Surrey Downs Health & Care
The Surrey Downs Health and Care Quality and Care Home Liaison Team, part of Home First Service works across organisational boundaries with the GP Primary Care Networks, and is responsible for providing therapeutic/MDT intervention for those who would otherwise need hospital admission, as well for as those medically stable to return to a care home from an acute hospital but requiring enhanced short term support as one stage in their on-going care pathway. The Service also supports Care Homes from a quality aspect as required.
Role Overview
To role is expected to work as a key member of the multidisciplinary team in the assessment (including Comprehensive Geriatric assessment) and management of a caseload within the care home setting (Residential or Nursing homes) To plan, deliver and evaluate the treatment needs of clients with a variety of complex social and health care needs. To recognise and refer onto other community services as appropriate.
Responsibilities
1. To participate as an active member of the multidisciplinary team in developing and delivering high quality and innovative services
2. To promote effective teamwork delegating activities appropriately, to the benefit of the patient and service delivery.
3. To liaise closely with other health and social care professionals.
4. To supervise and teach less experienced Physiotherapy staff, Rehabilitation Assistants and students within this speciality as required.
5. To lead on audit, implementation of best practice guidelines and contribute/participate in in-service training
Clinical Responsibilities
1. To perform advanced physiotherapeutic assessment of the patient with complex presentations using advanced clinical reasoning skills to create targeted treatment plans using SMART goals specific to the patient’s condition.
2. To formulate and deliver an individual or group physiotherapy treatment programme in line with best practice guidelines.
3. Support and work alongside the registered and unregistered nurses within the care home and offer clinical support, training, education, advice and guidance.
4. Support effective discharge management and prevention of readmission
5. To promote effective teamwork within the wider Surrey Downs Health and Care, delegating activities to the wider team to the benefit of the patient and service delivery
6. To be able to make rapid decisions where required, using clinical reasoning skills, knowledge and experience, with support as appropriate
7. To work with multidisciplinary teams, Adult Social Care, Continuing health care, Acute staff and other relevant agencies, sharing care appropriately ensuring patients and carers receive optimum level of therapy and holistic care within available resources
8. To evaluate patient progress, reassess and alter treatment programmes as required and to advise and support more junior colleagues to this effect. To handover treatment plans to the rehabilitation assistant to support with the patient centred goals.
9. Willingness and enthusiasm to work toward cross-disciplinary capabilities
10. To have an awareness of local community services and be able to refer to these appropriately and in a timely manner.
Professional Responsibilities
1. To maintain own clinical professional development (CPD) and incorporate them as necessary into your working practice.
2. To actively participate in your Performance Development Plan and review process.
3. To be an active member of the in-service training programme by attending and delivering at training sessions.
4. To deliver training within care homes as required to support with quality and safety
5. To train, supervise and performance manage more junior staff and students, including formal appraisals as required.
6. To be responsible for teaching students, physiotherapists/Occupational therapists, rehabilitation assistants, MDT members on cross competency skills.
Organisational Responsibilities
1. To be responsible for the safe use of equipment used in carrying out physiotherapy duties and to adhere to departmental policies and guidelines to ensure safe use of equipment by the team. To report defects as per policy.
2. To share responsibility for departmental tidiness, maintenance and administration.
3. To develop compassionate leadership awareness and be sensitive to team dynamics. Be able to respond appropriately when considering your own role and the role of others in the team, being sensitive to the needs of your colleagues.
4. To demonstrate flexibility according to the needs of the service and the clinical demands.
5. To provide updates to service leaders regarding data collection, progress of potential discharges and waiting lists.
Please refer to the attached Job Description and Person Specification for more details.
This advert closes on Thursday 24 Apr 2025.
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