Job Description

Job Title
Specialist Out-Patient Physiotherapist

Reports To - Physiotherapy Manager

Department - Spire Claremont Hospital

Job Purpose

To provide highly skilled and specialised assessment, diagnosis and treatment for patients within the out-patient service. Ensure both yourself and the team delivers effective physiotherapy by providing appropriate managerial support and educational and development expertise. Job share applications will be considered.

Overall Responsibilities

• Develop practice in the assessment of health and wellbeing needs.
• Provide and receive complex, sensitive or contentious information.
• Develop knowledge and practice in own area of work.
• Develops a working environment and culture that actively improves health, safety and security.
• Develop and improve services.
• Improve quality throughout the department and wider hospital
• Enable people to exercise their rights and promote their equality and diversity.
• Lead others in the development of knowledge, ideas and work practices.
• Apply technology for measurement, monitoring and treatment of patients.
• Plan, allocate, assess and provide feedback to team members.
• Delegation of tasks to team members appropriately.
• Ensure hospital targets are met in accordance with consultant protocols.
• Assist with recruitment and induction of physiotherapy staff.
• Acknowledge the risk of Healthcare Associated Infections (HCAI) and understand own responsibility as agreed with line manager in the prevention and control of HCAI.
• Participate in the Weekend Physiotherapy service for Inpatients on a rota basis

Specific Responsibilities

• Develop practice in the assessment of health and wellbeing needs.
• Discuss and agree with colleagues’ capabilities and competencies in order to ensure best practice across the physiotherapy team.
• Compare current physiotherapy protocols, trends and developments against appropriate benchmarks implementing change when necessary.
• Explain clearly to patients whose needs are being assessed how they can positively contribute to their treatment plan.
• Identify people’s health needs by undertaking thorough subjective and objective assessment methods, using full physiotherapy clinical expertise and experience.
• Obtain information on patient’s needs within the overall context of their physiotherapy and care requirements. Follow processes of specific clinical reasoning which allows optimum outcomes to be achieved promoting their return to their chosen activity.
• Interpret patient data using all of the relevant components to make an accurate clinical diagnosis. Make this information available to appropriate colleagues.
• Identify and discuss with colleagues the implication of assessment against the programme of care. Enable them to think through the risks and their effective management and the need for referral to others.

Provide assessment advice and support on current evidence-based practice to colleagues and others. This should be done proactively and on request.

• Develop practice in addressing individual’s health and wellbeing needs
• Identify patient’s goals that are appropriate to their needs, wishes and circumstances. Compare current practice against appropriate benchmarks.
• Provide highly specialised advice to patients.
• Develop plans of care that are appropriate to the patients that take into consideration treatment protocols, risks and their wellbeing. Compare current physiotherapy practice against appropriate benchmarks.
• Develop evidence-based practice and be an exemplary role model.
• Obtain informed consent prior to implementing patient’s plan of care and discuss with carers where necessary.
• Promote patient’s rights and wishes explaining to colleagues’ particular aspects, which may be prejudiced during the process.
• Enable colleagues to develop their own competence in using different interventions designed to promote recovery and return to full activity.
• Discuss recovery rates and outcomes with colleagues to enable them to think through and critically evaluate the risks and the effective management of the patient’s condition. Identify the need for timely referral to others when necessary.
• Provide advice and support on current evidence based physiotherapy to colleagues and others, proactively and on request.
• Accurately maintain records of personally generated clinical observations, treatment records and sales. This will allow accurate billing, budgetary and stock control within the physiotherapy department.

Provide and receive complex, sensitive or contentious information.

• Identify potential communication differences, relevant contextual factors and the risk of communicating or not communicating information at that time.
• Communicate complex information in a manner that is consistent with the level of culture, background and understanding, using patient’s preferred method. Gain agreement and co-operation for treatment.
• Recognise and manage differences of opinion and the longer-term importance of communication enabling a constructive outcome to be achieved.
• Proactively use a range of skills and styles of communication with others to improve long terms goals.
• Promote and model good practice consistent with legislation, Spire Healthcare policies and in accordance with the Chartered Society for Physiotherapy core standards and Professional Code of Conduct.

