To take the lead role in the day to day delivery of a high quality First Contact Physiotherapy (FCP), managing resources and conflicting priorities.
Undertake all aspects of advanced clinical duties as an autonomous practitioner acting as a clinical expert and role model within own team and wider MDT workforce.
Evaluate FCP Service in conjunction with primary care leads and take actions to contribute to continual quality improvement and positive patient outcomes.
Role model positive, inclusive and compassionate leadership.
Main duties of the job
To work as First Contact Practitioner within GP practices for management of MSK conditions. Ensure appropriate triage takes place, requesting of investigations and appropriate signposting.
To take a lead role within FCP, providing advanced therapy assessment and treatment of patients with diverse presentations and complex physical and psychological conditions. To be a source of expertise, to identify, analyse, evaluate and problem solve to enable the development and delivery of individualized intervention and treatment programmes.
To undertake all aspects of clinical duties as an autonomous practitioner, using specialist skills to effectively manage caseload, service delivery, patient and professional demands. Maintain appropriate records and data inputting.
Support the Primary Care Network clinical directors in planning, coordinating, and delivering the FCP service provided to patients, managing staff and resources on a day-to-day basis and adapting use of resources to meet conflicting demands.
Job description
Job responsibilities
Clinical
To be responsible for the planning and clinical delivery of an effective, efficient therapy service in area of speciality, responding to shifting priorities and adjusting plans accordingly.
To perform, unsupervised, comprehensive assessment of patients, using a high level of clinical knowledge and experience. This will involve the use of advanced investigative and analytical skills interpreting and formulating diagnoses, prognoses and individual treatment programmes.
To have expert knowledge and in-depth experience in the therapy management of patients within area of speciality, acting as an expert for all relevant aspects of the management.
To provide highly specialised assessment and treatment planning for patients within the clinical area.
To develop new services, ways of working or extended practice based on current evidence and best practice to optimise the patient pathway.
To have expert knowledge and skills in the use and application of relevant equipment to enable the training of others to a given competency.
To be professionally and legally responsible and accountable for all aspects of own work. This includes the use of autonomy within your scope of practice. To treat patients within professional guidelines and standards as determined by the Chartered Society of Physiotherapy and adhere to National and local guidelines.
To demonstrate highly developed dexterity, co-ordination and palpatory senses for assessment and manual treatment of patients, and to have expert knowledge, skills and the physical ability for the safe therapeutic handling of patients.
To regularly undertake measurement and evaluation of work and current practice through the use of clinical research, audit, outcome measures and evidence-based practice. From this be able to make recommendations for and implement changes to improve and develop clinical practice.
Where there is clinical urgency identified in cases of potential serious pathology to escalate to most appropriate clinical speciality within appropriate timescales as identified in local pathways and national guidelines.
Promptly identify patients with non MSK conditions and escalate accordingly for medical management.
To lead in the development and evaluation of appropriate pathways for suspected sinister pathology.
To request, interpret and act on a range of diagnostic investigations within the Scope of Speciality for the service + bloods to aid the assessment, diagnosis and appropriate management of the patients referred condition.
To independently screen and signpost patients appropriately for Orthopaedic procedures i.e. Therapeutic Hip Injections and to assume clinical responsibility for review and aftercare where appropriate.
To act as an example with regards to clinical caseload management to avoid delaying patients by prioritising clinical need and utilising appointments effectively.
Write up research studies and significant audit findings and seek publication in appropriate Medical journals.
To participate in and ensure the effective delivery of weekend or extended access FCP services as appropriate to area of speciality.
Be responsible for maintaining accurate and comprehensive patient treatment records in line with local Policy, Chartered Society of Physiotherapy (CSP) and HCPC.
Communicate effectively sensitive and contentious information to patients using a range of verbal and non-verbal communication tools to convey complex clinical information to ensure their understanding. This includes patients who may have barriers to understanding or communicating, or who may be unable to accept diagnosis, and may include the breaking of bad news.
To assess patient capacity, gain valid consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.
To communicate effectively with, involve and motivate patients families to maximise rehabilitation potential and to ensure understanding of condition.
To communicate professionally and efficiently with administrative team to support patient pathway
Write sufficiently detailed clinical letters and referrals to be informative to all relevant parties where applicable.
Person Specification
Education and Qualifications
Essential
* MSc or equivalent level of experience
* Evidence of continuous professional development via relevant post-graduate courses
* Minimum of 5 years post graduate Physiotherapy Experience with a minimum of 3 years of clinical experience in delivering MSK assessment and treatment.
* Completion of the HEE roadmap to practice
* MSc qualification in clinical speciality, preferably with an Extended Scope component
Desirable
* Injection therapy qualification
* Non-Medical Prescribing qualification
* Certificate/evidence in course of leadership development
* Computer literacy course or evidence of competent IT skills
Clinical Experience
Essential
* Experience in requesting and interpreting diagnostic tests such as MRI, X-ray, USS, NCSEMG and blood tests for MSK conditions whilst considering likely differential causes.
* Experience in effectively managing patients with complex MSK conditions such as pain management, existing long-term conditions and multiple co-morbidities and pathologies
* Experience in having speed of thought to quickly identify & escalate referrals with regards to patients presenting with non MSK issues
* Ability to perform timely clinical assessments for complex presentations with knowledge of relevant & appropriate special tests
* Experience in the identification and management of suspected sinister pathology including knowledge of appropriate local and national guidance
Experience
Essential
* Previous experience of using the Egton Medical Information Systems (EMIS)
* Knowledge of reducing risks associated with lone working
Desirable
* Experience of leading a department regarding clinic management but also with operational duties when required i.e. managing absence, recognising and improving performance and managing leave.
Employer details
Employer name
The Dudley Group NHS Foundation Trust
Address
Halesowen PCN
2 Quarry Lane
Halesowen
B63 4WD
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