Clinical Musculoskeletal Physiotherapist

Essex Partnership University NHS Foundation Trust

Information:

This job is now closed

Job summary

HIGHLY SPECIALISED MUSCULOSKELETAL PHYSIOTHERAPIST POST

BAND 7

The opportunity has arisen within The EPUT NHS Trust Musculoskeletal Physiotherapy Team for a Highly Specialised Clinical band 7.

The successful applicant will provide clinical leadership as part of the band 7 team and in conjunction with the Advanced Practice Team for services provided by MSK Physiotherapy.

This is an exciting time of change in musculoskeletal services within West Essex and the post holder will work closely with the Musculoskeletal Manager, the other Physiotherapy Team Leaders as well as other colleagues within the wider musculoskeletal service in order to remodel and integrate services in line with commissioner's requirements.

EPUT was part of the NHS England First Contact Practitioner (FCP) national pilot, with plans to develop this service further. This is likely to offer further clinical opportunities.

In addition to developing managerial skills the post holder will be able to continue to develop their clinical skills through working with Advanced Practitioners and internal training programs as well as support with external courses.

Flexible working will be considered but days of working must include a Friday.

For an informal discussion please contact :

Donna Luetchford

Tel: 01279 827404

Email: donna.luetchford@nhs.net

Main duties of the job

Role Summary

  • On a daily basis to provide skilled team leadership in planning and delivering the high standards of physical therapy assessment, management, treatment and advice to musculoskeletal outpatients.
  • To help manage the team of staff within that department, including standards of practice and competence.
  • To take a major role in the advanced assessment and management of patients within this specialty who may have a complex presentation and / or a multi-pathology presentation, determining best delivery of care, in conjunction with the multi-disciplinary team (MDT).
  • To work as an autonomous professional according to the Chartered Society of Physiotherapy (CSP) "Rules of Professional Conduct" and "Standards of Physiotherapy", and the Health and Care Professions Council's (HCPC) regulations or appropriate regulating body.
  • To undertake reviews / audits of the outpatient Physiotherapy service in order to evaluate quality, efficiency and outcomes with a view to implementing change of practice, to ensure that a high standard of clinical practice and patient care is maintained
  • To supervise, teach and appraise physical therapists / non-qualified physiotherapy staff and multi-disciplinary team (MDT) staff in physical therapeutic care of patients within this specialty.

About us

EPUT are looking for motivated staff who shares our Trust values of Care, Learn and Empower. In return, EPUT can offer you a range of benefits and development including;

  • Season Ticket Loans
  • NHS discounts for staff
  • Excellent Training facilities and opportunities
  • Buying and Selling annual leave scheme
  • The opportunity to work bank shifts and expand knowledge and experience in other areas
  • Salary Sacrifice schemes including lease cars and Cycle to Work
  • Day One Flexible Employer

Join our Staff bank

What is Staff Bank?

Our EPUT NHS staff bank is an entity managed by the trust that hires clinical and non-clinical healthcare professionals to take on shifts at our trust hospitals and community settings. Here at EPUT we maintain our own bank of specialist staff to ensure that we are able offer safe and effective care at all times.

All our permanent staff are automatically enrolled onto the staff bank however this does not mean you have to work any additional shifts, but the option is there for you if you wish.

If you are joining our Trust in a fixed term role, please indicate on your New Starter Paperwork that you wish to join our staff bank.

Date posted

21 July 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience per annum pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

364-A-4708

Job locations

St Margaret's Hospital Epping

The Plain

Epping

CM16 6TN


Job description

Job responsibilities

KEY RESPONSIBILITIES

Clinical/Professional Duties

  • To be responsible for the provision of a high standard of physiotherapy practice and patient management for musculoskeletal outpatients supporting other staff to do the same.

  • To be highly competent in assessing a wide range of conditions experienced by patients within this specialty based on advanced knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present.

