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Acute & Community Paediatric Physiotherapist

Bedfordshire Hospitals NHS Foundation Trust
£35,392 to £42,618 per annum
Closing date
30 Apr 2024

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Band 6
Contract Type
Full Time
To provide a holistic, evidence-based paediatric physiotherapy service to the local community.

To perform advanced physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions on the wards

To provide skilled assessment and treatment to children with long term complex needs.

To supervise more junior team members.

Main duties of the job

Community - To manage a full caseload in an allocated area of work within community paediatrics, ensuring each child receives the highest standard of care possible within resource limitations. To undertake the advanced assessment and treatment of children within the speciality who usually have complex and /or chronic conditions and to determine the clinical diagnosis and physiotherapy treatment required and to maintain detailed records.

Acute - To provide a high standard physiotherapy service within the field of Acute Paediatrics including acute paediatric wards (Respiratory, Orthopaedics, Neurology), Neonatal Intensive Care Unit and Musculoskeletal Outpatients.

Saturday working is on a rota basis and you will have the opportunity to participate in the Respiratory on-call Rota.

This role will be 2 days in Acute Team and 3 days in Community Team.

About us

Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A& E, Obstetrics-led Maternity and Paediatrics.

You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career.

We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. Please ensure that you make your application as soon as possible.

All new staff will be subject to a probationary period covering their first six months in post. Travel between hospital sites may be required.

Please review all documents attached to this advert to ensure you familiarize yourself with all requirements of the job.

Job description

Job responsibilities

Clinical Generic
  • To undertake the comprehensive assessment of patients, including those with a complex presentation,
  • To formulate individualised management and treatment plans recommending the best course of intervention.
  • To perform advanced physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions,
  • To formulate and deliver appropriate individual evidence based physiotherapy treatment programme for all patients,
  • To undertake all aspects of clinical duties as an autonomous practitioner and to manage clinical risk within own patient caseload.
  • You will be working without direct supervision. Access to advice and support from a more senior physiotherapist is available if required.
  • To assess patient understanding of treatment proposals, gain valid informed consent
  • To have a good working knowledge of the multidisciplinary team (MDT) and follow-up rehabilitation and treatment services.
  • To participate in MDT meetings, case conferences and home visits (community) as needed.
  • To use recognised outcome measures, assessment tools and advanced clinical skills to evaluate patient progress, reassess and alter treatment programmes if required.
  • To be responsible for maintaining accurate and comprehensive written patient assessment and treatment records a

  • Clinical - Community

    1. To interpret clinical and non-clinical facts to form accurate diagnosis and prognosis in a wide range of highly complex conditions.

    2. Liaison with a wide range of professionals across the health, social services and education to develop comprehensive management/treatment plans.
  • To demonstrate highly developed skills in the handling of children with complex needs .
  • To maintain current knowledge of specialised equipment for children with physical disabilities.
  • To be responsible for maintaining accurate and comprehensive written patient assessment and treatment records

  • Clinical - Acute
  • To hold responsibility for own caseload and be responsible for patients with physiotherapy problems on the acute paediatric wards, maternity wards, Neonatal Intensive Care Unit and the musculoskeletal service.
  • To take delegated responsibility, from the Acute Paediatric band 7.
  • To formulate accurate prognoses and recommend best course of intervention, developing comprehensive discharge plans.
  • To be responsible for the safe and competent use of all gym equipment and patient appliances and aids (e.g. walking aids and manual handling equipment)
  • To develop and evaluate written information for patients and carers as agreed with the Acute Paediatric Band 7.
  • To deputise for the band 7 Acute Paediatric team leader as required

  • On Call and Weekend Working Acute
  • You will have the opportunity to be an active member of the adult/paediatric respiratory emergency evening On Call and weekend rota.
  • In the emergency on call setting, as the lead physiotherapist, to provide advice to medical and nursing staff and other members of the MDT
  • To undertake the assessment and treatment of acutely ill patients with respiratory problems, who may have a complex presentation
  • To work as a lone practitioner within an emergency. Further support is available from senior colleagues by telephone or in person if requested.
  • To mentor, supervise and support junior and less experienced physiotherapy colleagues during weekend and on call working.
  • To attend agreed mandatory training to maintain clinical competence in acute respiratory physiotherapy assessment, treatment techniques and modalities

  • Communication
  • To communicate assessment and treatment plans to the appropriate disciplines in the form of reports and letters.
  • To use a range of skilled verbal and non-verbal communication tools to communicate effectively with patients.
  • To provide physiotherapy assessment, advice and recommendations for childrens statutory special educational needs statement, with support of senior staff.
  • To communicate effectively and work collaboratively with multiple medical, nursing and therapy staff within both acute and community settings.
  • To communicate effectively with patients and carers, including advice, instruction and teaching to ensure a consistency in the approach to understanding of conditions and to maximise rehabilitation potential
  • To use communication skills to persuade, negotiate and motivate patients to co-operate with their treatment, rehabilitation or exercise programmes.
  • To provide and receive highly complex and/or sensitive information including information regarding prognosis, limitation to function and/or mobility and changes in social situation.

