LeedsTeaching Hospitals NHS Trust has an opportunity for an enthusiastic, dynamic,and highly motivated individual to join the neuro-oncology/neurosciencesphysiotherapy team working as a Physiotherapy Assistant Practitioner. This isa fast paced, specialised post which will involve you working with patientsfollowing brain and spinal tumour resection, ENT and maxillofacial surgeryand acute neurosurgery. It will also involve patients who have a palliativediagnosis and those at end of life, which can be challenging but is managedwithin a supportive team environment.
Youwill be expected to manage your own caseload, perform new patientassessments, and formulate appropriate discharge plans to support patientflow. You will have support from qualified staff with expert skills inpalliative care and complex rehabilitation and work alongside an experiencedmultiprofessional team. Applicants must be committed to high quality care andbe able to give examples of collaborative working.
Main duties of the job
Youwill be responsible for a designated caseload of inpatients and to organisethis efficiently and effectively linked to your own and team priorities. Youwill undertake specifically delegated comprehensive assessments of patientsincluding those with complex needs and carry out and developtreatment/rehabilitation programmes with patients in conjunction with othermembers of the multidisciplinary team.
Youwill have the opportunity to provide advice and teaching to patients,relatives, carers etc, with support, to ensure a coordinated approach topatient care. Patients from other specialities may be allocated to our bedbase, these may be patients with stroke, neurology, spinal and orthopaedicpathologies. You will be jointly involved in treating and supportingrehabilitation with a qualified physiotherapist.
Youwill lead the maintenance of stock and equipment including reordering, carryout data entry and use IT skills, including timely documentation of patientinterventions.
LeedsTeaching Hospitals NHS Trust, over 7 sites, is a large tertiary teachinghospital. It has excellent links with the wider West Yorkshire healthproviders and is focused on being the best for specialist and integratedcare. At its heart is the Leeds Way, five core values at the centre of itsbusiness. It is also a centre for Lean methodology and Quality Improvement.
About us
Thesemethods allow us to be more efficient with all our resources and provide animproved experience and better outcomes for our patients. LTHT provides avariety of specialist neurosciences services for the region which includesNeurosurgery.
ThePhysiotherapy service at Leeds is passionate about patients being at thecentre of our business and receiving high quality, evidence-based care whilekeeping staff Health and Wellbeing a priority of our service. Applicationswould be welcomed from those with relevant experience who are flexible,innovative and hardworking and have a positive approach to team working.
Weare committed to the Leeds Way(http://lthweb.leedsth.nhs.uk/sites/the-leeds-way).
Ifyou have any further questions or would like to express an interest in therole, please contact Sara Cooper or Seonaid Ewan on 0113 3928299 orsara.cooper4@nhs.net or seonaid.ewan@nhs.net
LeedsTeaching Hospitals is committed to our process of redeploying 'at risk'members of our existing workforce to new roles. As such, all our job advertsare subject to this policy and we reserve the right to close, delay or removeadverts while this process is completed. If you do experience a delay in theshortlisting stage of the recruitment cycle, please bear with us while thisprocess is completed, and contact the named contact if you have anyquestions.
Job responsibilities
JOBPURPOSE
Towork within the Neuro-oncology/Neurosurgical physiotherapy team providinghighly skilled and specialised clinical, administrative and organisationalsupport, working on the Neurosciences wards.
Thepost holder will work independently to manage their own caseload, perform newpatient assessments and formulate appropriate discharge plans to supportpatient flow. The post holder will manage a caseload of patientsindependently and be able to work as part of the wider team ofPhysiotherapists.
Tomaintain stock and equipment including reordering. Carry out date entry anduse IT skills. Make onward community and inpatient referrals.
3.JOB DIMENSIONS
Thispost is based within the Neurosurgery Physiotherapy service at Leeds GeneralInfirmary.
Dayto day supervisory support will be provided by theNeuro-oncology/Neurosurgery Physiotherapy team.
Thepost holder is responsible for:
A designated caseload of inpatientsand to organise this efficiently and effectively with regard to own and teampriorities.
To undertake specifically delegatedcomprehensive assessments of patients including those with complex needs.
To carry out and developrehabilitation programmes with patients in conjunction with other members ofthe multidisciplinary team.
To formulate an individualmanagement/treatment programmes, using clinical reasoning and a range ofevidence-based treatment skills, including physiotherapy techniques andpatient education.
To maintain own clinicalprofessional development by maintaining and developing current knowledge ofpractice, to maintain a portfolio which reflects personal development andshows evidence of reflective practice.
To provide advice and teaching topatients, relatives, carers and other professional, with support as required,to ensure a coordinated approach to patient care.
KNOWLEDGE,SKILLS AND EXPERIENCE REQUIRED
Level 4 qualification in relevanthealth, human movement, care or sports related subjects
GCSE English and Maths grade Cminimum or equivalent.
Significant experience working as atherapy support worker in an acute setting
Experience in organising andrunning groups
Able to understand and applytherapy process and patient pathwaysregarding the delivery of therapy/care
Demonstrate clear understanding oftreatment of stroke, eg thrombolysis, thrombectomy and the stroke pathway
Communication skills - written,verbal and numeracy
Interpersonal skills
Ability to work as part ofboth uni and multi professional teams
Ability to workindependently/manage workload under guidance Ability to respond and act uponfeedback from others
Problem solving
Time management
Organisational skills
Show initiative
Demonstrate continued professionaland personal development
Ability to move and handle patientsand equipment
Maintain confidentiality.
