To use an evidence-based, person-centred approach in the planning, implementation, evaluation and monitoring of agreed interventions following guidelines and protocols to promote the functional independence of patients. To hold responsibility for own caseload, working without direct supervision within the remit of the post. Formal supervision takes place regularly and access to advice and support from a registeredtherapist is available at all times, clinical work is routinely evaluated. To work within agreed protocols and own competencies referring cases that progress to complex back to the Therapist or to continue after advice has been given. To assist when required in evidence-based audit to further own and teams clinical practice. Make recommendations to team leader for changes to practice that would benefit the patient. May contribute to the implementation of specific changes to practice or contribute to service protocols. To work as a member of the multidisciplinary team, representing the Therapy Service, establishing effective communication with colleagues, patients and carers, maintaining interactions with external agencies. To be able to work flexibly over a 7 day working rota including weekends and bank holidays. Duties and ResponsibilitiesClinical To accept clinical responsibility for a designated caseload of patients and to organise this effectively and efficiently with regards to clinical priorities and use of time. To ensure a high standard of clinical care for the patients under your management and support more junior staff to do likewise. To apply appropriate anatomy and physiology knowledge specific to a patient group to facilitate appropriate decision making. To be able to recognise the potential future needs of a patient based on their planned surgery and co morbidities. This may include provision of equipment, walking aids or referral to external agencies prior to admission. To be involved in the assessment for and provision of equipment and patient aids both pre operatively and post operatively, using agreed instructions or manufacturers guidelines. Being responsible for the safe and competent use of all equipment / patient aid To assess the patients, understanding of therapeutic and treatment proposals, gain their valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment. To communicate effectively with patients and their carers, to maximise rehabilitation potential and therapeutic goals, using a range of verbal and non-verbal communication skills. This will include patients who may have difficulties in understanding or communicating. To develop and maintain skills required to provide and receive sensitive or contentious information, from patients and carers. The skills required include those of persuasion, motivation, negotiation, training, empathy and reassurance. This may be because agreement or co-operation is required or because there are barriers to understanding. To provide accurate feedback to the Therapist of any change in the patients condition where the patients presentation differs from that identified with the agreed protocols and guidelines or that falls beyond own competency levels. To be able to recognise and act when treating a deteriorating patient who requires intervention from another profession such as nurses, doctors or other health professionals. To maintain accurate, comprehensive and up-to-date treatment records for your patients, in line with legal, Trust and department requirements and communicate assessment and treatment outcomes to the appropriate disciplines in the form of reports or letters when appropriate.