Advanced Practice Physiotherapist in Pelvic Health
We are delighted to be able to advertise a full-time permanent Band 8a Pelvic Health Advanced Physiotherapy Practitioner post at Mid Yorkshire Teaching NHS Trust. This highly specialist post will involve working across all sites in the Trust.
We are looking for a highly motivated and hard-working Band 8a physiotherapist to jointly lead and develop the Pelvic Health Physiotherapy service.
The role will assume that of advanced practitioner and joint clinical lead for the Pelvic Health service, having overall responsibility for the clinical delivery of physiotherapy in partnership with other members of the team (service lead, advanced practitioner, team leader, and lead clinicians) across the trust within this specialist area. This will also include supervisory management of the more junior physiotherapy staff working in the pelvic health physiotherapy service.
We at Mid Yorkshire Teaching NHS Trust provide an extensive physiotherapy service for our pelvic health patients and we are committed to supporting you to expand your knowledge in this specialism for the benefit of the patient and the service.
Main duties of the job
* To deliver pelvic health clinics for patients referred from GPs, community services, and consultants. This will include the assessment of new patients to determine the diagnosis and management of patients, including complex history taking and ordering of relevant investigations.
* To plan and deliver treatment programmes for complex female and male patients with pelvic floor dysfunction, including bladder, bowel, and pelvic pain symptoms. This may include Non-Medical Prescribing (NMP) and interpretation of diagnostic results.
* To plan and refer onwards to secondary consultant care.
* Within MDT clinics to discuss surgical management, listing for surgery including discussion with the patient regarding surgical risks and information of the surgical procedure in line with detailed competency frameworks.
* To triage and treat complex pelvic health patients that require rehabilitation.
* To ensure therapy management is integrated and rehabilitation potential is maximised for all patients within the service. This will include up-to-date evidence-based practice and may include research.
* Provide leadership, support, and clinical guidance to colleagues; provide support, supervision, and expert opinion to other members of the senior therapy team in the assessment and management of complex multifactorial conditions.
* To maintain excellent communication and links with urogynaecology, urology, and colorectal teams to ensure an efficient and effective patient care pathway.
About us
We are an acute trust caring for over half a million people in Wakefield and Kirklees. Our 10,000 staff work in patients' homes, the community, and our three hospitals in Pontefract, Dewsbury, and Pinderfields (Wakefield). We prioritise our people and values so we can deliver the best possible care to patients. Our team is friendly, passionate, and innovative, always seeking better ways to work.
We support work-life balance and foster a diverse, inclusive environment where everyone belongs. Our staff networks offer safe spaces to share ideas and concerns so we can increase awareness and appreciation of equality, diversity, and inclusion. We welcome applicants from all backgrounds and especially encourage members of the LGBTQ+ community, ethnic minority groups, and people with disabilities or neurodivergence to apply, as they are currently underrepresented in the Trust.
If you value caring, high standards, improvement, and respect, join the MY team to make a difference every day.
Job responsibilities
Clinical Duties
* Be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care.
* Ensure a high standard of clinical care for the patients under your management.
* To work autonomously in a clinic, assessing, diagnosing, planning, and implementing pathways of care for a highly specialist caseload.
* To work independently in the absence of the consultant, liaising if appropriate on their return.
* To work beyond the usual scope of practice to order diagnostics tests and implement treatments within individual skills and knowledge.
* Accept sole clinical responsibility for a designated caseload of patients and organise this effectively and efficiently with regard to clinical priorities and use of time. The caseload will include patients with diverse presentations, complex symptoms, and where significant negative alterations to the patients' quality of life exist.
* Undertake the specialist and comprehensive assessment of patients referred from a variety of sources, including those with a complex presentation, using investigative and analytical skills.
* Formulate individualised management and treatment plans, using clinical reasoning, and utilising a wide range of advanced treatment skills and options to formulate a specialised programme of care in conjunction with the patient and carers.
* To provide diagnosis, develop and negotiate an agreed individual and holistic programme of treatment options, incorporating inter-disciplinary team working.
* Provide advanced clinical expertise to colleagues within the team and referrers to the service.
* Communicate effectively with patients and carers to maximise rehabilitation potential and ensure understanding of condition. Communication skills of persuasion, motivation, and explanation to encourage patients to undertake their treatment programme.
* Use verbal and non-verbal communication skills to gain informed consent with patients where there will often be barriers to effective communication e.g., loss of hearing, altered perception, expressive or receptive dysphasia, pain, fear.
* Assess capacity, gain valid informed consent, and have the ability to work within a legal framework with patients who may lack capacity to consent to treatment.
* To be the lead therapist at MDT meetings, case conferences and to ensure therapeutic management of patients is integrated and rehabilitation potential is maximised and is central to overall assessment, audit, and objective evaluation of treatment/management programmes.
* To refer patients onwards to relevant health care professionals.
* To ensure robust clinical governance for service speciality, through supervision, audit, and best practice through pathway development and evidence base.
* To work extended hours and weekends as service requires within own speciality, including emergency work as per service business continuity plan.
Person Specification
Skills
* Expert negotiation and communication skills.
* Promotion of the role of therapies.
* Moving and Handling.
* Forward thinking.
* Ability to pass on knowledge and skills within both formal and informal environments including teaching and presentation skills.
* Ability to present information, written and orally in a clear and logical manner.
* Ability to organise, prioritise, and delegate.
* Understanding of Clinical Governance and its implications for services.
* Working knowledge of the NHS.
* Confident.
* Able to work both independently and to promote MDT working.
* Able to cope with the demands of the patient group.
* Ability to motivate.
* Committed to personal and team development.
* Ability to cope working in a stressful environment.
* Ability to cope with emotional or aggressive patients and carers.
* Ability to maintain judgement under pressure.
* Clear vision of role/commitment to speciality.
* Awareness of current NHS strategy in relation to pelvic floor dysfunction services.
* Able to support others manage coping skills and stress levels.
Experience
* Evidence of extensive clinical experience of relevant area at a senior level.
* Participation in research, audit, and service development.
* Supervision of more junior and support staff and students.
* Wide range of experience of management of pelvic health conditions with an emphasis on a particular speciality.
* Detailed knowledge of pelvic floor dysfunction pathologies within a defined speciality including indications for surgery.
* Current knowledge of evidence base relevant to area.
* Knowledge of bio-psychosocial approach.
* Broad general experience of physiotherapy.
* Experience of working in clinics alongside consultants.
* Evidence of published papers.
* An active participant in regional/national groups.
* Understanding of business planning process.
* Understanding of skill mix and staffing requirements.
* Experience of working in partnership with stakeholders.
* Evidence of training at multi-disciplinary level.
Qualifications
* Degree in relevant therapy profession or equivalent.
* Registered with the Health Care Professions Council (HCPC).
* Educated to Masters degree level in advanced clinical practice or equivalent level of experience in a specialist area including having relevant Masters modules.
* Evidence of CPD maintained in a portfolio including attendance at recent and relevant postgraduate courses.
* Clinical Educators Course.
* Extensive evidence of training at a specialist level relevant to area.
* Independent prescriber.
* Management course.
* Research qualification.
* IM&T Skills.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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