Job summary

Rotational Physiotherapist - Band 5

Chelsea and Westminster Hospital

An opportunity exists for a General Rotational Band 5 Physiotherapist to join our Therapy Service team at Chelsea and Westminster NHS Foundation Hospital. The Therapy Services Department is committed to providing an excellent environment for professional growth and offers regular training, supervision and support for career progression. Our overall aim is to provide the highest standards of care to patients through the provision of evidence informed practice.

Please keep a personal statement to no more than 700 words. It is also anticipated that the job vacancy will close much earlier than stated therefore please apply asap.

The interviews are planned for the 6&7th June.

Main duties of the job

The post holder will provide high quality clinical care to patients, in line with the Trust values and in accordance with professional regulations.

They will work as an autonomous practitioner in providing physiotherapy assessment, treatment and management to own designated caseload of patients and to maintain up to date physiotherapy records.

They will use evidence based principles/current best practice to assess, plan, implement and evaluate interventions.

The post holder will experience through rotations in Respiratory, Medical rehabilitation, Musculoskeletal out patients, Hand therapy, Orthopaedics, Neurology, Paediatrics, Emergency Department, Pelvic Health and at the Royal Marsden Hospital.

The post holder is expected to consolidate and develop knowledge and skills through participation in CPD

The post holder is expected to actively participate in seven day working and the out of hours oncall service.

About us

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.

We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people.

Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.

We're one of the best performing Trusts in the country. We're also one of the top trusts to work for - our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.

Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an

'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.

Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate.

We have recently completed a �30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious �60m development of an Ambulatory Diagnostics Centre at West Middlesex.

Job description

Job responsibilities

CLINICAL

• To be professionally and legally responsible for all aspects of your work, including the management of patients in your care.
• To be able to carry and prioritise your own designated clinical caseload, working as an autonomous practitioner, with regular supervision from your supervisor.
• To determine the patients understanding of the physiotherapy intervention in order to gain valid, informed consent and to be able to work within a legal framework with patients who lack capacity to consent to treatment.
• To use a range of verbal and non-verbal communication tools when communicating with patients/carers to maximise the patients rehabilitation potential. This will include communication with people with complex communication difficulties such as dysphasia, deafness, and dementia, mental health problems or speak English as a second language or who have difficulty accepting their diagnosis.
• To provide comprehensive problem orientated medical records of assessment and treatment according to departmental, professional and legal standards to aid the clinical reasoning process in the assessment and treatment of all patients.
• To undertake competent physiotherapy assessments in line with department and professional standards, to form diagnoses, establish impairments and limitations and to plan and implement individual physiotherapy programs for all patients.
• To use appropriate and effective assessment and treatment techniques including subjective and observational analysis, manual therapy techniques and therapeutic handling skills.
• To use clinical reasoning, understanding of the medical diagnosis, previous experience and knowledge of treatment options to plan and implement individual physiotherapy programs, formulate accurate prognoses and develop appropriate discharge plans.
• To make effective use of treatment options such as advice, gait re-education, exercise prescription, manual techniques, electrotherapy and provision of appropriate therapeutic aids and equipment.
• To monitor and evaluate treatment to measure progress and to ensure effectiveness of the intervention. To be able to identify problems and modify treatments in routine cases but with support of senior in more complex cases.
• To attend multi-disciplinary team meetings such as case conferences, ward rounds and discharge planning meetings to communicate information about individual patient progress and to assist MDT decision making, eg regarding discharge plans.
• To be responsible for the safe and appropriate provision of physiotherapy aids and equipment given to patients in line with department standards and to provide advice and education on their safe use.
• To promote and maintain a safe therapeutic environment for patients, their families and staff, according to national and local Infection Control guidelines, Health & Safety legislation, safeguarding legislation and procedures and Trust policies and objectives
• To understand the Trust clinical governance framework, and participate in the promoting and safeguarding of high standards of care, through effective risk management & governance, and adherence to the Trust values.
• To be an active member of the respiratory weekend and on-call rota thus undertaking the assessment and treatment of acutely ill respiratory patients who may have complex medical problems. To be able to provide advice and information regarding the patients condition to other members of the MDT involved in their care. To work without supervision and support when on call.

