategies for management of change in day to day operational tasks and in project management
- Ability to manage stressful situations, emotional or aggressive patients and relatives and to be flexible and manage the situation positively.
Desirable
- Emotional intelligence in differing communication situations
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).