Specialist Neurological Physiotherapist - Band 6 (rotational cross site)
Are you looking for a new challenge? Do you want to extend or develop your neurology clinical skills in a forward thinking department? We are offering an exciting opportunity for a motivated and enthusiastic Neurological Physiotherapist to join our physiotherapy team at Lewisham and Greenwich NHS Trust. The rotations span the University Hospital Lewisham, the Queen Elizabeth Hospital in Greenwich, and Lewisham Community Services and together will offer you the experience of working across four vibrant London Boroughs - Lewisham, Greenwich, Bromley and Bexley. This is a specialist rotational post that will offer opportunity to rotate every 8 months to: A large stroke service (50 beds) Neurology outliers teams Neurology outpatient services Bromley Stroke Team (a multidisciplinary team which provides a service to adults within Bromley) Lewisham Community Neuro team (including early supported discharge, in-reach to acute sites, community caseloads including stroke and long term neurological conditions) The successful candidate must have experience of working in core areas of physiotherapy, have experience within neurology and beneficial to show insight into community working. They must be dynamic and flexible to the workload fluctuations. Main duties of the job
You will receive support from experienced Band 7 or 8a Physiotherapists and other physiotherapy professional leads and have a chance to develop your skills whilst working innovatively with patients, their carers and a wide range of other agencies. We are committed to personal and professional development through regular supervision, and in service training to enhance your CPD. We have excellent access to training opportunities including profession/skill specific, interdisciplinary, and leadership training. We consider a range of flexible working patterns as well as a wide range of benefits to support staff health and well being, training and development, staff recognition and awards and access to many discounts. It is anticipated across a two year period you would complete two rotations at University Hospital Lewisham or in the community to one rotation at Queen Elizabeth Site. As such the high cost area supplement (HCAS) you receive will depend on your rotation site and therefore your salary will vary in accordance with this. About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations: Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development Widening access (anchor institution) and employability Improving the experience of staff with disability Improving the EDI literacy and confidence of trust staff through training and development Making equalities mainstream Job description
Job responsibilities
JOB PURPOSE The Specialist Neurology Physiotherapist is an experienced clinician who independently manages a full specialised clinical caseload. They are responsible for supervising designated members of staff within the specialist team. The post holder rotates through speciality pathways on an 8-monthly basis and works under supervision of an allocated Team Lead for the Clinical Area. Rotations span the University Hospital Lewisham, the Queen Elizabeth Hospital, Bromley, Greenwich and Lewisham Neurology Community Services. The rotations associated with this post may change in response to future service demands and the postholder may be required to work at any of the sites within the Trust. 7-day working for Therapies is under development within the Trust and it is anticipated that the postholder will be required to work at weekends on a roster basis during some of the above rotations. Clinical Governance and clinical support will be provided to rotational staff by the highly specialist (Band 7) Physiotherapy Team Lead. In conjunction with the Team Lead, the post holder participates in a rolling programme of education, clinical evaluation, audit and research across the speciality. KEY RELATIONSHIPS
Band 5 Physiotherapists, Team Lead Physiotherapists, Physiotherapy Inpatient Site Lead, Physiotherapy Outpatient Site Lead, Heads of Therapies, Therapy Support Workers, Medical Consultants, Occupational Therapists, Speech and Language Therapists, Dietitians, All Physiotherapy Staff Trustwide, Nursing Staff, Referring Hospitals, Social Services, Community Services, GPs, Voluntary Services, Academic Institutions, Specialists external to L& G. DUTIES AND RESPONSIBILITIES
Clinical: To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with complex presentations. To work at an advanced level and to be professionally and legally accountable for a specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands. To be professionally and legally responsible and accountable for all aspects of own work, and the work of staff under the postholders supervision. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist. To assess patients capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient. To undertake the comprehensive assessment and accurate diagnosis of patients, including those with complex presentation, using investigative, palpatory, analytical and clinical reasoning skills. To undertake physical treatment techniques utilising highly developed manual skills. To be responsible for the safe and competent use of the inpatient/outpatient gym, electrotherapy and manual handling equipment, as well as other aids and appliances by patients in your working area, ensuring that any Band 5 Physiotherapists and Assistants obtain competency prior to use. To formulate individualised clinical management programmes, utilising a wide range of treatment skills and options to plan a specialised programme of care. To use recognised outcome measures to evaluate the effect of physiotherapy interventions and ensure that treatment programmes are progressing appropriately. To provide spontaneous and planned advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of physiotherapy and to ensure continuation of the treatment programme. To be consulted by staff under the postholders supervision. To participate in and where indicated, initiate multidisciplinary/multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning. To maintain good working links and liaise with GPs and all relevant others involved with each patients care, ensuring consultation, feedback and discharge communication. To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria. To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services e.g. interpreters. To ensure that individual practice and that of the local pathway team is user focused and patient views are incorporated into treatment planning. To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment programme. To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome. To receive complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management. To communicate and advise regarding complex patient related information effectively to ensure collaborative working within the physiotherapy service and