A fantastic opportunity has opened for a dynamic and enthusiastic experienced rotational physiotherapist to join a multidisciplinary therapy service at Royal Brompton Hospital.
This individual will work with adults and children with complex chronic heart and lung disease in a world-renowned centre. The post holder will work alongside and be supported by a friendly therapies directorate. If you are keen to develop your cardiorespiratory skills in a centre of excellence, then please apply.Main duties of the job
To provide a specialist physiotherapy service in respiratory medicine, cardiothoracic surgery/cardiology services, paediatric respiratory and surgical services.
To independently perform advanced physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions to provide a diagnosis and deliver an individualised and specialised treatment programme of care.
To manage own patient caseload and be responsible for a defined area of service or a particular patient type, working without direct supervision. Supervision takes the form of regular formal training, clinical reasoning sessions and peer review. Access to advice and support from a senior physiotherapist is available via a bleep system if required.
To undertake all aspects of clinical duties as an autonomous practitioner with freedom to act on own interpretation of data.
Supervise, educate and assess the performance of physiotherapy students this would be to a graduate standard and involve working with Universities to ensure standard of practice and teaching meets the standards set by degree level qualification.
Supervise, educate and assess the performance of junior physiotherapy staff to ensure theoretical and clinical knowledge meets departmental standards.
Undertake evidence-based audit, formulate guidelines and research projects to further own and department clinical practice within each rotation.About us
Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Weprovide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.
Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.
We are working in partnership with King's Health Partners, to deliver our vision of creating a new centre of excellence, which will be the global leader in the research into and treatment of heart and lung disease, in patients from pre-birth to old age.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.Job descriptionJob responsibilitiesCommunication
Patient/customer care (both direct and indirect)
- To ensure a patients understanding of their physiotherapy intervention in order to gain valid, informed consent and to be able to work within a legal framework with patients who lack the ability to consent to treatment
- To use a range of verbal and non-verbal communication tools when communicating with patients /carers. This will include communication with people with complex communication difficulties such as deafness, dysphasia, dementia, mental health problems, speak English as a second language or who have difficulty accepting their diagnosis/prognosis
- To deal sensitively with patients who have high levels of anxiety and aggression caused by pain, dementia or limited mobility
- To communicate sensitive personal information to patients regarding their treatment progression where motivation and reassurance are required to gain co-operation with programmes of care
- To provide and receive sensitive and/or complex information to individual members of staff and in multidisciplinary group meetings and ward rounds
- When working on the emergency duty on-call rota, provide specialist advice to medical and nursing staff and other members of the multi-disciplinary team regarding patients respiratory condition
Policy & Service development
- To be professionally and legally accountable for all aspects of own work and those being supervised by you, including the management of patients in your care.
- Analyse multiple sources of information to undertake a comprehensive assessment of patients including those with diverse or complex presentations/pathologies.
- To use advanced clinical reasoning skills and manual assessment skills to provide an accurate diagnosis and/or establish impairments and disabilities of patients
- To use clinical reasoning, understanding of medical diagnosis and knowledge of treatment options to plan and implement individual physiotherapy treatment programmes.
- To have a comprehensive working knowledge of physiotherapy adjuncts such as IPPB, oscillating PEP, PEP, etc. and indications / contraindications for use across a range of respiratory conditions
- To use and have a comprehensive working knowledge of manual physiotherapy techniques
- To deliver individual and group patient education and exercise classes and be responsible for the safety of patients during these classes
- To continually evaluate the effectiveness of treatment interventions e.g. exercise programmes using clinical reasoning and outcome measures. To progress patient management/intervention accordingly
- Co-ordinate, organise and participate in assessment of patients and holistic treatment programmes with other multi-disciplinary team members
- To independently evaluate progress for patients with complex pathologies, reassess, modify and progress or discontinue individual treatment programmes as required
- To manage clinical risk within own patient caseload to self, patient and environment.
- To use clinical reasoning, understanding of medical diagnosis and knowledge of treatment options to plan and implement the use of Non-Invasive Ventilation (NIV)
- To be responsible for the selection and set up of NIV. To independently select model and mode of ventilation, and appropriate interface according to individual need
- Physiotherapy staff may co-ordinate transfers between sites/other Trusts of critically ill patients on non-invasive ventilation through the competent use of the machine and battery pack when appropriate.
- Analyse and interpret complex situations to formulate accurate prognoses and recommend best course of intervention, developing comprehensive discharge plans
- To analyse and review patient progress on NIV, to independently modify ventilation settings, interface selection. To take the clinical lead in the weaning from NIV, liaising with the MDT as appropriate
- To participate in active management of long-term patients with a tracheostomy and be responsible for their physical rehabilitation and ventilation progression.
