West London NHS Trust
Hammersmith & Fulham
£27,055 to £32,934 a year per annum plus HCAS
Closing date
2 Oct 2022

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CBT Therapist / Other
Band 5
Full Time
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Do you want to consolidate your physiotherapy skills in a supportive Community Rehabilitation Pathway? As a Band 5 Physiotherapist with Community Independence Service you will be responsible for delivering person-centred interventions for those living with frailty, falls, dementias and some neurological conditions in Hammersmith & Fulham through person-centred treatment plans and goals.

You will be part of a team of allied health professionals, support workers as well as a wider multi-disciplinary team of health professionals, working closely with our colleagues inthe Rapid Pathway which includes Rapid Response, Case Management and Home First (Discharge to Assess),as well as our social care partners, Reablementto deliverhome based treatment to local residents temporarily or permanently housebound due to a recent deterioration in their physical health.

You will be supported through our in-house Preceptorship programme which is allied with the one run by Oxleas NHS Trust.

Main duties of the job

  • To provide a client-centred physiotherapy service to a defined caseload of service users, working with multi-disciplinary team members and the occupational therapy team.
  • To actively develop and implement a framework of care, which reflects a holistic approach to service user needs, and the seven pillars of clinical governance.
  • To work under the supervision of a senior or Head occupational therapist, to apply clinical skills in occupational therapy assessment, treatment planning, intervention and evaluation, which include individual and group orientated approaches.
  • To contribute to the evaluation and continued development of the occupational therapy service.
  • To ensure that the professional standards and ethics as set out by the Chartered Society of Physiotherapists (CSP) and the Health & Care Professions Council (HCPC) are adhered to at all times.

About us

We are a clinician-led service of two pathways providing proactive and reactive interventions for the local population, run jointly between West London NHS Trust and CNWL Foundation Trust (the lead provider) supporting residents based in the boroughs of Hammersmith & Fulham, Kensington & Chelsea and Westminster. The team culture is based on the West London NHS Trust values which have be adapted to reflect the diversity of the team.

The trust's 3,982 staff care for people in hospital and in the community. Together, we're committed to promoting hope and wellbeing, working with patients, service users, carers, families and partners across the communities we serve. We aim to be the best organisation of our kind in the country. We arerated good overall by the Care Quality Commission (CQC).

We are keen to ensure that our workforce reflects the community it serves, particularly in terms of ethnicity, gender, disability, LGBTQ+ and experience of mental illness.

Job description Job responsibilities

  • To be professionally and legally accountable for all work undertaken. To work within the standards and guidelines of the team, the Trust, CSP, and HCPC code of ethics.
  • To undertake physiotherapy assessment of clients with diverse needs through subjective questioning, objective assessment, the use of outcome measures and other written material available.
  • To prioritise factors involved in the clients presenting condition through clinical reasoning based on knowledge of current professional opinion, clients prognosis and other physical, social, emotional and mental health issues.
  • To set goals for treatment with clients and/or their carer and ensure that care is client centred and agreed by the client and/or their carer.
  • To set and maintain a high standard of clinical practice which is evidence based where possible, using standardised assessment and outcome measures, where appropriate
  • To screen and assess with support, complex multi-disciplinary referrals from a variety of sources. This screening requires individual responsible action when at times no other professional is currently involved. This screening will establish priority, determine needs and initiate a plan of intervention.
  • To manage a caseload of clients with simple to complex needs with supervision and guidance as necessary from senior staff. To successfully monitor, evaluate and review physiotherapy treatment/interventions within a multi-disciplinary framework and to modify as necessary taking a key worker role as indicated.
  • To use knowledge of other multi-disciplinary roles and external agencies to ensure effective referral management and achieve best client care.
  • To have the ability, knowledge and skills required for moving and handling people in community environments.
  • To ensure client and service records are recorded and maintained on IT databases and that client documentation is according to trust and local policies.
  • To prescribe, delegate and monitor the work of rehabilitation assistants.
  • To educate and teach the relevant carers/health workers to participate in on-going rehabilitation care programmes for clients, as appropriate.
  • To actively be involved in the implementation of new specialist clinical services within the Team, with support and guidance from senior physiotherapy staff.
  • To manage clinical risk in own caseload and ensure that rehabilitation assistants and students comply e.g. moving and handling risk assessment and local policy regarding lone working.
  • To maintain and update a Continuing Professional Development Portfolio (CPD).
  • To evaluate your practice through audit and outcome measures with support of senior physiotherapists when required
  • To undertake any other duties that may be allocated.
  • To work at other sites in the trust if required.
  • To work on a rotational basis through various therapy teams in the trust if required to do so.
  • To attend and actively participate in in-service training, clinical supervision, appraisal and team meetings as required


