Job summary
We are seeking a dynamic, enthusiastic and well-motivated respiratory physiotherapist with a special interest in Cystic Fibrosis and non- CF bronchiectasis to work alongside an established, experienced and supportive physiotherapy team as part of a multi-disciplinary service, based in Oxford.
Oxford Adult Regional CF Centre is a tertiary referral centre covering five counties and includes a non-CF bronchiectasis Service. This is an exciting opportunity to develop your skills in a specialist clinical area, working alongside band 6 and 7 physiotherapists, whilst maintaining a complex clinical case load. You will gain experience in a variety of settings including inpatients, outpatients, virtual and face to face clinics and the community. It is an advantage to have an interest in exercise and musculoskeletal management of chronic respiratory conditions. There is a strong emphasis on multi-professional working within the specialist team and across the boundaries into the community. You will also share responsibility for the development of junior staff with support from the Lead Physiotherapist.
As an effective team player you must have proven clinical experience in the core respiratory clinical areas including experience in chronic respiratory medicine. You will be actively encouraged to participate in CPD, service developments, audit and research.
For further information, please contact:
Alison Gates, Lead CF Physiotherapist 01865 741841 email alison.gates@ouh.nhs.uk
Main duties of the job
- Performs a specialist assessment of patients including those with highly complex presentations, and from this formulates a diagnosis and treatment plan, which is carried out as an autonomous practitioner. This will be in both acute and out-patient settings.
- Assists in the supervision, teaching and appraisal of rotational and junior physiotherapists, physiotherapy assistants and physiotherapy students.
- Assists the team leader (Lead Specialist Physiotherapist) in the operational management and overall development of designated team, and deputises as required.
- Participates in quality improvement projects and assists in the implementation of changes within the services and associated wards and the setting and monitoring of standards of practice.
About us
Oxford University Hospitals (OUH) is a world-renowned centre of clinical excellence and one of the largest NHS teaching trusts in the UK. We became a Foundation Trust on 1st October 2015, and we believe this will enable us to work more effectively in partnership with our patients and our local community to provide high quality healthcare. The Trust comprises four main hospital sites: the John Radcliffe Hospital, the Churchill Hospital and the Nuffield Orthopaedic Centre, all located in Oxford, and the Horton General Hospital in Banbury, North Oxfordshire. These hospital sites, together, are supported by a range of community services across the county.
We provide a wide range of clinical services including; stroke, ambulatory medicine, oncology and surgery. The Trust also provides specialist services (including cardiac, cancer, musculoskeletal and neurological rehabilitation, and a full range of children's services).
Over a thousand patients and colleagues assisted us in developing our Trust values that will help us achieve our ambition of delivering compassionate excellence. To help us live out those values in our work, we have defined the types of behaviours that will ensure we met the high standards we have set ourselves. Our values and expected behaviours are:
Compassion/Respect/ Excellence/ Learning/ Deivery/ Improvement
Job description
Job responsibilities
- To be professionally and legally responsible and accountable for all aspects of own professional activities
- To undertake the specialist assessment of patients as an autonomous practitioner, including those with highly complex presentations, and using clinical reasoning skills, knowledge of evidence based practice and advanced expertise. Determines appropriate care plan utilising specialist treatment skills and options
- To interpret and analyse clinical and non-clinical facts to form accurate diagnoses in a wide range of highly complex conditions
- To formulate accurate prognoses and recommend best course of intervention, developing and implementing comprehensive treatment and discharge plans
- To be responsible for own patient care plans and will be consulted frequently for specialist advice and guidance by junior team members and other health care professionals.
- To continually reassess patients in order to progress treatments effectively.
- To assess a patients capacity to understand and to gain valid, informed consent for treatment. To work within a legal framework with patients who lack the capacity to consent or refuse treatment.
- To co-ordinate intervention which may include other disciplines; advises and educate patient/ carers/ relatives/ other health professionals
- To demonstrate the ability to communicate complex and sensitive information to patient, carers and other staff, where there may be barriers to communication e.g. non-English speaking patients; those with communication disorders, impaired speech, hearing, and ensure all members of the team do likewise.
- To liaise with and advise other physiotherapists, relevant medical staff, nursing staff, social workers and other members of the CF/Bronchectasis MDT who may be in direct contact with the post holder with regard to patient care.
- To communicate effectively with all other disciplines involved in the patients care both in the Hospital and in the community thus ensuring a multidisciplinary approach and integrated service.
- To manage clinical risk within own caseload at all times
- To participate in on-call, twilight shifts and emergency duties as lone practitioner within the hospital site.
- When working on the on call, twilight and emergency duties rota, provide advice to medical and nursing staff, and other members of the MDT regarding patients cardio-respiratory functions.
- To be responsible for maintenance of accurate written records using POMR system. To include comprehensive progress and discharge reports.
