The Royal Sussex County Hospital in Brighton is part of the University Hospitals Sussex NHS Foundation Trust. We provide general acute services to the general populations in the City of Brighton and Hove and in Mid Sussex and more specialist and tertiary services for patients across Sussex and the south coast of England, including being one of the Major Trauma Units along the South East Coast.
This is chance to come and work in Brighton, a vibrant city by the sea previously voted the best city in the UK.
An opportunity has arisen for an enthusiastic experienced Orthopaedic and Vascular physiotherapist to join our well established service.
We are looking for a forward thinking clinician who has substantial experience, at Band 7 level including Orthopaedics and Vascular.
Working within the Major Trauma, Orthopaedic and Vascular Team (MTVO), you will lead a small team providing inpatient care to the Orthopaedic and Vascular wards at the Royal Sussex County Hospital. You will be involved in assessing and treating orthopaedic and vascular patients from both emergency and elective admissions. You will also be involved in managing and taking part in the Orthopaedic weekend service.
Main duties of the job
The Orthopaedic and Vascular Physiotherapy team sit within the Major trauma, vascular and orthopaedic Physiotherapy Team (MTVO). The Band 7 Orthopaedic and Vascular Physiotherapy Lead is responsible to the B8a MTVO lead and Head of Physiotherapy Inpatients. Responsible for the day-to-day operational management of the Vascular and Orthopaedic Physiotherapy team based at The Royal Sussex County Hospital within the MTVO group. Responsible for planning, co-ordinating, delivering and evaluating the Vascular and Orthopaedic Physiotherapy Service on a day-to-day basis.
Provide Joint Leadership across all BSUH sites for the BSUH Orthopaedic vascular team.
To provide specialist advice to other professionals both within the Trust and outside agencies e.g. discharge coordinators, nursing staff, and other health and social service colleagues.
To be responsible for teaching, supervision and appraisal of Band 6, Band 5, and Physiotherapy Technical Instructor/Assistant grade staff, and undergraduate students to ensure a high quality of clinical care within the speciality.
About us
At UHSussex, diversity is our strength, and we want you to feel included to help us always put the Patient First. Your uniqueness and experiences will be part of our creative and innovative community where everyone is encouraged to succeed. We have a range of Staff Networks to help break down barriers, and can offer a buddy to help new members settle in. We're proud to be a Disability Confident Employer (Level 2) and a Veteran Aware Trust.
We treat our patients and staff with the same compassion and empathy we expect for ourselves. We're here for them when they need us, and we go above and beyond to meet their needs. This can be seen in our Wellbeing Programme for staff which is extensive and designed to support you when you need it, including where possible, flexible working to support work life balance - because we know that to look after others we must first look after ourselves.
As a university trust and a leader in healthcare research, we value learning, teaching and training so that we can be the best that we can be. From the moment you start with us and throughout your career we will help you to grow and develop. We hope that in choosing UHSussex you are choosing a long and happy career where you will be able to see the difference you make and feel valued for all that you do.
We look forward to receiving your application and the start of your journey with UHSussex.
Job description
Job responsibilities
Communication
To adapt communication with non-English speaking patients dementia dysphasia, deafness and ensure all members of the team do likewise and advise other members of staff on appropriate basic communication strategies where necessary.
To assess capacity to give consent, gain informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment such as patients who are, have reduced level of consciousness or who are acutely confused or aggressive.
To persuade, motivate, empathise, reassure, explain and encourage patients in undertaking their treatment programme, ensure understanding of their condition and communicate effectively with patients and carers to maximise rehabilitation potential.
To be able to diffuse potentially hostile and antagonistic situations with staff, patients, and relatives using highly developed negotiation and interpersonal skills.
To maintain accurate, comprehensive and up-to-date documentation, in line with legal and departmental requirements, and communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters.
To maintain close links and work collaboratively with all staff and people involved in patient care, student education, research or policy development and promote good working relationships at all times.
To represent the physiotherapy department on speciality issues within the trust and external agencies e.g. GPs, steering groups, working parties, National Conferences, Regional Rehab Networks and Internal/external Study days.
Ensure timely and effective communication with all physiotherapy staff on professional matters.
Service Delivery and Improvement
To be responsible for identifying and implementing service development within the orthopaedic and vascular specialty and to ensure effectiveness of patient care is continually monitored and improved.
To ensure as a team leader that designated staff implement policy and service developmental changes.
To ensure that the service within the designated area responds to national initiatives and policy within the framework of clinical governance including clinical effectiveness, evidence-based health care, managing clinical risk, and Research and Development.
To develop specialty standards based on national standards, where they exist and on best evidence. To ensure that these standards are monitored and adhered to by all members of the in-patient Orthopaedic and vascular Physiotherapy team within the designated area.
To plan and undertake the evaluation of practice and performance throughout the designated area through clinical audit and studies and make recommendations for change.
To support more junior staff within the department to undertake clinical audit.
To demonstrate a sound understanding of Clinical Governance and Risk Management and ensure its effective application to the work situation, guided by the physiotherapy management as needed.
People Management and Development
As an onsite clinical lead for the in-patient Orthopaedic and vascular Physiotherapy service, be responsible for the day-to-day management, supervision and co-ordination of the in-patient Orthopaedic and Vascular Physiotherapy team at RSCH, including allocation of work, staff appraisal and performance management.
To be jointly responsible for the operational management of the in-patient Orthopaedic and Vascular Physiotherapy team across all BSUH sites, coordinating, delivering and evaluating the Orthopaedic Physiotherapy Service on a day-to-day basis, and to be flexible to work across sites.