  • To interpret and analyse clinical and non-clinical facts to form accurate diagnoses and prognoses in a wide range of highly complex presentations, to recommend the best course of intervention and to develop comprehensive discharge plans.

  • To formulate, evaluate and reassess individualised physical therapy management and / or treatment plans using clinical reasoning skills and utilising a wide range of treatment skills and options, for example manual physical therapy techniques, in order to formulate a specialised programme of care.

  • To demonstrate the physical ability to carry out physical therapy assessment and interventions, including manual physiotherapy techniques, therapeutic handling and the use of specialist equipment e.g. electrotherapy.

  • To demonstrate highly developed dexterity, co-ordination and palpatory skills for the assessment and manual treatment of patients.

  • To be personally responsible for all aspects of safety relating to equipment, used when treating the patient or issued to the patient for their own future use.

  • To be responsible for the checking and/or teaching competency to more junior and non-qualified staff in using equipment e.g. electrical appliances and gym equipment.

  • To lead within the department to ensure a high standard of clinical practice and patient care is maintained and to ensure that other physical therapists in the team do the same through ongoing competency assessment and evaluation of treatment outcomes using evidence based practice and professional guidelines.

  • To ensure that the musculoskeletal team follows and implements clinical policies and service development changes relating to the provision of high standards of clinical practice.

  • To work, as appropriate, with GPs and Consultants in the provision of a high standard of care to patients within the specialty, who may be presenting as complex cases.

  • To supervise, educate and train less experienced staff for example junior physical therapists and assistants, to ensure provision of a high standard of patient care for all patients within the specialty.

  • To participate in the supervision and education of undergraduate physiotherapy students ensuring that all university set standards and procedures are maintained for the duration of the placement.

  • To provide spontaneous and planned advice, teaching and instruction to relatives, caregivers and other professionals to promote understanding of the aims of physical therapy to ensure a consistent approach to patient care.

  • To accept clinical responsibility for the musculoskeletal outpatient caseload and be responsible for own care plans of patients for the specialty.

  • To represent EPUT in the provision of expert physiotherapeutic knowledge of issues relating to the specialty as requested.

  • To use specialist knowledge to refer to other agencies as appropriate, e.g. community Physiotherapy, patient appliances, GP etc.

  • The Physical therapist must be able to adapt their communication, treatment, information and advice to meet the needs of individual patients.

  • To be professionally and legally responsible and accountable for all aspects of own professional activities.

  • To comply with Health and Care Professions Council regulations and the Chartered Society of Physiotherapys professional code of conduct and standards of physiotherapy practice/relevant professional body at all times.

  • To provide accurate, comprehensive and timely documentation including patient records, reports and letters, as required in accordance with local and professional HCPC, other regulatory body and CSP standards and regulations.

  • To act as a change agent to bring about service improvement in line with the requirements of commissioners, ensuring these changes are implemented where appropriate.

  • To be responsible for health & safety and clinical governance issues of own and of others in the team, actively participating and reporting all incidents as necessary in accordance with local trust policies.

  • To work with the Musculoskeletal Manager, in developing the strategic and operational management of the physical therapy service within this specialty.

  • To accept delegated tasks from more senior staff and to accept responsibility when delegating appropriate tasks, to more junior physical therapists, non- qualified physical therapy staff, carers and other professionals, having first assessed the individuals competence.

  • To deputise for the Musculoskeletal Manager and Team Leads in periods of absence.

  • To represent the MSK service and/or specialty at meetings, contributing to decisions made and feeding back to the line manager as appropriate.

Communication Skills

  • To use verbal, non-verbal and written communication tools to ensure that the patients and carers have a thorough understanding of their condition and the role and aims of physical therapy in relation to this.

  • To be able to communicate sensitive and complex information to patient and carer.

  • To liaise effectively with other delivery sites to ensure the smooth running of the department.

  • To communicate effectively with other members of the MDT including GPs, Consultants and other AHPs.

  • To develop effective lines of communication with referrers to ensure referrals are appropriate.

