Senior Trauma & Plastics In-Patient Physiotherapist

Oxford University Hospitals NHS Foundation Trust

Information:

This job is now closed

Job summary

To provide a high standard, CQC compliant physiotherapy service (i.e. safe, patient focussed, effective and evidence-based) in collaboration with other team members to Major trauma & plastics patients at the John Radcliffe Hospital.

Main duties of the job

To assess, plan, implement and evaluate physiotherapeutic intervention and provide highly skilled and clinically effective treatment of a patient caseload that includes patients with complex presentations and multiple needs, on the trauma and plastics wards.

To undertake all aspects of clinical duties as an unsupervised autonomous practitioner within sphere of confidence and competence.

Supervise and teach recently qualified physiotherapists / physiotherapy assistants / students and be involved in teaching MDT staff

Undertake evidence-based projects, including recommendations for change in practice and participate in departmental research and audit

To document own patient records and contribute to the orderly presentation of data to management to facilitate the overall trauma service being run in an efficient and effective way. This is under the guidance of the team leader and is supporting their role.

Deputise for Band 7 Team Leader when required and contribute to the smooth running of the trauma therapy service.

About us

Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call thisDelivering Compassionate Excellenceand its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via theOUH YouTube channel.

Date posted

12 July 2024

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

321-NOTSS-6441124-B6

Job locations

Trauma Unit, John Radcliffe Hospital,

Headley Way,

Oxford

OX3 9DU


Job description

Job responsibilities

Clinical

To be professionally & legally responsible for all aspects of the post-holders own work.

To provide clinical expertise in assessment, treatment & management of musculoskeletal conditions & trauma/ SCI & plastics patients, as an autonomous practitioner, including patients with diverse or complex presentations / multi pathologies

To interpret & analyse clinical & non-clinical facts to form accurate diagnoses in a wide range of traumatic & soft tissue conditions including those with complex presentations

To use clinical reasoning skills, & knowledge of specialist evidence-based practice to recommend the best course of intervention, determine appropriate care plan, utilising a wide range of specialist treatment skills & options

To evaluate patient progress, reassess & alter / progress the treatment programme as required.

To assess a patients capacity to understand & to gain valid, informed consent for treatment, working within National & Trust legal frameworks with patients who lack the capacity to consent or refuse treatment.

To co-ordinate intervention which may include other disciplines; advise & educate patient/carers/relatives/other health professionals

To maintain accurate written records using the electronic patient records (EPR) system, in line with Professional Standards, including provision of comprehensive progress & discharge reports as required.

To manage clinical risk within own caseload at all times

To regularly participate in trauma weekend duties as a lone practitioner within the hospital site.

To demonstrate physical ability to carry out physiotherapy assessment & interventions including manual therapy techniques & therapeutic handling

To demonstrate highly developed dexterity, co-ordination & palpatory sensory skills for assessment & manual treatment of patients

To be able to manage potentially stressful, upsetting or emotional situations in an empathetic manner.

To represent Physiotherapy and / or individual patients at multidisciplinary team meetings, to ensure delivery of co-ordinated care. This will include discussion of patient care / discharge planning.

Communication

To ensure that trauma physiotherapy accommodates communication difficulties arising through hearing, speech, language or special needs, in the most appropriate way

To ensure that complex clinical & sensitive information is communicated in an understandable form to patients with their consent & co-operation gained prior to intervention

To ensure that communication channels are established & maintained with colleagues & other agencies to ensure excellent service delivery & future development.

To be able to motivate & persuade others through effective communication skills, with the benefit of verbal & non-verbal skills, using written and electronic information where needed

Management

Jointly responsible with other team members to ensure limited resources are used in the most effective & efficient way.

Required to supervise, teach & appraise Band 5 Physiotherapists, Therapy Assistants and/or Physiotherapy and work experience students.

Responsible for competent use and maintenance reporting of all equipment used including, but not limited to, electrotherapy, gym equipment, hoists, and patient appliances, & to ensure that junior staff/students & assistants attain competency prior to use.

Liaises appropriately with colleagues regarding patient specific clinical/management issues

Proactive & forward thinking- leads with service development initiatives & implementation

Assists in service planning of Band 5s, students & assistants timetables & deputises for the team leader in organisational duties.

