Job summary
ABOUT
THE ROLE:
We
have an exciting opportunity for an experienced musculoskeletal physiotherapist
with an interest in persistent pain to join our dynamic team. We are looking
for someone who is enthusiastic about providing high quality care.
This is a
permanent post, but we would consider someone seeking a secondment opportunity.
PICS are
supporting our Extended Scope practitioners to develop their skills and
knowledge in line with the national musculoskeletal framework for Advanced Physiotherapist
Practice.
You
will be based within PICS Community Pain Service. You will be part of a wider
team including Pain Practitioners, Consultants Advanced Nurse Practitioners, CBT
therapist, Psychologist, Pharmacists, Health and Wellbeing Practitioners and an
administrative team. You will be supported by Paula Banbury, Clinical Lead, and
Mags Wigram, Lead Extended Scope Practitioner, who are on the PICS leadership
team.
Main duties of the job
KEY RESPONSIBILITIES:
- To
provide a senior specialised clinical role in the Nottinghamshire
Interdisciplinary Community Pain / CFS Pathway
- To
provide services in community venues across Nottinghamshire CCG locality as
required
- To
undertake clinical review / triage of referrals received in line with CCG
policy
- To
undertake advanced clinical assessment of community pain referrals in an
outpatient setting and formulate a management plan.
- To
decide on and take responsibility for the mutually agreed patient care plan.
- To support the team in
developing services which enable patients with pain to increase their
activity levels within a community setting, and therefore improve their
physical and mental health whilst living with and managing their pain
KEY REQUIREMENTS:
- Minimum of 3 years
musculoskeletal outpatient experience at AfC B6 level or above
- Post-graduate certificate or
masters level qualification in a relevant field
- Highly developed specialist
clinical reasoning skills
- Excellent communication skills
with patients and co-workers
- In depth understanding of pain
neurophysiology with experience of providing care for patients with persistent
and complex pain
- Access to a car for travel
between clinics.
About us
We offer a comprehensive package
which includes:
- Part of a team of experienced
practitioners and supported by Mags Wigram, Lead Extended Scope
Practitioner, who will help support your professional development
- Part of the NHS Pension Scheme
or an alternative government based scheme (based on eligibility) with
generous employer contributions
- Competitive salaries with clear
progression pathways referenced to NHS Agenda for Change
- Fully integrated with NHS IT
systems
- Generous annual leave
entitlement which references NHS Agenda for Change and recognises previous
NHS service
- On appointment - 27 days plus 8
days bank holiday entitlement
- After 5 years - 29 days plus 8
days bank holiday entitlement
- After 10 years - 33 days plus 8
days bank holiday entitlement
- Competitive leave entitlement
that includes sickness pay and maternity leave
- Join a caring culture and a company of can do experts
Job description
Job responsibilities
JOB
SUMMARY:
Our
innovative community pain /CFS pathway delivers an evidenced based service
tailored to the needs of Nottinghamshire patients with persistent pain. As an Extended
Scope Physiotherapist, you will demonstrate enhanced knowledge and skills in
the management of long term pain and its impact upon individuals. This will
include training in and experience of advanced clinical assessment within a
musculoskeletal and physiotherapeutic setting, particularly including patients
with persistent pain. You will have
excellent communication skills which you will use to assess patients' clinical,
social and psychological needs, to liaise with the wider MDT and health
community, and to deliver physiotherapeutic interventions appropriate for this
challenging clinical field. You need to be an excellent team player, dynamic
and forward thinking, with ambition for self-development and service
development, and a desire for involvement in service improvement.
JOB PURPOSE:
- To
provide a senior specialised clinical role in the Nottinghamshire
Interdisciplinary Community Pain / CFS Pathway
- To
provide services in community venues across Nottinghamshire CCG locality as
required
- To
undertake clinical review / triage of referrals received in line with CCG
policy
- To
undertake advanced clinical assessment of community pain referrals in an
outpatient setting and formulate a management plan.
- To
decide on and take responsibility for the mutually agreed patient care plan.