Develop knowledge and practice in own area of work.

• Using reflective practice to evaluate own knowledge and clinical expertise. Make effective use of appropriate learning opportunities.
• Prepare for and actively take part in Spire Healthcare’s enabling excellence programme and set personal development objective.
• Maintain a continual professional development portfolio, applying own new learning to the future development of physiotherapy service.
• Encourage others to make realistic self-assessments analysing their application of knowledge and skills. Challenge complacency and actions which are not in the patient’s or the public’s interest.
• Contribute to the development of a learning culture within Spire Healthcare
• Alert managers to resource issues which affect learning, development and performance.

Develop a working environment and culture that actively improves health, safety and security.

• Regularly assesses risk to health, safety and security using the results to promote and improve practice.
• Ensure that the working environment is as safe as possible and complies with organisational, professional and legal requirements and guidelines.
• Take appropriate action when problems arise.
• Ensure individuals and team is aware of their rights and responsibilities and knows the factors that may adversely affect health, safety and security.
• Ensure individuals and team is able to access suitable learning opportunity to enable them to work in a healthy, safe and productive way, and are able to voice their concerns without fear of reproach.
• Secure appropriate resources for education and training in health and safety.
• Support others in managing risk, to improve health, safety and security.
• Act as a role model in promoting health, safety and security. Engage in appropriate exercises, training and investigations to update and extend knowledge. Encourage these characteristics within the team.

Develop and improve services.

• Ensure that legislation, policies and procedures are correctly applied within the physiotherapy team.
• Review the information available on physiotherapy services and identify areas for improvement.
• Discuss and debate with relevant people the effectiveness, efficiency and appropriateness of the physiotherapy service that are being provided. Pay particular attention to risks and priorities, service issues, impact of strategies on service development and delivery.
• Work with others to identify the effectiveness of the physiotherapy service against agreed criteria. Actively support service development initiatives.
• Contribute to policy and practice changes arising from audits, complaints, requests or new evidence.
• Propose policies concerning physiotherapy treatment of patients.

Improve quality.

• Act as a role model in quality improvement offering advice and support to others.
• Maintain continual professional development in quality improvement, make recommendations on how quality in own area of work can be improved.
• Alert others to new developments and the implications of this to their practice.
• Enable others to understand their contribution to quality against expected standards and evidence. Assess and manage risks to quality, and offer ideas and suggestions for improvement.
• Enable and energise others to take an active role in auditing. Meet within formal and informal networks allowing pertinent issues to be addressed and resolved.
• Continuously monitor activities against quality standards, anticipate factors that may reduce quality and take effective action to address them.
• Review changes in practice and the extent to which quality has been improved.

Enable people to exercise their rights and promote their equality and diversity.

• Interpret the rights and responsibilities of people in a way that is consistent with legislation and policies.
• Plan care for vulnerable people and those who may lack capacity to make decisions for themselves; whilst ensuring the patient remains at the centre of decision making and is fully safeguarded.
• Actively promote equality, diversity, rights and responsibilities.
• Provide clear, up to date information and support to people on exercising their rights and making a complaint.
• Develop solutions that are capable of wider application when rights have been compromised.
• Monitor the effectiveness of equality, diversity and rights policies and procedures. Regularly review how they are being implemented and provide support to improve effectiveness.

Lead others in the development of knowledge, ideas and work practice within the physiotherapy speciality.

• Identify clearly the wider benefits that develop knowledge, ideas and work practices within physiotherapy.
• Establish with others goals and methods for developing knowledge, ideas and work practices within physiotherapy, and inspire others with own values and beliefs for developing practice.
• Challenge those whose views and actions are not consistent with developing knowledge and practice and a learning culture within the team.
• Support and encourage others to understand their contribution, offer suggestions and ideas, and take an active part in developing knowledge and practice.
• Accept joint ownership for any arising problems and tensions and use these to inform future practice. Make recommendations for future resourcing to develop practices.

