Job overview This is a great opportunity to join our comprehensive neuro-specialist rotation to develop experience right across the pathway. We have 5 rotations in Acute/Rehab & Community settings, based at St Peter’s Hospital, Woking and Walton Community Hospitals, and in patients’ own homes: Hyper acute and Acute Stroke Unit Stroke Rehab Neuro-rehab - B radley Unit: regional unit for patients with conditions such as TBI, MS, SCI and GBS Early Supported Discharge for Stroke Community Neuro-rehab - with Central Surrey Health (CSH), providing treatment and supporting long-term management Keen to develop specialist skills in neurology? Want to participate in local service development? You'll need senior experience in stroke or neurology and preferably have worked in community settings; also a broad grounding in a variety of fields including acute hospital experience and different specialties, e.g. older people, orthopaedics, medicine. Have you got these skills - why not apply? excellent clinical knowledge/application of neurorehabilitation skills flexibility, good organisation/prioritisation skills sound clinical reasoning excellent communication skills confidence in busy multi-disciplinary environments enthusiasm and interest in developing services Supervision and appraisal processes are well established, as well as in-house training in each specialist area. We are happy to discuss flexible working to support staff in achieving a good work/life balance. Advert · Undertake advanced assessments, formulate clinical diagnoses, problem lists and patient led goals, to provide appropriate treatment for patients with neurological conditions which may include acute or sub-acute, complex and / or chronic presentations · Work as an autonomous practitioner to undertake a significant specialist clinical caseload, without direct supervision · Participate in the development of Physiotherapists/ Occupational Therapists and Assistants within clinical speciality through training, competencies and supervision · Demonstrate leadership skills and deputise for the team leads whenever necessary Working for our organisation Ashford and St. Peter's Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond. Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey. We also run many specialist clinics in the community and local community hospitals and other healthcare facilities. Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development and flexibility to shape our workforce around our patient care. We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures. We can offer you the full range of NHS benefits/discounts and in addition: Excellent pension scheme and annual leave entitlement On-site Nurseries On-site staff cafes On-site parking Support in career development Salary Sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics Adverts may close early, so applicants are encouraged to submit an application as soon as possible. For more information about a career at ASPH please visit: www.asph-careers.org Detailed job description and main responsibilities Undertake specialist patient assessments, including those with diverse or complex presentations/multipathologies and assess patients jointly with other members of the multidisciplinary team Use sound investigative, analytical and clinical reasoning skills, manual assessment techniques and diagnostic procedures to assess and develop treatment programmes Devise individualised physiotherapy management and / or treatment plans, using a range of treatment/ management options, to include patient education and exercise and use of groupwork/ classes in other settings, also including video and telephone consultation Formulate accurate prognoses and recommend best course of intervention, developing comprehensive, timely discharge plans, liaising with community rehabilitation teams and intermediate care teams Evaluate patient progress, reassess and alter treatment programmes if required Evaluate the outcomes of your interventions Demonstrate the physical ability to carry out physiotherapy assessments and interventions, including manual physiotherapy techniques and therapeutic handling. This post includes frequent light to moderate physical effort Keep up to date with developments, analysing current research and discussing and implementing changes to your clinical practice Be professionally and legally responsible and accountable for all aspects of your professional activities working within the codes of practice and professional guidelines Take responsibility for and actively record your own personal development Ensure professional competence is maintained by participating in all CPPD opportunities and maintaining a portfolio Participate in the appraisal scheme as an appraisee and appraiser (including for junior staff, students, or assistants/technicians, other therapists, nursing staff and care workers within the clinical area) Participate in training sessions as a recipient and facilitator Disseminate any training received to other staff and health care professionals Take responsibility for the supervision of Band 5 Physiotherapists on rotation, Students and Assistants Support the Band 7 Physiotherapy Team Leader with the appraisals of Band 5 Physiotherapists on rotation and Assistants Evaluate own and other’s practice, identifying own and other’s development needs Work as part of the physiotherapy team and wider MDT to provide an efficient and effective service Deputise for the Team Leader when required Effectively plan the daily management of the patient caseload by prioritising clinical work, responding to urgent referrals and occasionally unpredictable work patterns Prioritise clinical work and managerial work, and