with other professionals across health and other agencies to ensure the delivery of a co-ordinated multidisciplinary service. To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge reports. To produce comprehensive patient related reports for other disciplines or agencies relating to assessment findings and/or treatment outcomes. To undertake the measurement and evaluation of own work through audit, outcome measurement, the application of evidence based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway. To facilitate the implementation and evaluation of physiotherapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards. To work to Trust and Chartered Society of Physiotherapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored. To raise physiotherapy staff awareness of current clinical developments and the implications these may have on clinical practice. To be accessible and provide specialist clinical advice to colleagues in particular for complex case management. Once considered competent, to participate in the on-call, week-end, bank holiday and extended working rotas where clinically appropriate and in the absence of Band 7 staff to be responsible for any Band 5 physiotherapists in the team. To fully participate in whatever pattern of working is required by the service in the future. To work in GP outreach clinics as necessary, with telephone support from a senior physiotherapist if required. All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies. Person Specification
Qualifications & Training
Essential
Diploma / Degree in Physiotherapy. HCPC registration Undertaken a range of relevant postgraduate neurology courses Undertaken clinical educators training Desirable
MCSP Member of relevant special interest group Undertaken appropriate managerial training Experience
Essential
Wide ranging rotational physiotherapy experience at Band 5 level including neurology experience Experience of participating in audit, service evaluation and evidence based projects. Evidence of actively participating in in-service training and MDT groups, and evaluating effectiveness of training Experience and ability to work collaboratively within MDT Experience in managing limited resources and high workloads Desirable
Previous experience at band 6 level Research experience. Experience of supervision and appraisal of physiotherapy staff and students with ability to give constructive feedback Knowledge & Skills
Essential
Knowledge of evidenced based practice pertaining to specialist areas of physiotherapy Knowledge of key national guidelines and standards pertaining to specialist areas of physiotherapy Understanding of clinical governance and its implication for physiotherapy Awareness and understanding of NHS structure, current issues and developments Understanding of the legal responsibilities of the profession The ability to discuss clinical reasoning in the management of complex cases The ability to identify and act upon adverse clinical signs Able to communicate complex information to patients, carers other health professionals and team. Excellent ability to work effectively in a team environment Desirable
IT skills - Ability to create and/or format data and/or complex spreadsheets using computerised systems Demonstrates excellent leadership ability and motivational skills Employer details
Employer name Lewisham and Greenwich NHS Trust Address University Hospital Lewisham Lewisham High Street London SE13 6LH Any attachments will be accessible after you click to apply.
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Are you looking for a new challenge? Do you want to extend or develop your neurology clinical skills in a forward thinking department? We are offering an exciting opportunity for a motivated and enthusiastic Neurological Physiotherapist to join our physiotherapy team at Lewisham and Greenwich NHS Trust. The rotations span the University Hospital Lewisham, the Queen Elizabeth Hospital in Greenwich, and Lewisham Community Services and together will offer you the experience of working across four vibrant London Boroughs - Lewisham, Greenwich, Bromley and Bexley. This is a specialist rotational post that will offer opportunity to rotate every 8 months to: A large stroke service (50 beds) Neurology outliers teams Neurology outpatient services Bromley Stroke Team (a multidisciplinary team which provides a service to adults within Bromley) Lewisham Community Neuro team (including early supported discharge, in-reach to acute sites, community caseloads including stroke and long term neurological conditions) The successful candidate must have experience of working in core areas of physiotherapy, have experience within neurology and beneficial to show insight into community working. They must be dynamic and flexible to the workload fluctuations. Main duties of the job
You will receive support from experienced Band 7 or 8a Physiotherapists and other physiotherapy professional leads and have a chance to develop your skills whilst working innovatively with patients, their carers and a wide range of other agencies. We are committed to personal and professional development through regular supervision, and in service training to enhance your CPD. We have excellent access to training opportunities including profession/skill specific, interdisciplinary, and leadership training. We consider a range of flexible working patterns as well as a wide range of benefits to support staff health and well being, training and development, staff recognition and awards and access to many discounts. It is anticipated across a two year period you would complete two rotations at University Hospital Lewisham or in the community to one rotation at Queen Elizabeth Site. As such the high cost area supplement (HCAS) you receive will depend on your rotation site and therefore your salary will vary in accordance with this. About us
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations: Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development Widening access (anchor institution) and employability Improving the experience of staff with disability Improving the EDI literacy and confidence of trust staff through training and development Making equalities mainstream Job description
Job responsibilities
JOB PURPOSE The Specialist Neurology Physiotherapist is an experienced clinician who independently manages a full specialised clinical caseload. They are responsible for supervising designated members of staff within the specialist team. The post holder rotates through speciality pathways on an 8-monthly basis and works under supervision of an allocated Team Lead for the Clinical Area. Rotations span the University Hospital Lewisham, the Queen Elizabeth Hospital, Bromley, Greenwich and Lewisham Neurology Community Services. The rotations associated with this post may change in response to future service demands and the postholder may be required to work at any of the sites within the Trust. 7-day working for Therapies is under development within the Trust and it is anticipated that the postholder will be required to work at weekends on a roster basis during some of the above rotations. Clinical Governance and clinical support will be provided to rotational staff by the highly specialist (Band 7) Physiotherapy Team Lead. In conjunction with the Team Lead, the post holder participates in a rolling programme of education, clinical evaluation, audit and research across the speciality. KEY RELATIONSHIPS