Responsible for the operational management of the Trauma OP team in the absence of the team leader or as required

Flexibly plans & organises own time, patient caseload, meetings, training & adjusts plans as required according to staffing levels.

Respond to unpredictable work patterns & frequent interruptions.

To contribute to the smooth changeover to electronic patient record keeping & further develop IT skills.

Education

Contributes to the education of multidisciplinary groups, patients, families and carers as appropriate.

Pro-active with regards to learning from other physiotherapy staff within the department, & other MDT staff in the Trust.

Responsible for & actively records own personal professional development, maintaining a CPD portfolio which reflects same.

Keeps abreast in understanding & knowledge of all new developments applicable to specific physiotherapy treatments.

Attends and actively participate in the departments in-service training program and other outside courses/ lectures as appropriate.

Assists in organising & actively participates in the in-service and post-registration education programme within the Trauma service.

Maintains and develops current knowledge of evidence-based practice in trauma, developing specialist knowledge of particular conditions and patient types.

Regularly undertakes evidence-based projects, with professional presentation to the physiotherapy team/department.

Research and audit

Participates in the departmental audits & appropriate work related to evaluation/research projects

Keeps abreast of evidenced based practice in the trauma by use of relevant reading, attendance at in-service training, external courses & database searches

Good working knowledge of national & local standards & monitors quality as appropriate

General

To carry out assessments & treatments, with moderate physical effort for short periods on each shift.

To comply with the Trusts Manual Handling Policy & local therapeutic handling guidelines.

To work in an environment where the work patterns may be disrupted by frequent demands from patients, clinical staff, students & administrative support staff.

To sensitively deal with distressing or emotional circumstances regarding patient care such as realistic expectations of rehabilitation outcome.

To support junior staff, when indicated, in the management of challenging patients.

To deal with patients suffering from pain states that may lead to anxiety & aggressive behaviour.

This job may involve exposure to unpleasant working conditions from time to time: unpleasant smells/dirt, & occasional exposure to verbal aggression, bodily fluids, sputum, blood.

RISK MANAGEMENTThe management of risk is the responsibility of everyone and will be achieved within a progressive, honest and open environment.Staff will be provided with the necessary education, training and support to enable them to meet this responsibility. Staff should be familiar with the following policies:1. Major Incident Policy2. Fire PolicyStaff should make themselves familiar with the local response plan & their role within that response.

RESPONSIBILITIES FOR HEALTH & SAFETYThe post holder is responsible for ensuring that all duties and responsibilities of this post are carried out in compliance with the Health & Safety at Work Act 1974, Statutory Regulations and Trust Policies & Procedures. This will be supported by the provision of training and specialist advice where required.

INFECTION CONTROLInfection Control is everyones responsibility. All staff, both clinical and non clinical, are required to adhere to the Trusts Infection Prevention & Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA.All staff employed by the ORH Trust have the following key responsibilities:1. Staff must decontaminate their hands prior to and after direct patient contact or contact with the patients surroundings.2. Staff members have a duty to attend mandatory infection control training provided for them by the Trust.3. Staff members who develop an infection (other than common colds and illness) that may be transmittable to patients have a duty to contact Occupational Health.

CHILDRENS RIGHTSThe post holder will endeavour at all times to uphold the rights of children and young people in accordance with the UN Convention Rights of the Child.

SAFEGUARDING CHILDREN AND VULNERABLE ADULTSThe Trust is committed to safeguarding children and vulnerable adults throughout the organisation. As a member of the trust there is a duty to assist in protecting patients and their families from any from of harm when they are vulnerable.

INFORMATION GOVERNANCEAll staff must complete annual information governance training. If you have a Trust email account this can be completed on-line, otherwise you must attend a classroom session. For further details, go to the Information Governance intranet site.

FURTHER INFORMATION AND GUIDELINESThis post is subject to obtaining satisfactory clearance in respect of Disclosure of Criminal Convictions. A Disclosure Application Form will be sent to all new appointees with their appointment letter and the completed form must be submitted for verification on the first day of employment.All physiotherapists must be registered with the Health Professions Council prior to commencing work, and produce the registration document on their first day of employment. Staff must then ensure their registration is maintained according to Trust Policy. It is expected that the postholder will undertake the Clinical Education of students for a minimum number of weeks per year. See local policy for guidelines. This post is one of continual development. The job description is intended as a guide to the principle duties and responsibilities of the post, and complements individual objectives set in line with the Trusts and Departmental objectives. Responsibilities will be reviewed periodically in line with service priorities, and may change, or new duties be introduced after consultation with the post holder.

