Job summary
An exciting opportunity has arisen for an advanced practice physiotherapist (APP) in musculoskeletal care to join our team of APPs within the Community Musculoskeletal (MSK) team in Ealing. The service is led by a Consultant Physiotherapist and is supported by a Consultant Neurosurgeon, as well as an administrative and secretarial team. The team is integrated with the physiotherapy team and the in-house first contact practitioner service. The successful applicant will have extensive neuro-musculoskeletal experience in addition to experience of orthopaedics and rheumatology or pain management (previous experience as an APP is an advantage but is not essential). The MSK service in Ealing is well established and provides a high level of training, clinical supervision and support.
The post will be based within the community sites primarily at Clayponds Hospital.
If you would like to talk to someone about this vacancy please contact:
Dr Stephanie Griffiths
Consultant Physiotherapist and MSK Lead
Ealing MSK Service, Ealing Community Partners
emailstephaniegriffiths@nhs.net
Main duties of the job
The Advanced Practitioner (AP) is responsible for assessment, treatment and when clinically appropriate the onward referral of patients referred to primary care interface clinics.
As a senior member of the musculoskeletal team, you will provide support to the Consultant Physiotherapist/MSk Lead and the Physiotherapy Team Lead in the day-to-day running of services and in the evolution of musculoskeletal services within the Trust
To provide clinical expertise acting as an advanced physiotherapy practitioner and making decisions about the best course of action for patients' care in the area of musculoskeletal, rheumatological and pain management. This will include screening patients with undifferentiated conditions to determine they meet the service criteria and rerouting those with medical needs to the appropriate clinician.
To request investigations to facilitate diagnosis and choice of treatment regime, understanding the information and limitations derived from these and the relative sensitivity and specificity of particular tests diagnostic services such as x-rays and blood test, and interpret and act on results to aid diagnosis and the management plans of patients.
About us
OUR VALUES
Compassion: Our staff will be led by compassion and embody the values of care outlined in our Staff Charter.
Respect: We will respect and value the diversity of our patients, service users and staff, to create a respectful and inclusive environment, which recognises the uniqueness of each individual.
Empowerment: We will involve, inform and empower our patients, service users, carers and their families to take an active role in the management of their illness and adopt recovery principles. We will ensure our staff receive appropriate direction and support, to enable them to develop and grow.
Partnership: We will work closely with our many partners to ensure that our combined efforts are focused on achieving the best possible outcomes for the people we serve.
Ourvision and values are underpinned by our strategic objectives: High quality care and best outcomes for patients: Provide high quality care to people who use our services, and to their careers. These services to be safe, caring, effective, responsive and well-led when benchmarked nationally.
Job description
Job responsibilities
The successful candidate will work as an autonomous practitioner, to assess and manage musculoskeletal referrals from GPs; and to triage GP and orthopaedic referrals which would traditionally have been seen by a consultant orthopaedic surgeon, to exclude serious pathology and need for immediate surgery. To form a diagnosis and treatment plan, and offer clinical advice and guidance to the patient/carer. This may include receiving and providing highly complex and sensitive information to patients who may have barriers to understanding. This will include referral for advanced diagnostics such as blood tests, ultrasound scans (US), X-rays and magnetic resonance imaging (MRI).
To be responsible for the onward referral of patients referred to the community musculoskeletal clinics to other primary care musculoskeletal services, the acute sector and other partner organisations as is clinically appropriate
To use highly developed clinical reasoning and evidence based knowledge to draw up an appropriate management plan, from a range of options, in conjunction with the patient and implement any appropriate specialist physiotherapy treatment, either as a follow-up with self or referral on to the physiotherapy, orthopaedic and /or rheumatology services as required.
To participate in the assessment, treatment and management of patients referred to the Community Specialist Musculoskeletal and Physiotherapy services.
To provide clinical leadership and a source of clinical expertise. To be available for professional advice as required at outpatient clinics.
Job description
Job responsibilities
The successful candidate will work as an autonomous practitioner, to assess and manage musculoskeletal referrals from GPs; and to triage GP and orthopaedic referrals which would traditionally have been seen by a consultant orthopaedic surgeon, to exclude serious pathology and need for immediate surgery. To form a diagnosis and treatment plan, and offer clinical advice and guidance to the patient/carer. This may include receiving and providing highly complex and sensitive information to patients who may have barriers to understanding. This will include referral for advanced diagnostics such as blood tests, ultrasound scans (US), X-rays and magnetic resonance imaging (MRI).
