Job summary Highly Specialist Physiotherapist - Respiratory (Medical) Physiotherapy Team Lead University Hospital Lewisham We are seeking a dynamic and talented senior Respiratory Physiotherapist to work and lead the medical respiratory physiotherapy service at University Hospital Lewisham. The post holder will be supervised by the Clinical Specialist Critical Care (cross-site) Physiotherapist, and Inpatient Lead Physiotherapist, and work alongside the physiotherapy lead for critical care and surgery. They will work as part of a large respiratory physiotherapy team as well as working as part of the wider trust respiratory physiotherapy service. This exciting opportunity includes leading the Lewisham adult Cystic Fibrosis physiotherapy service, working closely with the CF MDT in the ouptatient and inpatient settings. Additionally, this post holder will lead the acute NIV service including supporting our Assisted Ventilation Unit. This exciting opportunity will allow the successful candidate to gain experience and develop advanced clinical and leadership skills. In this role, you would have the opportunity to experience the diversity of working across the London Borough of Lewisham. The caseload will comprise of a mixture of medical and respiratory inpatients, including those with an altered airway, in addition to the Cystic Fibrosis and NIV caseloads. Therapies are considered an integral part of the multi-disciplinary team at Lewisham and Greenwich Trust and enjoy close MDT working. Main duties of the job We support staff to attend courses and further education to allow progression in your clinical specialty, as well as senior leadership skills. This is supported both with access to paid study leave and course funding. All senior therapists are encouraged to take an active role in trust wide quality improvement, audit and service development. The physiotherapy department within Lewisham and Greenwich NHS Trust is highly regarded as an inclusive and supportive team. If you are a motivated Physiotherapist looking to progress as a Highly Specialist Medical Respiratory Physiotherapist do not miss this opportunity to work within a dynamic, friendly and innovative department with all the benefits of being a large London Trust. About us Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup. Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations: Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ and women, through improved recruitment and leadership development Widening access (anchor institution) and employability Improving the experience of staff with disability Improving the EDI literacy and confidence of trust staff through training and development Making equalities mainstream Date posted 20 February 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year per annum plus HCAS pro rata Contract Permanent Working pattern Full-time, Flexible working Reference number 197-UT6464 Job locations University Hospital Lewisham Lewisham High Street London SE13 6LH Job description Job responsibilities Job Purpose 1 To lead a respiratory physiotherapy service of assessment, diagnosis, treatment and management of patients in the Lewisham and Greenwich NHS Trust. The caseload will comprise of a mixture of mainly in-patient and some outpatient clients. The postholder will be supported in the team management and clinically by the 8a clinical specialist physiotherapist. 2 To lead the adult physiotherapy cystic fibrosis service and work alongside the MDT including attendance at weekly clinics, MDT and annual review appointments 3 To lead the assisted ventilation unit (NIV unit) and support medical patients across all inpatient areas in the trust 4 The post is based on the Queen Elizabeth site but may at times be asked to work on other sites in order to maintain service levels. 5 7-day working for Therapies is under development within the Trust and the postholder will be required to participate in weekend and on-call working. Job Summary 1 To undertake all aspects of clinical duties as an autonomous practitioner. 2 To perform highly specialist physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions; to provide a provisional diagnosis and develop and deliver an individualised treatment programme. 3 To take responsibility for own caseload, being responsible for a defined area of the service, providing support to more junior members of your team. Formal supervision is comprised of regular in-service training, appraisal, clinical reasoning sessions, documentation and caseload reviews and observation of clinical assessment / treatment or related discussion. 