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Detailed job description and main responsibilities

1.      To be professionally and legally responsible, and accountable for all aspects of own professional activities, and the management and implementation of complex patients requiring specialist paediatric physiotherapy intervention.

2.      To manage a complex and busy caseload, and to demonstrate the ability to work flexibly to deliver efficient patient services in a range of models.

3.      To carry out assessment of patients as an autonomous practitioner, including those with diverse or complex presentations / multi pathologies; using clinical reasoning skills, and knowledge of evidence-based practice, to determine an appropriate care plan utilising a wide range of treatment skills and options.

4.      To evaluate patient progress, reassess and alter / progress the treatment programme as required.

5.      To act as a point of liaison with community and DGH physiotherapy teams and liaising with local physiotherapists to support the management of children/adolescents pre and post operatively.

6.      Participate in joint multidisciplinary assessment and intervention with other disciplines including medical staff to establish best practice, and treatment for complex patients. 

7.      To assess patients’ capacity to understand and gain valid, informed consent for treatment. To work within a legal framework with patients who lack the capacity to consent or refuse treatment.

8.      To manage clinical risk within own caseload and assist in ensuring clinical risk is effectively managed across the Children’s Elective Orthopaedic service.

9.      To attend ward rounds, meetings, and seminars / case conferences as appropriate, and liaise with, and advise other disciplines, as appropriate, to achieve comprehensive, effective, and confidential patient care.

10.  To organise and participate in the weekend orthopaedic rota as a lone practitioner within the hospital site, in addition to providing advice to MDT via telephone.

11.  To maintain accurate electronic records using POMR system, in line with professional standards for own clinical caseload and assist with ensuring that senior, junior and student physiotherapists are maintaining the professional standards.

12.  To provide comprehensive progress and discharge reports to community teams or onward referrals as required.

13.  To demonstrate the physical ability to carry out physiotherapy assessment and interventions including manual therapy techniques and therapeutic handling.

14.  To manage clinical risk within own caseload at all times

15.  To use specialist theoretical and practical knowledge to refer to other health disciplines as appropriate, for further treatment or specialist consultant opinions, ensuring appropriate referral systems are used by departmental staff.

16.  To be able to manage potentially stressful, upsetting or emotional situations in an empathetic manner.

17.  To represent physiotherapy and / or individual patients at multi- disciplinary team meetings, to ensure delivery of co-ordinated care. This will include discussion of patient care / discharge planning.

18.  To motivate and persuade patients and staff, through good communication skills, using verbal and non-verbal skills, and use written and electronic information where needed.

19.  To demonstrate the ability to communicate complex and sensitive information in an understandable form to patients, carers and staff where there may be communication barriers. 

20.  To support other staff when required in the management of challenging patients’ behaviour.

21.  To establish and maintain positive interpersonal relationships with other team members characterised by open communication, trust, and respect.

22.  To demonstrate ward level respiratory skills, including those expected to be associated with the orthopaedic surgical pathway.

23.  To participate in the Paediatric Respiratory on-call service as a lone practitioner within the hospital site, in addition to providing advice to MDT via telephone.