To support the physiotherapy management in matters of grievance and disciplinary action if and when necessary.
To assist where necessary in the interviewing and appointment of new Trust Physiotherapy staff.
To provide highly specialist advice to physiotherapy colleagues working within other clinical areas regarding the pathology, physiology assessment, management and treatment of trauma / elective orthopaedic conditions.
To provide highly specialist advice, teaching and training to patients, carers and members of the multidisciplinary team regarding trauma / elective orthopaedic and vascular management and rehabilitation including complex assessment and problem-solving.
To plan, co-ordinate and deliver a comprehensive in-service training programme to in-patient Orthopaedic and vascular Physiotherapy team.
To organise and supervise undergraduate Physiotherapy students on clinical placements within the in-patient Orthopaedic Physiotherapy team, including teaching sessions, timetables, diaries and liaising with the universities.
To train and provide mentorship beyond speciality team to junior staff, assistants and undergraduate students.
To train and assess competence of physiotherapists, physiotherapy assistants and undergraduate students in therapeutic handling techniques and the risk assessment of these techniques within the in-patient Orthopaedic and vascular Physiotherapy team.
To plan and organise up to date courses utilising outside lecturers.
To plan and organise the Orthopaedic weekend update training- once yearly and induct new staff onto the rota as required.
Patient Care Delivery
To be responsible and accountable for the delivery of patient care in the designated area and to influence physiotherapy practice trust-wide.
To be professionally and legally responsible and accountable, as an autonomous practitioner, for all aspects of your own work including the management of patients in your care.
To ensure high standards of clinical care within the designated area and be responsible for ensuring all staff within the in-patient Orthopaedic and vascular Physiotherapy team adhere to Trust, Chartered Society of Physiotherapy and Departmental standards of care.
To be highly competent in the comprehensive assessment of a wide range of trauma / elective orthopaedic and vascular patients, including those with a highly complex presentation, using advanced theoretical knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present.
To interpret and analyse clinical and non-clinical facts, which may be conflicting, using underpinning theoretical knowledge and experience to suggest diagnoses, identify main problems and form prognoses in a wide range of highly complex trauma / elective orthopaedic conditions.
To formulate individual patient management, treatment and discharge plans, using clinical reasoning, current evidence and a wide range of treatment skills.
To demonstrate highly developed dexterity, co-ordination and palpatory skills for the assessment and manual treatment of patients e.g. Neuro/ mobility rehabilitation, Facilitation techniques, balance exercises, handling of limbs, amputee/vascular rehab including PAM aiding.
To continually re-assess patients in order to progress treatments effectively and advice patients, social workers and other allied health professionals on the appropriate time to return to activities of daily living, exercise levels and general fitness.
To co-ordinate interventions which may include other disciplines e.g. safe discharge meetings, case conferences, multi-disciplinary meetings.
To maintain patient confidentiality and dignity at all times and support peoples equality, diversity and rights.
To use advanced theoretical and practical knowledge to refer to other health disciplines as appropriate, in particular for further treatment or specialist consultant opinions and to ensure appropriate referral systems are used by departmental staff.
To maintain professionalism in public, ward and rehabilitation areas.
To work a 7-day rostered system when and if it is instigated.
To undertake any other duties as may be deemed necessary by Physiotherapy managers in the provision of the physiotherapy service.
To be responsible for maintenance of an accurate and evaluative record keeping system using POMR (Problem Orientated Medical Records) and SAP (Single Assessment Process) format to demonstrate evaluation, analysis and clinical reasoning in the provision of patient care.
To ensure that all physiotherapy staff within speciality maintain the Chartered Society of Physiotherapy and departments standards for documentation.
Use computer databases to provide and analyse accurate reports containing statistics and clinical information as requested by Physiotherapy Management and use initiative to collect further data according to the needs of the service.
To be responsible for the organisation of the caseload management within the Orthopaedic/Vascular area.
To flexibly plan and prioritise own time and that of the in-patient Orthopaedic and Vascular Physiotherapy team to ensure patient care, training, supervision and a wide variety of meetings are undertaken (including management, service development and those with other health professionals).
To identify changes in the needs of the service and liaise with the Major Trauma Clinical Specialist, Vascular and Orthopaedic Physiotherapist Team Lead and deputy head Physiotherapist to plan and implement appropriate changes.
To be responsible for the operational management of the in-patient Orthopaedic and vascular Physiotherapy Team and to act up when needed to be responsible for the operational day to day running of the Major Trauma, Vascular and Orthopaedic Physiotherapy Team.
To be responsible for developing, planning and delivering induction training and competency assessment for staff.
To be responsible for the organisation and running of the Orthopaedic 7-day rota/service, including the yearly updates of competencies of staff on the rota.
Person Specification
Professional Registration
Essential
* Current HCPC registration
Experience/Qualifications
Essential
* Diploma in Physiotherapy or BSc (Hons) Physiotherapy or overseas equivalent.
* Evidence of relevant post graduate courses/CPD and reflective practice.
* Experience of leading a team.
Desirable
* Evidence of relevant Post graduate level education e.g. MSc/Darzi fellowship
* Relevant validated post graduate clinical courses Up to date manual and therapeutic handling training
* Awareness of Regional Trauma/Vascular Network groups.
Skills non-clinical
Essential
* Evidence of having undertaken own development to improve understanding of equalities issues
* Experience of supervising less experienced staff.
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