4 To lead the team and participate in evidence based audit/research activity to further the teams clinical practice within each rotation. To make recommendations to the lead in-patient therapist for any changes to practice by the team. 5 To supervise specialised rotational and rotational physiotherapists, physiotherapy assistants, physiotherapy practitioner and physiotherapy students in the clinical setting. SPECIFIC DUTIES AND RESPONSIBILITIES 1 CLINICAL 1.1 To be professionally and legally accountable for all aspects of your own work,including the management of patients in your care. 1.2 To undertake a comprehensive, and holistic, assessment of patients includingthose with complex presentations / multi-pathologies. 1.3 To use manual and other assessment techniques and clinical reasoning skills toprovide an accurate diagnosis of patients' conditions and identify their problems. 1.4 To assess patients' understanding of treatment proposals, gain valid informedconsent and have the capacity to work within a legal framework with patients wholack the capacity to consent to treatment. 1.5 To use clinical assessment and reasoning skills combined with a specialistknowledge and clinical experience of patho-physiology, evidence-based practiceand treatment strategies to provide an effective treatment plan and goals in collaboration with the patient. 1.6 To evaluate patients' progress, re-assess and alter treatment programmes asrequired. 1.7 To formulate accurate prognoses and liaise with the multi-disciplinary team regarding discharge planning, where necessary, to ensure safe, timely and effective discharge from hospital, or following an outpatient episode of care. 1.8 To be responsible for the safe and competent use of gym, manualhandling and respiratory equipment, as well as the use of other aids and appliancesby patients in your working area, ensuring that any rotational and specialist rotational Physiotherapists and assistant staff attain competency prior to use. 1.9 To use a range of verbal and non-verbal communication skills to communicateeffectively with patients during assessment and treatment. To communicateappropriately at all times with all individuals in a respectful manner. 1.10 To use active listening and optimum communication skills to discuss patientsconcerns, worries and prognoses with them and their families, for example patientswho have progressive, degenerative or terminal illnesses and those with newlyacquired disabilities 1.11 To be an active member of the respiratory on-call & weekend rota. 1.12 To provide advice to medical and nursing staff and other members of the multi-disciplinary team regarding patients' respiratory conditions, when working on the acute wards. 1.13 To supervise and delegate to assistant staff and rotational and specialist rotational Physiotherapists. 1.14 To work within Trust, departmental and CSP guidelines, ensuring a good working knowledge of national and local standards. 2 MANAGEMENT 2.1 To maintain an accurate and evaluative record keeping system in accordance with the Trust and departmental policies, and which can be used for audit and legal purposes. 2.2 To be responsible for organising, prioritising and planning your own caseload tomeet service needs and patient priorities, adjusting plans as situations arise. 2.3 To identify and manage clinical risk within your own patient caseload and clinical area. 2.4 To comply with all Trust policies and procedures, and the Health & Safety at Work Act, and the Data Protection Act. To report on complaints, accidents and clinicalincidents to the immediate senior as soon as possible. 2.5 To be familiar with and comply with local fire procedures. 2.6 To be familiar with all Trust and Therapy emergency and precautionary procedures,on site, and to respond as necessary eg. hydrotherapy, emergency resuscitation, infection control etc. 2.7 To ensure that all equipment defects are reported to the Therapy Management team immediately, and that appropriate action is then taken. 2.8 To advise and demonstrate to carers, nursing and other staff on the safe manual handling, positioning and moving of patients. 2.9 To provide training on the use of equipment and management of conditions for carers, nursing and other staff when necessary. 2.10 To be responsible for the supervision and co-ordination of students, junior staff and assistants on a day to day basis. 2.11 To make appropriate referrals to other health professionals following assessment /identification of need. 2.12 To participate in the managerial matters of the unit and department as required, and to attend staff meetings. 2.13 To participate in the induction programme for all new staff where appropriate. 2.14 To undertake additional duties as may be deemed necessary, as requested by theIn-patient team lead PT. 3 EDUCATION AND TRAINING 3.1 To participate in the individual performance review (appraisal) and annual appraisal schemes and be responsible for complying with your agreed personal development plan to meet set goals. 3.2 To be responsible for maintaining your competence to practice and StateRegistration to HCPC through C.P.D. activities and maintaining a portfolio which reflectspersonal development. 