  • Organisational and Managerial
  • To delegate work appropriately to named Band 5 and/or assistant/technical instructor colleagues within their scope of competence. To take clinical responsibility for work undertaken by therapy assistants and technical instructors under your direct supervision.
  • To be responsible for prioritising, organising and planning own caseload to meet service requirements. Liaise with physiotherapy colleagues within the Acute and community Paediatric team and in the wider physiotherapy team to work co-operatively in order to meet service and patient priorities.
  • To be adaptable and readjust plans as situations change/arise.
  • To ensure that your own practice and that of staff under your supervision meet the required professional guidelines of therapy practice and hospital policies / procedures.
  • With support from the Band 7 Team Leads, to take a major role in the development and implementation of operational processes and systems of work within the Acute & Community Paediatric therapy team.
  • Alongside the Band 7 team leads, actively support staff within the Acute & Community Paediatric therapy team, through strategies such as mentorship, peer review, clinical reasoning sessions and regular clinical supervision.
  • With support form and in conjunction with the Band 7 Team Lead, to conduct the appraisal of junior staff within the Acute Paediatric physiotherapy unit.
  • Whilst working within the Paediatric teams, to deputise for the team lead in their absence, taking the lead role in the day-to-day operational management of the team.

  • Education and Training
  • To be responsible for teaching and assessing student physiotherapists to graduate level physiotherapeutic skills and knowledge within core clinical areas.

  • 2. To participate in the planning, facilitating and evaluating in-service training programmes to the wider Acute Paediatric team. Attend and participation in, in-service training programmes, staff meetings, tutorials, individual training sessions, external courses and peer review.

    3. To provide formal and informal teaching sessions regarding physiotherapy practice for members of the MDT to include nursing and medical staff when required.

    4. To participate in the development and delivery of education and training for other health professionals caring for patients with Acute Paediatric conditions.

    5. Supported by the Band 7 Team leads, to design and undertake evidence-based audit and research projects to further own and teams clinical practice and improve service delivery.

    6. To attend any Trust mandatory training sessions annually and ensure that all e-learning modules are updated as required.

    7. To undertake the measurement and evaluation of work and current practice through audit and outcome measures, as required within the paediatric team.

    8. To participate in the staff personal development and appraisal scheme

    Quality and Effectiveness
  • To work within Trust wide clinical guidelines, policies, procedures, and those agreed locally within the Therapy Department. To adhere to the Chartered Society of Physiotherapy (CSP) professional standards and guidelines. To have a good working knowledge of relevant national and local standards and monitor own quality of practice and that of others under your supervision.
  • To undertake the measurement and evaluation of your work and current practices using evidence based practice projects, audit and outcome measures with the support of the Acute Paediatric band 7.
  • To undertake and manage with support of the Band 7 Team Leads, service audit and research projects into specific areas of clinical practice and service delivery using a range of research methodologies as part of MDT audit and departmental research initiatives.
  • To participate in the identification, development and implementation of appropriate standards, protocols and operational policies.

  • Professional
  • To maintain and develop current knowledge of evidenced-based practice in the areas relevant to Community, Acute Paediatrics, Neonatal Intensive Care Unit and Musculoskeletal outpatients developing specialist knowledge of particular conditions and patient types.
  • To design, develop and undertake evidence-based projects and develop improvements to service delivery and clinical practice. Make recommendations for change to the Acute or community Paediatric Band 7.
  • To participate in the staff appraisal scheme as an appraisee and to be responsible for complying with your agreed personal development programmes to meet knowledge requirements and competencies.
  • To respect the individuality, values, culture and religious diversity of patients and contribute to the provision of the service sensitive to these needs
  • To demonstrate ongoing personal development through participation in internal and external development opportunities and maintain a portfolio which reflects personal development.

  • Person Specification



    • Diploma/degree in physiotherapy or equivalent experience
    • HCPC registration
    • Evidence of CPD


    • Membership of the Chartered Society of Physiotherapy or equivalent course
    • Membership of relevant clinical interest group
    • Short Paediatric Bobath
    • APCP membership



    • NHS experience
    • postgraduate experience to include B5 rotations in a variety of specialities
    • Substantive experience within Paediatrics
    • Experience of supervision of staff or students or Work experience
    • Decision making involving complex situations


    • Experience of respiratory emergency on call and weekend working
    • Involvement in service improvement
    • Experience of contributing to the development of clinical guidelines



    • Ability to disseminate complex information to others
    • Ability to pass on skills/ knowledge to others within formal and informal environments
    • Able to present information, written and orally, in a clear and logical manner
    • Be able to communicate where there may be barriers to understanding



    • Remain updated with professional practice and new research
    • Able to work in a fast paced environment
    • Teaching/training groups or individuals
    • Good IT Skills


    • Knowledge of the workings of community physiotherapy services

    Employer details

    Employer name

    Bedfordshire Hospitals NHS Foundation Trust


    Any attachments will be accessible after you click to apply.


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