Experience of working in aHealthcare, Education or Social Care setting as a carer or similar.
Demonstrate an awareness of peoplewith disabilities and problems
Demonstrate understanding of therole of Physiotherapy in Stroke Management
Previous experience of working ina neurology therapy setting
Experience of using InformationTechnology systems
Completion of the CAREcertificate. Otherwise will bemandatory training requirement during the first 3 months of employment.
7. CORE BEHAVIOURS AND SKILLS
Interpersonal Skills
Ability to work as part of a Team(PT and MDT)
Ability to manage a workloadprovided by more than one professional.
Problem-solving
Time Management
Organisational Skills
Administrative Skills
Able to work in a stressfulenvironment
Ability to use initiative
Ability to influence and persuade
Ability to take responsibility forpersonal development
Ability to move and handle patientsand equipment
8. CORE KNOWLEDGE AND UNDERSTANDING
Understanding of Physiotherapy jobroles.
Awareness of the needs and problemsof those with illness and disabilities
Awareness of the functional effectsof the patient group in the clinical area caused by illness and / ordisability.
Understanding of legislation,guidelines and protocols that affectthe clinical area
Awareness of Health and Safety
9. PRINCIPAL DUTIES & AREAS OFRESPONSIBILITY
Clinical
To accept responsibilityPhysiotherapy initial assessments to facilitate appropriate screening andmanagement of patients who present with symptoms of stroke.
To plan and prioritise clinicaltasks.
To deliver the service usingpatient pathways and protocols to support your delivery of therapy processand taking into account each patients individual physical, social andemotional needs.
To make contact with patients toinitiate assessments and intervention.
To interpret and analyseinformation from assessments, judge how to progress intervention and when toliaise with a qualified member of staff eg Senior Physiotherapist, Nurse,Doctor, Speech and Language Therapist and Occupational Therapist.
To analyse and make decisions aboutthe most appropriate environment in which to carryout intervention.
To independently carryout home andcommunity assessments.
To motivate and support patientsand carers to participate in therapy intervention.
To assess and advise patientsregarding transfers, falls, equipment and risks.
To assess, prescribe and trainpatients and carers in the use of assistive equipment.
To assess risk factors and judgewhen to summons assistance or adapt the treatment session
To communicate with patients andcarers using a variety of communication strategies and tools to ensureinformation is understood and treatment is progressed. This will include patients and carers whohave difficulties communicating and understanding.
To liaise with other team members,internal and external agencies.
To identify the need for and referto internal and external agencies using appropriate referral system.
To record interventions accuratelyand timely using team/trust documentation, complying with Therapy guidelinesand legislative requirements.
To complete activity data usingteam/trust documentation and outcome measures.
To be able to work in a stressfulenvironment.
To be able to deal effectively withemotional and/or aggressive patients/ carers.
To lead and participate indepartmental/service developments, projects audit and reviews.
To carry out designated orderingand maintenance of stock, equipment and resources.
Managerial
To supervise Band 2/3 therapyassistant
SPECIALWORKING CONDITIONS
i) PHYSICAL EFFORT:
There is a daily requirement toundertake moderate physical activity lasting approximately 1 - 6 hours e.g.treatment sessions involving facilitation of movement in functionaltransferring of patients/ provision and fitting of equipment/pushingwheelchairs/using manual handling equipment.
There may be the requirement forthe post holder to travel between sites within The Leeds Teaching HospitalsNHS Trust in order to best meet the needs of the service. The post holder maybe based on more than one site to carry out their duties.
ii) MENTAL EFFORT:
Patient clinical interventions willlast up to 1hr per session including detailed clinical documentation andliaising with other agencies. Onoccasion this will be in conjunction with another therapist, but frequentlythis will be as a lone worker.
While working on the ward you willbe approached by other staff and asked to share clinical information abouton-going cases.
You will have to triage andprioritise referrals - with available therapist support.
iii) EMOTIONAL EFFORT:
This job involves occasionalexposure to verbal and physical aggression.
This job involves exposure todistressing circumstances such as terminal illness
iv) WORKING CONDITIONS:
This job involves exposure tounpleasant working conditions on a daily basis when carrying out personalcare activities such as washing and dressing including direct contact withbodily fluids.
The post holder may be required towork single-handedly with patients and carers away from LTHT premises whichmay include home, residential/nursing homes, workplaces, education facilitiesand the wider community
This job involves occasionalexposure to very poor unhygienic and unsafe living conditions when carryingout home assessments.
Person Specification
Qualifications
* Level 4 NVQ qualification in relevant health care or science related subject.
* GCSE English and Maths (Grade C minimum) or Functional Skills equivalent (Level 2 minimum)
* Completion of CARE Certificate otherwise mandatory training within first 3 months of employment
Skills & behaviours
* Able to work independently and as part of a team
* Able to manage workload delegated by a number of therapists
* Flexible
* Good written and verbal communication skills
* Able to review and adapt to an unpredictable workload
* Able to work effectively within tight time scales
Experience
* Relevant clinical Experience.
* Significant experience as a Therapy Support worker in a hospital setting.
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.
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