Education and Research

  • To maintain and develop expert knowledge of current evidence-based practice developments within the musculoskeletal field.

  • To use reflective learning and a variety of resources to inform clinical practice and teaching to more junior staff.

  • To be responsible for arranging attendance of mandatory training sessions and to ensure other team members do the same.

  • To be an active participant in the Individual Performance Review (IPR) process. This includes prior preparation in identifying own development needs and objectives. To undertake the IPRs for more junior staff in the team.

  • To take a lead for setting and evaluating competencies and objectives for the less experienced staff in the department.

  • To be an active member of the in-service training programme

Managerial Responsibilities

  • To manage referrals received in the department, prioritising them in line with the access policy, overseeing the booking of appointments, and ensuring efficient access to services.

  • To provide professional and clinical leadership for the team on an ongoing basis. This includes managing change, motivating the team, promoting teamwork to facilitate optimum standards of patient care, service efficiency and a pleasant working environment.

  • To mediate within the department in times of conflict aiming to resolve issues quickly and avoid the need for formal grievances.

  • Monitor and review sickness and performance issues.

  • Identify and inform the musculoskeletal manager of any opportunities within the service for preparation of business cases.

  • To be responsible for Health & Safety within the department. Ensure the team comply with all relevant local policies (e.g. health & safety, infection control, security) and complete incident reports and risk assessments.

  • To oversee maintenance of equipment within the department liaising with the maintenance company when required. Ensure action is taken when required on Medical Devices Agency alerts.

  • To convene regular staff meetings within the department to facilitate effective communication on all levels.

  • To investigate complaints within the department and endeavour to resolve informal issues promptly. To gather information about formal complaints and pass accurate information to the Musculoskeletal Manager.

  • To work with the Musculoskeletal Manager on recruitment of staff for the department including review of skill mix, application for funding, interviews and induction.

Finance and Physical Resources

  • To be responsible for the ordering of specific items for the service

Information Management

  • To be actively involved in the accurate and timely collection of data &/or information as required for audit / clinical governance in order to monitor and improve standards and quality as applicable.

  • Input data and information accurately and completely using the latest versions of policies and procedures in manual and electronic systems.

  • Ensure the necessary precautions are adhered when transferring information, only disclosing patient identifiable information in line with Caldicott and the Data Protection Act.

Policy/Service Development

  • To write and update policies for use within the department and to contribute to the writing of policies to be used in the West Essex Musculoskeletal Service.

Freedom To Act

  • Authority to make decisions within the department and manage local change that does not impact on the wider MSK service. To consult the Musculoskeletal Manager and team leader colleagues about changes that affect other services.

Effort and Environment

  • Therapeutic handling of patients e.g. supporting them when mobilising, spinal mobilisations which will include working in awkward positions e.g. crouching, kneeling.

  • Sustained concentration throughout the working day will be required plus balancing management and clinical duties.

  • At times the post will involve working with highly emotional patients

Job description

Job responsibilities

KEY RESPONSIBILITIES

Clinical/Professional Duties

  • To be responsible for the provision of a high standard of physiotherapy practice and patient management for musculoskeletal outpatients supporting other staff to do the same.

  • To be highly competent in assessing a wide range of conditions experienced by patients within this specialty based on advanced knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present.

  • To interpret and analyse clinical and non-clinical facts to form accurate diagnoses and prognoses in a wide range of highly complex presentations, to recommend the best course of intervention and to develop comprehensive discharge plans.

  • To formulate, evaluate and reassess individualised physical therapy management and / or treatment plans using clinical reasoning skills and utilising a wide range of treatment skills and options, for example manual physical therapy techniques, in order to formulate a specialised programme of care.

  • To demonstrate the physical ability to carry out physical therapy assessment and interventions, including manual physiotherapy techniques, therapeutic handling and the use of specialist equipment e.g. electrotherapy.

  • To demonstrate highly developed dexterity, co-ordination and palpatory skills for the assessment and manual treatment of patients.