PROFESSIONAL

• To maintain professional behaviour at all times and promote a positive image of Chelsea and Westminster Hospital NHS Foundation Trust at all times, in line with Trust values.
• To comply with the Chartered Society of Physiotherapy and the Health and Care Professions Council codes of professional conduct at all times.
• To maintain professional registration with the Health and Care Professions Council.
• To be responsible for personal continuous professional development by the use of self-education, reflective practice and active participation in the in-service training program and to maintain a CPD portfolio.
• To ensure that all mandatory training is completed within the required timescales.
• To consolidate undergraduate knowledge of current practice, manual therapy techniques, therapeutic handling skills and understanding of particular conditions, pertinent to the area of each rotation.
• To carry out an evidence based project during each rotation and communicate findings to other therapists in that team.
• To participate in the appraisal system as appraisee during each rotation and be responsible for fulfilling your agreed objectives and personal development plan.
• To be involved in data collection during any research and audit being undertaken in each area.
• To be involved in the education of therapy assistants and students with the support of your senior.
• To have a basic understanding of clinical governance and clinical risk management principles and of how they relate to your own caseload. To be involved in departmental clinical governance sessions.
• To ensure adherence to Trust policy and guidelines at all times.
• To role model Trust values at all times.

ORGANISATIONAL

• To achieve effective daily management of a caseload of patients including prioritisation of clinical work, meetings and training, working flexibly according to staffing levels.
• To carry an identified bleep as required by rotation, and be able to respond to unpredictable work patterns and frequent interruptions.
• To make appropriate referrals to other physiotherapists and other members of the multidisciplinary team, and co-ordinate intervention for joint sessions as required.
• To ensure timely communication of assessment findings, treatment and outcomes to other involved disciplines through the provision of social services reports, discharge letters etc.
• To keep accurate and up-to-date patient records and statistics at all times in line with departmental, professional and legal standards.
• To be responsible for the safe use of all therapeutic equipment and aids (including gym equipment, hydrotherapy, respiratory adjuncts and electrotherapy) by patients.
• To delegate specific tasks to therapy assistants in line with departmental and professional guidelines.
• To take delegated responsibility for work experience students during their observational placements on some rotations.
• To be involved in implementing policies and developments that impact on all service users and advise team of any changes to practice.

EFFORT

• To carry out assessment and treatment using manual and therapeutic handling techniques which require moderate to high physical effort and concentration, frequently during each working day.
• To comply with the trust manual handling policy at all times.
• To work alone at times, depending on rotation, eg domiciliary settings
• To deal sensitively with patients who have a high level of anxiety or aggression due to, for example, pain, fear, or dementia.
• To be able to convey sympathetically unwelcome news regarding functional progress or diagnosis to patients and carers.
• This job involves regular exposure to unpleasant working conditions eg body fluids including urine, faeces and sputum and occasional exposure to verbal and physical aggression.

General

Covid-19 vaccination is a condition of employment for this role, unless an exemption applies. The successful applicant may have contact with vulnerable service users and we will therefore seek proof of being fully vaccinated during the recruitment process.

Person Specification

Education/Qualification

Essential

• BSc or Diploma in Physiotherapy
• HCPC registration

Desirable

• Member of special interest group

Experience and achievements

Essential

• Evidence of clinical placements in an acute inpatient, outpatient and community settings
• Demonstrates experience working as part of an MDT on clinical placement

Desirable

• Previous related work/voluntary experience
• Evidence of working in a non-clinical team

SKILLS AND KNOWLEDGE - SPECIAL

Essential

• Demonstrates basic knowledge and application of a range of assessment techniques and treatment interventions used in a variety of clinical settings
• Identifies challenges of working in an acute hospital setting
• Demonstrates evidence of clinical reasoning in the management of patient care
• Demonstrates evidence of the ability to use reflective practice as a tool for growth and development
• Understands the professional and legal responsibilities of clinical practice
• Any attachments will be accessible after you click to apply.
  
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