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Macmillan Pre/Rehabilitation Specialist Therapist

Northampton General Hospital NHS Trust
£43,742 to £50,056 a year per annum
Closing date
7 Jun 2023

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Other Health Profession
Band 7
Full Time
We have an exciting opportunity to develop a dedicated prehabilitation/rehabilitation service to support patients in preparation for cancer treatment.

We are seeking an exceptional, inspirational, dynamic and experienced Occupational therapist and Physiotherapist to lead and develop a new innovative cancer prehabilitation program.

The Macmillan Prehabilitation/Rehabilitation program will support people preparing for cancer treatment by enhancing their clinical, functional and emotional outcomes as well as improving patient experience.

Applicants are invited from registered therapists who hold a BSc (Hons) in Physiotherapy/Occupational Therapy registered with the Health Care Professionals Council (HCPC) who are able to demonstrable experience / specialist interest in working with people living with cancer. They should be able to demonstrate excellent reasoning skills in the management of complex needs and be able to work autonomously as well as part of a multidisciplinary team.

Successful candidates will develop and implement a service specification, governance procedures and KPIs.

For more information about his exciting opportunity please contact Liz Summers Macmillan Cancer Lead Nurse, 01604 544158 or Marcella Irvine Head of Therapies, 01604 544975

Main duties of the job

Responsible for the development, implementation and evaluation of the dedicated Macmillan Cancer Prehab/rehab program

Screen patients prior to cancer treatment, providing specialist support and clinical assessment to optimise patients physical and emotional health through needs-based prescribing of exercise, nutrition, and psychological interventions as part of the personalised care and support agenda.

Offer targeted and specialist prehabilitation interventions for those with more complex needs in line with the East Midlands Gold Standards, referring to community services to maximise health and wellbeing, proactively identifying adjustments to maintain or enhance mobility and safety.

Develop robust mechanisms to evaluate the effectiveness of the Macmillan program including patient feedback

About us

Northampton General Hospital is one of the largest employers in the area and we are on an exciting journey. All of our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered into a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust and become University Hospitals of Northamptonshire.

Our Excellence Values






We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone's full potential. As an organisation, we value how we communicate and promote our vacancies to all communities.

The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ+ backgrounds as these are underrepresented in our hospitals.

We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative.

We have active Networks that promote and support colleagues from all backgrounds.This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals.

Job description

Job responsibilities

Develop a dedicated cancer prehab/rehab program, across the organisation reflecting the East Midlands Gold Standard Framework and Macmillan Investment Application

Implement a three-year phased approach for cancer prehab, building on the learning from the pilot projects and regional programmes. Prehab prior to cancer surgery year 1, extending to prehab prior to oncological treatment year 2 in the main tumour sites

Develop a dedicated steering group to guide the development of the prehab/rehab programme across the organisation

To autonomously manage a caseload of patients with complex needs, using evidence based/patient centred principles to assess, plan, implement and evaluate interventions in primary and secondary care settings to include home visits and community facilities

Screen patients prior to cancer treatment for physical fitness, functional ability, nutritional status, and emotional wellbeing.

Undertake a Holistic Needs Assessments (HNA), working collaboratively with their relevant Key Worker to address both patient and carer needs.

Use a patient centred approach to understand the individual, what matters to them and what they want to achieve.

Generate a treatment plan to meet the patients individual needs. Stratifying into universal, targeted and specialist for each domain of intervention in line with the East Midlands Gold Standards Framework

Offer targeted and specialist prehab interventions for those with more complex needs in line with the East Midlands Gold Standards Framework, referring to community services to maximise health and wellbeing, proactively identifying adjustments to maintain or enhance mobility and safety.

Demonstrate effective communication skills when imparting complex information to patients/carers, other health care professionals and agencies

Identify possible locations for therapy assessment and interventions including equipment required to support functioning

Assess functional ability to ensure patients are participating in meaningful occupation, enhancing quality of life.

Empower patients to take control of their care in preparation for cancer treatment.

Provide opportunities for patients to improve their physical functioning and psychological wellbeing, improving resilience tothe effects of cancer treatments.

Provide opportunities for patients to reflect on healthy lifestyles.

Develop personalised prehabilitation care plans in collaboration with patients. A treatment plan may include one to one intervention with a specialist therapist, groups, setting programmes/ tasks for patients to complete independently, signposting for advice or other speciality services.

