Assessment and Referral Clinician/Therapist

Job description

Job responsibilities

The post holder will be responsible for their own caseload within their speciality area as an autonomous practitioner. In doing so, they will assess, plan, deliver and evaluate patient centred programmes of care to a specialist level ensuring that they practice within their sphere of competence and knowledge. The post holder will work to professional and regulatory body codes, standards and guidance at all times ensuring that their practice is grounded in evidence based theoretical and practical knowledge.

Key Responsibilities

1. Clinical

1.1. Demonstrates a detailed theoretical and practical knowledge of common aetiologies, pathologies, conditions and presentations – involving a critical understanding of theories and principles

1.2. Demonstrates innovative and specialist skills to select methods and tools to holistically assess, plan, implement and evaluate in a complex and specialised field of work

1.3. Demonstrates highly developed physical skills where dexterity and accuracy are important e.g. syringe pumps and infusions, manual treatments

1.4. Makes consistent judgements requiring complex fact analysis, interpretation and comparison of options and ensures clinical reasoning is reflected accurately in case records

1.5. Engages and actively involves the individual and, if appropriate, their family/carer, in the assessment, planning, implementation and evaluation of programmes of treatment and/or care by using person-centred techniques to promote a culture of involvement and empowerment

1.6. Works to standards of proficiency identified by their professional and regulatory bodies performing clinical treatments/procedures to a competent standard

1.7. Prioritises their own workload, and that of the wider team, within agreed objectives deciding when to refer to others as appropriate

1.8. Provides and receives complex, sensitive or contentious information where motivational, persuasive, empathetic, negotiating and reassurance skills are required whilst demonstrating an understanding of barriers to communication

1.9. Approaches each individual with care, compassion and sensitivity ensuring that these values are reflected in all areas of practice including the management of any complaints and compliments

1.10. To comply with the organisations’ Infection Prevention and Control requirements, including “bare below the elbows” dress code for staff with a direct care delivery role

2. Leadership

2.1. Ensures that a professional service and image is maintained at all time, thereby acting as a role model to all staff

2.2. Provides a leadership style which is underpinned by strongly held values around equality, diversity and openness; effectively builds and maintains relationships with direct reportee(s), management teams and other key individuals across the organisation.

2.3. Manages team and resources on a day-to-day basis in an unpredictable environment that require solutions to complex problems where there are many interacting factors

2.4. Demonstrates the ability to delegate, organise and prioritise workload to ensure the safe delivery of the service including the management of referrals and discharges utilising locally agreed support mechanisms e.g. on call manager and making judgements in complex situations

2.5. Demonstrates clinical leadership, initiative and creativity in developing projects inspiring others to be positive in their contribution to continuous improvement

2.6. Demonstrates resilience when responding to challenge, change and complex or difficult situations

2.7. Clearly articulates the expected clinical standards of the service, monitors and identifies where standards are not met and takes action to address

2.8. Ensures that all objectives, for self and those directly responsible for, are clearly defined within the wider Directorate framework and in line with Trust’s objectives, using the appraisal process as a vehicle for this.

2.9. Takes responsibility for their own and others’ health and safety in the working environment.

3. Learning and Development

3.1. Undertakes any training required to develop and maintain their proficiency in response to changes in service delivery or new and emerging techniques and demonstrate competence within professional body requirements

3.2. Reflects on and evaluates own practice and identifies areas of development by setting appropriate objectives via appraisal and clinical supervision

3.3. Carries out research projects, or other research and development activity, appropriate to clinical area

3.4. Undertakes supervision and is responsible for teaching and training both inside and outside work area.

3.5. Ensures appraisals for direct reportees are undertaken in accordance with Trust policy; manages performance which falls below standard in accordance with the appropriate HR policies and processes seeking support from senior staff where required.

3.6. Supports the learning and development of others including students and preceptees

4. Partnership and Team Working

4.1. Actively develops and maintains effective clinical and corporate working relationships both within and outside the Trust including with other agencies and Higher Education Institutes

4.2. Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships in order to improve and develop service delivery.