The Band 5 Physio will contribute to creating and maintaining high performing teams by:
  • communicating well with all members of the team
  • understanding their role in the team and how they help the team achieve its objectives
  • reflecting on their own practice regularly and encouraging the whole team to reflect on their practices in handovers and team meetings
  • identifying how care could be improved
  • Maintain equipment identifying defects, hazards and equipment failure and notifying the relevant manager
  • To maintain up to date electronic diary and outcomes of all appointments as required by the service
  • To maintain the safety of designated clinical environment according to local policy and regulations and aware about the emergency procedures.
  • To assist in risk assessments and comply with trust policies on incident reporting
  • To adhere to trust appraisal and performance review programme to identify personal development plans and training needs.
  • To participate in data collection and statistics as directed
  • To attend mandatory and relevant training as and when required

Professional Development:

  • To enable consolidation of physiotherapy clinical practice during the first 12 months post-registration and prior to reaching the first KSF gateway, all newly qualified physiotherapists will participate in the trusts allied health professional Preceptorship Programme.
  • To actively identify own continued professional development related to KSF sub-set for Band 5, objectives set in supervision, PDR and service need.
  • To take active responsibility to ensure that supervision needs are met using reflective practice that relates to clinical practice.
  • To actively participate and reflect in supervision regarding the exposure to distressing and emotional aspects of the work and how this affects clinical practice and ensure professional boundaries are maintained.
  • To participate in physiotherapy service, directorate and trust-led training initiatives and share these with the team on return.
  • To make use of resources available to increase and update knowledge and skills of physiotherapy in clinical practice, including evaluating and applying relevant research to clinical practice and disseminate within teams.
  • To participate in the education of students and non-clinically qualified staff as relevant to level of experience.


  • To complete and record attendance and participation in Trust Induction and Secondary Induction.
  • To ensure that mandatory training is kept up to date.
  • To educate other professionals, carers and service users about physiotherapy as a specific intervention.
  • To understand and adhere to policies and procedures of the department, team, directorate and Trust.
  • To ensure that links with statutory and voluntary agencies are maintained.
  • To be a role model of professional behaviour and practice.
  • To exercise good personal time management, punctuality and consistent reliable attendance.
  • To undertake any other duties commensurate to the grade, which may be required from time to time, to ensure the smooth running of the service as directed by the Rehab Pathway Lead or manager of service.
  • To maintain accurate and comprehensive clinical records and all documentation processes (e.g. reporting incidents and near misses and clinical notes).
  • Organising, maintaining and delivering of equipment required by the service.

Person Specification Qualifications Essential
  • BSc (Hons) or equivalent Physiotherapy qualification
  • HCPC Registration
  • Attained at least Level 2 Maths and English (equivalent to GCSE grade 9-4 (A*-C))
  • Membership of professional body
Experience Desirable
  • Work experience in a Health or Social Care or third Sector setting
  • Experience of working in a health setting
  • Involvement in research and clinical audit
Knowledge Essential
  • Research methodology
Skills Essential
  • Effective written and verbal communication skills
  • Computer literacy
  • Commitment to client-centred, non-discriminatory practice
  • Ability to prepare and present papers at study days and conferences
  • Ability to apply (research) evidence-based practice
  • Supervisory skills
  • Ability to reflect and critically appraise own performance
  • Experience of using an electronic patient record

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