  • To be personally responsible for all aspects of safety relating to equipment, used when treating the patient or issued to the patient for their own future use.

  • To be responsible for the checking and/or teaching competency to more junior and non-qualified staff in using equipment e.g. electrical appliances and gym equipment.

  • To lead within the department to ensure a high standard of clinical practice and patient care is maintained and to ensure that other physical therapists in the team do the same through ongoing competency assessment and evaluation of treatment outcomes using evidence based practice and professional guidelines.

  • To ensure that the musculoskeletal team follows and implements clinical policies and service development changes relating to the provision of high standards of clinical practice.

  • To work, as appropriate, with GPs and Consultants in the provision of a high standard of care to patients within the specialty, who may be presenting as complex cases.

  • To supervise, educate and train less experienced staff for example junior physical therapists and assistants, to ensure provision of a high standard of patient care for all patients within the specialty.

  • To participate in the supervision and education of undergraduate physiotherapy students ensuring that all university set standards and procedures are maintained for the duration of the placement.

  • To provide spontaneous and planned advice, teaching and instruction to relatives, caregivers and other professionals to promote understanding of the aims of physical therapy to ensure a consistent approach to patient care.

  • To accept clinical responsibility for the musculoskeletal outpatient caseload and be responsible for own care plans of patients for the specialty.

  • To represent EPUT in the provision of expert physiotherapeutic knowledge of issues relating to the specialty as requested.

  • To use specialist knowledge to refer to other agencies as appropriate, e.g. community Physiotherapy, patient appliances, GP etc.

  • The Physical therapist must be able to adapt their communication, treatment, information and advice to meet the needs of individual patients.

  • To be professionally and legally responsible and accountable for all aspects of own professional activities.

  • To comply with Health and Care Professions Council regulations and the Chartered Society of Physiotherapys professional code of conduct and standards of physiotherapy practice/relevant professional body at all times.

  • To provide accurate, comprehensive and timely documentation including patient records, reports and letters, as required in accordance with local and professional HCPC, other regulatory body and CSP standards and regulations.

  • To act as a change agent to bring about service improvement in line with the requirements of commissioners, ensuring these changes are implemented where appropriate.

  • To be responsible for health & safety and clinical governance issues of own and of others in the team, actively participating and reporting all incidents as necessary in accordance with local trust policies.

  • To work with the Musculoskeletal Manager, in developing the strategic and operational management of the physical therapy service within this specialty.

  • To accept delegated tasks from more senior staff and to accept responsibility when delegating appropriate tasks, to more junior physical therapists, non- qualified physical therapy staff, carers and other professionals, having first assessed the individuals competence.

  • To deputise for the Musculoskeletal Manager and Team Leads in periods of absence.

  • To represent the MSK service and/or specialty at meetings, contributing to decisions made and feeding back to the line manager as appropriate.

Communication Skills

  • To use verbal, non-verbal and written communication tools to ensure that the patients and carers have a thorough understanding of their condition and the role and aims of physical therapy in relation to this.

  • To be able to communicate sensitive and complex information to patient and carer.

  • To liaise effectively with other delivery sites to ensure the smooth running of the department.

  • To communicate effectively with other members of the MDT including GPs, Consultants and other AHPs.

  • To develop effective lines of communication with referrers to ensure referrals are appropriate.

Education and Research

  • To maintain and develop expert knowledge of current evidence-based practice developments within the musculoskeletal field.

  • To use reflective learning and a variety of resources to inform clinical practice and teaching to more junior staff.

  • To be responsible for arranging attendance of mandatory training sessions and to ensure other team members do the same.

  • To be an active participant in the Individual Performance Review (IPR) process. This includes prior preparation in identifying own development needs and objectives. To undertake the IPRs for more junior staff in the team.

  • To take a lead for setting and evaluating competencies and objectives for the less experienced staff in the department.

