Workforce Directorate Human Resources Recruitment Team High East, Crichton Hall, Dumfries DG1 4TG Fax: 01387 244043 Email: dg.recruitment@nhs.net JOB DESCRIPTION for the following vacancy: VACANCY REF No: 809.14 VACANCY (Post Title): Specialist Physiotherapist GRADE: SALARY: Band 6 £26,041 to £34,876 pro rata HOURS: 37.5hpw 12 Months Fixed Term (Secondment opportunity) We are looking for a dynamic Physiotherapist to be part of the Admission unit team. The post will be split between medical and surgical assessment units, Emergency Department and Outreach work in the community in the patient’s place of residence. You will be experienced in the area of assessment, Care of the Elderly, prevention of admissions, falls and patients with complex needs. Your communication and time management skills will be excellent. You must be a good team worker but also be able to work independently. This is a new post therefore experience of service development is essential . You will be flexible in your approach to this post and will have strong working relationships within Acute and also in the community. Due to the ever changing healthcare landscape you will be expected to work flexibly across 7 days and also in different locations. For informal enquires please contact Shelagh Kingstree Head of Service 01387 241424 or s.kingstree@nhs.net Please Note: Decisions to shortlist candidates for interview are made ONLY on the contents of your application form. Please ensure that you read the job description and person specification carefully, complete all applicable sections of the application and that your Statement in support of your Application clearly demonstrates how you meet the requirements of the post. Please note Curriculum Vitae, or copies of certificates will NOT be accepted as part of the application process. Closing Date: Thursday 29 January 2015 at 5.00pm AfC Ref: AHP009aPHYRM Criminal Record Check With effect from 28th February, 2011 posts considered to be within "Regulated Work" with Children and/or "Regulated Work" with Protected Adults will require membership of the Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG Scheme) as a condition of employment. Please note: You do not have to do anything about PVG Membership when submitting your application form for the post. Candidates selected for appointment will be advised on how to become a PVG Scheme Member prior to taking up the position. Further information on the PVG Scheme Membership can be found at the following:http://www.disclosurescotland.co.uk/pvg Standard Disclosure Check For other roles not considered to be within "Regulated Work with Children" and/or "Regulated Work with Protected Adults", a Standard Disclosure Check may be required and the cost of this will be met by NHS Dumfries & Galloway. Applicants who have lived outside the UK within the last five years, if offered a position, in addition to a Disclosure Scotland Check, will be required to provide a completed police record check (Certificate of Good Conduct) from the police authority in the country or countries in which they were resident. AfC Ref: AHP009aPHYRM NHS Dumfries & Galloway Job Description AHP004aPHYRM Job Title: Specialist Physiotherapist Department(s): Physiotherapy Service, NHS D&G Job Holder Reference: No. of Job Holders: Job Purpose: To provide a comprehensive Physiotherapy Service to Rheumatology and Musculo-skeletal out patients, IP and Domicillary patients as required Organisational Position: See attached Chart Scope and Range: To undertake all Physiotherapy duties as part of the Physiotherapy team To work as an autonomous practitioner without direct supervision of Team Leader. To supervise physiotherapists and support workers. To take responsibility for the physiotherapy management of musculo-skeletal and rheumatolgical conditions ,IP and domicillary patients giving specialist advice in the management of patients To work across other units as required, maintaining overall quality of physiotherapy service Main Duties/Responsibilities: Undertake specialist assessment and treatment planning Use developed clinical reasoning skills to provide accurate diagnoses Carry out developed evidence based physiotherapy treatments and interventions for all patients including those with multi-pathologies and complex clinical presentations Manage own caseload including the use of appropriate clinical prioritisation skills Evaluate patient progress and modify treatment programme as appropriate to ensure required outcome Work with Team Leader to ensure high quality physiotherapy service to all units. Function as part of the respective multi-disciplinary teams to deliver efficient and effective patient care Provide support and guidance for physiotherapists and Support workers Follow policies in own role Contribute to and comment on proposed changes practices and procedures Work as part of the overall Physiotherapy team to deliver a high quality Physiotherapy AfC Ref: AHP009aPHYRM Service. Provide advice to patients and carers as part of treatment episodes Maintain accurate and comprehensive treatment records in line with professional and organisational requirements Collect statistical data as required by service and organisation Undertake clinical audit as required to inform service delivery and operational planning Work independently to provide Emergency/On call Physiotherapy duties as part of 24 hour/365 day rota Take responsibility for own CPD by updating clinical skills as required by profession and service and provide evidence that CPD is maintained Participate fully in regular in-service training programmes per specialist unit/department Advise and teach other members of healthcare workforce/volunteers relative to the Physiotherapy component of patient care to ensure an all-encompassing approach to rehabilitation Systems and Equipment: To be responsible for the safe use and upkeep of all Physiotherapy equipment including – exercise, respiratory, electrotherapy, orthotics/appliances and walking aids To understand and apply the safe use of other patient care equipment including – specialist beds, hoists, stand aids, sliding sheets, wheel chairs etc. To have appropriate working knowledge of patient monitoring systems – SaO2 monitors, critical care equipment etc. To be competent in the use of clinical recording