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Specialty Cardiothoracic Physiotherapist

Employer
Oxford University Hospitals NHS Foundation Trust
Location
Headington, Oxford
Salary
£35,392 to £42,618 a year PA
Closing date
21 May 2024

View more

Profession
Physiotherapist
Grade
Band 6
Contract Type
Permanent
Hours
Full Time
We are recruiting to a band 6 Specialty Cardiothoracic Physiotherapist on a permanent basis. The successful candidate will work in the Heart Centre at the John Radcliffe Hospital, providing Physiotherapy to the Cardiothoracic Critical Care Unit, Cardiothoracic and Cardiology wards. The role is diverse, providing care spanning the patient pathway from admission to ICU to discharge from Acute Hospital, providing an exciting challenge.

This post will form part of the core, specialty Cardiothoracic team which has grown in the past 2 years. As such an enthusiastic, flexible and improvement focused individual who is prepared to be directly involved in the leadership of the Cardiothoracic Therapy services will be a good fit for the role. The post will work closely with the Team Lead Physiotherapist and Occupational Therapist, alongside their peers (one other specialty Physiotherapist and two speciality Occupational Therapists) and provide supervision to two band 5 rotational Physiotherapists.

The Cardiothoracic team sits within the Adult Critical Care clinical group, and works in close partnership with the Therapy team for the Oxford Critical Care Unit and Churchill Intensive Care unit.

If you are interested in the role, please contact Philippa Piper, Team Lead Physiotherapist for the service using the contact details in the advert.

Main duties of the job

Job purpose
  • To provide advanced assessment and treatment for patients with complex needs, and to provide experienced advice, guidance and information to patients, health and social care professionals, carers, relatives and other non professionals.
  • To be an integral member of a team assuming delegated responsibilities for supervision of students, junior and assistantmembers of staff.
  • Participates in evidence based projects and assists in implementing changes within designated team/area and setting and monitoring standards of practice.
  • Uses initiative in day to day practice, identifying methods to improve the quality, safety and clinical effectiveness of the Therapy services and engaging with the team in a collaborative manner to implement change.
  • To deputise for the Team lead Physiotherapists or Clinical Lead Physiotherapist for the Adult Critical Care workstream.


About us

Oxford University Hospitals NHS Foundation Trustis one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.We call thisDelivering Compassionate Excellenceand its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via theOUH YouTube channel.

Job description

Job responsibilities

Main tasks and Responsibilities

Communication
  • To use a range of verbal and non-verbal communication tools to communicate effectively with patients to progress rehabilitation and treatment programmes, and to ensure an understanding of their condition/problem so that patients are supported in self management of their condition. The communication skills of motivation, explanation, demonstration and education will be used with a wide variety of patients ranging from the paediatric patient to the older person to gain informed consent.
  • To utilise a variety of effective communication skills to address specific problems such as cognitive impairment, expressive and receptive communication difficulties, embarrassment, anxiety, pain, fear, visual/hearing impairment, language and cultural diversity issues.
  • To ensure that relevant information is communicated in a timely manner to other members of the Physiotherapy service, across all relevant sites, other agencies and other departments and NHS trusts as necessary. This will include telephone conversations, e-mails, faxes, report writing, ward rounds, case conferences, and multi-disciplinary team meetings.
  • To achieve and maintain a level of information technology relevant to all areas of work.
  • To ensure that all information is communicated in a professional, effective and diplomatic way, to staff, patients and relatives including prognosis of physiotherapy treatment, difficult feedback and complaints.

Responsibility for Patient/Client Care
  • To be professionally and legally accountable for all aspects of own clinical practice as an autonomous practitioner and seeking advice from senior staff where appropriate.
  • To undertake a comprehensive assessment of patients with multi-pathologies and complex needs following evidence based guidelines. The assessment involves the interpretation of complex information from a variety of sources.
  • To be skilled in the use of a variety of manual physiotherapy assessment techniques including auscultation of the chest, palpation and invasive suctioning which ultimately assist in the advanced clinical reasoning process to formulate a diagnosis.
  • To formulate a patient centred problem list and individually tailored treatment plan based on assessment findings. To create soundly reasoned prognoses and recommend best course of intervention and developing negotiated goals leading to comprehensive discharge plans. For example advising the medical team on complex patients rehabilitation potential and long term functional capabilities.
  • To deliver an individual physiotherapy treatment programme based on a sound knowledge of evidence based practice and treatment options using advanced reasoning skills and knowledge of treatment skills including manual physiotherapy techniques, patient education, exercise prescription and exercise classes.
  • Assess patient understanding of treatment proposals, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment. For example patients who are ventilated and sedated or cognitively impaired patients.
  • Evaluate patient progress, based on validated and standardised outcome measures, reassess, alter and progress treatment programmes accordingly.
  • To be responsible for maintaining accurate and comprehensive patient treatment records in line with professional e.g. Chartered Society of Physiotherapy and Trust standards of practice.
  • To develop specialist knowledge, training and risk assessment to supervise the use of equipment including hoist equipment, IPPB, Cough Assist, manual handling equipment and tilt table.
  • To accurately assess risk when working in unfamiliar surroundings with unpredictable loads e.g. practising transfers with heavily dependent patients.
  • To carry out assessment and treatments, with moderate to intense physical effort on a daily basis. This will include positioning dependent patients, supporting patients limbs in asymmetrical postures during exercising and supporting patients in walking and transferring.
  • To work in an environment where work patterns are often interrupted by demands from patients, carers, other clinical staff and students, including responding to phone and bleep queries. To be able to carry out concurrent activities and multitasking and work in an unpredictable working pattern.
  • To comply with the Trust Manual handling Policy and Local Therapeutic Guidelines when moving equipment patients.
  • To sensitively deal with distressing or emotional circumstances including the care of terminally ill patients.
  • To carry out potentially distressing treatment modalities in the best interest of the patient i.e. nasal pharyngeal suction
  • To participate in the emergency out of hours on-call service, working alone on these occasions. Advice can be accessed by telephone as necessary from senior staff.
  • To be mentally alert when responding to the stressful situation of being on-call.

