Job summary
- Main area
- Physiotherapy
- Grade
- NHS AfC: Band 7
- Contract
- Permanent
- Hours
- Part time - 23.5 hours per week
- Job ref
- 409-6798469
- Employer
- Mersey and West Lancashire Teaching Hospitals NHS Trust
- Employer type
- NHS
- Site
- Ormskirk and Southport Hospitals
- Town
- Ormskirk
- Salary
- £46,148 - £52,809 per annum, pro rata
- Salary period
- Yearly
- Closing
- 20/12/2024 23:59
Employer heading
MSK Physiotherapist (Specialising in Self Referral)
NHS AfC: Band 7
After applying via NHS Jobs, your submitted application will be imported into our preferred Third-party recruitment system. All subsequent information regarding your application will be generated from apps.trac.jobs. You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and furthermore, as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. By applying for this post you are agreeing to "name of trust" transferring the information contained in this application to its preferred applicant management system. If you are appointed to a post information will also be transferred into the national NHS Electronic Staff Records system.
Job overview
The Trust has a fantastic opportunity for an individual who aspires to work as a MSK Physiotherapy Practitioner in an exemplar MSK Interface Service. We are seeking a committed, enthusiastic, and compassionate individual to join our Joint Health Service to deliver the highest quality care to our patients.
This post is an exciting opportunity to learn new skills and become part of a growing team. You will be based in the Therapy Outpatient Service at the Trust.
We will be looking for a willingness to learn, a can-do attitude. You will provide direct clinical care which encompasses assessment, treatment and management of undifferentiated and undiagnosed conditions with no prior triage.
The self-referral element of the MSK Interface Service is integral to the service delivery and optimising patient care and outcomes. The Therapy Outpatient Services constantly strive for the best outcomes possible for the population that it serves placing the person at the heart of all we do. With an excellent reputation for our quality of service, supervision, commitment to professional development, postgraduate training, and strong multidisciplinary multiagency culture this is a great place to progress your skills and career.
Main duties of the job
- To undertake the clinical triage of the Integrated MSK Service self-referrals, directing the patient to the most appropriate clinician / service in line with agreed clinical guidelines.
- To be responsible for providing a highly specialised Musculoskeletal examination & diagnosis including the requesting of radiological and haematological investigations in line with knowledge skills and competence and agreed pathways/ protocols
- Following diagnosis arrange the most appropriate treatment / management including referral for specialist secondary Care opinion E.g., orthopaedic surgery, rheumatology, and neurosurgery in line with agreed clinical pathways and commissioning policies.
- Provide clear communication with all stakeholders and efficiently organise the patient’s onward referral to other agencies including patient choice for secondary care referrals.
- Develop and implement Specialist MSK Physiotherapy treatment and advice for patients with complex MSK conditions.
- Act as a MSK Physiotherapy specialist within the team and provide mentorship, support, and training to less qualified clinical staff.
Working for our organisation
Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 9000 dedicated and skilled staff across 21 sites.
We strongly believe that the communities we serve should all have access to Five Star Patient Care.
Our Services:
Acute Care
Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites.
Primary Care
Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital.
Community Services
Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation, freeing up space for more unwell patients. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre.
Specialist Regional Services
We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales.
Achievements:
• Rated Outstanding by CQC Inspection August 2018
• Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
• National Preceptorship Accreditation (2023) for Nursing & AHP Preceptorship Programme
Detailed job description and main responsibilities
CLINICAL & PROFESSIONAL RESPONSIBILITIES
· Maintain professional registration requirements.
· To triage all musculoskeletal referrals, selecting appropriate patients for the JH service and arranging re-direction of care in accordance with agreed criteria & clinical pathways.
· To undertake a highly specialised assessment and be an autonomous first contact practitioner to self-referred patients to diagnosis and treat patients with complex Orthopaedic / MSK conditions respecting people’s privacy, dignity, and individuality.
· Request and interpret haematological and radiological investigations / results to formulate a diagnosis and treatment programme Inc. X-ray; Ultrasound; MRI & Nerve conduction studies in adherence with agreed clinical protocols, pathways, and scope of practice.
· Using advanced clinical reasoning skills, diagnose and arrange appropriate onward management of patients according to clinical need and in adherence with agreed patient pathways E.g. retaining patients within the Physiotherapy /JH service or referring into Secondary Care Orthopaedics, Rheumatology, Neurosurgery
· To provide specialist evidence-based Physiotherapy advice and treatment for patients with complex MSK conditions this may include specialist manual therapy treatments, prescription of progressive exercise programmes or undertaking joint injection therapy.
· To act as a source of Specialist MSK knowledge and skills to all Physiotherapy Staff providing mentorship, supervision, and training
· To monitor the appropriateness of JH referrals, obtaining information relevant to patient care and ensuring appropriate discharge plans / ongoing care.
· To work on any of the Trust sites as directed by the line Manager.
· To take part in evening and weekend clinics as required
· To ensure a high standard of patient care is provided, developing, implementing and reviewing clinical standards / clinical audit relevant as directed by service leads.
· To be a proactive member of the multi-disciplinary team and actively participate in JH meetings / in service training and clinical supervision.
· To ensure effective communication with patients, carers, GPs and all other Health and Social Care Professionals regarding all aspects of patient care.
· To process and deliver complex information with empathy and reassurance, frequently communicating with patients who may have barriers to understanding.
