Thank you for your interest in NHS Tayside vacancies
Please see below Job Description/Specification and General Conditions of Service
Your Application Form must be completed in full. Please note copies of Curriculum Vitae,
Qualifications and Course Certificates will not be accepted at this stage.
Please return your completed Application Form to recruitment.tayside@nhs.net
(quoting the vacancy reference number in the subject box) or to the postal address given on the General
Conditions of Service.
All completed applications are held in Human Resources until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly.
This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from Human Resources.
ADDITIONAL INFORMATION:-
Find out more about living and working in Tayside at: www.dundeecity.gov.uk
www.angus.gov.uk
www.pkc.gov.uk
General Conditions 05.08

NHS TAYSIDE – AGENDA FOR CHANGE
JOB DESCRIPTION
1. JOB
IDENTIFICATION
Job Title
Department(s)/Locat ion
Number of job holders
Rotational Physiotherapist
Physiotherapy departments within localities in
Perth & Kinross
9
2. JOB PURPOSE
1. Provide physiotherapy assessment, diagnosis, treatment, discharge and onward referral of own patient workload as an autonomous practitioner.
2. Four monthly rotational post through medical, surgical, paediatrics, outpatients, hydrotherapy, neurology/stroke, orthopaedics, intensive care and high dependency, medicine for the elderly, community.
3. Supervise/teach non-qualified physiotherapy staff and other personnel, acting as a source of physiotherapy advice.
4. Shared responsibility for education of physiotherapy students.
3. ORGANISATIONAL POSITION
Senior Qualified Physiotherapist
Postholder Equivalent Grades x 8
Non qualified staff and students
(variable depending on rotation but no more than 3)
4. SCOPE AND RANGE
With access to advice and support from senior physiotherapy staff the post holder delivers outpatient, inpatient, day patient and domiciliary physiotherapy within: Perth
Royal Infirmary (300 beds general hospital), Crieff Community Hospital (39 beds),
Blairgowrie Community Hospital, educational establishments and patients own home and accepts referrals from Hospital Consultants, General Practitioners and other agencies.
1. Perform physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions.
2. Provide a diagnosis/clinical impression, develop and deliver an individualised treatment programme for own caseload.
3. Be responsible for discharge and/or onward referral of caseload.
4. Train, supervise, advise and support non-qualified physiotherapy staff and students.
5. Undertake all clinical duties as an autonomous practitioner.
6. Provide advice and guidance on health promotion, health management and prevention strategies to patients, carers and multi-agency staff.
7. Participate in the emergency on-call service, after a period of training.
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5. MAIN DUTIES/RESPONSIBILITIES
Clinical
1. Professional and legal accountability for all aspects of work as an independent physiotherapy practitioner.
2. Undertake clinical assessment of patients including those with diverse or complex presentations/multiple pathologies; interpret and analyse clinical and non-clinical data, use clinical reasoning skills and manual assessment techniques.
3. Act independently to formulate, implement, evaluate and deliver an individual physiotherapy treatment plan based upon evidence based practice and treatment options eg manual physiotherapy/respiratory/neurological techniques, patient education, exercise classes, electrotherapy, acupuncture.
4. Use specialist clinical skills necessary for the assessment and manual treatment of patients.
5. Evaluate patient progress, reassess and adapt treatment programmes as required.
6. Maintain patient documentation, records and accurate mandatory statistical information to meet professional and local standards.
7. Identify and manage clinical risk within own patient caseload.
8. Work inter-professionally with multi-agency staff to optimize patient care eg one-to-one discussions, case conferences.
9. Delegate and supervise an identified caseload for non-qualified physiotherapy staff.
10. Work independently to provide physiotherapy on-call care to support delivery of the 24hour service to acutely ill patients, eg removal of chest secretions using nasopharyngeal suction.
11. When working in the community and domiciliary settings, work as a lone practitioner with planned support.
12. Understand and interpret complex medical information and investigations and alter treatment programme accordingly eg measure and monitor blood pressure, x-ray and blood gases.