Band 5 Physiotherapists, Team Lead Physiotherapists, Physiotherapy Inpatient Site Lead, Physiotherapy Outpatient Site Lead, Heads of Therapies, Therapy Support Workers, Medical Consultants, Occupational Therapists, Speech and Language Therapists, Dietitians, All Physiotherapy Staff Trustwide, Nursing Staff, Referring Hospitals, Social Services, Community Services, GPs, Voluntary Services, Academic Institutions, Specialists external to L& G. DUTIES AND RESPONSIBILITIES
Clinical: To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with complex presentations. To work at an advanced level and to be professionally and legally accountable for a specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands. To be professionally and legally responsible and accountable for all aspects of own work, and the work of staff under the postholders supervision. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist. To assess patients capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient. To undertake the comprehensive assessment and accurate diagnosis of patients, including those with complex presentation, using investigative, palpatory, analytical and clinical reasoning skills. To undertake physical treatment techniques utilising highly developed manual skills. To be responsible for the safe and competent use of the inpatient/outpatient gym, electrotherapy and manual handling equipment, as well as other aids and appliances by patients in your working area, ensuring that any Band 5 Physiotherapists and Assistants obtain competency prior to use. To formulate individualised clinical management programmes, utilising a wide range of treatment skills and options to plan a specialised programme of care. To use recognised outcome measures to evaluate the effect of physiotherapy interventions and ensure that treatment programmes are progressing appropriately. To provide spontaneous and planned advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of physiotherapy and to ensure continuation of the treatment programme. To be consulted by staff under the postholders supervision. To participate in and where indicated, initiate multidisciplinary/multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning. To maintain good working links and liaise with GPs and all relevant others involved with each patients care, ensuring consultation, feedback and discharge communication. To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria. To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services e.g. interpreters. To ensure that individual practice and that of the local pathway team is user focused and patient views are incorporated into treatment planning. To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment programme. To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome. To receive complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management. To communicate and advise regarding complex patient related information effectively to ensure collaborative working within the physiotherapy service and with other professionals across health and other agencies to ensure the delivery of a co-ordinated multidisciplinary service. To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge reports. To produce comprehensive patient related reports for other disciplines or agencies relating to assessment findings and/or treatment outcomes. To undertake the measurement and evaluation of own work through audit, outcome measurement, the application of evidence based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway. To facilitate the implementation and evaluation of physiotherapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards. To work to Trust and Chartered Society of Physiotherapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored. To raise physiotherapy staff awareness of current clinical developments and the implications these may have on clinical practice. To be accessible and provide specialist clinical advice to colleagues in particular for complex case management. Once considered competent, to participate in the on-call, week-end, bank holiday and extended working rotas where clinically appropriate and in the absence of Band 7 staff to be responsible for any Band 5 physiotherapists in the team. To fully participate in whatever pattern of working is required by the service in the future. To work in GP outreach clinics as necessary, with telephone support from a senior physiotherapist if required. All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies. Person Specification
Qualifications & Training
Essential
Diploma / Degree in Physiotherapy. HCPC registration Undertaken a range of relevant postgraduate neurology courses Undertaken clinical educators training Desirable
MCSP Member of relevant special interest group Undertaken appropriate managerial training Experience
Essential
Wide ranging rotational physiotherapy experience at Band 5 level including neurology experience Experience of participating in audit, service evaluation and evidence based projects. Evidence of actively participating in in-service training and MDT groups, and evaluating effectiveness of training Experience and ability to work collaboratively within MDT Experience in managing limited resources and high workloads Desirable
Previous experience at band 6 level Research experience. Experience of supervision and appraisal of physiotherapy staff and students with ability to give constructive feedback Knowledge & Skills
Essential
Knowledge of evidenced based practice pertaining to specialist areas of physiotherapy Knowledge of key national guidelines and standards pertaining to specialist areas of physiotherapy Understanding of clinical governance and its implication for physiotherapy Awareness and understanding of NHS structure, current issues and developments Understanding of the legal responsibilities of the profession The ability to discuss clinical reasoning in the management of complex cases The ability to identify and act upon adverse clinical signs Able to communicate complex information to patients, carers other health professionals and team. Excellent ability to work effectively in a team environment Desirable
IT skills - Ability to create and/or format data and/or complex spreadsheets using computerised systems Demonstrates excellent leadership ability and motivational skills Employer details
Employer name Lewisham and Greenwich NHS Trust Address University Hospital Lewisham Lewisham High Street London SE13 6LH Any attachments will be accessible after you click to apply.
#J-18808-Ljbffr