Job description

Job responsibilities

Clinical

To be professionally & legally responsible for all aspects of the post-holders own work.

To provide clinical expertise in assessment, treatment & management of musculoskeletal conditions & trauma/ SCI & plastics patients, as an autonomous practitioner, including patients with diverse or complex presentations / multi pathologies

To interpret & analyse clinical & non-clinical facts to form accurate diagnoses in a wide range of traumatic & soft tissue conditions including those with complex presentations

To use clinical reasoning skills, & knowledge of specialist evidence-based practice to recommend the best course of intervention, determine appropriate care plan, utilising a wide range of specialist treatment skills & options

To evaluate patient progress, reassess & alter / progress the treatment programme as required.

To assess a patients capacity to understand & to gain valid, informed consent for treatment, working within National & Trust legal frameworks with patients who lack the capacity to consent or refuse treatment.

To co-ordinate intervention which may include other disciplines; advise & educate patient/carers/relatives/other health professionals

To maintain accurate written records using the electronic patient records (EPR) system, in line with Professional Standards, including provision of comprehensive progress & discharge reports as required.

To manage clinical risk within own caseload at all times

To regularly participate in trauma weekend duties as a lone practitioner within the hospital site.

To demonstrate physical ability to carry out physiotherapy assessment & interventions including manual therapy techniques & therapeutic handling

To demonstrate highly developed dexterity, co-ordination & palpatory sensory skills for assessment & manual treatment of patients

To be able to manage potentially stressful, upsetting or emotional situations in an empathetic manner.

To represent Physiotherapy and / or individual patients at multidisciplinary team meetings, to ensure delivery of co-ordinated care. This will include discussion of patient care / discharge planning.

Communication

To ensure that trauma physiotherapy accommodates communication difficulties arising through hearing, speech, language or special needs, in the most appropriate way

To ensure that complex clinical & sensitive information is communicated in an understandable form to patients with their consent & co-operation gained prior to intervention

To ensure that communication channels are established & maintained with colleagues & other agencies to ensure excellent service delivery & future development.

To be able to motivate & persuade others through effective communication skills, with the benefit of verbal & non-verbal skills, using written and electronic information where needed

Management

Jointly responsible with other team members to ensure limited resources are used in the most effective & efficient way.

Required to supervise, teach & appraise Band 5 Physiotherapists, Therapy Assistants and/or Physiotherapy and work experience students.

Responsible for competent use and maintenance reporting of all equipment used including, but not limited to, electrotherapy, gym equipment, hoists, and patient appliances, & to ensure that junior staff/students & assistants attain competency prior to use.

Liaises appropriately with colleagues regarding patient specific clinical/management issues

Proactive & forward thinking- leads with service development initiatives & implementation

Assists in service planning of Band 5s, students & assistants timetables & deputises for the team leader in organisational duties.

Responsible for the operational management of the Trauma OP team in the absence of the team leader or as required

Flexibly plans & organises own time, patient caseload, meetings, training & adjusts plans as required according to staffing levels.

Respond to unpredictable work patterns & frequent interruptions.

To contribute to the smooth changeover to electronic patient record keeping & further develop IT skills.

Education

Contributes to the education of multidisciplinary groups, patients, families and carers as appropriate.

Pro-active with regards to learning from other physiotherapy staff within the department, & other MDT staff in the Trust.

Responsible for & actively records own personal professional development, maintaining a CPD portfolio which reflects same.

Keeps abreast in understanding & knowledge of all new developments applicable to specific physiotherapy treatments.

Attends and actively participate in the departments in-service training program and other outside courses/ lectures as appropriate.

Assists in organising & actively participates in the in-service and post-registration education programme within the Trauma service.

Maintains and develops current knowledge of evidence-based practice in trauma, developing specialist knowledge of particular conditions and patient types.

Regularly undertakes evidence-based projects, with professional presentation to the physiotherapy team/department.

Research and audit

Participates in the departmental audits & appropriate work related to evaluation/research projects

Keeps abreast of evidenced based practice in the trauma by use of relevant reading, attendance at in-service training, external courses & database searches

Good working knowledge of national & local standards & monitors quality as appropriate

General

To carry out assessments & treatments, with moderate physical effort for short periods on each shift.