balance other patient-related and professional activities as required Communicate effectively with all disciplines involved in patient care, both within and outside the organisation, to ensure effective multidisciplinary working Communicate complex and sensitive information to patients, carers and other staff including imparting unwelcome news relating to their rehabilitation potential and gaining cooperation for treatment and valid consent Use influencing and motivational skills to encourage patients to manage their own conditions Communicate any changes in care plan or treatment approach to other physiotherapists as necessary Ensure timely and effective communication with the Clinical/Therapy Leads on all professional matters Maintain accurate records in line with the Chartered Society of Physiotherapy standards as well as Trust and service standards/policies. Ensure that records of directly managed staff also comply with these standards Attend relevant board rounds, meetings and case conferences to ensure appropriate management and effective and timely discharge of patients Attend staff meetings and actively participate ensuring understanding of information Assess patients’ understanding of treatment proposals, and be able to work within a legal framework with patients who lack capacity to consent to treatment Use a range of verbal and non-verbal communication tools to communicate effectively with patients to progress rehabilitation and treatment programmes. This may include patients with comprehension or communication difficulties, e.g. patients who may be deaf, blind, or be unable to accept diagnoses or presenting condition, or who have cognitive and behavioural problems, and those for whom English is not their first language Manage frequently highly stressful, upsetting or emotional situations in an empathetic manner Manage patients who maybe occasionally aggressive or confused Appreciate cultural differences and take these into account when agreeing treatment plans with patients Regularly participate in and lead on appropriate work-related research/evaluation projects and be aware of current research relevant to the speciality Participate in and initiate clinical audit Evaluate your own clinical effectiveness Ensure relevant topics are included in annual clinical governance and service plan Undertake and present relevant evidence-based projects Demonstrate a good understanding of clinical governance and clinical risk, actively contributing to the clinical governance arrangements and quality agenda at Team, Division and Trust level Monitor and maintain health, safety and security of self and others Take responsibility for identifying and assessing potential risks involved in work activities and processes for self and others Ensure completion of relevant risk assessments and associated documentation Take appropriate action, reporting actual or potential problems that may put health and safety and security at risk Take responsibility for the safe use of equipment used in carrying out physiotherapy duties adhering to Trust and department policies and procedures Be aware of risks involved as part of delivering clinical care and manage this within own caseload Maintain the high standards of the service by contributing towards individual, team and service objectives Achieve and maintain a high standard of clinical care using evidence-based practice, keeping up to date with clinical developments, analysing current research, discussing and implementing changes in your clinical practice and encouraging this throughout the team Make appropriate recommendations for changes in practice leading to improvement in the service Assist the Clinical Lead for specialty in setting and monitoring of standards and policies of clinical practice for the team and evaluate outcomes Take responsibility for supporting a culture which promotes equality and diversity Take responsibility for the safe and effective use of equipment and resources in the course of work Maintain accurate and timely statistical information as required Take responsibility for the accurate inputting of clinical information onto the Trust IT systems Take responsibility for the health, safety and welfare of self and others at work. This includes being conversant with relevant trust safety policies and procedures; reporting incidents and near misses at work; take part in the risk management process; attend all mandatory training courses in the agreed duration as defined by Trust policy and carry out tasks and use equipment only when competent to do so Ensure confidentiality, only releasing confidential information obtained during the course of employment to those acting in an official capacity Comply with the requirements of the Data Protection Act Support the department and organisation by carrying out any other duties that reasonably fit within the broad scope of a job of this grade and type of work Support the department and organisation by carrying out any other duties as qualified and able Comply with the Trust’s corporate and local policies and procedures Ensure that patients, clients and members of the public are consulted and involved in decisions about local health service developments. As a Trust employee, be mindful of this and do what is appropriate to the role and level to meet this duty of responsibility Undertake such other duties as may be required from time to time and are consistent with the responsibilities of the role Comply with the Trust’s policies on equal opportunities, the consumption of alcohol and smoking This job involves regular exposure to unpleasant working conditions e.g. bodily fluids including urine and faeces and occasional exposure to verbal aggression