An exciting opportunity has arisen for an enthusiastic and motivated Advanced Physiotherapist to join our team.
The first contact physiotherapist role supports the delivery of MSK assessment and signposting within primary care, working closely with the wider clinical team to help us deliver the highest standards of care for our patients.
Would you like to be part of our supportive, enthusiastic and proactive team?
Main duties of the job
The post holder will be the first point of contact for expert clinical assessment and diagnosis of patients presenting with MSK conditions in the practice. They will need highly developed differential diagnostic skills to ensure patients are managed safely, efficiently, and effectively.
They will direct the care pathway for their patients autonomously, including assessment and diagnostics, provision of diagnosis, appropriate self-care advice or onward referral as indicated.
They should understand indications for, and limitations of, relevant MSK investigations, and will be confident in explaining their use and implications to patients.
About us
We are a large training practice based in a comfortable purpose-built premises only minutes away from Tottenham Hale and Seven Sisters stations.
We are passionate about improving outcomes for patients with musculoskeletal conditions to improve their physical and mental health.
We provide a weekly chair-based exercise class through the PCN at the local Tottenham leisure centre with a fitness instructor, to help deconditioned patients develop baseline mobility and strength to improve their conditions and reduce their risk of falls with aging.
Our aim is to provide quality services in a caring and friendly environment and offer a supportive working environment to all members of our team.
We are keen to support training and personal development and have a GP with an MSc in Sports Medicine able to perform steroid injections.
Job responsibilities
Clinical
1. To be the first point of clinical contact for patients presenting with MSK conditions or symptoms, providing the patient with the primary assessment, diagnosis and management options for their condition.
2. Use advanced clinical practice skills and clinical reasoning to provide comprehensive diagnostic and treatment support for patients who present with complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs.
3. Independently request diagnostic tests including routine and specialist x-rays, MRI imaging, ultrasound scans and blood and other pathology tests. Interpret the results alongside traditional physiotherapeutic assessment techniques and non-clinical information to aid clinical diagnosis and decisions on potential treatment options/clinical interventions.
4. Carry own caseload as an autonomous practitioner, providing direct clinical/physiotherapeutic care for patients with a range of complex musculoskeletal conditions and who may have significant other primary or secondary conditions/multipathologies.
Non-medical prescribing
1. Use professional judgement and advanced clinical reasoning skills to make decisions about safe and effective patient care in unpredictable situations, including when there is incomplete/contradictory information.
2. To be able to work autonomously as a lone practitioner.
3. Be able to demonstrate understanding of the impact of physiotherapeutic interventions on existing conditions and treatment programmes e.g. podiatric treatment, drug therapies, etc. Ensuring physiotherapy interventions are integrated and supportive of the whole treatment aims promoting a holistic approach to condition management.
4. Be able to clinically justify referral onto appropriate MSK pathways within the community or wider healthcare services. Including referral to the appropriate stage of the pathway and the use of social prescribing.
5. For patients managed as part of own caseload take the lead for the management of the patients journey on their care pathway, acting as the link for the patient between primary care and other services/professionals.
6. Be able to justify clinically referrals to other specialist services. This will include referral to acute and specialist services such as surgical orthopaedics, rheumatology and neurology, other AHP services, nursing services and to the primary care medical teams. This requires advanced knowledge of the role of other specialist health professionals.
7. An ability to recognise potential underlying non-MSK related disease and conditions that present as MSK symptoms and to refer appropriately. When needed accelerate the patients referral to other health professionals/services.
8. Work in partnership with the patient at all times to attain maximum participation in treatment programmes. This will include working with patients from diverse social backgrounds and cultures and understanding how this will affect treatment proposals and models.
9. Develop integrated and tailored care programmes in partnership with patients.
10. Provide expert advice and act as source of expertise in the management of musculoskeletal conditions and provide a specialist advisory service to patients, specialist physiotherapists, other specialist healthcare professionals and members of the primary care team. Including advising GPs on management of MSK conditions.
11. Continually review and develop specialist clinical and diagnostic skills in response to service need.
12. Be accountable for own decisions and actions via HCPC registration and professional standards.
Service/Professional Leadership/Consultancy
1. Plan and organise the FCP service efficiently, ensuring delivery in-line with service expectations.
2. Integrate the FCP role into the wider primary care team, proactively working with the primary care team to build robust relationships and integrate working practices.
3. Contribute to the development of referral guidelines for MSK and MSK related conditions from primary care to other NHS services that will direct referrals to other primary care services, community, secondary and tertiary [specialist] services.
4. Work with other specialists to support the development of MSK pathways across the primary care network.
5. Participate in peer networking and support underpinned by active engagement in peer review and embracing evidence-based practice.
6. Contribute to organisational and service policies that support the maintenance of good clinical governance, manage risk and ensure patient safety is paramount.
Person Specification
Qualifications
* BSc degree in Physiotherapy
* Health & Care Professions Council (HCPC) registration
* Can demonstrate working at Level 7 [within the ACP framework] capability in MSK related areas of practice or equivalent (such as advanced assessment diagnosis and treatment)
* MSc degree in Physiotherapy
* Completed or working towards a Supplementary Prescribing qualification
Experience
* Experience in applying the physiotherapy process to include MSK assessment, interpretation, individual care planning, motivation, monitoring and evaluation of highly specialized MSK treatment
* Working knowledge of Microsoft and GPIT systems, alongside prescribing data monitoring systems
* Experience of contributing to and service delivery/evolving evidence led practice and delivery in a changing environment
* Ability to demonstrate leadership when introducing change.
* Experience of working within a primary care setting
Skills
* Excellent interpersonal and organisational skills
* Ability to evidence a sound understanding of the NHS principles and values
* Excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information
* Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated
* High degree of personal credibility, emotional intelligence, patience and flexibility
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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