3.4 To participate in and contribute to the in-service education programmes of the specific rotation and of the department. 3.5 To participate in mandatory and statutory training, having an awareness of andcomplying with Trust and departmental procedures. 3.6 To attend Trust in-house training sessions / programmes and external courses asappropriate. 3.7 To contribute to the education of Therapy Assistants/practitioners when necessary. 3.8 To be responsible for the clinical education of student physiotherapists, teachingthem to graduate level on physiotherapeutic skills and knowledge within the coreclinical areas, reporting performance issues to a relevant person. 4 COMMUNICATION 4.1 To participate in staff meetings, ward rounds, seminars/case conferences, multi- disciplinary team meetings and other meetings of the specific unit and Therapydepartment as required, providing a clinical opinion about specific patients. 4.2 To maintain close links with the Therapy Manager and In-Patient Lead Physiotherapist, as well as maintaining close working relationships with other disciplines within the hospital to ensure optimal patient care and management. 4.3 To ensure close links of communication / liaison with the Therapy Manager, senior staff, schools of physiotherapy and all other disciplines involved in patient care, both in the hospital and in the community, and to promote good working relationships. 4.4 To provide comprehensive discharge summaries and patient reports whenrequested by Doctors and outside bodies. 4.5 To participate in IT training and be able to use therapy computer software. 4.6 To encourage health promotion within the Hospital and Community by example andadvice to individual patients. 4.7 To deal with any verbal and telephone complaints from patients, relatives or carers, ensuring necessary documentation. To report on any such complaints to thein-patient lead PT as soon as possible. 5 RESEARCH, DEVELOPMENT AND AUDIT 5.1 To supervise rotational and specialist rotational staff to undertake a relevant evidence based project within your rotation, where possible developing improvements to clinical practice 5.2 To be involved, with the clinical team, in clinical / organisational audits, ensuringquality standards of service are maintained. 5.3 To be aware of current research and best evidence relevant to the clinical speciality, and incorporate it into your treatment. 5.4 To participate in appropriate work related research / evaluation projects based on evidence, to assist with the development of the service within the clinical team. 5.5 To work with members of the team to identify needs and develop the service andpolicies. Job description Job responsibilities Job Purpose 1 To lead a respiratory physiotherapy service of assessment, diagnosis, treatment and management of patients in the Lewisham and Greenwich NHS Trust. The caseload will comprise of a mixture of mainly in-patient and some outpatient clients. The postholder will be supported in the team management and clinically by the 8a clinical specialist physiotherapist. 2 To lead the adult physiotherapy cystic fibrosis service and work alongside the MDT including attendance at weekly clinics, MDT and annual review appointments 3 To lead the assisted ventilation unit (NIV unit) and support medical patients across all inpatient areas in the trust 4 The post is based on the Queen Elizabeth site but may at times be asked to work on other sites in order to maintain service levels. 5 7-day working for Therapies is under development within the Trust and the postholder will be required to participate in weekend and on-call working. Job Summary 1 To undertake all aspects of clinical duties as an autonomous practitioner. 2 To perform highly specialist physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions; to provide a provisional diagnosis and develop and deliver an individualised treatment programme. 3 To take responsibility for own caseload, being responsible for a defined area of the service, providing support to more junior members of your team. Formal supervision is comprised of regular in-service training, appraisal, clinical reasoning sessions, documentation and caseload reviews and observation of clinical assessment / treatment or related discussion. 4 To lead the team and participate in evidence based audit/research activity to further the teams clinical practice within each rotation. To make recommendations to the lead in-patient therapist for any changes to practice by the team. 5 To supervise specialised rotational and rotational physiotherapists, physiotherapy assistants, physiotherapy practitioner and physiotherapy students in the clinical setting. SPECIFIC DUTIES AND RESPONSIBILITIES 1 CLINICAL 1.1 To be professionally and legally accountable for all aspects of your own work,including the management of patients in your care. 1.2 To undertake a comprehensive, and holistic, assessment of patients includingthose with complex presentations / multi-pathologies. 