To be responsible for the onward referral of patients referred to the community musculoskeletal clinics to other primary care musculoskeletal services, the acute sector and other partner organisations as is clinically appropriate
To use highly developed clinical reasoning and evidence based knowledge to draw up an appropriate management plan, from a range of options, in conjunction with the patient and implement any appropriate specialist physiotherapy treatment, either as a follow-up with self or referral on to the physiotherapy, orthopaedic and /or rheumatology services as required.
To participate in the assessment, treatment and management of patients referred to the Community Specialist Musculoskeletal and Physiotherapy services.
To provide clinical leadership and a source of clinical expertise. To be available for professional advice as required at outpatient clinics.
Person Specification
EDUCATION AND QUALIFICATIONS
Essential
- Graduate Diploma Physiotherapy/BSc Physiotherapy + HCPC Registration
- Relevant post-graduate courses completed or commenced relevant to this post
Desirable
- Teaching qualification or experience
- May hold or be working towards a prescribing qualification
KNOWLEDGE AND EXPERIENCE
Essential
- Specialist experience in musculoskeletal out- patients
- Experience of telephone triage or face to face triage
- Have been involved in service training evaluation/initiated service change
- Participation in research, outcomes, clinical governance and audit
- Knowledge of orthopaedic, rheumatology and pain conditions and their management
Desirable
- Understanding of CBT or pain management approaches
- Previous experience within a community setting or GP practice
- Experience of SystmOne
SPECIFIC SKILLS AND ABILITIES
Essential
- Demonstrate ability to design, develop and deliver programmes of specialised learning in line with evidence based practice to peers and junior staff
- Demonstrates ability to apply the research evidence base into working practice
- Demonstrates understanding of the principles of research governance
Desirable
- Demonstrates ability to work as a member of the research team
- Demonstrates ability to improve quality within limitations of service
TEACHING, RESEARCH AND DEVELOPMENT
Essential
- Demonstrates ability to apply the research evidence base into working practice
- Demonstrates understanding of the principles of research governance
- Demonstrates ability to work as a member of the research team
Desirable
- Teaching qualification or experience
- Research qualification
LEADERSHIP AND MANAGEMENT
Essential
- Demonstrate understanding of the implications of national priorities for the team and/or service
- Demonstrates understanding of the process for effective resource utilisation
- Demonstrates understanding of, and conform to, relevant standards of practice
Desirable
- Leadership qualification / change management experience
Person Specification
EDUCATION AND QUALIFICATIONS
Essential
- Graduate Diploma Physiotherapy/BSc Physiotherapy + HCPC Registration
- Relevant post-graduate courses completed or commenced relevant to this post
Desirable
- Teaching qualification or experience
- May hold or be working towards a prescribing qualification
KNOWLEDGE AND EXPERIENCE
Essential
- Specialist experience in musculoskeletal out- patients
- Experience of telephone triage or face to face triage
- Have been involved in service training evaluation/initiated service change
- Participation in research, outcomes, clinical governance and audit
- Knowledge of orthopaedic, rheumatology and pain conditions and their management
Desirable
- Understanding of CBT or pain management approaches
- Previous experience within a community setting or GP practice
- Experience of SystmOne
SPECIFIC SKILLS AND ABILITIES
Essential
- Demonstrate ability to design, develop and deliver programmes of specialised learning in line with evidence based practice to peers and junior staff
- Demonstrates ability to apply the research evidence base into working practice
- Demonstrates understanding of the principles of research governance
Desirable
- Demonstrates ability to work as a member of the research team
- Demonstrates ability to improve quality within limitations of service
TEACHING, RESEARCH AND DEVELOPMENT
Essential
- Demonstrates ability to apply the research evidence base into working practice
- Demonstrates understanding of the principles of research governance
- Demonstrates ability to work as a member of the research team
Desirable
- Teaching qualification or experience
- Research qualification
LEADERSHIP AND MANAGEMENT
Essential
- Demonstrate understanding of the implications of national priorities for the team and/or service
- Demonstrates understanding of the process for effective resource utilisation
- Demonstrates understanding of, and conform to, relevant standards of practice
Desirable
- Leadership qualification / change management experience
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).