- To
support the team in developing services which enable patients with pain to
increase their activity levels within a community setting, and therefore
improve their physical and mental health whilst living with and managing their
pain
- To
manage a physiotherapy caseload of complex patients who are not appropriate for
other community physiotherapy services because of their complexity or
psychosocial barriers.
- To
contribute to the service development of the PICS Community Pain Service
- To
contribute to the training and development of other health professionals with
regards to the physiotherapeutic management of persistent pain
- To
maintain professional knowledge and skills in expert practice in all aspects of
pain management
- Achieving
the above within the resources available to the PICS pain service.
Key
Result Areas/Responsibilities:
- To
triage, assess and manage complex clinical pathways, demonstrating expert
practice in all aspects of pain management.
- To
undertake a physiotherapy role that requires extending scope of practice and
developing an advanced level of professional autonomy and accountability in the
provision of such care.
- To
contribute to the development of the service generally, and within the context
of persistent pain managing patients goals and expectations towards increasing
activity levels to maintain physical and mental health, rather than towards
curing them of pain.
- To
promote the purpose of physiotherapy for this complex group of patients, which
is to increase patients' confidence to manage their pain, by developing their
understanding of pain physiology and why pain persists, and by engaging them in
self-management strategies.
- To
apply the evidence base supporting the importance of exercise and maintaining
activity levels. To enable them to succeed,
patients are guided to increase activities using graded and paced approaches. Occasional passive treatments e.g. manual
therapy and injections, may have temporary role, but they are only used as a
way of helping patients move forward towards self-management.
- To
develop opportunities within the community pain service where patients can
increase their activity levels whilst managing their pain levels. These will as far as possible be through
local community health and leisure amenities to ensure that activity is
normalised and made part of daily life.
This may include local leisure amenities and centres. It will involve close working with the pain
MDT.
- To
work closely with the health and wellbeing practitioners and where necessary
the CBT therapist and BPS practitioners to help individual patients with fear
avoidance to increase their activity levels.
- To
develop and provide a specialist physiotherapy service one to one for a
restricted number of patients within pain clinic settings, where their needs
cannot be met by the community physiotherapy service, and when they need
specific treatment which cannot be given in a group or leisure centre
setting.
- To act as a physiotherapy expert
within the pain service, working towards advanced practice, by ensuring
involvement in continual professional development, through case studies,
reflective essay writing, reading professional journals and articles, reviewing
national guidelines with regard to current best practice, attending appropriate
courses and conferences, and incorporating best practice into protocols and
guidelines.
- To
demonstrate clinical expertise, supporting the development of pain awareness
and knowledge across the local health economy.
- To
provide training and education for professionals within the PICS MDT and also
within the local health community with regards to management of persistent
pain
Professional:
- To adhere to the professional code
of conduct and practice and relevant national standards at all times.
- To provide clinical education, training
and evaluation, and support and guidance of clinical team staff in relation to
the provision of a physiotherapy interventions, in particular those related to
helping patients to increase their quality of life and manage their pain through
increasing activity levels. This will
include competency training of relevant staff including other physiotherapists
and the health and wellbeing practitioner.
- To maintain, develop and disseminate
specialist knowledge of evidence based practice, particularly that related to
physiotherapeutic interventions.
- To critically evaluate own work
through the use of evidence based projects, audits and outcome measures.
- To participate in the promotion and
development of best practice, recommending and implementing changes to improve
service delivery.
- To continue to develop and implement
evidence based approaches for the management of persistent pain, as part of an
inter-disciplinary team, with particular reference to physiotherapeutic
interventions.
-
To work autonomously as a physiotherapist within
professional and PICS guidelines, policies and procedures
Communication
and Relationship Skills:
- To ensure close liaison with Line Manager and
Clinical Lead in communicating with regards to clinical issues. Attend regular
MDT / Supervision
- To
facilitate the communication of highly complex information regarding the case
management of patients, both within the pain MDT, and also with professional
colleagues across all areas of the health community, particularly GP practice
staff in the CCG areas.
