Highly Specialist Physiotherapist – Adult Chronic Respiratory Disease
King's College Hospital NHS Foundation Trust
There is an exciting opportunity to work in a newly created role as a highly specialist physiotherapist in Adult Chronic Respiratory Disease.
This post will work within both inpatient and outpatient services for Cystic Fibrosis, Bronchiectasis and those living with chronic respiratory conditions/symptoms e.g. chronic cough and dysfunctional breathing. The team works closely with all members of the multidisciplinary team.
This is a full-time post based at the Denmark Hill site and the successful candidate will be required to work as part of the on-call/weekend rota and enhanced seven-day working rotas.
Main duties of the job
To ensure a high-quality, effective and efficient in and out-patient physiotherapy service for Cystic Fibrosis, Bronchiectasis, and those living with chronic respiratory conditions/symptoms e.g., chronic cough, dysfunctional breathing within allocated resources. To use highly specialist physiotherapy knowledge and skills to manage own complex caseload as an autonomous practitioner in both the hospital in and outpatient setting. To lead and manage own team and to supervise, teach and develop staff and students to meet individual and service needs. To instigate audit and research for this client group. To deputise for the Clinical Leads when necessary. To take part in the on-call/weekend rota and enhanced seven-day working rotas.
You must have a degree or equivalent in Physiotherapy and registration with the Health Care Professions Council is essential for this post.
About us
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
Job responsibilities
Clinical Responsibilities:
To be responsible for the efficient, effective and safe management of all patients referred to your team.
To receive referrals, undertake full assessment and independently plan individual, specialised, evidence-based, treatment programmes (individual and / or group-based interventions) for patients appropriately depending on the physiotherapist's diagnosis, using clinical reasoning and a variety of highly specialist skills.
To carry a significant clinical caseload including highly complex and diverse patient groups such as those living with Cystic Fibrosis, Bronchiectasis, chronic respiratory disease and/or chronic respiratory symptoms such as chronic cough and dysfunctional breathing on the wards, critical care areas, as out-patients or in the community setting.
To prioritise work efficiently taking into account clinical and service priorities using highly specialist knowledge to underpin decisions.
To provide individual patient equipment as required, such as nebuliser devices and airway clearance adjuncts and to issue such equipment with due regard to safety of the equipment, and in line with legal, national and local guidelines.
To be professionally and legally responsible and accountable for all aspects of own work, and of the team, including management of clinical risk, knowledge of indications and precautions of chosen techniques in line with national and trust clinical guidelines, protocols and pathways where they exist.
To use recognised outcome measures to evaluate the effect of the physiotherapy interventions and ensure the treatment programmes are progressing appropriately.
Advise, guide and teach assistant, band 5 and band 6 staff, in the assessment and management of patients with Cystic Fibrosis and Bronchiectasis as well as a wide range of other respiratory conditions and related problems.
To develop new working practices and local guidelines and keep abreast of new techniques in relation to the management of the patients in these specialities particularly in line with any national guidance e.g. CF Trust/ACPCF National Standards of Care/BTS/NICE.
To lead on production of clinical guidelines and local policies ensuring they are evidence-based, implemented and audited.
To provide guidance and advice to other professions and bodies involved in the provision of respiratory and critical care services and to the patients and their carers.
To be an active member of the on-call and weekend duty and enhanced seven-day working rotas, and cover extended hours, and statutory and public Holidays, including working as a lone physiotherapy practitioner at night.
Communication:
To be able to persuade and motivate patients through effective communication skills.
Provide patients, families and other carers with specialist advice or instruction to promote the understanding of the aims of physiotherapy and to ensure consistent patient management.
To provide and receive information from patients, carers and other professionals regarding a patient's condition and treatment progress. This will include the sharing and receiving of some complex and/or sensitive information.
To communicate effectively with patients and carers to maximize rehabilitation potential and to improve understanding of the condition which will require the appropriate response to the patient's level of communication, facilitating the best possible communication outcome e.g. use of interpreters.
To develop and maintain close working relationships with other members of the team, ensuring appropriate attendance at ward rounds, multi-disciplinary meetings and case conferences, including occasional organisation of the latter.
To provide recommendations of clinical management and highly specialist advice to the MDT and external organisations.
To develop and maintain close working relationships with physiotherapy colleagues, referring clinicians and other appropriate professions and agencies in the provision of critical care or ventilatory services.
To be integral in discharge planning including liaison with staff in referring hospitals or community staff, to which patients are discharged for further rehabilitation, providing timely discharge reports.
To take an active part in departmental meetings.
To ensure open lines of communication within own team and guide junior staff in effective communication skills.