Use a recognised tool to identify patients who are malnourished or at risk of malnutrition.

Use self-report measures of physical fitness and function as set out in the GSF including other brief tests such as sit to stand and sit to reach tests for basic functioning.

Apply specialist knowledge of OT/Physio and acquired clinical expertise that is underpinned by theory, evidence-based practice and continued professional development.

Within an identified area, assumes professional responsibility and accountability to implement OT/Physio plans to enable the server user in areas of self-care, productivity and leisure to maximise function, promote independence, health and wellbeing using both individual and group interventions

Work with the Macmillan Information Centre to provide a comprehensive range of material for the dedicated You-Tube channel and signpost patients to these.

Provide regular monitoring of patients before, during and after treatment and act as an ongoing point of contact in relation to prehabilitation/ rehabilitation.

Identifying and referring to the relevant clinician/specialist nurse any acute medical or psychological concerns that will impact a patients treatment

Discharge patients at the end of treatment, contributing to the end of treatment summary for those who required targeted or specialist interventions.

Refer patients to other services/agencies to meet their holistic needs.

Provide rehabilitation following cancer treatment for patients with specialist needs.

Act as a specialist resource to other healthcare professionals.

To provide Level 1 psychological support to patients/carers, referring patients with specialist needs to the registered therapist

To support the development, implementation and evaluation of Heath & Wellbeing events both in and out of the hospital environment

Link with the Macmillan Allied Health Professions Advisor and other colleagues providing prehab to develop a community of practice.

Integrate prehab into the established tumour site clinical pathways.

Promote the prehab/rehab program through different media and involvement in key stakeholder groups.

Attend regional and national forums related to cancer prehab to ensure the delivery of high-quality evidence-based practice.

Work with the Macmillan Information Centre, other agencies, and voluntary services to delivery activities to enhance physical and emotional wellbeing.

Refer to community therapy teams for ongoing support at home

To liaise and work closely with relevant multidisciplinary teams, ensuring continuity of care and a seamless service for patients

Promote the prehab/rehab program, maintaining effective communication across the organisation

Document clinical interventions and outcomes on the Somerset Cancer Database

Act as a member of the regional cancer prehab/rehab group

To identify areas of development and implement change to enhance the program and improve patient experience

To lead the development and implementation of protocols/guidelines to support the development of the program

Use an initiative approach to capture patient experience, developing action plans to enhance patient care

To work in line with the HCPC code of professional practice

To participate in the formal review process and plan future personal development and competencies to be achieved, actively engaging with the learning and development opportunities offered by Macmillan

Make sure that people affected by cancer are aware that they are interacting with a Macmillan professional and know the full range of resources and services available through Macmillan

Actively engage with Macmillan Cancer Support to contribute expertise and experience and support the Macmillan priorities

As an autonomous practitioner, will demonstrate self-management skills and independence in thought and action and take personal responsibility for professional performance e.g., regular lone working and with clients in the community

Be responsible for maintaining and developing evidence-based practice

To maintain clinical records in accordance with legal requirements and professional standards

To provide leadership for a clinical team to include responsibility for appraisals, supervision, induction, education and training and sickness management

Be responsible for the governance of the service escalating to the service manager when appropriate including training, policies, Sops DATIX, complaints and KPIs

Person Specification

Education, Training & Qualifications


  • BSc (Hons) /Graduate Diploma in Physiotherapy/Occupational Therapy or equivalent level of education, training or experience
  • Health Care Professions Council (HCPP) Registration
  • Relevant Master's Degree or equivalent level of education, training or experience
  • Documented evidence of continuous professional development

Knowledge & Experience


  • Extensive post graduate therapy experience, working at a senior level
  • Experience of working with cancer patients
  • Proficient in managing patients with complex rehabilitation needs
  • Research and audit & service development


  • Experience of delivering education/prehab/rehab programmes



  • Clinical reasoning skills in the management of patients with complex needs
  • Ability to work as an autonomous practitioner as well as part of a multidisciplinary team
  • OT Specialist Skills: OT: Fatigue management, cognition, mood, rehabilitation and compensation approach. Or Physio Specialist Skills: MSK, balance and ROM, neuro rehab, rehabilitation and compensatory approach

Personal Qualities & Attributes


  • Motivated, flexible and reliable

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further inform
Any attachments will be accessible after you click to apply.


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