13. Work flexibly to provide assistance when required to cover other areas of physiotherapy service.
14. Undertake any other duties of a similar nature delegated by senior staff or the Service
Manager.
Professional
1. Maintain and develop competency through Continuing Professional Development, training, maintenance of portfolio and reflective practice.
2. Adhere to the national, professional and local policies and guidelines as directed by
Health Professions Council, Chartered Society of Physiotherapy and NHS Tayside.
3. Be an active participant in in-service training programme which may include individualized training, tutorials, journal club and presentation of case studies.
4. Participate in appraisal programme as an appraisee, contributing to Professional
Development Planning.
5. Undertake evaluation of own work through the use of outcome measures, evidencebased practice and departmental audit programmes.
6. With supervision may be required to write legal reports providing accurate and detailed information regarding patient’s diagnosis, treatment and expected outcome.
7. Demonstrate understanding and participation in all aspects of Clinical Governance.
8. Assess patient understanding of treatment proposals, ensure consent has been given and to have an understanding of the legal framework eg for patients who lack capacity to
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consent to treatment.
Managerial
1. Responsible for organizing, planning and prioritizing own and others caseload (including students) to meet service and patient needs, readjusting plans as situations change or arise.
2. Participate in ongoing service review.
3. Keep work area tidy, clean physiotherapy equipment on a daily basis and ensure faulty equipment is withdrawn from use and reported.
4. Deal with complaints and take appropriate level of action ie investigate and report to Line
Manager and/or respond to complainant.
6. COMMUNICATIONS AND RELATIONSHIPS
1. Communicate effectively with patients, families and carers some of whom may have barriers to understanding (eg sensory impairment, learning difficulties, language barriers and confusion), using verbal/non-verbal, written and presentation skills as required.
2. Convey comprehensive detail of care/physiotherapy treatment in a manner appropriate for every individual, emphasizing and reiterating points to ensure a full understanding.
This information may be sensitive or contradictory to patient and carer expectations.
3. Instruct, reassure, encourage and guide patients, carers and multi-agency staff throughout the treatment programme.
4. Represent physiotherapy team and/or individual patients at multi-agency team meetings eg reporting on patient progress.
5. Explain the role of physiotherapy to a range of professionals and the public; clarify appropriateness of referral, interventions and continuation/discontinuation of treatment.
6. Communicate assessment and treatment results to the appropriate disciplines verbally and/or in the form of reports and letters.
7. Give presentations to small audiences using audiovisual and multi-media equipment.
8. Develop a rapport with patients and carers to encourage their interest and engagement in an activity therefore maximizing its therapeutic benefits.
9. Diffuse potentially hostile and antagonistic situations with staff, patients and carers, using negotiation and interpersonal skills.
7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
1. Honours degree level or equivalent in physiotherapy
2. Current Health Professions Council registration
General Conditions 05.08

ESSENTIAL ADDITIONAL INFORMATION
8. SYSTEMS AND EQUIPMENT
1. Responsible for safe and competent use of equipment, patient appliances, electrotherapy equipment, hydrotherapy pool etc. in accordance with departmental guidelines.
2. Assess for specialist equipment eg manual handling, orthoses, standing frames, TENS units.
3. Understand, apply and teach safe use and care of specialist equipment to patients, carers and multi-agency staff.
4. Have a working knowledge of relevant IT systems and software packages eg Physio tools
(exercise programme), electronic IR1s.
5. Use Problem Orientated Medical Records and contribute to the development of multiagency care plans.
6. Contribute to Single Shared Assessment process and communicate with appropriate member(s) of the multi-agency team.
7. Responsible for Records Management. All records created in the course of the business of
NHS Tayside are corporate records and are public records under the terms of the Public
Records (Scotland) Act 1937. This includes email and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage these records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.
