Highly Specialist Physiotherapist - Respiratory
Liverpool University Hospitals NHS Foundation Trust
An exciting and challenging opportunity has arisen for an experienced and enthusiastic Physiotherapist to join our Respiratory Therapy Team based at the Royal Liverpool Hospital. Specialities include chronic respiratory illnesses, non-invasive ventilation service and long-term tracheostomies. In these settings, physiotherapists have a key role in high-level clinical reasoning, risk identification, and problem-solving to enable patients to rehabilitate, maintain their independence, manage their conditions autonomously, and support patient discharge at the earliest safe opportunity. We are looking for a highly skilled clinician who has a clear understanding of the developing role of the physiotherapist in respiratory medicine; delivering innovative, responsive services to meet both the needs of patients and the organisation. The post holder will sit within one of the largest in-patient therapy teams (critical care, medicine, and surgery) at LUHFT. This team comprises multi-professional team members working within an interdisciplinary model covering critical care, HPB/surgical wards, medical wards, and non-invasive ventilation. This exciting opportunity will allow the successful candidate to gain experience and develop advanced clinical and leadership skills. Requests for part-time, flexible working, and secondment will all be considered. A training post may be offered if appropriate (Annex 21). Main duties of the job
The role requires excellent communication skills and the ability to work as an effective member of the wider team as well as with other external agencies. The post holder will have significant experience working with adults with complex respiratory presentations, in particular those with multiple co-morbidities. This role demands extensive postgraduate knowledge and experience; therefore, the post holder must be highly competent in the triage, assessment, and management of a wide range of acute conditions and presentations. This is a varied and challenging role and as such strong leadership skills are essential, requiring someone with initiative, a great team ethic, self-awareness, flexible thinking, and problem-solving skills. The successful candidate must be committed and enthusiastic in providing high-standard patient care. The post holder will be on-call competent and comfortable working in a challenging, acute, fast-paced environment and able to offer support to staff in the management of clinically challenging patients. There is an expectation that the post holder will support the weekend, late shift, and on-call services at LUHFT. About us
Liverpool University Hospitals NHS Foundation Trust was created on 1 October 2019 following the merger of two adult acute Trusts, Aintree University Hospital NHS Foundation Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust. The merger provides an opportunity to reconfigure services in a way that provides the best healthcare services to the city and improves the quality of care and health outcomes that patients experience. The Trust runs Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital, and the Royal Liverpool University Hospital. It serves a core population of around 630,000 people across Merseyside as well as providing a range of highly specialist services to a catchment area of more than two million people in the North West region and beyond. Job responsibilities
CLINICAL RESPONSIBILITIES To have overall accountability for the planning and management of a highly complex and specialist clinical caseload. Using expert specialist knowledge to undertake complex therapy assessments including evaluation of the impact of patients' diagnoses, stage of disease, and agreed treatment plans on their ability to function and overall quality of life and make clinical decisions on the most appropriate form of intervention, both short and long term. To reflect on clinical practice both individually and with peers identifying strengths and needs and providing evidence of sound clinical judgements based on research and evidence-based practice. To facilitate the production of clear and evidence-based resources for patients and carers, for use locally, regionally, or nationally. To be competent in the use of relevant equipment. This may include training of other healthcare professionals in its correct use. To provide expert advice to all members of the multidisciplinary team in a range of forums e.g. ward rounds and multidisciplinary meetings and case conferences. To participate in on-call duties as an autonomous practitioner within the Trust and actively participate in the weekend service. RESPONSIBILITY FOR PATIENTS To facilitate patient involvement in decision-making ensuring that they have consented to therapy intervention in line with Trust policies and the relevant Code of Professional Conduct. To provide expert therapeutic advice to patients, carers, and clinicians using evidence-based practice or advanced clinical judgment acquired through professional expertise. To use highly advanced communication, motivational interviewing, and behaviour change skills to negotiate therapy interventions in situations where sensitive information needs to be discussed. To translate highly complex scientific, medical, biochemical, and therapeutic information into simple and easily understood practical information and advice for patients, their carers, and families. To monitor and review the progress of clients/patients against goals and outcomes set and to modify these as appropriate. