Please see attached full job description. *Apply up-to-date PT/OT skills in the clinical field at a specialist post graduate level. *Identify, prioritise, assess, and treat appropriate patients using PT/OT modalities. *Assist senior hand therapy colleagues with teaching and passing on hand therapy skills. *Line Manage Band 5 Physiotherapy staff, band 2 and 3 assistants and students. *Assist in the delivery of a high-quality hand therapy service across MSK and T&O. *Treat patients as a fully autonomous practitioner with full responsibility for, and legal accountability for, individual clinical decisions and actions. *Plan and prioritise their own clinical workload, ensuring a prompt and efficient service using clinical judgement and departmental guidelines *Ensure all patients understand the treatment process and have given valid and informed consent for treatment. Where patients are not able to provide consent for treatment e.g. when acutely ill, the post holder will work within existing legal frameworks, Trust guidelines, and professional codes of conduct *Complete a full and specialised musculoskeletal clinical examination. The clinical examination will integrate information from a range of sources such as the patient, carers, medical/nursing records and the full clinical examination *Take into account the psychological and social, as well as medical aspects of the patients' care, in order to provide an holistic, patient centred approach, referring to other specialists as necessary *Formulate a clinical diagnosis and appropriate patient centred goals, following a complete thorough analysis and interpretation of the clinical examination *Select appropriate and individual treatment pathways, where conflicting needs may be identified (conflicting needs would typically occur where treatments can have both adverse as well as beneficial effects at the same time in a patient) *Assess and evaluate the effects of the chosen OT/PT treatment over time, altering the treatment modality as necessary *Teach therapeutic exercises, through verbal explanation, visual demonstration, or the physical guiding of the patients' movements, to patients and their carers *Advise patients on self-help activities to either treat their condition or assist in coping with their condition *Carry out all therapy interventions within the broad scope of locally and nationally recognised therapy approaches *Be a full member of the multidisciplinary team. *Be fully responsible for planning and prioritising his/her own workload *Assist with setting local standards for hand therapy services using the clinical governance process, and ensure the standards are met through a combination of audit, staff development and service development. *Assist senior hand therapy colleagues in developments within service especially regarding National guidelines and policies. *Support the ongoing development of information for patients. *Support the development of education resources appropriate for all staff. *Ensure appropriate risk management strategies are in place and adhered to, including The Medicines and Healthcare Regulatory Agency (MHRA), Health & Safety, and Medical Devices Agency (MDA) under the Health & Social Care Act. *Complete clinical and environment 'Risk Assessments' in line with the Trust's policy as developed by the Risk Management Team, and follow through with an agreed action plan, as relevant to areas within the clinical remit of this post. *Maintain a record of patient's treatment for inclusion in the department's weekly returns and other statistical data as required. *Carry out other professional duties that may be necessary as delegated by the Trust's Physiotherapy Manager, and hand therapy service leads. *7 day physiotherapy service (as appropriate): *Take part in the Orthopaedic weekend rota *Treat/Manage through physiotherapy, patients on the trauma and orthopaedic wards and elsewhere in the hospital *Treat all patients on Trauma and Orthopaedic ward as clinically relevant with physiotherapy *In addition to specific orthopaedic treatments, the post holder will treat other aspects of the patient's condition requiring physiotherapy, e.g. chest infections, and also treat with physiotherapy, as required other patients on the wards.