To provide a very high standard of physiotherapy care to patients with a diagnosis of a neurological condition, and their carers/family in a community setting, meeting the needs of the multicultural and diverse population. Together with other senior staff to act as a resource for specialist advice to the rest of the community therapy services and others within wider multidisciplinary services.
Main duties of the job
To perform comprehensive physiotherapy assessment of patients who are presenting with complex physical and psychological conditions, to provide a clinical diagnosis of their physiotherapy problems and develop and deliver an individualised treatment programme. To ensure all physiotherapy assessment are completed within agreed timescales. To support the B8a with the day‑to‑day organisation of the Community physiotherapy service and to manage a designated caseload, delivering care according to the service specification requirements. To support and educate patients and carers in managing complex physiotherapy/rehabilitation needs for managing a community caseload. To work closely with other agencies e.g. specialist equipment services, social services voluntary sector and private agencies to ensure physiotherapy treatment is fully integrated into the patients care programmes where applicable. To hold full responsibility for own caseload of patients, working without direct supervision. Own supervision takes the form of regular formal training with peers, peer review and case conferences. Self‑directed access to advice and support from a higher grade is available, as required, clinical work is not routinely evaluated. To provide clinical supervision and support to less experienced physiotherapy staff, rehab assistants, technical instructors and students on placement and to support training and supervision of others in the MDT team.
Job responsibilities
To be professionally and legally accountable for all aspects of own work, including the management of patients in your care and work delegated to more junior or support staff. To undertake a specialist and comprehensive assessment of patients, including those with diverse or complex presentations/multi‑pathologies: using a high level of clinical reasoning and assessment techniques to provide an accurate clinical diagnosis. To carry out joint assessments with other members of the MDT as appropriate.
Formulate and deliver individual physiotherapy treatment programmes based on an extensive knowledge of evidence‑based practice and have the expert knowledge and skills to apply a wide range of treatment options. Evaluate patient progress, reassess and modify treatment programmes as required. Develop comprehensive management plans in conjunction with other members of the multi‑disciplinary team. This includes recommendations based on sound clinical judgement, for referral/transfer to other in or outpatient services for specialist ongoing management. This will include discussion of patient care, patient progress and prognosis and involvement in ongoing management planning. Assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment. Use an advanced level of verbal and non‑verbal communication tools to communicate effectively with patients and carers to progress rehabilitation and treatment programmes, especially as some patients will have difficulties in understanding or communicating and require additional support to help them overcome some of their difficulties. Some will have other co‑existing disabilities e.g. deaf, blind or who may be unable to accept diagnosis and will need skilfully tailored communication strategies. To provide spontaneous and planned advice and instruction to members of the MDT, patients, relatives, carers and other professionals to promote a full understanding of the aims of physiotherapy interventions and to ensure a consistent approach to patient care. To use an advanced level of clinical and communication skills to deal effectively with contentious issues/situations surrounding patient management. Where appropriate to represent the Community rehab therapy service, or the Trust regarding physiotherapy services provided to patients with varied presentations. Work within Trust clinical guidelines and CSP guidelines utilising a very good working knowledge of national and local standards and monitor own and others quality of practice as appropriate. To be responsible for maintaining accurate, up to date, comprehensive patient treatment records in line with CSP and HCPC standards of practice and trust policies. To ensure that resources for learning are up to date and available. To comply with the Child Protection Policy and Enfield Protection of Vulnerable Adults policy where appropriate. To communicate effectively and work collaboratively acting as a source of expertise working with other members of the Multidisciplinary Team to ensure efficient and appropriate management of patients. When working in the community and domiciliary settings work as a lone practitioner in accordance with the Lone worker policy.
Person Specification
Education and Professional Qualifications
* Recognised Diploma/Degree in Physiotherapy
* Evidence from C.P.D. portfolio of ongoing relevant post‑graduate training both theoretical and practical to a high level
* Post‑graduation/Msc in relevant area (elderly care /neurology)
Experience
* Experience at band 7 level or significant experience at band 6 level/equivalent in the treatment and management of adult
* Experience of working in community services
* A good working knowledge of the NHS Long term plan, stroke and other relevant neurological national guidelines, and their impact on service delivery.
* Experience of leading project/audit and leading change
Skills and aptitudes
* Ability to process, manage and communicate complex information. To do this in a sensitive and clear manner in order to ensure optimum understanding and co‑operation.
* Fluent in written and spoken English including the ability to generate letters and reports of a high calibre.
Personal Qualities & attributes
* Reliable, flexible, motivated diplomatic team worker who is able to demonstrate initiative, good time management and organisational skills
Other
* Car owner/ driver with valid UK driving licence with access to car for work use
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.
£55,524 to £62,652 a year Per Annum (pro rata) Including HCAS
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