systems To demonstrate a working knowledge of appropriate general and specialist software packages and use of intranet/internet technology Decisions and Judgements: Work autonomously and independently a significant part of the time whilst realising own limitations, seeking help/advice if required to ensure safe and effective patient care at all times Work autonomously when providing emergency cover as part of on call rota To prioritise own caseload on a daily basis To accept, assess, plan, undertake, complete and/or discontinue Physiotherapy interventions as per presenting clinical condition/status of all patients on an individual and holistic basis. This regularly includes complex cases within out patient specialism Re evaluate workload and required interventions to deal with constantly changing situations To undertake continual risk assessment sometimes within areas where reducing risk to a desired level is difficult To agree an appropriate caseload with Team Leader and thereafter take responsibility for organising and planning such To understand workload of unit/service and plan working day around individual case load and service needs To identify appropriate workload for physiotherapists and Support workers. Communication and Relationships: Communicate effectively and appropriately with patients, family, carers, the public and all members of the extended health and social care team using a range of verbal, nonverbal, written and presentation skills as required AfC Ref: AHP009aPHYRM Identify and modify the most appropriate communication method dependent on the requirements of person(s) being communicated with e.g. sensory impairment, disinterested, learning difficulties, language barriers etc. Reassure, support, encourage patients and carers as part of the rehabilitation, recuperation process Convey comprehensive detail of care/physiotherapy treatment in a manner and at a rate which is appropriate for every individual emphasising and reiterating points as and when to ensure a full understanding Identify frequency of communication that is required to ensure an effective exchange of communication and care planning Explain role of physiotherapy to a range of people and clarify appropriateness or not of intervention and continuation/discontinuation of treatment Encourage and motivate patients to maximise outcome Convey information in a particularly sensitive manner when it is contrary to patient, carer and family expectations and desires including conveying unwelcome news regarding rehabilitation prospects Liaise as required with external agencies regarding patient management Intervene on behalf of Physiotherapist and Support worker when the need arises in difficult and complicated situations Physical Demands of the Job: Manual handling of patients on a daily basis. This can include very immobile, obese, unwilling patients and can be for long periods – often from lying to sitting, sitting to standing and back in one session Manual physiotherapy techniques on a daily basis which include chest percussion, passive and assistive limb movement and manipulation techniques that require dexterity, precision, hand-eye and sensory co-ordination to perform manual therapy and acupuncture Assessment and documentation of patient history requires frequent periods of intense concentration Daily use of equipment – hoists, walking aids, specialist beds, tilt tables etc. which require manipulation and dexterity and often manoeuvring within confined spaces Significant degree of walking, climbing stairs, standing and working within confined and awkward spaces on a daily basis Most Challenging/Difficult Parts of the Job: High levels of concentration, re-evaluation of workload on a daily basis and actual interventions required Flexibility required when supporting staff grade physiotherapists and technical instructors– change in planned workload Dealing with critically ill, deteriorating, demanding, un-co-operative patients and relatives Motivating patients to carry out therapy and advice to an optimum level to attain best outcome Varying degrees of a multidisciplinary approach to patient care in different units and from different health care staff Prioritising own and service demands to ensure high quality patient care Daily exposure to bodily fluids Regular exposure to infective and high risk conditions AfC Ref: AHP009aPHYRM Knowledge, Training and Experience Essential Degree or Diploma in Physiotherapy Health Care Professions Council (HCPC)Registration Experience at Band 5 Physiotherapist Evidence of having developed post registration skills in physiotherapy within a range of clinical areas e.g. Orthopaedics/Care of Elderly etc. Evidence of having developed ability to undertake self directed learning Evidence of ability to demonstrate effective team working Knowledge of local and national standards, policies,targets and guidelines Additional Training as identified/agreed through CPD/PDP Appraisal Mandatory Training as per organisational requirements e.g. Moving and Handling, CPR, Infection Control etc. Desirable Membership of clinical interest group SAK Jan 15 AfC Ref: AHP009aPHYRM ORGANISATIONAL POSITION Nurse Director Chief Operating Officer Associate Director AHP’s (Professional Leadership) General Manager PCCD (Operational Manager) Head of Profession (Physiotherapy) Regional Lead In Patients Team Leader Regional Lead Out Patients Team Leader Band 6 Band 6 Band 5 Band 5 Support Worker Support Worker Regional Lead H&S and Risk Team Leader x3 AfC Ref: AHP009aPHYRM NHS Dumfries & Galloway PERSON SPECIFICATION MSK Band 6 ESSENTIAL Qualifications DESIRABLE Degree or equivalent in Physiotherapy HCPC registration Skills and Knowledge Car driver / Current driving licence Leadership skills Evidence of effective treatment planning, goal setting and discharge planning Organisational skills Post graduate courses/study days attended eg MSK, Orthopaedics, respiratory, stroke rehabilitation etc. IT skills to allow use of electronic appointment system, PACS and e- CN Experience Previous band 6 experience as a qualified Physiotherapist Student mentorship Characteristics Excellent communication skills within team Effective team worker Flexibility to meet service needs Ability to work under pressure SKingstree Jan 2015 LUCAP Worked in the Community/Domicillary setting