· To ensure where necessary the provision of cover for the JH service, e.g. in times of annual leave / sickness etc.
· To ensure that any equipment, furniture or building in need of repair is reported to the correct authority as necessary.
ADMINISTRATIVE RESPONSIBILITIES
· To ensure accurate and up to date clinical records in line with registration requirements.
TEACHING & TRAINING RESPONSIBILITIES
· To attend all relevant training and clinical development sessions related to the role of Advanced Physiotherapy Practitioner E.g. Complex case discussion meetings; IRMER Training etc, in service MSK physiotherapy training.
· To organise and lead in-service training sessions for specialist MSK physiotherapists when required.
· To attend relevant training courses and disseminate information.
· To complete annual appraisal and Professional Development Plan.
· To provide formal and informal peer review for staff working in Outpatient Therapies / JH Service.
· To take part in the Trusts clinical supervision as a supervisor and supervisee
· To contribute when relevant to the training programme of GP`s and Primary Care colleagues.
· To teach and advise carers and other Health Professionals to ensure provision of good patient care.
· To contribute to the provision of good practice across professional and organisational boundaries.
LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES
· To assist the JH Lead in the ongoing service/ pathway development of the JH service.
· To act as a clinical supervisor and provide clinical leadership to allocated clinicians.
· Undertake appraisals.
· Coaching & mentoring.
· Support in performance management as required and indicated.
RESEARCH & AUDIT
· To be responsible for the timely and accurate collection of statistics / records that are required nationally and departmentally and to ensure that confidentiality is maintained.
Person specification
Qualifications
Essential criteria
- Diploma/Degree in Physiotherapy
- Current HCPC registration
- Evidence of relevant post-graduate study at MSc level/ or equivalent
Knowledge & Experience
Essential criteria
- Extensive post graduate experience Band 6 MSK / Physiotherapy Outpatient experience
- Demonstrate specialist MSK knowledge to promote & deliver a culture of evidence based practice within the team and design credible clinical care pathways & guidelines
Desirable criteria
- Previous experience of working in either Orthopaedic clinic or MSK Interface service
- Membership of special interest group relevant to specialty
- Relevant research and audit experience
- Good knowledge of clinical governance / competency frameworks and their application to Advance Physiotherapy practice
- Experience of joint working with external organisations e.g. academic institutions, AHSN E.g., service re design, evidence-based practice, clinical pathways, research, or audit.
Skills
Essential criteria
- Demonstrate Specialist MSK Physiotherapy clinical skills and knowledge - advanced clinical reasoning in MSK Physio assessment, diagnosis and treatment
- Possess excellent communication and interpersonal skills
- Awareness of current NHS Policies & Frameworks /relevant quality indicators in clinical specialty
- Ability to manage change in a flexible, diplomatic, and positive manner
- Ability to maintain & develop own clinical role and be aware of professional and clinical boundaries.
- Ability to delegate appropriately, supervise student/assistants and clinical staff whilst supporting leads and managers as necessary
- Excellent teaching and presentation skills to support development of other team members in specialist MSK Physiotherapy assessment and treatment.
- Ability to promote & positively represent the service and organisation within and outside of the Trust E.g. CCGs / GP`s
- Possess excellent time management / prioritization skills
- Demonstrate flexible work practices to meet changing demands of the service
Desirable criteria
- Ability to design, implement and interpret clinical audit / research
Other
Essential criteria
- The post includes a combination of complex physical, emotional, and mental activities
- The post holder may be required to work across sites including hospital / community settings.
- To exert moderate physical effort during the treatment of patients regularly throughout the day e.g. lifting equipment, moving, and manoeuvring patients, applying physiotherapy manual therapy techniques. The post holder will also need highly specialized manual handling / dexterity skills in order to perform joint and soft tissue injection therapy.
- The post holder will experience frequent and sustained periods of intense concentration when assessing complex patients and requesting specialist investigations / interpreting results in order to make an accurate diagnosis and devise an effective treatment plan for patients on a day-to-day basis.
- Conveying complex information in a comprehensible and practical way to clients, families, and carers where there may be significant barriers to understanding/learning.
- Prioritising clinical work responding to unpredictable demands on time e.g. responding to serious radiological incidental findings & urgent referrals alongside normal clinic list.
- The post holder will often have to overcome barriers to communication such as illiteracy, learning difficulties, hearing and sight impairment, language and may have to work with interpreters.
- Communication with and have direct contact with a wide variety of people, including health, social care and education professionals, patients, carers, the public.
- Daily involvement with chronically and terminally ill patients and their carers.
- The post holder will be exposed to sensitive, emotional, and distressing circumstances, including terminally ill patients and abusive patients/carers.
- The post holder may have to deliver bad news regularly E.g. giving a diagnosis of serious disease to the patient and their family.
- Daily exposure to unpleasant working conditions, including body odours, bodily fluids, and open wounds. Occasionally exposed to verbal and physical aggression and people under the influence of alcohol and drugs.
- Daily encounter unpleasant smells and sights, with possible exposure to bodily fluids including blood / aspirated joint fluids e.g. Injection Therapy.
- Ability to fulfill the travel requirements of the post.
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Laura K Atherton
- Job title
- Consultant Physio & Service Lead
- Email address
- [email protected]
- Telephone number
- 01695 656409
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