- To attend meetings and seminars/case conferences as appropriate, and liaise with and advise other disciplines, as appropriate, to achieve comprehensive, effective and confidential patient management throughout their long term management within the service.
- To use specialist knowledge to refer to other health disciplines as appropriate
- To demonstrate physical ability to carry out physiotherapy assessment and interventions including manual therapy techniques and therapeutic handling
- To demonstrate highly developed dexterity, co-ordination and palpatory sensory skills for assessment and manual treatment of patients
- To be highly competent in assessing a wide range of cardio respiratory conditions based on specialist theoretical knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present. To be highly skilled in a diversity of assessment skills within the specialties of CF and Bronchiectasis, (respiratory, musculoskeletal/postural, womens health, exercise physiology) based on advanced theoretical knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present.
- To provide domiciliary care working as a lone practitioner using expert skills in assessment, diagnosis and provision of expert treatment in a non hospital setting, often to very unwell or patients with end stage disease.
- To participate in Joint Assessment Clinics with Consultant medical staff to establish best treatment plans for highly complex patients.
- With support to sensitively deal with distressing or emotional circumstances regarding patient care e.g. imparting news of poor prognoses, management/treatment of the patient in the terminal stages of the disease.
Management
- To assist the Clinical Specialist Physiotherapist in ensuring that quality standards and effectiveness of patient care and continually improved.
- To deputise for the Clinical Specialist Physiotherapist in the day-to-day operational management of the service.
- To assist the Clinical Specialist Physiotherapist ensure competent use, repair and maintenance reporting of all electrotherapy equipment, gym equipment and patient appliances and that designated staff attain competency prior to use.
- To comply with all Trust policies and procedures and Health and Safety at Work Act, including adherence to Universal Precautions and Infection Control measures.
- To attend mandatory fire, manual handling and resuscitation training on an annual basis and be familiar with local procedures within speciality areas of work, and ensure that staff within the team are aware of their responsibilities.
- To participate in the Trust Appraisal Scheme, both as appraisee and as appraiser.
- To attend and be an active participant in departmental staff and peer group meetings.
- To maintain an accurate and evaluative record keeping system (POMR) format for own clinical caseload and assist the Clinical Specialist Physiotherapist in ensuring that Band 6, junior and student physiotherapists are maintaining the Department Standards within the service.
- To provide statistics and analysis reports regarding the designated service using databases in an accurate and timely manner.
- To take responsibility for the Induction of all new staff to the service, in preparation for their undertaking of duties including on-call.
- To contribute to the implementation of the On Call Competency Framework at the OUH as necessary.
- To flexibly plan and organise own time and assist in the organisation of team to include patient care, training, supervision and meetings.
- To achieve the effective daily management of a caseload of patients including responding to urgent referrals, prioritising clinical work and balancing other patient related and professional activities in accordance with departmental standards.
- To assist in ensuring that the agreed quality standards of service, based on professional guidelines and standards from CSP Clinical Practice, and national guidelines are maintained and to work with the Clinical Specialist Physiotherapist in this area.
- To motivate and persuade others through developed communication skills, with the benefit of verbal and non-verbal skills, using written and electronic information where needed
- To maintain close links, communication and liaison between all staff and people involved in patient care, student education, as appropriate and promote good working relationships at all times
- To be well versed with the Trusts informal and formal complaints procedure.
- To impart complex information to small groups of people, for example in class and training sessions, using a variety of methods of communication.
- To be able to manage potentially stressful, upsetting or emotional situations in an empathetic manner
- To ensure close links of communication with Clinical Specialist Physiotherapist and Team Leader Adult Medicine, and senior staff as necessary, and to ensure timely and effective communication on all professional matters
- To support the Clinical Specialist to ensure that the service responds to national initiatives and policy within the framework of clinical governance including clinical effectiveness, evidence based healthcare, managing clinical risk and, research and development issues.
Education:
- To assist in the provision of specialised teaching to peers and junior staff; this may be to large groups.
- To be responsible for own personal professional development and keep abreast of new clinical practices in the area of chronic lung disease/cardio-respiratory care physiotherapy. To attend and contribute to, specialist continuing education programmes. To attend external courses / education as appropriate.
- To maintain a CPD portfolio reflecting personal professional development and ensure all members of designated team have a comprehensive performance plan.
- To clearly convey complex knowledge of techniques, biomechanics, anatomy and physiology to patients and staff
- To assist in the supervision, training and professional development of physiotherapists on rotation through the service.
- To supervise undergraduate physiotherapy students as required, and to liaise with academic institutions regarding student performance. See Further Information and Guidelines.
- To support and advise less experienced clinical educators as required.