1.3 To use manual and other assessment techniques and clinical reasoning skills toprovide an accurate diagnosis of patients' conditions and identify their problems. 1.4 To assess patients' understanding of treatment proposals, gain valid informedconsent and have the capacity to work within a legal framework with patients wholack the capacity to consent to treatment. 1.5 To use clinical assessment and reasoning skills combined with a specialistknowledge and clinical experience of patho-physiology, evidence-based practiceand treatment strategies to provide an effective treatment plan and goals in collaboration with the patient. 1.6 To evaluate patients' progress, re-assess and alter treatment programmes asrequired. 1.7 To formulate accurate prognoses and liaise with the multi-disciplinary team regarding discharge planning, where necessary, to ensure safe, timely and effective discharge from hospital, or following an outpatient episode of care. 1.8 To be responsible for the safe and competent use of gym, manualhandling and respiratory equipment, as well as the use of other aids and appliancesby patients in your working area, ensuring that any rotational and specialist rotational Physiotherapists and assistant staff attain competency prior to use. 1.9 To use a range of verbal and non-verbal communication skills to communicateeffectively with patients during assessment and treatment. To communicateappropriately at all times with all individuals in a respectful manner. 1.10 To use active listening and optimum communication skills to discuss patientsconcerns, worries and prognoses with them and their families, for example patientswho have progressive, degenerative or terminal illnesses and those with newlyacquired disabilities 1.11 To be an active member of the respiratory on-call & weekend rota. 1.12 To provide advice to medical and nursing staff and other members of the multi-disciplinary team regarding patients' respiratory conditions, when working on the acute wards. 1.13 To supervise and delegate to assistant staff and rotational and specialist rotational Physiotherapists. 1.14 To work within Trust, departmental and CSP guidelines, ensuring a good working knowledge of national and local standards. 2 MANAGEMENT 2.1 To maintain an accurate and evaluative record keeping system in accordance with the Trust and departmental policies, and which can be used for audit and legal purposes. 2.2 To be responsible for organising, prioritising and planning your own caseload tomeet service needs and patient priorities, adjusting plans as situations arise. 2.3 To identify and manage clinical risk within your own patient caseload and clinical area. 2.4 To comply with all Trust policies and procedures, and the Health & Safety at Work Act, and the Data Protection Act. To report on complaints, accidents and clinicalincidents to the immediate senior as soon as possible. 2.5 To be familiar with and comply with local fire procedures. 2.6 To be familiar with all Trust and Therapy emergency and precautionary procedures,on site, and to respond as necessary eg. hydrotherapy, emergency resuscitation, infection control etc. 2.7 To ensure that all equipment defects are reported to the Therapy Management team immediately, and that appropriate action is then taken. 2.8 To advise and demonstrate to carers, nursing and other staff on the safe manual handling, positioning and moving of patients. 2.9 To provide training on the use of equipment and management of conditions for carers, nursing and other staff when necessary. 2.10 To be responsible for the supervision and co-ordination of students, junior staff and assistants on a day to day basis. 2.11 To make appropriate referrals to other health professionals following assessment /identification of need. 2.12 To participate in the managerial matters of the unit and department as required, and to attend staff meetings. 2.13 To participate in the induction programme for all new staff where appropriate. 2.14 To undertake additional duties as may be deemed necessary, as requested by theIn-patient team lead PT. 3 EDUCATION AND TRAINING 3.1 To participate in the individual performance review (appraisal) and annual appraisal schemes and be responsible for complying with your agreed personal development plan to meet set goals. 3.2 To be responsible for maintaining your competence to practice and StateRegistration to HCPC through C.P.D. activities and maintaining a portfolio which reflectspersonal development. 3.4 To participate in and contribute to the in-service education programmes of the specific rotation and of the department. 3.5 To participate in mandatory and statutory training, having an awareness of andcomplying with Trust and departmental procedures. 3.6 To attend Trust in-house training sessions / programmes and external courses asappropriate. 