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Clinical Specialist Physiotherapist - Renal

Nottingham University Hospitals NHS Trust
£50,952 to £57,349 Per annum
Closing date
30 Nov 2023

View more

Band 8A
Part Time
This is an exciting 0.5 WTE Band 8a clinical specialist physiotherapist post, supporting a 24-month project for people with kidney disease who are medically fit to enter the kidney transplant list but require to lose weight. Working closely with a clinical specialist dietitian and clinical psychologist, this post will continue to develop, implement and evaluate this innovative service in its second year. The post originated following a successful grant request to the NHS England . The successful candidate will hold a clinical caseload which will be closely integrated with the MDT service development. As a clinical specialist physiotherapist you will act independently, leading and supporting this project through the data collection, plus communication with Renal and Therapies leadership team and work by following the 4 pillars of advanced practice.

Main duties of the job

You will be responsible for the development, implementation, monitoring and evaluation of a new service delivery for people who have kidney disease, medically fit to enter the transplant list but need to lose weight. You will be responsible for a number of patients who will be regularly followed up over the course of 24 months. The role is flexible with some home working and face to face duties. You will work as part of the a dynamic and proactive MDT. Experience in exercise management of complex patients, including patients with kidneys disease with weight loss considerations is essential. Additionally you will have responsibility for providing regular updates to the project lead, the renal MDT and therapy team. The project will be based at the City Campus and our satellites unit. You will be responsible in ensuring the delivery of this including looking at different ways of working and thinking innovatively.

As an autonomous clinical specialist physiotherapist, you will be responsible for ensuring safe practice through development of a caseload management plan and to identify treatment priorities in a variety of situations. You will provide expertise and input into the strategic planning and implementation of multidisciplinary clinical guidelines, care pathways and protocols within the trust, in line with national and regional guidance within specialist areas of practice.

About us

As a large acute teaching hospital over two main sites, NUH has a range of fantastic opportunities for staff to develop their careers within the NHS. Physiotherapy is part of the Therapies and Rehabilitation Services pathway, which is one of the pathways that together make up the Clinical Support Division at NUH. We are a diverse pathway of AHPs and support staff, employing over 600 staff who work together to deliver high quality care.

We are committed to continuing professional development for all our staff through a range of opportunities that include recognised training courses, involvement in service development and audit. We have close links with the University of Nottingham, and take student physiotherapists for their placements.

Job description

Job responsibilities


Please refer to the full job description

To provide clinical leadership within the specialist service, through consultation and joint working with all bands of staff, in the management of complex patients, this will involve review of their clinical reasoning, physiotherapy assessment and treatment plans.

To maintain and develop high standards of patients care and facilitate and implement evidence based practice by ensuring implementation of standards set in relevant national guidance, specialist clinical group guidance and specialist relevant areas. Also by ensuring staff are informed of recent developments through attendance at research based conferences, relevant network meetings and postgraduate education and training courses.

To develop local pathways of care for specialist area patients

To evaluate the effectiveness of the service through service evaluation & clinical audit in liaison with the Therapy Services Manager and relevant stakeholders.

Where appropriate, offer extended scopes of practice so as to facilitate the optimal management of patients within a clinical setting.

To ensure waiting list targets are maintained by initiating and developing new ways of working (e.g. telephone consultation, opt-in appointments, SOS appointments).

To ensure high standards of clinical care on issues pertaining to specialist area, to own team and a wide range of disciplines (e.g. medical staff and the MDT) in line with the education and training strategy by:

In-service training and development programme

One to one coaching / teaching

Clinical supervision

Presenting lectures at under and post-graduate level

Practical sessions

Acting as an information resource

To establish collaborative links with other local and national advanced practitioners and disseminate information and development.

To lead on and participate in clinical research projects that enhance patient care, evaluate service and clinical developments, at times in collaboration with relevant stakeholders.

To develop links between local physiotherapists to enable the sharing of best practice (e.g. benchmarking, Essence of Care).

Person Specification

Training and qualifications


  • oBSc Hons in Physiotherapy
  • oFull HCPC registration
  • oRecognised post-graduate training relevant to specialty preferably including research skills to a Master's level
  • oEvidence of maintaining professional competence through CPD
  • oKnowledge of National, Trust and Departmental policies, procedures and guidelines



  • oRequire highly advanced / theoretical / practical knowledge and clinical reasoning skills for more than one area of physiotherapy
  • oExperience of working in a consultant clinic


  • oExperience of working within renal services
  • oExperience of supporting patients with exercise and activity management

Communication and relationship skills


  • Able to communicate highly complex information
  • Able to utilise persuasion, negotiation and reassurance skills to ensure agreement and co-operation
  • Able to communicate effectively establishing and maintaining relationships
  • Able to motivate, provide constructive feedback, teach and train physiotherapists and members of the MDT
  • Able to influence consultants, commissioners and the wider ICS system

Analytical and Judgement skills


  • oAbility to analyse, interpret and compare information recognising the clinical need for referring for investigation, or refer back to the consultant
  • oAbility to provide an expert 'second opinion' to patients with highly complex clinical conditions
  • oAbility to assess and manage risk in relation to patient care and working environment
  • oAbility to critically appraise research literature and together with the team, implement evidence based practice in order to deliver an effective service.
  • oAbility to allocate limited resources in accordance with changing needs
  • oAbility to assess, formulate a diagnosis and plan patient management, using highly specialist clinical reasoning skills and a wide range of treatment options
  • oProvide critical evaluation of service delivery and facilitate necessary change

Planning and organisation skills


  • oAbility to plan and prioritise own workload, by using planning, organisational and time management. This requires flexibility to work over a number of different settings
  • oTo contribute to the overall service delivery with the multidisciplinary team in own work section/ department/ directorate.
  • oTo develop and evaluate the renal physiotherapy service in relation to Trust objectives and National guidelines.



  • oEvidence of highly developed advanced manual therapy skills
  • oHigh levels of co-ordination e.g. facilitation of movement
  • oThe ability to manipulate fine tools/ medical devices Basic keyboard skills.

Other role requirements


  • oMaintain competence with in-patient respiratory for rostered weekend work
  • oAbility to travel between locations

Employer details

Employer name

Nottingham University Hospitals NHS Trusts


City Hospital

Hucknall Rd



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