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT To contribute to service planning in liaison with other team leads, clinical lead, and/or the therapy service inpatient manager. To contribute to the production of relevant evidence-based departmental literature in the specialist clinical area. To participate in uni-professional or multidisciplinary working groups, questioning and evaluating current clinical practice to provide consistently high standards of patient care. To support in developing patient-focused, clinically effective, and evidence-based standards, procedures, and policies. To participate in local and national initiatives relating to the specialist clinical area, e.g. National Service Frameworks and NICE guidance. To work alongside the clinical lead and in their absence be responsible for representing the profession in developing Trust clinical policies and services within the specialist clinical area. To demonstrate an understanding and assist in implementing appropriate Clinical Governance and Risk Management strategies. To undertake a training needs analysis for the team, ensuring that training needs are identified and action plans initiated. To participate in the development of competencies and standard work objectives. To ensure safe practice through documentation and reporting of critical incidents as outlined in the Trust policy. To actively participate in local professional specialist groups to promote best practice across the profession. To comply with the relevant Code of Professional Conduct, professional standards, Trust and departmental policies. To maintain strict confidentiality in accordance with departmental and Trust policy and Health Professions Council standards. To participate in the appraisal process and develop own strategy for undertaking continuing professional development. To maintain a professional portfolio in line with departmental and national guidelines. To demonstrate a willingness to support the development of services to include 7-day working and provide flexibility within the working week to ensure the service is covered Monday to Sunday, 24 hours a day. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES To assist in the recruitment and selection of permanent Therapy staff within the Therapy team. RESPONSIBILITY FOR LEADING AND MANAGING To ensure that all Therapy staff within the team plan their leave appropriately and that records are maintained via e-roster. To assist in annual staff appraisals and facilitate identification of training and development needs. Ensure Therapy staff undertake continuing professional development appropriate to their clinical role and personal development in order to maintain professional competence including mandatory training and ensure continued registration with the Health Professions Council. To be responsible for ensuring that staff comply with HR and other Trust policies and procedures. To undertake mentoring and clinical supervision of members of staff. To ensure all relevant operational matters are communicated to clinical leads. To chair team meetings and facilitate development of team strategies and objectives. RESPONSIBILITY FOR INFORMATION RESOURCES To use Trust IT resources to maintain accurate statistical information. To maintain knowledge of policies such as sickness, performance, maternity etc. RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT To act as a resource to healthcare professionals outside the Trust on the specialist clinical area, where required. To participate in the training, supervision, and assessment of students, junior therapists, and other MDT members. To initiate and participate in audit, research, and QI, in line with departmental and Trust research and audit procedures, in order to advance clinical practice and disseminate results appropriately. To actively participate in relevant Trust/regional/national meetings to increase awareness of new developments in the specialist clinical area and feed back information to relevant professionals. Person Specification
Qualifications
HCPC registration Experience
Demonstrable post-qualification experience including respiratory care Knowledge
Must be able to demonstrate awareness of current NHS issues Must demonstrate a knowledge of team/group dynamics and the role of a Senior Physiotherapist within a team. To have a clear understanding of the role of a Senior I Physiotherapist in a large acute hospital. To have a knowledge of audit tools and awareness of organisational and clinical standards in Physiotherapy. Skills
Excellent written and oral communication skills. Ability to assess clinical situations and take decisions upon that information. Ability to liaise effectively within the multidisciplinary team. Ability to motivate patients and other staff. Ability to actively promote Physiotherapy within the Trust. To be able to demonstrate treatments are clinically effective. Other
Must be able to demonstrate the confidence to take independent action. 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. Liverpool University Hospitals NHS Foundation Trust £46,148 to £52,809 a year. A training post may be offered if appropriate (Annex 21).