To comply with the Trusts Manual Handling Policy & local therapeutic handling guidelines.

To work in an environment where the work patterns may be disrupted by frequent demands from patients, clinical staff, students & administrative support staff.

To sensitively deal with distressing or emotional circumstances regarding patient care such as realistic expectations of rehabilitation outcome.

To support junior staff, when indicated, in the management of challenging patients.

To deal with patients suffering from pain states that may lead to anxiety & aggressive behaviour.

This job may involve exposure to unpleasant working conditions from time to time: unpleasant smells/dirt, & occasional exposure to verbal aggression, bodily fluids, sputum, blood.

RISK MANAGEMENTThe management of risk is the responsibility of everyone and will be achieved within a progressive, honest and open environment.Staff will be provided with the necessary education, training and support to enable them to meet this responsibility. Staff should be familiar with the following policies:1. Major Incident Policy2. Fire PolicyStaff should make themselves familiar with the local response plan & their role within that response.

RESPONSIBILITIES FOR HEALTH & SAFETYThe post holder is responsible for ensuring that all duties and responsibilities of this post are carried out in compliance with the Health & Safety at Work Act 1974, Statutory Regulations and Trust Policies & Procedures. This will be supported by the provision of training and specialist advice where required.

INFECTION CONTROLInfection Control is everyones responsibility. All staff, both clinical and non clinical, are required to adhere to the Trusts Infection Prevention & Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA.All staff employed by the ORH Trust have the following key responsibilities:1. Staff must decontaminate their hands prior to and after direct patient contact or contact with the patients surroundings.2. Staff members have a duty to attend mandatory infection control training provided for them by the Trust.3. Staff members who develop an infection (other than common colds and illness) that may be transmittable to patients have a duty to contact Occupational Health.

CHILDRENS RIGHTSThe post holder will endeavour at all times to uphold the rights of children and young people in accordance with the UN Convention Rights of the Child.

SAFEGUARDING CHILDREN AND VULNERABLE ADULTSThe Trust is committed to safeguarding children and vulnerable adults throughout the organisation. As a member of the trust there is a duty to assist in protecting patients and their families from any from of harm when they are vulnerable.

INFORMATION GOVERNANCEAll staff must complete annual information governance training. If you have a Trust email account this can be completed on-line, otherwise you must attend a classroom session. For further details, go to the Information Governance intranet site.

FURTHER INFORMATION AND GUIDELINESThis post is subject to obtaining satisfactory clearance in respect of Disclosure of Criminal Convictions. A Disclosure Application Form will be sent to all new appointees with their appointment letter and the completed form must be submitted for verification on the first day of employment.All physiotherapists must be registered with the Health Professions Council prior to commencing work, and produce the registration document on their first day of employment. Staff must then ensure their registration is maintained according to Trust Policy. It is expected that the postholder will undertake the Clinical Education of students for a minimum number of weeks per year. See local policy for guidelines. This post is one of continual development. The job description is intended as a guide to the principle duties and responsibilities of the post, and complements individual objectives set in line with the Trusts and Departmental objectives. Responsibilities will be reviewed periodically in line with service priorities, and may change, or new duties be introduced after consultation with the post holder.

Person Specification

Education & Qualifications

Essential

  • BSc or equivalent in Physiotherapy
  • Registered with the Health and Care Professions Council

Desirable

  • Membership of appropriate Clinical Interest Group
  • Recent working knowledge of the NHS
  • MSc level study

Experience

Essential

  • Minimum 2 years post registration experience.
  • Broad range of experience at band 5 level including all core areas (respiratory, orthopaedics, trauma, out patients, neurology)
  • Experience of teaching patient groups / supervising group exercise and activities
  • Evidence of CPD including attendance at recent post graduate courses relevant to the clinical field
  • Experience working in Physiotherapy and multidisciplinary teams

Desirable

  • Experience of quality issues and audit
  • Participation in on-call and weekend rota
  • Previous Band 6 experience
  • Student supervision
  • Experience working with trauma patient cohort

