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Lead Physiotherapist

Norfolk Community Health and Care NHS Trust
£43,742 to £50,056 per annum
Closing date
2 Dec 2023

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Band 7
Contract Type
Full Time
NCHC has a number of multidisciplinary roles within the new state-of-the-art therapy led unit in Norwich opening in 2024.

We are looking for highly motivated, innovative a Lead Physiotherapist who is committed to delivering exceptional patient-centred care and join our exciting journey to build our new unit creating a supportive and comfortable environment for 48 patients at NCH& C's Norwich Community Hospital site. Healthcare will be delivered by a multidisciplinary team of clinical professionals dedicated to patient recovery and well-being.

Utilising the latest therapy and rehabilitation technology and practices, you will be a part of this new team and will play a pivotal role in supporting patients back into the community and, in this role, we can offer you the opportunity to play a significant part in both the development of the team and therapy led, reablement culture within a brand new unit.

Unfortunately on this occasion we are unable to offer sponsorship.

Main duties of the job

To be responsible for the professional leadership of Physiotherapists, caseload of clients with complex needs, using evidence based/patient principles to assess, plan, implement and evaluate interventions.

To provide professional direction to the Band 6 Physiotherapists through clinical supervision, joint appraisal with the Team Manager and lead by example.

To lead in the planning, development and evaluation of Physiotherapy services across the county to help ensure the consistency of high quality and efficient clinical services.

To contribute to the maintenance and development of the Learning Disabilities Services by representing the Physiotherapy team as a member of the County Clinical Governance Group.

To support colleagues to provide practice placements for physiotherapy students, as required.

To work with other senior staff to ensure ongoing development of the Physiotherapy pathways and the development of systems which improve effectiveness and efficiencies within the services.

To act as a Care Coordinator for patients with complex healthcare needs who require ongoing monitoring and support due to the complexity and unpredictability of their health needs.

About us

As Lead Physiotherapist, you must live by our values and use your skills to ensure the ethos becomes part of the culture within the team. Being able to communicate well with a variety of people is an absolute must.

Apply now to join an organisation that has been awarded an Outstanding rating by the Care Quality Commission (CQC), the highest possible rating and the first stand-alone NHS community trust in the country to be awarded the title

Job description

Job responsibilities

Clinical Duties
  • To use specialist theoretical and practical knowledge and undertake the advanced assessment of patients within the specialty who may have simple, moderately or highly complex bladder and bowel health conditions or a chronic presentation.
  • To be responsible for the postholders own clinical decisions and work within the time parameters of the role/post.
  • To work independently of, but liaise closely with Service Manager, Team Leads and other Health Care Professionals to improve and deliver an evidence-based service.
  • To demonstrate dexterity, co-ordination and palpatory senses for assessment and treatment of patients, including using mobilising skills.
  • To communicate highly complex, sensitive or contentious information effectively with patients and carers to maximise rehabilitation potential and to ensure understanding of the condition in terms of a whole system view. To discuss the options for future management including the suitability for surgery and to aid decision making.
  • Be required to have knowledge of multiple disciplines (rehabilitation, surgery, pain management, and Mental Health and Wellbeing services) in order to appropriately lead the assessment and direction of the patients pathway of care.
  • To assess the patients understanding of treatment proposals, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment or whose consent is gained through an appropriate legal representative.
  • Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, adjustments will be made to explanations in order to gain understanding, consent and concordance.
  • Use health coaching techniques, and tact and persuasive skills in order to gain the patients co-operation in their treatment plan particularly when there may be several options and/or the treatment may not be straight forward. Actively takes a personalised care approach to enable shared decision making with the presenting person.
  • To act as a clinical mentor / educator to less experienced members of both the Musculosketal and wider Continence teams within NCHC. Contribute to supervision and education for the multidisciplinary team.
  • May be exposed to bodily fluids, infected material, blood products etc. therefore must utilise universal precautions and adhere to infection control policies.
  • Demonstrate basic IT and standard keyboarding skills and be able to use several patient database systems from across the wider health care system which include SystmOne, EMIS, and Footfall.
  • Will be required to work earlier morning, later afternoon, evenings and weekends depending on the needs of the service.
  • Ensure patient records are completed for each treatment, and that SystmOne inputting is completed daily.
  • To manage undifferentiated and undiagnosed conditions and be able to identify red flags and underlying serious pathology and take appropriate and effective action.
  • The post holder will determine clinical diagnosis and formulate individualised management and appropriate treatment plans these may include advice and discharge, referral to Acute care womens and mens health services, physiotherapy or other professions for management, or requesting further investigations and diagnostic procedures (MRI, X-rays and US scans) and acting on results as required.
  • To understand the role of common medications used in managing bladder and bowel health conditions.
  • To understand the role of bladder and bowel health aids and biofeedback instruments.
  • To understand the role of common surgical interventions used in managing bladder and bowel health, womens and mens health conditions. Advise where these are relevant to individuals care and inform them impartially on the advantages and disadvantages in the context of other management options.
  • The post holder will work in partnership with individuals to explore suitability of surgical intervention, addressing and seeking to allay individuals fears, beliefs and concerns, seeking guidance when appropriate and refer for surgical opinion via the appropriate pathway.