9. PHYSICAL DEMANDS OF THE JOB
Physical demands
– repeated regularly on a daily basis
1. manual handling of patients with or without handling equipment for purposes of rehabilitation and therapeutic positioning. This may include assisting the very immobile, obese, unwilling and challenging patients from lying to sitting, sitting to standing and back in one treatment session (approximately half an hour per patient), repeated passive lifting of lower limb for assessment purposes.
2. requirement to maintain static postures for therapeutic purposes during treatment sessions ie kneeling and standing.
3. use of manual physiotherapy techniques including facilitation of movement and mobilization techniques. A skilled level of dexterity, sensory, co-ordination skills and precision are essential in treatment techniques eg suctioning of secretions from chest, manual therapy, acupuncture needling.
4. work with patients whose medical condition may make manual/therapeutic handling challenging eg dementia, anxiety, pain, limited mobility and patients with alcohol/drug dependency.
5. significant element of walking, climbing stairs, standing and working within confined and awkward spaces.
6. move heavy and awkward objects eg gym equipment.
7. assist patients during treatment eg walking and stair practice. This may include sudden and unpredictable changes in direction or movement, faints or falls.
Occasionally -
8. work with patients who exhibit physically challenging behaviour.
Mental Demands - repeated regularly on a daily basis
1. alert to unexpected changes in patient’s condition, respond using initiative and clinical reasoning skills to adapt patient management.
2. prioritise workload throughout the day.
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3. motivate, encourage and persuade patients to take an active role in their rehabilitation to facilitate optimal outcome.
4. periods of particular concentration especially with new and complex patients who may have communication difficulties.
5. interruptions during working day from other staff, patients and carers/relatives eg telephone calls, pagers, direct contact.
Occasionally -
6. respond to group dynamics during exercises classes or group sessions.
7. drive in an urban or rural environment including adverse weather conditions.
8. deal with lone working and sole responsibility for service provision eg emergency service when on-call.
Emotional Demands - repeated regularly on a daily basis
1. deal with patients (and their families) who have long term chronic illness, debility and pain.
2. undertake assessment and treatment which may increase pain levels.
3. convey information of a sensitive and emotive nature when it is contradictory to patient and carer expectations and desires.
Frequently -
4. undertake distressing treatment modalities eg naso-pharyngeal suction.
Occasionally -
5. deal with death and bereavement.
6. deal with patients with terminal or life limiting conditions.
7. deal with information which may be of an emotional and distressing nature eg domestic abuse history, child protection issues.
Working conditions
Frequently -
1. exposed to bodily fluids (urine, faeces, blood, saliva, vomit, sputum), infections ie MRSA.
2. exposed to body odours, fleas and lice.
Occasionally –
3. in domicillary or community settings, exposed to adverse weather, terrain and unknown working environment eg unhygienic housing environment, animals and tobacco smoke.
4. work as a lone practitioner eg on-call, domicillary setting.
Rarely -
5. exposed to verbal and physical aggression.
10. DECISIONS AND JUDGEMENTS
1. Responsible for own caseload including prioritization and balancing other patient related and professional demands.
2. Work autonomously making clinical decisions within scope of practice.
3. May be asked to participate in single shared assessment and refer to appropriate member of the multi-agency team.
4. Under the guidance of senior staff accept, assess, plan, undertake, complete and/or discontinue physiotherapy interventions as per presenting clinical condition or refer on to other agencies.
5. Need to recognize own limitations and when to seek guidance from senior staff.
General Conditions 05.08

11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
1. On a four-monthly basis, move into a new clinical area, develop new relationships with a new team, gain understanding of the environment and develop the necessary clinical and organization skills.
2. Undertake a physically and mentally demanding job whilst taking care to safeguard own health and safety as well as that of patients and colleagues.
3. Whilst on-call work independently with acutely ill patients with no on-site professional supervision.
12. JOB DESCRIPTION AGREEMENT
A separate job description will need to be signed off by each postholder to whom the job description applies.
