We are looking for an enthusiastic, forward thinking, motivated and hard-working individual with excellent communication and interpersonal skills to join our physiotherapy team. This post offers an exciting opportunity to work as a highly specialist physiotherapist in the musculoskeletal (MSK) outpatients setting at Queen Elizabeth Hospital. Flexible working applications are welcome.

Main duties of the job

The post holder will work very closely with other locality leads across both MSK departments at Queen Elizabeth Hospital and University Hospital Lewisham. The post holder will assist the Team Lead in continuously developing physiotherapy services using an evidence based approach within MSK outpatients. The role will include a varying clinical caseload, clinical governance activity, supervision and the development of Band 6 and 5 Physiotherapists, physiotherapy students and assistant staff working within the MSK outpatients setting. The post holder will also assist in coordinating a rolling programme of audit and training within the pathway.

You should be a dynamic and motivated physiotherapist, who can provide decisive and effective Physiotherapy input and can demonstrate leadership qualities, effective communication skills, a flexible approach and an ability to work under pressure, both as part of a team and independently.You must have relevant clinical experience and teaching and organisational skills with evidence of CPD. The post holder will need to haveprevious experience in working in the MSK outpatients setting. Acommitment to development is required.

About us

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around �700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

As an organisation, we've made significant improvements for patients and staff in the last two and-a-half years. This is reflected in our most recent Care Quality Commission (CQC) inspection (from February 2020), which found improvements across the organisation and gave us an improved rating of Good in the Well-Led and Effective domains, in addition to the rating of Good that we had already achieved in the Caring domain. Our staff culture change programme has been key to the Trust's improvement journey, as we've stabilised our workforce by reducing vacancy rates and improving staff retention. We've also significantly increased the representation of minority ethnic leaders across our clinical and corporate teams.

Job description

Job responsibilities

JOB TITLE: Musculoskeletal Out-patients Clinical Specialist Physiotherapist

GRADE: Band 7

REPORTS TO: Physiotherapy Out-patients Site Lead QEH

RESPONSIBLE FOR: Physiotherapy MSK Out-patients Clinical Team at QEH

JOB PURPOSE

The Musculoskeletal (MSK) Out-patients Clinical Specialist Physiotherapist at Queen Elizabeth Hospital (QEH) provides clinical leadership to physiotherapy staff working in the MSK out-patient setting at this site. The postholder is an experienced clinician who independently manages a significant clinical caseload in musculoskeletal out-patients.

The postholder assists in the running of the physiotherapy MSK out-patient clinical and administrative teams and is line managed by the Physiotherapy out-patient team lead for QEH.

In conjunction with the Physiotherapy out-patient team lead for QEH, the postholder coordinates a rolling programme of education, clinical evaluation, audit and research within the clinical pathway at QEH.

As part of the senior clinical physiotherapy team on the QEH site, the postholder will deputise for the team lead as required.

The post is based on the Queen Elizabeth site but may at times be asked to work on other sites in order to maintain service levels.

The postholder will be required to work at weekends on a roster basis providing physiotherapy input to patients on the orthopedic wards.

KEY RELATIONSHIPS

Physiotherapy Outpatient Lead, Head of Therapies, Head of adult physiotherapy, Trust Consultants, Therapists in Occupational Therapy / Speech and Language Therapy / Dietetics, All Physiotherapy Staff Working Trust wide, Nursing staff, Referring Hospitals, Social Services, Community Services, GPs, Voluntary Services, Academic Institutions, MSK Specialists external to L& G.

DUTIES AND RESPONSIBILITIES

Clinical

To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with complex presentations.

To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands.

To be professionally and legally responsible and accountable for all aspects of own work, and of the local pathway teams work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with national and trust clinical guidelines and protocols where they exist.

To assess patients capacity, gain valid and informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient.

To undertake the comprehensive assessment and accurate diagnosis of patients including those with complex presentation, using investigative, palpatory, analytical and clinical reasoning skills.

Under supervision of the Physiotherapy Out-Patient Team Lead to request diagnostic procedures that will inform clinical decision making as appropriate to individual competency level and the job role.

To undertake physical treatment techniques utilizing highly developed manual skills.

To formulate individualized clinical management programs, utilizing a wide range of treatment skills and options to plan a highly-specialized program of care.

To use recognized outcome measures to evaluate the effect of physiotherapy interventions and ensure that treatment programs are progressing appropriately

To provide spontaneous and planned expert advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of physiotherapy and to ensure continuation of the treatment program. To be consulted by staff within the local pathway and the trust

To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria

To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services, e.g. interpreters.

To ensure that individual practice and that of the local pathway team is patient focused and patient views are incorporated into treatment planning

To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment program

To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome

To receive complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management

To communicate and advise regarding complex patient related information effectively to ensure collaborative working within the physiotherapy service and with other professionals across health and other agencies to ensure the delivery of a coordinated multidisciplinary service

To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge reports

To produce comprehensive patient related reposts for other disciplines or agencies relating to assessment findings and or treatment outcomes

To undertake an extended scope role as appropriate to the needs of the service and supervised by the team lead (an extended scope practioner undertakes delegated responsibility on behalf of medical practioner(s) including the independent management of complete episodes of care of patients from referral to discharge)

To undertake the measurement and evaluation of work through audit, outcome measurement, the application of evidence based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway

To facilitate the implementation and evaluation of physiotherapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards

To work to Trust and Chartered Society of Physiotherapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored.

To raise physiotherapy staff awareness of current clinical developments and the implication these may have on clinical practice

To be accessible and provide expert clinical advice to colleagues in particular for complex case management

Once considered competent to participate in the orthopedic week-end and bank holiday roster.

To fully participate in whatever pattern of working (including 7-day rosters) is required by the service in the future

All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies.

Person Specification

Qualifications & Training

Essential

• Diploma/Degree in Physiotherapy
• HPC registration
• Undertaken a range of relevant postgraduate courses
• Undertaken clinical educators training

Desirable

• MCSP
• Member of Special Interest Group
• MSc or working at M level or equivalent experience / qualification
• Undertaken appropriate managerial training

Experience

Essential

• Comprehensive post graduate physiotherapy experience including experience of relevant specialist pathway
• Experience of working autonomously and unsupervised
• Experience of having supervised staff who are directly accountable to the post holder
• Experience of having supervised staff who are directly accountable to post holder
• Experience in completing audit and evidence based projects
• Evidence of actively participating in in-service training and evaluation effectiveness of training
• Experience and ability to work collaboratively within MPT

Desirable

• Previous experience at band 7 level.
• Attended external courses relevant to subject area
• Involvement in research in relevant specialist pathway
• Evidence of leading change management and innovation in clinical practice
• Evidence of presenting to MDT groups, undergraduate and postgraduate staff

Knowledge

Essential

• Specialist knowledge of evidenced based physiotherapy for designated specialist pathway
• Knowledge of national guidelines and standards pertaining to specialist pathway and physiotherapy
• Understanding of clinical governance and it's implication for physiotherapy
• Awareness and understanding of NHS structure, cu
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