- To be responsible for patient and family/carer education of NIV including use of and maintenance of equipment.
- To be responsible for carrying and responding to a bleep. As required to immediately change planned activity without prior knowledge. To give specialist advice to junior staff or MDT members over the telephone
- To be an active member of the respiratory overnight and weekend on-call rota. To act as clinical lead for the working weekend team and, when necessary, provide support and advice for junior staff and peers whilst they are on call
- Whilst on call to work without supervision and support, maintaining associated records as an autonomous practitioner
- When working on the on-call and weekend rota, undertake the assessment and treatment of acutely ill patients with respiratory problems who may have a highly complex presentation. Maintain associated records as an autonomous practitioner.
- Act sensitively to the needs of patient and family in highly distressing and emotional circumstances including care of the terminally ill/ dying and bereavement
- To comply with Trust clinical guidelines and the Chartered Society of Physiotherapy (CSP) codes of professional conduct at all times
- To monitor own and others quality of practice.
- Represent physiotherapy service and individual patients at the multi-disciplinary team meetings, discharge planning meetings, case conferences and ward rounds to ensure the delivery of a co-ordinated multi-disciplinary service. This will include active discussion of patient care with suggestions to modify treatment plan, patient progress and discharge planning
- Actively participate in the rotational appraisal system as appraiser. To be responsible for setting agreed objectives and providing guidance to junior staff
- Actively participate in the staff appraisal scheme as an appraisee and be responsible for complying with agreed personal development plans to meet set competencies
- Make recommendations to clinical lead/manager of service for changes to practice in the department. May lead the implementation of specific changes to practice or contribute to service protocols
- To be responsible for the safe and competent use of all therapy equipment in line with departmental standards. To be responsible for the safety of the patient and self when using any equipment
- To be responsible for the safe and appropriate provision of therapy aids and equipment to patients in line with departmental standards
- To take delegated responsibility from the Band 7 and / or Clinical Lead physiotherapist for managing patients with particular conditions and be responsible for providing specialist physiotherapy assessment and treatment plans for patients with these conditions within each rotation.
- To take delegated responsibility from the Band 7 and / or Clinical Lead physiotherapist for the co-ordination and supervision of departmental patient caseload for junior staff and assistants on a daily basis.
- Deputise for the Band 7 in their absence, in any area, taking responsibility for daily operational management of the team, allocating and organising the workload of junior and assistant staff to meet service priorities on a daily basis
- To be responsible for teaching student physiotherapists to a graduatelevel on physiotherapeutic skills and their knowledge within core clinicalTo manage the workload of students during their placement
- To be responsible for appraising student physiotherapists to a graduate level on their placement. To formulate objectives and provide a structure for achievement of their goals.
- To be an active member of the in-service training programme by attendance at and participation in individual and group training sessions, external courses and peer review.
- To play an active role in the education of junior physiotherapy staff and other members of the MDT in NIV.
- To supervise junior, assistant and student physiotherapists in record keeping and documentation according to Chartered Society of Physiotherapy (CSP) and Trust standards
- To be responsible for organising and planning own caseload to meet service and patient priorities, readjusting plans on a daily basis to meet organisational requirements. To help junior physiotherapy staff to understand and respond to these requirement
Research and development
- To use problem oriented medical records in line with CSP standards of practice to aid the clinical reasoning process in the assessment and treatment of all patients
- To provide accurate and comprehensive written or computer generated records of assessment, treatment and statistical data according to departmental standards
- To undertake an evidence-based project within each rotation and propose improvements to service delivery and clinical practice within that area
- Actively participate in the annual appraisal system as an appraiser. To develop and oversee an annual Professional Development Plan (PDP) for peers and/or junior staff
- To be responsible for personal Continued Professional Development (CPD) using self-directed learning, reflective practice and active participation in the in-service training programme and to maintain a CPD portfolio in accordance with Health and Care Professions Council (HCPC) standards to meet annual registration requirement
- Develop and maintain current knowledge of evidence-based practice in the area of each rotation, developing specialist knowledge of particular conditions and patient types
- To abide by the Trusts Core behaviours for staff and all other Trust policies, codes and practices including standing financial instructions, research governance, clinical governance, patient and public involvement, codes and practices, and health and safety.
- Degree in Physiotherapy + HCPC registration
- Member of CSP, experience at B6 level
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