- To
use advanced communication skills to communicate with patients to gain consent
for treatment within a care pathway. Highly sensitive and contentious
information is regularly required to be communicated to patients after clinical
and medical results are collated formulating specific pain management plans.
- To
be sensitive to the fact that barriers to understanding can be encountered with
elderly patients, those without English as their first language, patients with
disabilities and those with mental health difficulties such as anxiety,
clinical depression or personality disorders. This can result in
confrontational behaviour towards the practitioner, which needs to be addressed
professionally and with compassion and understanding for the reasons behind
this.
- To
show empathy and sensitivity in the communication of contentious information,
for example weight loss advice, return to work recommendations to patients
reluctant to do so and to those patients with a clinical diagnosis of poor
prognosis.
-
To prioritise appropriately in unpredictable
situations where clinical decisions need to be made urgently and to manage time
and use the MDT where this may impact into time allocated towards other
necessary tasks during clinic time.
Please see the attached supporting information for full job requirements.
Job description
Job responsibilities
JOB
SUMMARY:
Our
innovative community pain /CFS pathway delivers an evidenced based service
tailored to the needs of Nottinghamshire patients with persistent pain. As an Extended
Scope Physiotherapist, you will demonstrate enhanced knowledge and skills in
the management of long term pain and its impact upon individuals. This will
include training in and experience of advanced clinical assessment within a
musculoskeletal and physiotherapeutic setting, particularly including patients
with persistent pain. You will have
excellent communication skills which you will use to assess patients' clinical,
social and psychological needs, to liaise with the wider MDT and health
community, and to deliver physiotherapeutic interventions appropriate for this
challenging clinical field. You need to be an excellent team player, dynamic
and forward thinking, with ambition for self-development and service
development, and a desire for involvement in service improvement.
JOB PURPOSE:
- To
provide a senior specialised clinical role in the Nottinghamshire
Interdisciplinary Community Pain / CFS Pathway
- To
provide services in community venues across Nottinghamshire CCG locality as
required
- To
undertake clinical review / triage of referrals received in line with CCG
policy
- To
undertake advanced clinical assessment of community pain referrals in an
outpatient setting and formulate a management plan.
- To
decide on and take responsibility for the mutually agreed patient care plan.
- To
support the team in developing services which enable patients with pain to
increase their activity levels within a community setting, and therefore
improve their physical and mental health whilst living with and managing their
pain
- To
manage a physiotherapy caseload of complex patients who are not appropriate for
other community physiotherapy services because of their complexity or
psychosocial barriers.
- To
contribute to the service development of the PICS Community Pain Service
- To
contribute to the training and development of other health professionals with
regards to the physiotherapeutic management of persistent pain
- To
maintain professional knowledge and skills in expert practice in all aspects of
pain management
- Achieving
the above within the resources available to the PICS pain service.
Key
Result Areas/Responsibilities:
- To
triage, assess and manage complex clinical pathways, demonstrating expert
practice in all aspects of pain management.
- To
undertake a physiotherapy role that requires extending scope of practice and
developing an advanced level of professional autonomy and accountability in the
provision of such care.
- To
contribute to the development of the service generally, and within the context
of persistent pain managing patients goals and expectations towards increasing
activity levels to maintain physical and mental health, rather than towards
curing them of pain.
- To
promote the purpose of physiotherapy for this complex group of patients, which
is to increase patients' confidence to manage their pain, by developing their
understanding of pain physiology and why pain persists, and by engaging them in
self-management strategies.
- To
apply the evidence base supporting the importance of exercise and maintaining
activity levels. To enable them to succeed,
patients are guided to increase activities using graded and paced approaches. Occasional passive treatments e.g. manual
therapy and injections, may have temporary role, but they are only used as a
way of helping patients move forward towards self-management.
- To
develop opportunities within the community pain service where patients can
increase their activity levels whilst managing their pain levels. These will as far as possible be through
local community health and leisure amenities to ensure that activity is
normalised and made part of daily life.
This may include local leisure amenities and centres. It will involve close working with the pain
MDT.