4.3. Actively contributes to the multi-disciplinary team supporting the patient including communication with external care providers, voluntary support services and other agencies; acting as a credible source of information for other agencies/professionals involved in the care as required

5. Innovation and Quality

5.1. Implements, monitors and maintains agreed standards of care, reporting to the team/service manager when standards are not met

5.2. Implements policies relevant to service area and ensures team members are aware of policy requirements

5.3. Identifies areas for improvement within own service and proactively addresses these within the overall organisational governance frameworks and corporate objectives reflecting the changing needs of the population, local and national initiatives

5.4. Actively works to continually improve the quality of own service within the overall organisational governance frameworks and corporate objectives e.g. through audit or suggesting changes to practice

5.5. Contributes to and undertakes clinical audit

5.6. Works with managers and colleagues to identify, manage and minimise risks within the overall organisational risk management frameworks. This includes understanding and applying knowledge of clinical role in safeguarding and actively leading incident management processes

5.7. Acts as an advocate for patients and their families/carers recognising the boundaries of their clinical knowledge; liaising and referring on to other services / agencies as required

5.8. Ensures that patient experience is core to all clinical and service development gaining support from the appropriate corporate teams as required

5.9. Actively ensures completion of required data in a timely manner in order to meet the Quality Framework requirements, outcome measures and best practice standards in order to deliver an effective, high quality service.

Leeds Community Healthcare NHS Trust encourages and supports staff to be vaccinated as this remains the best lines of defence against Covid 19.

Person Specification

Experience

Essential

• Experience in the clinical field or a closely related clinical area as part of a wider multidisciplinary team
• Experience in supervising and delegating to other members of staff

Desirable

• Working in community or primary care based teams
• Experience of managing staff

Skills and Attributes

Essential

• Detailed theoretical and clinical knowledge appropriate to service area and profession
• Knowledge of relevant current issues in health and social care, ethics and innovation
• Demonstrates awareness of limits to knowledge base
• Application of clinical governance and quality measures in practice
• Specialist assessment, planning and evaluation skills
• Performs test / procedures / diagnostics relevant to clinical role at a specialist level proficiently
• Complex analytical and creative problem solving skills in unpredictable situations
• Workload management including delegation of tasks and day-to-day team leadership
• Competent IT skills in order to collect and interpret data, present reports and compile simple presentations
• Effective verbal, non-verbal and written communication skills including communicating complex or potentially distressing information to patients / carers and managing conflict when appropriate
• Risk assessment skills
• Reflective practice skills able to give clear and effective feedback
• Able to research, understand and evaluate evidence in order to contribute to practice development

Desirable

• Knowledge of specific innovation techniques / initiatives
• Experience in research and/or clinical audit

Attitude & Behaviour

Essential

• Displays care, compassion, sensitivity and responsiveness to other peoples feelings and needs
• Able to work as part of a team, co-operating to work together and in conjunction with others and willing to help and assist wherever possible and appropriate appreciating the value of diversity in the workplace
• Able to develop, establish and maintain positive relationships with others both internal and external to the organisation and with patients and their carers
• Able to work under pressure, dealing with peaks and troughs in workload managing unpredictable service demands
• Positive and flexible attitude to dealing with change; able to respond to the changing needs of the patient in an appropriate and timely manner;
• willing to change and accept change and to explore new ways of doing things and approaches
• Highly motivated and reliable
• Has a strong degree of personal integrity; able to adhere to standards of conduct based on a culture of equality and fairness
• Demonstrates values consistent with those of the Trust
• Ability and willingness to adopt a flexible approach to work on the occasions it may be required.

Qualifications

Essential

• Professional degree or diploma in relevant field
• Post Graduate qualification in specialist field
• Appropriate statutory professional body registration
• Must be willing to participate in any relevant training identified to develop skills required to carry out duties
• Maintains a portfolio of CPD in line with regulatory body standards

Desirable

• Practice Educator or equivalent
• Leadership and management training, ILM 3 or equivalent

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.

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

Leeds Community Healthcare NHS Trust

Address

Community Neurological Rehabilitation Service

St Marys Hospital - Green Hill Road

Leeds

LS12 3QE

Employer's website

https://www.leedscommunityhealthcare.nhs.uk/join-our-team1/ (Opens in a new tab)