Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
To assist in the provision of high-quality therapy services within the outpatient therapy team working with musculoskeletal, rheumatology, and neurology patients in the Therapy Outpatient department including the gym and hydrotherapy pool setting.
Under the guidance of the registered Physiotherapists and Occupational Therapists, provide comprehensive assessment and treatment to the variety of patient groups working unsupervised as an autonomous practitioner with responsibility for managing a delegated caseload.
To deliver class and group sessions for patients referred to Outpatient Therapy services with responsibility for organising and booking appointments within the gym and hydrotherapy pool settings.
To contribute to the operational running of the Therapy Outpatient service and manage and organise own professional duties within the department.
Main duties of the job
1. To be responsible for own caseload, working without direct supervision within the remit of the post with routine evaluation of clinical practice in the role.
2. To use an evidence-based, person-centred approach in the planning, implementation, evaluation of therapy and rehabilitation programmes and interventions following guidelines and protocols and role competencies, facilitating optimal outcomes for patients referred to the service.
3. To work as an integral part of the Outpatient Therapy team and the multi-disciplinary team, representing Therapy Services, communicating effectively with colleagues, patients, their families, and carers maintaining interactions with external agencies as required.
Job responsibilities
1. To accept responsibility for a designated caseload of patients and to organise the caseload effectively and efficiently.
2. To ensure a high standard of clinical care for the patients under your management and support other members in the team to do likewise.
3. To assess the patients understanding of therapeutic and treatment proposals, gain their valid informed consent and have the capacity to work within the legal framework with patients who lack capacity to consent to treatment.
4. To apply appropriate anatomy and physiology knowledge specific to the patient to facilitate optimal clinical decision making, treatment and management.
5. To be able to recognise the needs of a patient based on their condition, functional status and co-morbidities and being able to recognise a medically deteriorating patient and act accordingly to seek help.
6. To ensure the safe use of therapeutic equipment in the Therapy gyms, Therapy outpatient department and Hydrotherapy pool.
7. To be involved in planning, reviewing and progression of physiotherapy treatments in line with guidelines and protocols.
8. Monitor patients progress/condition ensuring reviews are arranged with a registered clinician or the referring clinician, where there is a change in the patients condition or the presentation differs from that expected or identified with agreed protocols and guidelines or the patients needs exceeds competency levels.
9. To support, encourage and motivate patients to achieve agreed identified goals and participate in their treatment programme within the gym, ward and hydrotherapy environments supporting patients to longer term self-management for ongoing conditions on discharge from the care episode.
10. To maintain accurate, comprehensive and up to date assessment and treatment records for all patients in line with legal, Trust and department requirements.
11. Record assessment and treatment outcomes as required on the relevant systems.
12. To develop and maintain skills required to provide and receive sensitive or contentious information from patients or carers.
13. To participate in relevant MDT clinical meetings, representing the physiotherapy team and ensure that feedback is given to relevant staff.
14. To provide administration support to the MSK, Rheumatology and Neurology Outpatient therapy teams working as an integrated member of the therapy team supporting effective communication throughout the service.
15. To promote and support patients rights, by promoting individual choice, respecting their beliefs, ensuring privacy and dignity at all times.
16. To communicate effectively utilising skills of persuasion, motivation, negotiation, training, empathy and reassurance as appropriate.
17. To provide support and advice to less experienced members of the physiotherapy and occupational therapy team.
18. To be responsible for the use and care of physiotherapy equipment giving instruction in its proper and safe use to both staff and patients.
Person Specification
Qualifications
* Diploma level 3 or equivalent level 3 qualification e.g. health and social care, personal training, sports and exercise.
* Equivalent skills in relevant subjects, e.g. social care, biology or prepared to work towards this level.
* Relevant courses in gym and pool/swimming/lifeguarding.
* Evidence of Foundation Degree level study (level 5) or equivalent.
Experience
* Significant previous work experience e.g. in health or rehabilitation setting.
* Previous experience working with long term health conditions (e.g. Arthritis, Stroke, Spinal Cord Injury). Experience of working in a gym setting, rehabilitation or hydrotherapy.
Skills and Competencies
* Ability to work independently to an agreed treatment programme or protocol and to modify programmes, as appropriate within levels of competence.
* To demonstrate organisational skills and the ability to self-manage workload.
* To demonstrate proven ability to interact appropriately with patients, developing rapport with patients, carers and members of outpatient team and wider multi-disciplinary team.
* To communicate effectively and have good written and verbal communication skills.
* To carry out safe moving and handling.
* To have a good understanding of the patient condition and its impact on the therapy intervention.
* To demonstrate good interpersonal skills.
* Ability to learn through experience and accept feedback from others.
* IT skills e.g. inputting patient information onto booking systems, checking patient notes on EPR.
* Admin skills e.g. answering the telephone, contacting patients, filing notes correctly.
* Ability to take appropriate outcome measures for MSK, Rheumatology and Neurology patients e.g. Timed Up and Go Test.
Knowledge
* Knowledge of patient specific conditions (MSK, Rheumatology, Neurological).
* Knowledge of how to progress/regress an exercise program.
* Ability to apply the principles of exercise to the rehabilitation process.
* Knowledge of electronic patient records system.
* How to instruct in the use of exercise equipment in the gym and in the pool.
* Basic Infection Prevention Control knowledge e.g. cleaning schedules and audits.
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.
Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
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