An exciting opportunity has arisen for a part-time, Band 6 physiotherapist to join the well established MDT at Floyd Neurorehabilitation Unit.

The team provide specialist neurorehabilitation to service users who have a wide variety of impairments as a result of neurological injury or illness including: traumatic brain injury, acquired brain injury, spinal cord injury, Guillain barre syndrome, multiple sclerosis (MS), infections of the brain or other inflammatory conditions of the peripheral or central nervous system.

The physiotherapy team provide advanced assessment and individually tailored programmes to patients with complex and/or chronic presentation, based on the physical goals set in collaboration with the patient.

The Band 6 physiotherapists are responsible for leading and evaluating the exercise and gym group and support the Band 7 in operational duties.

Main duties of the job

This role will require advanced assessment and treatment skills of patients within neurorehabilitation services, who may have complex and /or chronic presentation.

There will be opportunities to use prioritisation, management and service evaluation skills to support the Band 7 physiotherapist in the planning, delivery and operational management of the physiotherapy service.

Leadership qualities will also be required to identify, facilitate and lead quality improvement projects and to review ways we can increase intensity and introduce innovation into neurorehabilitation services.

You will be expected to make recommendations for, and lead change, in conjunction with Team Lead(s), Clinical Specialist physiotherapist and AHP Consultant

A wide variety of excellent communications skills are required to ensure effective communication with patients, carers, and other members of the MDT to maximise rehabilitation potential and to ensure understanding of condition, and to overcome barriers to communication.

It is also essential that some experience has been gained in the assessment of capacity, and you have an understanding of the legal framework for patients who lack capacity where best interest decisions are required.

Enthusiasm to provide teaching and education to peers and students is a requirement, whilst taking responsibility to engage in personal development and to support the development of others using the MyTime appraisal and wellbeing framework.

About us

The Northern Care Alliance NHS Foundation Trust (NCA) provides hospital and integrated health and social care services to over one million people living across Greater Manchester. Our 20,000 colleagues care for people in hospital and in the community, working across Bury, Rochdale, Oldham and Salford, to save and improve lives.

As a large NHS trust we are committed to enhancing the health of our local population by delivering consistently high standards of care and working closely with local authorities and key partners. We believe in our power and potential to make a difference and we're always looking for people who demonstrate our three core values - care , appreciate and inspire - to join our team.

In return, we can offer you a job role with purpose and flexibility. The size and scale of the NCA means we can provide more challenge and opportunities so your career can always be moving in the right direction. By joining us you can also access a competitive benefits package, including, a fantastic annual leave allowance, flexible working opportunities and protected hours for health and wellbeing activities, helping you to achieve more personal downtime and a better work-life balance.

We are currently in process of updating our values. For the latest information around our values and behaviours, please visit our careers website: https://careers.northerncarealliance.nhs.uk/working-with-us/our-values/

Job description

Job responsibilities

Professional Duties

• To undertake advanced assessment and treatment of patients within neurorehabilitation services, who may have complex and /or chronic presentation.
• To have specialist skills in the holistic assessment of the needs of patients who have significant neurological injury or condition.
• To support the Band 7 physiotherapist in the planning, delivery and evaluation of the Physiotherapy Service provided on a day-to-day basis, and to provide cover when required.
• To monitor and improve standards of care by efficient use of resources, data collection, clinical audit.

Communications and Relationships

• To communicate effectively with patients, carers and other members of the MDT to maximise rehabilitation potential and to ensure understanding of condition.
• To use a variety of advanced communication skills to overcome barriers to effective communication including: aphasia, cognitive communication disorder, sensory loss, altered perception, pain, fear, psychosocial problems, and cognitive or behavioural problems.
• To provide comprehensive information and advice to seek patients understanding, co-operation and compliance, and to assess capacity and gain valid informed consent whenever possible, identifying when a best interest decision is required.
• To have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
• To communicate complex condition related information to patients, carers and other family members, members of the multidisciplinary team and other professions and agencies.
• To provide/deliver spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals, to promote understanding of the aims of rehabilitation and to ensure a consistent approach to patient care
• To support more junior therapists and assistants / technical instructors in delivering appropriate intervention / input to their designated patient caseload.
• To work collaboratively across agencies and organisational boundaries (North West region) and ensure delivery of an integrated service through effective communication.
• To implement policy and contribute to policy changes in own clinical area.
• Demonstrate a sound understanding of Clinical Governance and Risk Management, apply to work situation and ensure others do likewise.
• To deputise for the Band 7 physiotherapy lead when required

Analytical and Judgmental Skills

• To complete specialist physiotherapy assessment to a high standard and to identify physical impairments and the impact on function, activity and participation and to evaluate the impact of cognitive or other relevant problems.
• To base clinical decisions on evidence from assessments, seeking advice as appropriate.
• To negotiate with carers, clients and others around individual case management.
• To negotiate with others in case management in complex cases
• To recognise potential breakdown and conflict when it occurs and seek advice and support to resolve.
• To demonstrate the ability to reflect on practice with peers/clinical supervisor and identify own strengths / development needs.
• To use specialist knowledge to inform sound clinical judgements/decision making for case management and to adapt practice to individual circumstances.

