Specialist Physiotherapist, Band 6 Permanent; Full Time: 37.5 hours per week
The Greenwich Community Rehabilitation and Short Term Assessment Team are seeking an enthusiastic Physiotherapist to join our team. The team comprises of Occupational therapists, Physiotherapists, Social Care Staff and Therapy Assistant Practitioner's. The service is well established and was developed to work with adults within their home and in clinics, to enable them to realise their potential and functional independence and improve quality of life with a view to promoting healthy and active aging.
Main duties of the job
The Community Rehabilitation and Short Term assessment Team provides rehabilitation, including Occupational Therapy and Physiotherapy, to adult client's living in the borough of Greenwich, across various community settings and in their homes. This service is integrated with social care. The physiotherapist will work as part of the multidisciplinary Integrated Team to meet the rehabilitation needs of the service users and their carers, enhancing independence, safety and quality of life; maintaining people in their own home environments in conjunction with Social Care colleagues.
- To provide Physiotherapy input to clients referred to CRSTAT
- To practice within the multidisciplinary team as an autonomous practitioner, ensuring the highest possible standards of practice
- To work in line with the Trust objectives for community practice.
Oxleas offers a wide range of NHS healthcare services to people living in South East London and Kent and to people in prison. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,000 members of staff work in many different settings including hospitals, clinics, prisons, children's centres, schools and people's homes. We have over 125 sites in a variety of locations across the London Boroughs of Bexley, Bromley Greenwich and into Kent and manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital in Woolwich as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are one of the largest providers of prison health services providing healthcare to prisoners across Kent and South London. We are proud of the care we provide and our people Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values: We're Kind We're Fair We Listen We Care
Job description Job responsibilities
- Maintain own Client caseload
- Undertake client assessmentusing standardised assessment tools and/orthe single assessment process.
- Undertake holistic assessments and standardised falls assessment tools in order to develop a multidisciplinary care plan
- To work with the wider multidisciplinary team to devise a holistic care plan and ensure that all health and social needs are met in order to reduce any risks and maintain independence
- Recommend appropriate interventions to promote independence and safety
- To provide physiotherapy assessment as an autonomous and lone practitioner to clients,utilising effective clinical reasoning skills and evidence based practice to develop individual care plans
- Maintain effective multidisciplinary communications in order to ensure that treatment goals are met and a high quality service is provided to clients
- Ensure safe, appropriate and effective provision, installation and demonstration of equipment and further develop knowledge of minor/major adaptation provision and non stock equipment availability and use
- Contribute to meeting performance targets for the organisation
- To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care.
- To accept clinical responsibility for a designated caseload of patients, and to organise this efficiently and effectively with regard to clinical priorities and use of time. To ensure a high standard of clinical care for the patients under your management, and support more junior staff to do likewise
- To undertake physiotherapists assessments in clients homes, in clinics and care homes as required.
- Able to assess and treat a variety of conditions.eg orthopaedic surgery, mobility problems, equipment needs, falls and other common pathologies
- To compare and utilise appropriate treatment form a range of options to develop, implement and re-assess physiotherapy care plans an on-going basis
- To demonstrate theoretical knowledge of multiple pathologies and impairments in the assessment of community clients often in the presence of incomplete or conflicting referral information to form accurate analyses and diagnoses
- To monitor, review and continually re-assess clients care plans and objectives against outcome measures in order to facilitate modification of packages of care/targets as appropriate to enable achievement of their goals
- To seek guidance from more experienced physiotherapy colleagues regarding the treatment and management of clients with complex presentations
- To provide advice and education to client, carers and relatives based on clinical evidence
- To provide falls prevention/healthy living advice to staff and clients as required this includes care homes, intermediate care units and health promotion events
- To be responsible for obtaining client and/or carer consent prior to physiotherapy intervention in accordance with professional guidelines
- To ensure management of clinical risk within own caseload
- Exhibit developed manual handling knowledge and skills
- Clinical prioritisation of own caseload
- To communicate effectively, with empathy and reassurance with patients and carers to maximise potential and to ensure an understanding of conditions.