Job Holder’s Signature:
Date:
Head of Department’s Signature: Date:
General Conditions 05.08

JOB TITLE AND GRADE:
LOCATION:
POST REF NO:
Physiotherapist (Rotational), Band 5
Perth and Kinross
P/ER/42
CRITERIA
EXPERIENCE:
QUALIFICATIONS:
(Training;
Research;
Publications)
ESSENTIAL
Good varied student placements including respiratory
Diploma/Degree in Physiotherapy
KNOWLEDGE &
SKILLS:
DESIRABLE
Documented evidence of continued professional development
Ability to work single handed with individuals and groups
Group work skills
Understanding of team dynamics
Effective written and oral communication skills
Basic knowledge of health legislation and current practice including risk assessment and management
Understanding of professional ethics and their application in practice
Ability to work under pressure
Ability to reflect and critically appraise own performance
Application of Health, Safety and Risk
Management policies
Training and presentation skills
Computer literacy
Good understanding of Clinical
Governance and its application
PERSONAL
QUALITIES:
OTHER:
Willingness to work flexibly
Committed to patient centred, nondiscriminatory practice
Appreciation of colleagues workloads
HPC Registration
Ability to travel throughout the locality
Friendly
Clear about personal boundaries with patients
Excellent attendance record
Member of CSP
General Conditions 05.08

POST REF NO: P/ER/42
JOB TITLE/GRADE:
LOCATION:
Physiotherapist (Rotational), Band 5
Perth & Kinross
Conditions of Service
Remuneration
Hours of Duty
Superannuation
Annual Leave
The terms and conditions of service for this post are those determined by the NHS Staff Council.
The current salary scale for the post is £21,602 to £28,180 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service.
Salary is paid monthly by Bank Credit Transfer.
The hours of the post are 37.5 per week.
Internal applicants: Written approval must be sought from your line manager prior to applying for this secondment. You will be required to bring this if shortlisted for interview.
Start and finish times will be determined by the needs of the service.
Membership of the NHS Superannuation Scheme is not compulsory but is open to all staff between the ages of 16 and
70 (65 in some instances).
The contributions paid are a percentage of superannuable pay, which is essentially basic pay excluding, for example, overtime or travelling expenses.
Contribution rates with effect from 01.04.14 are as follows:
Annual Pensionable Pay
(Full-time equivalent)
Up to £15,431
£15,432 to £21,387
£21,388 to £26,823
£26,824 to £49,472
£49,473 to £70,630
£70,631 to £111,376
£111,377 and over
Contribution
5%
5.6%
7.1%
9.3%
12.5%
13.5%
14.5%
Contributions are subject to tax relief and reduced National
Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay.
On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year.
After 5 years aggregated service = 29 days (pro rata for part-time
General Conditions 05.08

References staff) or 5.8 weeks per year
After 10 years aggregated service = 33 days (pro rata for parttime staff) or 6.6 weeks per year
Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year
All offers of appointment are subject to receipt of two satisfactory references.
Clearance Service are subject to a medical examination. Medical examinations are arranged and undertaken by the Occupational
Health and Safety Advisory Service (OHSAS).
Rehabilitation of
Offenders Act 1974
(Exclusions and
Exceptions) (Scotland)
Order 2003
Disclosure Scotland
Immigration, Asylum and
Nationality Act 2006
All current or spent criminal convictions, cautions, warnings or any case pending must be disclosed prior to commencing in employment as detailed on the application form.
Please note that having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated.
The successful applicant will be required to become a member of the Protecting Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults and regulated work with children.
It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK.
Professional Registration/
Induction Standards &
Code of Conduct
Smoking Policy
Applications
Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a
Government Agency or a previous employer, as well as photocopies of these documents. you should have current and continuing professional registration with HPC and hold the appropriate qualification(s).
Smoking is prohibited within NHS premises and grounds.
Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or to Human Resources Directorate, Management Offices, Perth
Royal Infirmary, Taymount Terrace, Perth PH1 1NX
By closing date of Friday 29 August 2014
General Conditions 05.08