Research and audit;
- To participate in the departments ongoing audit and appropriate work related research/evaluation projects in areas relevant to the clinical field
- To assist in the supervision of evidence based projects for rotational staff, and the professional presentation of the project to the physiotherapy department
- To keep abreast of evidenced based practice in chronic disease management, / cardio respiratory physiotherapy by use of relevant reading, attendance at in-service training, external courses and database searches
- To ensure good working knowledge of national and local standards.
Job description
Job responsibilities
- To be professionally and legally responsible and accountable for all aspects of own professional activities
- To undertake the specialist assessment of patients as an autonomous practitioner, including those with highly complex presentations, and using clinical reasoning skills, knowledge of evidence based practice and advanced expertise. Determines appropriate care plan utilising specialist treatment skills and options
- To interpret and analyse clinical and non-clinical facts to form accurate diagnoses in a wide range of highly complex conditions
- To formulate accurate prognoses and recommend best course of intervention, developing and implementing comprehensive treatment and discharge plans
- To be responsible for own patient care plans and will be consulted frequently for specialist advice and guidance by junior team members and other health care professionals.
- To continually reassess patients in order to progress treatments effectively.
- To assess a patients capacity to understand and to gain valid, informed consent for treatment. To work within a legal framework with patients who lack the capacity to consent or refuse treatment.
- To co-ordinate intervention which may include other disciplines; advises and educate patient/ carers/ relatives/ other health professionals
- To demonstrate the ability to communicate complex and sensitive information to patient, carers and other staff, where there may be barriers to communication e.g. non-English speaking patients; those with communication disorders, impaired speech, hearing, and ensure all members of the team do likewise.
- To liaise with and advise other physiotherapists, relevant medical staff, nursing staff, social workers and other members of the CF/Bronchectasis MDT who may be in direct contact with the post holder with regard to patient care.
- To communicate effectively with all other disciplines involved in the patients care both in the Hospital and in the community thus ensuring a multidisciplinary approach and integrated service.
- To manage clinical risk within own caseload at all times
- To participate in on-call, twilight shifts and emergency duties as lone practitioner within the hospital site.
- When working on the on call, twilight and emergency duties rota, provide advice to medical and nursing staff, and other members of the MDT regarding patients cardio-respiratory functions.
- To be responsible for maintenance of accurate written records using POMR system. To include comprehensive progress and discharge reports.
- To attend meetings and seminars/case conferences as appropriate, and liaise with and advise other disciplines, as appropriate, to achieve comprehensive, effective and confidential patient management throughout their long term management within the service.
- To use specialist knowledge to refer to other health disciplines as appropriate
- To demonstrate physical ability to carry out physiotherapy assessment and interventions including manual therapy techniques and therapeutic handling
- To demonstrate highly developed dexterity, co-ordination and palpatory sensory skills for assessment and manual treatment of patients
- To be highly competent in assessing a wide range of cardio respiratory conditions based on specialist theoretical knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present. To be highly skilled in a diversity of assessment skills within the specialties of CF and Bronchiectasis, (respiratory, musculoskeletal/postural, womens health, exercise physiology) based on advanced theoretical knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present.
- To provide domiciliary care working as a lone practitioner using expert skills in assessment, diagnosis and provision of expert treatment in a non hospital setting, often to very unwell or patients with end stage disease.
- To participate in Joint Assessment Clinics with Consultant medical staff to establish best treatment plans for highly complex patients.
- With support to sensitively deal with distressing or emotional circumstances regarding patient care e.g. imparting news of poor prognoses, management/treatment of the patient in the terminal stages of the disease.
Management
- To assist the Clinical Specialist Physiotherapist in ensuring that quality standards and effectiveness of patient care and continually improved.
- To deputise for the Clinical Specialist Physiotherapist in the day-to-day operational management of the service.
- To assist the Clinical Specialist Physiotherapist ensure competent use, repair and maintenance reporting of all electrotherapy equipment, gym equipment and patient appliances and that designated staff attain competency prior to use.
- To comply with all Trust policies and procedures and Health and Safety at Work Act, including adherence to Universal Precautions and Infection Control measures.
- To attend mandatory fire, manual handling and resuscitation training on an annual basis and be familiar with local procedures within speciality areas of work, and ensure that staff within the team are aware of their responsibilities.
- To participate in the Trust Appraisal Scheme, both as appraisee and as appraiser.
- To attend and be an active participant in departmental staff and peer group meetings.
- To maintain an accurate and evaluative record keeping system (POMR) format for own clinical caseload and assist the Clinical Specialist Physiotherapist in ensuring that Band 6, junior and student physiotherapists are maintaining the Department Standards within the service.
- To provide statistics and analysis reports regarding the designated service using databases in an accurate and timely manner.
- To take responsibility for the Induction of all new staff to the service, in preparation for their undertaking of duties including on-call.