Planning and Organisational Skills

• Responsible for a designated area of work, as agreed with the Lead/Manager, and to plan and organise this efficiently and effectively with regard to patient management and use of time, ensuring two- way communication with team leader at all times.
• To deputise for Senior staff as required within the team and assist in the planning, coordination and evaluation of the physiotherapy service provided to patients in a designated area
• To represent Physiotherapy at patient planning meetings and service development meetings for work area this can be complex and demanding in nature.

Responsibility for Patient Care

• To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care.
• To ensure a high standard of clinical care for the patients under your management and those of more junior staff.
• As part of the MDT, undertake the comprehensive holistic assessment of patients, including those with diverse or complex presentation using investigative and analytical skills.
• To formulate an individualised physiotherapy management and / or treatment plan using clinical reasoning skills and utilising a wide range of treatment skills and options in order to formulate a specialised programme of care, including psycho-social analysis where appropriate.
• To make appropriate referrals for patients to other disciplines as necessary to aid their rehabilitation e.g. podiatry, orthotics
• To assist in discharge planning and transfer of care to enable patients resettlement into the community
• To provide advice on the management of these patients to any Health and Social Care Professional working within other services, this includes appropriate placement of patients within the community
• To work in a Keyworker role to support patients through their rehab journey where required.

Physical Skills

• To have specialist therapeutic and manual handling skills
• To demonstrate an awareness and understanding of the factors that contribute to good health and the importance of promoting these in line with the Trusts public health aims especially with regards to the cessation of smoking
• To have emotional resilience to cope with distressing or emotional circumstances e.g. patients dying, patients struggling to cope with poor rehabilitation potential

Responsibilities for Financial and Physical Resources

• To be responsible for equipment used in carrying out physiotherapy duties, and to adhere to departmental policy, including competence to use equipment and to ensure the safe use of equipment by others through teaching, training and supervision of practice.
• To be responsible for the security and safe use of equipment within treatment session, reporting and removing from use any faulty equipment.
• To understand and implement the risk assessments required when transporting patients for the purpose of assessment, treatment and review within the community, as required.
• To update and disseminate knowledge of local policies and best practice guidance related to equipment provision and personal competence in use of this equipment
• Assist in stock control and monitoring of supplies relevant to physiotherapy services.

Responsibility for Human Resources

• To maintain own continuing professional development (CPD) by keeping abreast of any new trends and developments and incorporate them as necessary into your work.
• To be an active member of the in-service training programme by the attendance and presentation at staff meetings, tutorials, training sessions, journal clubs, external courses, clinical supervision and reflective practice and to keep an active CPD portfolio.
• To support the Band 8a/7 staff in the day-to-day management of a group of staff including allocation of work to staff at an appropriate level.
• To train and supervise junior staff, technical instructors, assistants and assistant practitioners and students. This will include the use of formal appraisal documentation.
• To actively participate in the MyTime appraisal annually and to engage in regular MyTime wellbeing reviews, including reflection for aspects of your role being done well, and the identification of any areas for development.
• To maintain a record of your own development review process
• To support the development of skills and knowledge of new team members during induction.
• To act in the role of reviewer in the MyTime appraisal process, ensuring that all staff for whom post-older has this responsibility are offered annual appraisal and MyTime wellbeing reviews on a regular basis.
• To record the outcomes of all reviews using Trust paperwork and online systems
• To actively participate in the annual job planning process.
• To undertake 7 day working where required.

Responsibility for Information Resources, Patient Records and Administration

• To demonstrate sound information governance with personal login and access to Electronic Patient Records (EPR) and other information resource systems where applicable.
• To maintain secure and safe practice with regards to paper records, community systems and other record keeping e.g., database, secure scanning.
• To maintain up to date and accurate case notes in line with Chartered Society of Physiotherapy / Health and Care Professions Council, professional standards and local Trust policies.
• To share information with others, observing data protection guidelines.
• To collect data and statistics as required by the Team Lead(s), and to support the UKROC data collection and submissions to meet the service requirements.
• To assist and support Team Lead(s), AHP Consultant and MCCN management in analysis of data and report writing.
• To use relevant documentation / IT system(s) to accurately record activity / data as appropriate for the job role within an agreed time frame.

Leadership, Management and Service Development

• To make recommendations for and lead change, in conjunction with Team Lead(s), Clinical Specialist physiotherapist and AHP Consultant.
• To participate in the NCA Leadership programmes and use the skills gained to identify and lead quality improvement projects.
• To support the Band 7 physiotherapist in their management responsibilities and to take responsibility for operational and management activities in their absence.

Freedom to Act

• To work as an autonomous practitioner in line with the code of conduct and standards of practice issued by the Chartered Society of Physioth
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