To be responsible for local management of informal conflicts, disagreements and complaints.
To represent the department and profession at trust-based Cystic Fibrosis and Bronchiectasis specific working groups and provide highly specialist knowledge to those groups.
To represent the Trust at regional events or meetings e.g. Association of Chartered Physiotherapists in Cystic Fibrosis, and develop best practice at Kings through liaison with other regional specialists/colleagues and other relevant forums.
Administrative Responsibilities:
To maintain comprehensive and accurate patient notes and records in accordance with departmental policy and to ensure the safe keeping and confidentiality of these records.
To keep comprehensive records of activity in accordance with local and national requirements.
To write legal reports if required.
Physical Resources:
To maintain equipment inventory, ensure equipment is ordered appropriately and investigate bids for further equipment.
To be responsible for regular inspection and ensure reporting of defects of equipment used in this area.
To be aware of the cost/benefit implications in the selection of appropriate equipment to be provided for patient long-term use as an individual and by the team.
Research and Service Development:
To initiate and lead audit and research with the CF and Bronchiectasis client groups and share knowledge of research process with respiratory team.
To contribute to the formulation of departmental policies and procedures and participate in agreed developments in the physiotherapy service or its organisation.
To initiate and implement changes to working practices related to research findings or service initiatives e.g. following demand and capacity work including evaluation of such changes.
To initiate and undertake clinical audit, report on findings and after discussion with the clinical lead, implement changes and re-audit.
To have a sound knowledge of Clinical Governance, especially risk management, and have an active role in clinical effectiveness and audit within the department, taking a lead role as required.
To identify and advise the Physiotherapy Manager and Clinical Lead Physiotherapist of actual or potential changes in service requirements or delivery.
Education and Training:
Be a clinical educator by being responsible for the training and professional development of under graduate students seconded to the Department.
Prepare and participate in lectures, seminars and demonstrations to other physiotherapists, student physiotherapists and other disciplines as appropriate, internal and external to the Trust.
To ensure planned in-service training for the team is appropriate i.e. related to client group, service needs and efficient use of time.
Foster, encourage and facilitate the development of evidence-based projects.
To train, assess and deem competent, staff undertaking high-risk procedures, therapy handling or use of respiratory adjuncts.
To train and assess competence of any new physiotherapy assistant.
To assess competence of nursing staff in some clinical techniques.
To be responsible for maintaining own competency to practice through CPD activities, using reflective practice and maintain a portfolio that indicates personal development.
People Management and Performance:
To deputise for the Clinical Lead Physiotherapist as required.
Lead, coach and manage the performance of the team in line with good people management practices.
Participate in regular performance appraisal meetings.
Ensure the team is compliant with all statutory, mandatory training together with any professional training requirements, ensuring they are up to date and fully compliant.
Manage team absences including sickness in line with Trust policy.
Identify and fill any vacancies that arise within the team in line with the Trust's policy.
Identify talent and support the internal talent management process in order to attract and retain and succession plan for your people.
Review skills mix at regular intervals in order to identify any potential opportunities to maximise resource utilisation/allocation, ensuring job descriptions are kept up to date.
Ensure overall wellbeing of the team is maintained.
General
The post holder has a general duty of care for their own health, safety and wellbeing and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post.
To observe the rules, policies, procedures and standards of King's College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations.
We want to be an organisation where everyone shares a commitment to delivering the very best care and feels like their contribution is valuable and valued.
At Kings we are a kind, respectful team:
Kind. We show compassion and understanding and bring a positive attitude to our work.
Respectful. We promote equality, are inclusive and honest, speaking up when needed.
Team. We support each other, communicate openly, and are reassuringly professional.
Person Specification
Knowledge and Experience
* Degree or other recognised qualification in Physiotherapy
* Specialist knowledge and experience treating people living with chronic respiratory disease in the inpatient setting
* Specialist knowledge and experience treating people living with chronic respiratory disease in the outpatient setting
* Specialist knowledge and experience in the assessment of dysfunctional breathing problems
* Evidence and examples of quality improvement/service development project
* Specialist knowledge and understanding of a broad range of respiratory conditions
* Experience of conducting virtual respiratory assessments and treatments.
* Supervisory experience - staff and students
Skills and Competencies
* Able to work collaboratively within multi-disciplinary team and understand roles of MDT and own role within MDT
* Respiratory Physiotherapy on-call competence
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.
King's College Hospital NHS Foundation Trust
Address
King's College Hospital NHS Foundation Trust
£54,320 to £60,981 a year Per Annum, including high cost area
Contract
Permanent
Working pattern
Full-time
Reference number
213-DH-6891159-A
Job locations
King's College Hospital NHS Foundation Trust
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