Organisational, Management and Leadership
  • To support the Unit Lead, MSK Team Leads and Continence service Lead in the development of both the Physiotherapy Continence service and other integrated services. And to plan, co-ordinate and help ensure efficient and effective patient care, and to ensure equity of service.
  • To evaluate the Continence Physiotherapy service and working practice with support from the MSK Service Lead. This will involve working with NCHC and partner performance and data teams, using evidence-based practice, audit, and daily outcome measures. To evaluate, make recommendations for change and to maintain and facilitate continuous and cost-effective improvement.
  • Engage with multi-disciplinary training and learning with national, regional and local teams or opportunities, and ensure ongoing teaching and development within the team.
  • To bring specific service issues and developments to the wider MSK service as required and to actively participate in the clinical effectiveness, best practice and service development of the Continence Physiotherapy service both locally and across the wider MSK Physiotherapy service. To work within practice across multi-organisational, cross professions and care pathways and systems including health and social care and the voluntary sectors.
  • To identify clinical improvement so as to enhance and improve care and services to patients, implement change and lead others.
  • To actively contribute to the continuing development of the Continence Physiotherapy service, being abreast of changes and opportunities within the NHS and as a result of changes to government policy in health and social care.
  • To comply with existing organisational and department policies and procedures and to be actively involved in reviewing and suggesting updates as appropriate.
  • To demonstrate a sound understanding of clinical governance and risk management and apply these to the work situation and ensure others do likewise.
  • Undertake Personal Development Plans for more junior staff member's
  • Follow Trust policies, and local procedures, and use discretion in interpreting them according to the setting and circumstances.

Professional Responsibilities
  • To maintain accurate, comprehensive and up-to-date documentation in line with legal and departmental requirements and recording mechanisms to be able to provide statistical reports on outcome measures and KPIs.
  • To devise and co-ordinate the delivery of programmes of care for patients and communicate treatment details to patients, carers and members of the multi-disciplinary team.
  • To formulate accurate prognosis and recommend best course of intervention, developing comprehensive discharge plans.

Person Specification



  • Diploma or 1st degree in Physiotherapy
  • Current HCPC registration
  • Evidence of extensive additional bladder and bowel health knowledge and experience to Masters level or equivalent
  • Working at or towards Advanced clinical practice (level 7 across all 4 pillars)


  • Post graduate advanced training module
  • Clinical educators' course
  • IRMER / MR Safety trained



  • Evidence of work in bladder and bowel health within the NHS or UK Private Practice


  • Relevant management training and experience
  • Working as a Band 6 Bladder and bowel health (continence) Physiotherapist
  • Experience managing a team
  • Experience networking across organisations
  • Experience of involvement in formal research
  • Experience of audit processes and interpreting data
  • Experience of service evaluation and development
  • Experience with SystmOne patient record system

Skills, Abilities and Knowledge


  • Knowledge of additional specialist areas through in-house training and short courses
  • Good communication including clear written English
  • Excellent observational & reporting skills
  • Excellent observational & reporting skills
  • Good time management skills
  • Work flexibly to accommodate patient/service needs
  • Concentrate when undertaking patient care & inputting data / patient records
  • Demonstrate good IT and standard keyboard skills.


  • Relevant validated post graduate clinical courses



  • Able to communicate effectively in written and verbal English Language
  • Excellent communication and negotiating skills
  • Empathy & sensitivity
  • Excellent interpersonal skills

Personal Qualities


  • Professional appearance
  • Ability to self-motivate and motivate others
  • Any attachments will be accessible after you click to apply.


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