Analysis and Judgement

To undertake a comprehensive assessment of patients with multi-pathologies and complex needs following evidence based guidelines Carry out standardised and non-standardised clinical assessments of functional ability liaising with senior staff and the MDT

Provides advanced recommendations/advice regarding management of each patient according to the individual needs of the patient.

Monitors, reviews and modifies treatment plans/goals to measure progress and ensures effective outcomes e.g. planning safe patient discharges.

Prioritises own patient caseload and develops individualised treatment interventions within resources.

Discusses and makes recommendations to the MDT with regard to complex patient management.

Planning and Organisation

Manages an agreed caseload consistent with recommendations of service therapists and professional supervisors and national recommendations.

Undertakes all necessary verbal and written communication required for patient care and within the scope of professional standards and Trust requirements.

Responsible to the Senior Therapist/Team Leader and supervises and appraises members of staff and students as allocated.

Exercises good personal time management, punctuality and maintains consistent and reliable attendance.

Helps to organise and lead relevant departmental and Trust meetings, audit projects and in-service training sessions.
Responsibility for policy and service development implementation
To contribute to improvements in service delivery and clinical practice

To assist the manager in service redesign and modernisation.

Identify areas of unmet patient needs and service gaps and/or areas requiring service development in consultation with service manager

Responsible for keeping up-to-date with current local and national developments in relevant clinical area.

Supports Departmental and Trust strategies regarding Clinical Governance issues.

Contribute as required to audit/ research projects within own clinical area.

Participates in the therapy training programmes.

Leads and participates in the co-ordination of departmental and therapy service-wide initiatives
Responsibility for human resources
To assist within the team in the supervision, appraisal, induction and co-ordination of junior staff, and physiotherapy support workers as required. Ensure that your own practice and that of staff under your supervision meet the required professional standards of physiotherapy practice.

To be responsible for the safe and competent use of gym equipment during patient sessions and to assist in the supervision of junior and student physiotherapists to do likewise, through teaching, training and supervision of practice.

To deputise for the teams more senior staff in their absence, taking responsibility for the day to day operational management of the team.

To be actively involved in the organisation and running of in-service training and external courses.

To be prepared to be flexible in the working day around the needs of the clinical caseload and to be response to unexpected situations e.g. acute patient illness, urgent referrals, staff sickness.

To contribute to improvements in service delivery and clinical practice

To assist the physiotherapy manager in service redesign and modernisation.
Service Development and Quality Governance
Assists in induction of new recruits. This may include recommending the development and updating of induction programmes where necessary.

Responsible for providing regular supervision and individual performance reviews for less experienced staff with guidance from senior staff.

Assists in the teaching and training of junior staff taking responsibility for practice placement education and written assessments.

To audit and monitor performance against local and national guidelines and standards both professional and clinical.

To undertake as directed the collection of data for use in service audit and research projects. To participate in research 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 ensure in conjunction with senior staff that the therapy service responds to national initiatives and policies within the frame work of Clinical Governance, this will ensure that practice can develop, be effective and is evidence based.

Person Specification

Education/ qualifications

Essential

  • Degree in Physiotherapy
  • Registered with the HCPC
  • Evidence of CPC relevant to the advertised role


Experience

Essential

  • Broad range of experience at band 5, or the equivalent level
  • Experience supervising junior colleagues
  • Experience in the Cardiothoracic specialty


Knowledge and skills

Essential

  • Able to evidence up to date knowledge of Cardiothoracic and Critical Care Therapy
  • Able to communicate complex information clearly
  • Able to present written information in a clear and logical manner
  • Has an understanding of QI/ service evaluation/ research methodologies


Employer details

Employer name

Oxford University Hospitals NHS Foundation Trust

Address

John Radcliffe Hospital

Headley Way

Headington, Oxford

OX3 9DU

Any attachments will be accessible after you click to apply.

321-MRC-6187441-B6

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