Skills, Knowledge and Abilities

Essential

  • Excellent verbal and written communication skills in English. This includes the ability to keep legible / accurate records both written and electronically
  • Excellent organisational skills, with the ability to prioritise and delegate
  • Evidence of ability to communicate appropriately and concisely
  • Ability to manage varied and unpredictable workload
  • Ability to make clinically reasoned judgements on a variety of musculoskeletal presentations
  • Ability to work with multi/interdisciplinary team and set team goals
  • Highly developed dexterity, co-ordination and sensory skills required for assessment and manual therapy techniques
  • Able to work at moderately high levels of physical activity involving the delivery of manual therapy, therapeutic handling and the demonstration of exercises
  • Remains updated with professional practice and new research
  • Ability and willingness to participate in staff training
  • Competent IT skills including keyboard skills and familiarity with Outlook, Word, Powerpoint
  • Understanding of Clinical Governance and the implications for physiotherapy

Desirable

  • Presentation skills
  • Evidence of participation in research / audit
  • Supervision of other staff e.g. physiotherapy assistant / Technical Instructor
  • Working knowledge and experience of the use of Electronic Patient Records
  • Robust knowledge of MTC within Major Trauma Network

Personal Qualities

Essential

  • Good team member and worker
  • Enthusiastic and self-motivated
  • Flexible and reliable
  • Demonstrates trust values
  • Ability to cope with working in a busy / demanding and at times stressful environment
  • Professional demeanour
  • Ability to comply with trust policies such as manual handling, data protection, EDI & H&S
Person Specification

Education & Qualifications

Essential

  • BSc or equivalent in Physiotherapy
  • Registered with the Health and Care Professions Council

Desirable

  • Membership of appropriate Clinical Interest Group
  • Recent working knowledge of the NHS
  • MSc level study

Experience

Essential

  • Minimum 2 years post registration experience.
  • Broad range of experience at band 5 level including all core areas (respiratory, orthopaedics, trauma, out patients, neurology)
  • Experience of teaching patient groups / supervising group exercise and activities
  • Evidence of CPD including attendance at recent post graduate courses relevant to the clinical field
  • Experience working in Physiotherapy and multidisciplinary teams

Desirable

  • Experience of quality issues and audit
  • Participation in on-call and weekend rota
  • Previous Band 6 experience
  • Student supervision
  • Experience working with trauma patient cohort

Skills, Knowledge and Abilities

Essential

  • Excellent verbal and written communication skills in English. This includes the ability to keep legible / accurate records both written and electronically
  • Excellent organisational skills, with the ability to prioritise and delegate
  • Evidence of ability to communicate appropriately and concisely
  • Ability to manage varied and unpredictable workload
  • Ability to make clinically reasoned judgements on a variety of musculoskeletal presentations
  • Ability to work with multi/interdisciplinary team and set team goals
  • Highly developed dexterity, co-ordination and sensory skills required for assessment and manual therapy techniques
  • Able to work at moderately high levels of physical activity involving the delivery of manual therapy, therapeutic handling and the demonstration of exercises
  • Remains updated with professional practice and new research
  • Ability and willingness to participate in staff training
  • Competent IT skills including keyboard skills and familiarity with Outlook, Word, Powerpoint
  • Understanding of Clinical Governance and the implications for physiotherapy

Desirable

  • Presentation skills
  • Evidence of participation in research / audit
  • Supervision of other staff e.g. physiotherapy assistant / Technical Instructor
  • Working knowledge and experience of the use of Electronic Patient Records
  • Robust knowledge of MTC within Major Trauma Network

Personal Qualities

Essential

  • Good team member and worker
  • Enthusiastic and self-motivated
  • Flexible and reliable
  • Demonstrates trust values
  • Ability to cope with working in a busy / demanding and at times stressful environment
  • Professional demeanour
  • Ability to comply with trust policies such as manual handling, data protection, EDI & H&S

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

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).

Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust

Address

Trauma Unit, John Radcliffe Hospital,

Headley Way,

Oxford

OX3 9DU


Employer's website

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


Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust

Address

Trauma Unit, John Radcliffe Hospital,

Headley Way,

Oxford

OX3 9DU


Employer's website

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


For questions about the job, contact:

Trauma Therapies IP Team Lead

Alia Grist

alia.grist@ouh.nhs.uk

01865221532

Date posted

12 July 2024

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year per annum pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

321-NOTSS-6441124-B6

Job locations

Trauma Unit, John Radcliffe Hospital,

Headley Way,

Oxford

OX3 9DU


Supporting documents

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