3.7 To contribute to the education of Therapy Assistants/practitioners when necessary. 3.8 To be responsible for the clinical education of student physiotherapists, teachingthem to graduate level on physiotherapeutic skills and knowledge within the coreclinical areas, reporting performance issues to a relevant person. 4 COMMUNICATION 4.1 To participate in staff meetings, ward rounds, seminars/case conferences, multi- disciplinary team meetings and other meetings of the specific unit and Therapydepartment as required, providing a clinical opinion about specific patients. 4.2 To maintain close links with the Therapy Manager and In-Patient Lead Physiotherapist, as well as maintaining close working relationships with other disciplines within the hospital to ensure optimal patient care and management. 4.3 To ensure close links of communication / liaison with the Therapy Manager, senior staff, schools of physiotherapy and all other disciplines involved in patient care, both in the hospital and in the community, and to promote good working relationships. 4.4 To provide comprehensive discharge summaries and patient reports whenrequested by Doctors and outside bodies. 4.5 To participate in IT training and be able to use therapy computer software. 4.6 To encourage health promotion within the Hospital and Community by example andadvice to individual patients. 4.7 To deal with any verbal and telephone complaints from patients, relatives or carers, ensuring necessary documentation. To report on any such complaints to thein-patient lead PT as soon as possible. 5 RESEARCH, DEVELOPMENT AND AUDIT 5.1 To supervise rotational and specialist rotational staff to undertake a relevant evidence based project within your rotation, where possible developing improvements to clinical practice 5.2 To be involved, with the clinical team, in clinical / organisational audits, ensuringquality standards of service are maintained. 5.3 To be aware of current research and best evidence relevant to the clinical speciality, and incorporate it into your treatment. 5.4 To participate in appropriate work related research / evaluation projects based on evidence, to assist with the development of the service within the clinical team. 5.5 To work with members of the team to identify needs and develop the service andpolicies. Person Specification Qualifications & Training Essential Degree/diploma in Physiotherapy Post graduate training in Respiratory Physiotherapy Evidence of continuing professional development HCPC registration Desirable Relevant MSC Member of ACPRC Research experience Experience Essential Significant experience in respiratory Physiotherapy at Band 6 level Effective teaching skills Evidence supported by portfolio Desirable Involvement of audit Able to teach using simulation suite Knowledge Essential Possession of in-depth knowledge of respiratory physiotherapy and service developments Commitment to the development of physiotherapy and education within the clinical setting Competence in setting up and teaching set up of NIV to other physiotherapists Excellent communication skills at all levels, both verbally and written Computer literacy Approachable to all colleagues and members of the public Able to work in a diplomatic and professional manner Awareness of Government agenda especially in relation to acute care Knowledge of the modernisation agenda Ability to work as a team leader Desirable Experience of working in a variety of clinical and educational settings Person Specification Qualifications & Training Essential Degree/diploma in Physiotherapy Post graduate training in Respiratory Physiotherapy Evidence of continuing professional development HCPC registration Desirable Relevant MSC Member of ACPRC Research experience Experience Essential Significant experience in respiratory Physiotherapy at Band 6 level Effective teaching skills Evidence supported by portfolio Desirable Involvement of audit Able to teach using simulation suite Knowledge Essential Possession of in-depth knowledge of respiratory physiotherapy and service developments Commitment to the development of physiotherapy and education within the clinical setting Competence in setting up and teaching set up of NIV to other physiotherapists Excellent communication skills at all levels, both verbally and written Computer literacy Approachable to all colleagues and members of the public Able to work in a diplomatic and professional manner Awareness of Government agenda especially in relation to acute care Knowledge of the modernisation agenda Ability to work as a team leader Desirable Experience of working in a variety of clinical and educational settings 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Lewisham and Greenwich NHS Trust Address University Hospital Lewisham Lewisham High Street London SE13 6LH Employer's website https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)