- To
work closely with the health and wellbeing practitioners and where necessary
the CBT therapist and BPS practitioners to help individual patients with fear
avoidance to increase their activity levels.
- To
develop and provide a specialist physiotherapy service one to one for a
restricted number of patients within pain clinic settings, where their needs
cannot be met by the community physiotherapy service, and when they need
specific treatment which cannot be given in a group or leisure centre
setting.
- To act as a physiotherapy expert
within the pain service, working towards advanced practice, by ensuring
involvement in continual professional development, through case studies,
reflective essay writing, reading professional journals and articles, reviewing
national guidelines with regard to current best practice, attending appropriate
courses and conferences, and incorporating best practice into protocols and
guidelines.
- To
demonstrate clinical expertise, supporting the development of pain awareness
and knowledge across the local health economy.
- To
provide training and education for professionals within the PICS MDT and also
within the local health community with regards to management of persistent
pain
Professional:
- To adhere to the professional code
of conduct and practice and relevant national standards at all times.
- To provide clinical education, training
and evaluation, and support and guidance of clinical team staff in relation to
the provision of a physiotherapy interventions, in particular those related to
helping patients to increase their quality of life and manage their pain through
increasing activity levels. This will
include competency training of relevant staff including other physiotherapists
and the health and wellbeing practitioner.
- To maintain, develop and disseminate
specialist knowledge of evidence based practice, particularly that related to
physiotherapeutic interventions.
- To critically evaluate own work
through the use of evidence based projects, audits and outcome measures.
- To participate in the promotion and
development of best practice, recommending and implementing changes to improve
service delivery.
- To continue to develop and implement
evidence based approaches for the management of persistent pain, as part of an
inter-disciplinary team, with particular reference to physiotherapeutic
interventions.
-
To work autonomously as a physiotherapist within
professional and PICS guidelines, policies and procedures
Communication
and Relationship Skills:
- To ensure close liaison with Line Manager and
Clinical Lead in communicating with regards to clinical issues. Attend regular
MDT / Supervision
- To
facilitate the communication of highly complex information regarding the case
management of patients, both within the pain MDT, and also with professional
colleagues across all areas of the health community, particularly GP practice
staff in the CCG areas.
- To
use advanced communication skills to communicate with patients to gain consent
for treatment within a care pathway. Highly sensitive and contentious
information is regularly required to be communicated to patients after clinical
and medical results are collated formulating specific pain management plans.
- To
be sensitive to the fact that barriers to understanding can be encountered with
elderly patients, those without English as their first language, patients with
disabilities and those with mental health difficulties such as anxiety,
clinical depression or personality disorders. This can result in
confrontational behaviour towards the practitioner, which needs to be addressed
professionally and with compassion and understanding for the reasons behind
this.
- To
show empathy and sensitivity in the communication of contentious information,
for example weight loss advice, return to work recommendations to patients
reluctant to do so and to those patients with a clinical diagnosis of poor
prognosis.
-
To prioritise appropriately in unpredictable
situations where clinical decisions need to be made urgently and to manage time
and use the MDT where this may impact into time allocated towards other
necessary tasks during clinic time.
Please see the attached supporting information for full job requirements.
Person Specification
Qualifications
Essential
- Please provide details of your CPD, using examples where necessary.
- Please provide your registration number of your HCPC professional registration.
Experience
Essential
- Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Knowledge and skills
Essential
- Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Personal Qualities
Essential
- Please provide details for why you would be a great fit for this role and why you have decided to apply.
Person Specification
Qualifications
Essential
- Please provide details of your CPD, using examples where necessary.
- Please provide your registration number of your HCPC professional registration.
Experience
Essential
- Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Knowledge and skills
Essential
- Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.
Personal Qualities
Essential
- Please provide details for why you would be a great fit for this role and why you have decided to apply.
Additional information
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
Primary Integrated Community Services
Address
Unit H4 Ash Tree Court
Nottingham Business Park
Nottingham
Nottinghamshire
NG8 6PY
Employer's website
http://picsnhs.org.uk/ (Opens in a new tab)