Apply technology for measurement, monitoring and treatment

• Confirm the procedure then select and use appropriate equipment or technique whilst working within scope of practice at all times.
• Undertake procedure only when it is safe for the individual concerned and once informed consent is obtained.
• Prepare client, equipment, environment and materials appropriately to reduce the risk of the procedure.
• Position self and equipment correctly, apply and use technology correctly for the procedure concerned.
• Communicate appropriately with those involved throughout the process.
• Monitor patient’s condition throughout the process taking timely and appropriate action to manage arising complications.
• Interpret and report findings and outcomes concisely, clearly and with the appropriate degree of urgency.

Person Profile
E = Essential D = Desirable

• Qualifications and Training

E Degree (BSc Hons Physiotherapy) or equivalent.

D MSc ( or working towards it)

• Experience

E Post graduate experience in relevant specialism e.g. in muscular skeletal physiotherapy and elective orthopaedics

E Experience of applying clinical reasoning skills to a range of complex and varied caseloads

E Experience of working in partnership with consultants and participating in creating innovative solutions for new services

D Experience of clinical leadership e.g. developing peers

• Knowledge and Technical Ability

E Competence across a range of physiotherapy, management and leadership skills supported by skilled professional and specialist knowledge in the chosen physiotherapy specialism.

E Evidence of post registration continuing professional development

E Keeps abreast of clinical developments in specialism

E Possess Equipment and Medical Devices Competences any additional competences relevant to job role.

E Trained on MS Office and other relevant packages

E Possess the Mandatory Training including Infection Control competences and health and safety

E Demonstrate principles of accountable practice

E English language to IELTS 7.0

• Behaviours

E Caring is our passion

E Succeeding together

E Driving excellence

E Doing the right thing

E Delivering on our promises

E Keeping it simple

E The post holder will demonstrate that their scope of practice underpins the six fundamental values of the 6 C’s (Care, Compassion, Competence, Communication, Courage and Commitment) and the care they deliver to the patient at the point of contact treats them with respect and dignity.

Other

E Willing to work flexible patterns e.g. evenings/weekend/on call as required

E Registration with the Health Care Professions Council

E Willing to participate in flexible working pattern

E Empathy for vulnerable and sick patients

E Empathy for principles and importance of EO and dignity at work

D Membership of Chartered Society of Physiotherapy

D Member of a recognised physiotherapy clinical interest group

Judgment Skills
Involves investigation, analysis, clinical reasoning and comparison across a range of options to deal appropriately with a variety of physiotherapy problems which require specialist professional judgements. Aware of clinical limitations and utilise experience of senior colleagues as appropriate. To decide when treatment needs to be adjusted, discontinued (either ended or referred onto relevant individual) according to patient’s needs.

To use specialist knowledge to form sound clinical judgements/ decisions regarding patient care and assist team in doing so via a variety of methods e.g. IST/ peer review/ case reviews.

Freedom to Act
An autonomous practitioner who is responsible for day to day management of self and other members of the team. Guided by principles and broad occupational policies and regulations, following general professional guidelines and standards from the Chartered Society of Physiotherapy, Health Care Professions Council and Spire Healthcare policies and procedures.

Use initiative while being guided by principles and broad occupational policies and regulations, and practice to acceptable standards for team results.

Responsible for day to day management of self and other members of the team. Leads team and allocates team activities while managing and developing individuals.

Demonstrates own activities or workplace routines to new or less experienced employees in own work area. Provides clinical supervision to other staff.

Environment
The post holder will function within an unpredictable, yet structured work pattern, which requires moderate physical skills, which are normally obtained through practice over a period of time. There will be short moderate bursts of activity during the provision of personal care to patients. Well developed clinical reasoning ability requiring significant mental effort will be required during the assessment and treatment of patients and analysis of care documents and reports.

The post holder will work within a pleasant physiotherapy unit.

Job Types: Full-time, Part-time, Permanent
Part-time hours: 37.5 per week

Salary: £16.50-£19.50 per hour

Benefits:

• Canteen
• Company events
• Company pension
• Discounted or free food
• Free flu jabs
• Private medical insurance
• Sick pay
• Wellness programme

Ability to commute/relocate:

• Sheffield: reliably commute or plan to relocate before starting work (required)

Licence/Certification:

• HCPC (required)

Work Location: In person

Application deadline: 29/05/2023

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