- To contribute to the implementation of the On Call Competency Framework at the OUH as necessary.
- To flexibly plan and organise own time and assist in the organisation of team to include patient care, training, supervision and meetings.
- To achieve the effective daily management of a caseload of patients including responding to urgent referrals, prioritising clinical work and balancing other patient related and professional activities in accordance with departmental standards.
- To assist in ensuring that the agreed quality standards of service, based on professional guidelines and standards from CSP Clinical Practice, and national guidelines are maintained and to work with the Clinical Specialist Physiotherapist in this area.
- To motivate and persuade others through developed communication skills, with the benefit of verbal and non-verbal skills, using written and electronic information where needed
- To maintain close links, communication and liaison between all staff and people involved in patient care, student education, as appropriate and promote good working relationships at all times
- To be well versed with the Trusts informal and formal complaints procedure.
- To impart complex information to small groups of people, for example in class and training sessions, using a variety of methods of communication.
- To be able to manage potentially stressful, upsetting or emotional situations in an empathetic manner
- To ensure close links of communication with Clinical Specialist Physiotherapist and Team Leader Adult Medicine, and senior staff as necessary, and to ensure timely and effective communication on all professional matters
- To support the Clinical Specialist to ensure that the service responds to national initiatives and policy within the framework of clinical governance including clinical effectiveness, evidence based healthcare, managing clinical risk and, research and development issues.
Education:
- To assist in the provision of specialised teaching to peers and junior staff; this may be to large groups.
- To be responsible for own personal professional development and keep abreast of new clinical practices in the area of chronic lung disease/cardio-respiratory care physiotherapy. To attend and contribute to, specialist continuing education programmes. To attend external courses / education as appropriate.
- To maintain a CPD portfolio reflecting personal professional development and ensure all members of designated team have a comprehensive performance plan.
- To clearly convey complex knowledge of techniques, biomechanics, anatomy and physiology to patients and staff
- To assist in the supervision, training and professional development of physiotherapists on rotation through the service.
- To supervise undergraduate physiotherapy students as required, and to liaise with academic institutions regarding student performance. See Further Information and Guidelines.
- To support and advise less experienced clinical educators as required.
Research and audit;
- To participate in the departments ongoing audit and appropriate work related research/evaluation projects in areas relevant to the clinical field
- To assist in the supervision of evidence based projects for rotational staff, and the professional presentation of the project to the physiotherapy department
- To keep abreast of evidenced based practice in chronic disease management, / cardio respiratory physiotherapy by use of relevant reading, attendance at in-service training, external courses and database searches
- To ensure good working knowledge of national and local standards.
Person Specification
Essential
Essential
- Diploma/Degree in Physiotherapy
- Registered with the Health Professions Council
- Evidence of Continuing Professional Development including attendance at recent post graduate courses relevant to the clinical field
- Extensive experience in cardio-respiratory care
- Experience of staff supervision and development
- Evidence of participation in research / audit
- Highly competent clinician with specialist skills in cardio respiratory care
- Excellent verbal and written communication skills
- Able to present information in a clear and logical manner
- Proven organisational skills, including prioritisation and delegation
- Working knowledge of Clinical Governance including Risk Management, Audit and Quality
- Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and Health and Safety to meet the differing needs of the patients
Desirable
- Evidence of postgraduate Masters level study
- Membership of the appropriate special interest groups.
- Advanced airway clearance skills e.g. AD, PEP, Flutter, positive pressure Experience of team leadership.
- Experience and evidence of Musculoskeletal skills
- Experience in respiratory medicine including CF and bronchiectasis
- Experience of exercise testing and delivering exercise in chronic respiratory setting
- IT skills including experience of remote monitoring and virtual care
Person Specification
Essential
Essential
- Diploma/Degree in Physiotherapy
- Registered with the Health Professions Council
- Evidence of Continuing Professional Development including attendance at recent post graduate courses relevant to the clinical field
- Extensive experience in cardio-respiratory care
- Experience of staff supervision and development
- Evidence of participation in research / audit
- Highly competent clinician with specialist skills in cardio respiratory care
- Excellent verbal and written communication skills
- Able to present information in a clear and logical manner
- Proven organisational skills, including prioritisation and delegation
- Working knowledge of Clinical Governance including Risk Management, Audit and Quality
- Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and Health and Safety to meet the differing needs of the patients
Desirable
- Evidence of postgraduate Masters level study
- Membership of the appropriate special interest groups.
- Advanced airway clearance skills e.g. AD, PEP, Flutter, positive pressure Experience of team leadership.
- Experience and evidence of Musculoskeletal skills
- Experience in respiratory medicine including CF and bronchiectasis
- Experience of exercise testing and delivering exercise in chronic respiratory setting
- IT skills including experience of remote monitoring and virtual care
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).