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Liverpool University Hospitals NHS Foundation Trust
An exciting and challenging opportunity has arisen for an experienced and enthusiastic Physiotherapist to join our Respiratory Therapy Team based at the Royal Liverpool Hospital. Specialities include chronic respiratory illnesses, non-invasive ventilation service and long-term tracheostomies. In these settings, physiotherapists have a key role in high-level clinical reasoning, risk identification, and problem-solving to enable patients to rehabilitate, maintain their independence, manage their conditions autonomously, and support patient discharge at the earliest safe opportunity. We are looking for a highly skilled clinician who has a clear understanding of the developing role of the physiotherapist in respiratory medicine; delivering innovative, responsive services to meet both the needs of patients and the organisation. The post holder will sit within one of the largest in-patient therapy teams (critical care, medicine, and surgery) at LUHFT. This team comprises multi-professional team members working within an interdisciplinary model covering critical care, HPB/surgical wards, medical wards, and non-invasive ventilation. This exciting opportunity will allow the successful candidate to gain experience and develop advanced clinical and leadership skills. Requests for part-time, flexible working, and secondment will all be considered. A training post may be offered if appropriate (Annex 21). Main duties of the job
The role requires excellent communication skills and the ability to work as an effective member of the wider team as well as with other external agencies. The post holder will have significant experience working with adults with complex respiratory presentations, in particular those with multiple co-morbidities. This role demands extensive postgraduate knowledge and experience; therefore, the post holder must be highly competent in the triage, assessment, and management of a wide range of acute conditions and presentations. This is a varied and challenging role and as such strong leadership skills are essential, requiring someone with initiative, a great team ethic, self-awareness, flexible thinking, and problem-solving skills. The successful candidate must be committed and enthusiastic in providing high-standard patient care. The post holder will be on-call competent and comfortable working in a challenging, acute, fast-paced environment and able to offer support to staff in the management of clinically challenging patients. There is an expectation that the post holder will support the weekend, late shift, and on-call services at LUHFT. About us
Liverpool University Hospitals NHS Foundation Trust was created on 1 October 2019 following the merger of two adult acute Trusts, Aintree University Hospital NHS Foundation Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust. The merger provides an opportunity to reconfigure services in a way that provides the best healthcare services to the city and improves the quality of care and health outcomes that patients experience. The Trust runs Aintree University Hospital, Broadgreen Hospital, Liverpool University Dental Hospital, and the Royal Liverpool University Hospital. It serves a core population of around 630,000 people across Merseyside as well as providing a range of highly specialist services to a catchment area of more than two million people in the North West region and beyond. Job responsibilities
CLINICAL RESPONSIBILITIES To have overall accountability for the planning and management of a highly complex and specialist clinical caseload. Using expert specialist knowledge to undertake complex therapy assessments including evaluation of the impact of patients' diagnoses, stage of disease, and agreed treatment plans on their ability to function and overall quality of life and make clinical decisions on the most appropriate form of intervention, both short and long term. To reflect on clinical practice both individually and with peers identifying strengths and needs and providing evidence of sound clinical judgements based on research and evidence-based practice. To facilitate the production of clear and evidence-based resources for patients and carers, for use locally, regionally, or nationally. To be competent in the use of relevant equipment. This may include training of other healthcare professionals in its correct use. To provide expert advice to all members of the multidisciplinary team in a range of forums e.g. ward rounds and multidisciplinary meetings and case conferences. To participate in on-call duties as an autonomous practitioner within the Trust and actively participate in the weekend service. RESPONSIBILITY FOR PATIENTS To facilitate patient involvement in decision-making ensuring that they have consented to therapy intervention in line with Trust policies and the relevant Code of Professional Conduct. To provide expert therapeutic advice to patients, carers, and clinicians using evidence-based practice or advanced clinical judgment acquired through professional expertise. To use highly advanced communication, motivational interviewing, and behaviour change skills to negotiate therapy interventions in situations where sensitive information needs to be discussed. To translate highly complex scientific, medical, biochemical, and therapeutic information into simple and easily understood practical information and advice for patients, their carers, and families. To monitor and review the progress of clients/patients against goals and outcomes set and to modify these as appropriate. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT To contribute to service planning in liaison with other team leads, clinical lead, and/or the therapy service inpatient manager. To contribute to the production of relevant evidence-based departmental literature in the specialist clinical area. To participate in uni-professional or multidisciplinary working groups, questioning and evaluating current clinical practice to provide consistently high standards of patient care. To support in developing patient-focused, clinically effective, and evidence-based standards, procedures, and policies. To participate in local and national initiatives relating to the specialist clinical area, e.g. National Service Frameworks and NICE guidance. To work alongside the clinical lead and in their absence be responsible for representing the profession in developing Trust clinical policies and services within the specialist clinical area. To demonstrate an understanding and assist in implementing appropriate Clinical Governance and Risk Management strategies. To undertake a training needs analysis for the team, ensuring that training needs are identified and action plans initiated. To participate in the development of competencies and standard work objectives. To ensure safe practice through documentation and reporting of critical incidents as outlined in the Trust policy. To actively participate in local professional specialist groups to promote best practice across the profession. To comply with the relevant Code of Professional Conduct, professional standards, Trust and departmental policies. To maintain strict confidentiality in accordance with departmental and Trust policy and Health Professions Council standards. To participate in the appraisal process and develop own strategy for undertaking continuing professional development. To maintain a professional portfolio in line with departmental and national guidelines. To demonstrate a willingness to support the development of services to include 7-day working and provide flexibility within the working week to ensure the service is covered Monday to Sunday, 24 hours a day. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES To assist in the recruitment and selection of permanent Therapy staff within the Therapy team. RESPONSIBILITY FOR LEADING AND MANAGING To ensure that all Therapy staff within the team plan their leave appropriately and that records are maintained via e-roster. To assist in annual staff appraisals and facilitate identification of training and development needs. Ensure Therapy staff undertake continuing professional development appropriate to their clinical role and personal development in order to maintain professional competence including mandatory training and ensure continued registration with the Health Professions Council. To be responsible for ensuring that staff comply with HR and other Trust policies and procedures. To undertake mentoring and clinical supervision of members of staff. To ensure all relevant operational matters are communicated to clinical leads. To chair team meetings and facilitate development of team strategies and objectives. RESPONSIBILITY FOR INFORMATION RESOURCES To use Trust IT resources to maintain accurate statistical information. To maintain knowledge of policies such as sickness, performance, maternity etc. RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT To act as a resource to healthcare professionals outside the Trust on the specialist clinical area, where required. To participate in the training, supervision, and assessment of students, junior therapists, and other MDT members. To initiate and participate in audit, research, and QI, in line with departmental and Trust research and audit procedures, in order to advance clinical practice and disseminate results appropriately. To actively participate in relevant Trust/regional/national meetings to increase awareness of new developments in the specialist clinical area and feed back information to relevant professionals. Person Specification
Qualifications
HCPC registration Experience
Demonstrable post-qualification experience including respiratory care Knowledge
Must be able to demonstrate awareness of current NHS issues Must demonstrate a knowledge of team/group dynamics and the role of a Senior Physiotherapist within a team. To have a clear understanding of the role of a Senior I Physiotherapist in a large acute hospital. To have a knowledge of audit tools and awareness of organisational and clinical standards in Physiotherapy. Skills
Excellent written and oral communication skills. Ability to assess clinical situations and take decisions upon that information. Ability to liaise effectively within the multidisciplinary team. Ability to motivate patients and other staff. Ability to actively promote Physiotherapy within the Trust. To be able to demonstrate treatments are clinically effective. Other
Must be able to demonstrate the confidence to take independent action. 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. Liverpool University Hospitals NHS Foundation Trust £46,148 to £52,809 a year. A training post may be offered if appropriate (Annex 21).
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