Job summary The Discharge to Assess (D2A) Team has recently merged with our Bed Based teams across our 3 Community Hospitals. This is a hybrid role working as part of the D2A team but embedded within the inpatient team at Queen Victoria Memorial (QVM) Hospital. You would be joining a supportive team of qualified therapists and therapy support workers to provide senior clinical leadership to deliver quality care to our D2A patients within care homes in and around the East & North Hertfordshire area, as well as the inpatients at QVM. You will be based at QVM in Welwyn, Hertfordshire. However, when providing the D2A service, the post holder will be required to travel between care homes within East & North Hertfordshire including, Stevenage, Hatfield & Broxbourne. QVM is a 21 bedded unit located on the outskirts of Welwyn Village, Hertfordshire. QVM provides rehabilitation for patients with a wide range of conditions such as falls, frailty, stroke, orthopaedics and amputees. QVM is a purpose built unit to also support East & North Hertfordshire's plus size pathway. Rehabilitation is provided on a generic 17-day pathway, or a 35-day pathway for stroke patients. Full-time and part-time hours will be considered. Main duties of the job To provide specialised assessment and treatment packages of high quality for patients with complex conditions including neurology and frailty. To provide expert advice, guidance and information to health and social care professionals, carers and relatives and other non- professionals. To contribute to the training, development and supervision of junior staff, rehabilitation assistants and students. To take a lead in the rehabilitation and discharge planning of patients as part of the "lead therapist" role. This involves the chairing of patient/ family meetings and making onward referrals. About us A big thank you for considering joining us at Hertfordshire Community NHS TrustYou'll find it a great place to work with many benefits offered to you as a member of our staffWe put our patients, their families and carers at the centre of our vision - Outstanding Services and Healthier Communities Our staff are proud to be Innovative, Caring and Agile in their work to help achieve the Trust visionWe welcome diversity in our workforce and are interested in applicants from all backgrounds and agesWe don't want you to miss out so we'd like you to know that if we have a high level of interest in this role, the vacancy may close prior to the advertised closing date, so please make your application as soon as possible - Apply nowYou've made a great decision to apply to join to HCT - we're looking forward to taking the next steps of the journey with you. We can offer you: 5% on top of basic salary high-cost allowance supplement (subject to a minimum and a maximum payment pro rata) 27 days holiday rising to 33 days (depending on NHS Trust service) plus bank holidays (pro rata where applicable) One of the UK's best pension schemes Special Leave for family and personal reasons NHS Car Lease Scheme Eye Care Vouchers Employee Assistance Programme NHS Discounts Free parking at QVM Date posted 26 March 2025 Pay scheme Agenda for change Band Band 6 Salary £39,205 to £47,084 a year pa pro rata Contract Permanent Working pattern Full-time, Part-time Reference number 812-25-PR-D2A/QVM Job locations Queen Victoria Memorial Hospital School Lane Welwyn AL69PW Job description Job responsibilities To undertake a comprehensive assessment of patients including those with diverse or complex presentations/multi pathologies; use advanced clinical reasoning skills and manual assessment techniques to provide an accurate diagnosis. To hold responsibility for own case load and be responsible for a defined area of the service, working without direct supervision. Supervision takes the form of regular formal training and clinical reasoning sessions, peer review, case conferences and reflective practice. To undertake all aspects of clinical duties as an autonomous practitioner. To be professionally and legally accountable for all aspects of own clinical practice and work. To be responsible for providing advanced physiotherapy assessment and treatment plans for patients with stroke and other complex neurological conditions. To assess and manage clinical risk within own patient caseload. RepresentD2A/ physiotherapy service and/or individual patients at the multi-disciplinary team meetings. Ensure the delivery of a co-ordinated multidisciplinary service, and integrate physiotherapy treatment into the treatment programme. This will include discussion of individualised patient care and treatment packages, patient progress and involvement in discharge planning from the D2A service or bed bases. To be responsible for the safe and competent use of all equipment used within the role. This will include walking aids, manual handling equipment, exercise equipment, electrotherapy equipment, splinting and orthotic devices and other patient appliances and aids. Check all equipment prior to use and report any faults to the relevant authority. To be responsible for organising and planning your own caseload to meet service and patient priorities. To be adaptable and readjust plans as situations change/ arise. Job description Job responsibilities To undertake a comprehensive assessment of patients including those with diverse or complex presentations/multi pathologies; use advanced clinical reasoning skills and manual assessment techniques to provide an accurate diagnosis. To hold responsibility for own case load and be responsible for a defined area of the service, working without direct supervision. Supervision takes the form of regular formal training and clinical reasoning sessions, peer review, case conferences and reflective practice. To undertake all aspects of clinical duties as an autonomous practitioner. To be professionally and legally accountable for all aspects of own clinical practice and work. To be responsible for providing advanced physiotherapy assessment and treatment plans for patients with stroke and other complex neurological conditions. To assess and manage clinical risk within own patient caseload. RepresentD2A/ physiotherapy service and/or individual patients at the multi-disciplinary team meetings. Ensure the delivery of a co-ordinated multidisciplinary service, and integrate physiotherapy treatment into the treatment programme. This will include discussion of individualised patient care and treatment packages, patient progress and involvement in discharge planning from the D2A service or bed bases. To be responsible for the safe and competent use of all equipment used within the role. This will include walking aids, manual handling equipment, exercise equipment, electrotherapy equipment, splinting and orthotic devices and other patient appliances and aids. Check all equipment prior to use and report any faults to the relevant authority. To be responsible for organising and planning your own caseload to meet service and patient priorities. To be adaptable and readjust plans as situations change/ arise. Person Specification Qualifications & Training Essential Physiotherapy degree or equivalent HCPC registration Documented evidence of professional development in relevant areas Desirable Attendance at relevant post-graduate training courses e.g. Dementia, elderly care, frailty, stroke etc. Experience Essential A minimum of 1 year's post registration experience in a broad rotational post Appropriate inpatient rehabilitation experience Experience of working in the community Desirable Experience of supervising therapy assistants and/or students Involvement in service development and audits Skills & Abilities Essential Ability to communicate complex and/or sensitive information requiring empathy and reassurance Ability to present information accurately, written and oral, in English Ability to perform specialist hands-on therapeutic interventions and moving and handling techniques Desirable Clinical problem solving ability in complex cases Other Essential Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010) Person Specification Qualifications & Training Essential Physiotherapy degree or equivalent HCPC registration Documented evidence of professional development in relevant areas Desirable Attendance at relevant post-graduate training courses e.g. Dementia, elderly care, frailty, stroke etc. Experience Essential A minimum of 1 year's post registration experience in a broad rotational post Appropriate inpatient rehabilitation experience Experience of working in the community Desirable Experience of supervising therapy assistants and/or students Involvement in service development and audits Skills & Abilities Essential Ability to communicate complex and/or sensitive information requiring empathy and reassurance Ability to present information accurately, written and oral, in English Ability to perform specialist hands-on therapeutic interventions and moving and handling techniques Desirable Clinical problem solving ability in complex cases Other Essential Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010) 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 Hertfordshire Community NHS Trust Address Queen Victoria Memorial Hospital School Lane Welwyn AL69PW Employer's website https://www.hct.nhs.uk (Opens in a new tab)