  • To be an active member of the in-service training programme

Managerial Responsibilities

  • To manage referrals received in the department, prioritising them in line with the access policy, overseeing the booking of appointments, and ensuring efficient access to services.

  • To provide professional and clinical leadership for the team on an ongoing basis. This includes managing change, motivating the team, promoting teamwork to facilitate optimum standards of patient care, service efficiency and a pleasant working environment.

  • To mediate within the department in times of conflict aiming to resolve issues quickly and avoid the need for formal grievances.

  • Monitor and review sickness and performance issues.

  • Identify and inform the musculoskeletal manager of any opportunities within the service for preparation of business cases.

  • To be responsible for Health & Safety within the department. Ensure the team comply with all relevant local policies (e.g. health & safety, infection control, security) and complete incident reports and risk assessments.

  • To oversee maintenance of equipment within the department liaising with the maintenance company when required. Ensure action is taken when required on Medical Devices Agency alerts.

  • To convene regular staff meetings within the department to facilitate effective communication on all levels.

  • To investigate complaints within the department and endeavour to resolve informal issues promptly. To gather information about formal complaints and pass accurate information to the Musculoskeletal Manager.

  • To work with the Musculoskeletal Manager on recruitment of staff for the department including review of skill mix, application for funding, interviews and induction.

Finance and Physical Resources

  • To be responsible for the ordering of specific items for the service

Information Management

  • To be actively involved in the accurate and timely collection of data &/or information as required for audit / clinical governance in order to monitor and improve standards and quality as applicable.

  • Input data and information accurately and completely using the latest versions of policies and procedures in manual and electronic systems.

  • Ensure the necessary precautions are adhered when transferring information, only disclosing patient identifiable information in line with Caldicott and the Data Protection Act.

Policy/Service Development

  • To write and update policies for use within the department and to contribute to the writing of policies to be used in the West Essex Musculoskeletal Service.

Freedom To Act

  • Authority to make decisions within the department and manage local change that does not impact on the wider MSK service. To consult the Musculoskeletal Manager and team leader colleagues about changes that affect other services.

Effort and Environment

  • Therapeutic handling of patients e.g. supporting them when mobilising, spinal mobilisations which will include working in awkward positions e.g. crouching, kneeling.

  • Sustained concentration throughout the working day will be required plus balancing management and clinical duties.

  • At times the post will involve working with highly emotional patients

Person Specification

Essential and Desirable

Essential

  • HCPC Registration

Desirable

  • NHS Experience > 3 years Band 6 Physiotherapist (NB this is only a guide)

Essential and Desirable

Essential

  • Evidence of assessing and treating MSK patients

Desirable

  • Evidence of attending recent MSK courses

Supervision

Essential

  • Evidence of supervising Band 5 or 6 staff

Desirable

  • Evidence of supervising Band 5 or 6 staff
Person Specification

Essential and Desirable

Essential

  • HCPC Registration

Desirable

  • NHS Experience > 3 years Band 6 Physiotherapist (NB this is only a guide)

Essential and Desirable

Essential

  • Evidence of assessing and treating MSK patients

Desirable

  • Evidence of attending recent MSK courses

Supervision

Essential

  • Evidence of supervising Band 5 or 6 staff

Desirable

  • Evidence of supervising Band 5 or 6 staff

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

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).

Employer details

Employer name

Essex Partnership University NHS Foundation Trust

Address

St Margaret's Hospital Epping

The Plain

Epping

CM16 6TN


Employer's website

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

Employer details

Employer name

Essex Partnership University NHS Foundation Trust

Address

St Margaret's Hospital Epping

The Plain

Epping

CM16 6TN


Employer's website

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

For questions about the job, contact:

Team Lead MSK Physiotherapist

Donna Luetchford

donna.luetchford@nhs.net

01279827404

Date posted

21 July 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

Depending on experience per annum pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

364-A-4708

Job locations

St Margaret's Hospital Epping

The Plain

Epping

CM16 6TN


Supporting documents

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