- Delegation and monitoring of clinical tasks to Therapy Assistant Practitioners and Rehab Assistants
- Maintain high level of efficiency and effectiveness in work area to utilise resources to the full andreport defects in equipment in a timely manner
- Ensure risk is managed for self, clients, colleagues and the work environment
- Develop CRSTAT by working proactively within the MDT
- Maintain throughput of casework andorganise and prioritise own work tasks and activities, being flexible to the needs of the service
- Ensure new team members are adequately introduced to CRSTATduring inductionby acting as a mentor and providing peer support
- To take an active role in postgraduate education and in the in-service training programmes, including the training and supervision of students and junior staff and therapy assistant practitioners
- Maintain efficient day to day running of the CRSTAT
- Ensure timely data collection and entry onto the Trusts data systems (RiO and Framework I)
- To be flexible in the undertaking of any other duties as requested by line managers to meet the changing needs of the service
- Maintain continuing professional development by participating in regular in service training, supervision, reflective practice and attending study days and training, giving feedback to the team where appropriateto disseminate learning
- Maintain competency by attending statutory training and develop expertise in manually handling people and therapeutic manual handling
- Provide support and take a proactive role in the education and training of undergraduate and graduate AHP students and Nurses and Therapy assistants.This will include the use of formal appraisal documentation.
- To undertake the measurements and evaluation of your work and current practices through the use of evidence based practice projects, audit and outcome measures, either individually or with more senior physiotherapists
- Communicate relevant medical/social information, assessment details, advice and recommendations across agencies following local and professional guidelines for sharing information and consent.This would include Consultants, GPs Social Services, other health care professionals and voluntary agencies
- Work in a co-ordinated, multi-disciplinary manner, communicating effectively with other team members and the wider clinical network involved in client care
- Convey complex and sensitive information relating to clients using skill in situations where there may be barriers to communication i.e. use of interpreters, receptive/cognitive pathologies or excess noise
- Be able to adapt complicated and sensitive information into a simplified form to clients who may be seriously ill or have complex or long-term conditions
- Promote CRSTAT by participating in informal talks for other agencies and professionals during education and training sessions
- Promote and encourage the ethos of rehabilitation with care assistants/carers/relatives through demonstration, example and support
- To maintain up-to-date clinical written records using RIO system and FWI in accordance with local and professional standards; and also writing comprehensive discharge and progress reports to medical referrers
- To utilise communication and teaching skills to educate the diverse and multicultural population in a range of disease specific physiotherapeutic techniques, principals and guidelines
- To provide training and education programmes for allied health care professionals, rehabilitation assistants, and health care assistants, in the form oftutorials and presentations
- Maintain links with department, organisation and wider sector by attending meetings, seminars/case conferences etc. as deemed appropriate
- Be able to operate as a lone worker in the community setting
- Be able to cope with occasional, potential stressful, upsetting or emotional situations in an empathetic manner, such as patients suffering from illnesses or pain states that may lead to anxiety and aggressive behaviour.
- Comply with the Trusts Manual Handling Policy and local therapeutic handling guidelines and develop high level manual handling skills when carrying out assessments and treatments, with moderate physical effort throughout the day.
- Work in an environment where the work patterns may be disrupted by frequent demands from patients, clinical staff, students and administrative support staff and respond to any emergency situations arising.
- Support colleagues when indicated in the management of challenging patients.
- Be exposed to unpleasant working conditions.This may frequently involve exposure to sputum, urine, faeces, saliva, unpleasant smells, verbal and physical aggression in unsupported situations such as clients homes and adverse weather and driving conditions
Person Specification Qualification Essential
- Degree in physiotherapy
- registered HCPC
- evidence of uptodate CPD and short courses
- evidence of continual prof development
- demenstrates a range of knowledge on different aspects of physio
- working in MDT
- supervising students/RA
- 1 years post graduate experience
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