We are pleased to be able to offer this full-time Band 5 Physiotherapist role with the expectation of the successful candidate being able to progress to Band 6 upon completion of the Band 6 Senior Physiotherapist competencies. This may take 6 months to 2 years depending on your current experience and skills.
The Community Rehabilitation and Falls Service works with a diverse caseload of patients in need of rehabilitation following an acute illness or injury, as well as those with deteriorating conditions where the focus is maintaining function and independence. The service has a particular specialism in falls prevention and rehabilitation.
Working in this field is challenging in its diversity, but offers an opportunity to use and build skills in key areas such as Falls, Neuro, Frailty, and MSK. Supervision, support and training will be provided by Senior Physiotherapists within the team, as well as Senior Occupational Therapists, and our very experienced and capable Assistant Practitioners and an Administrator who will further support your development.
Main duties of the job
The role involves providing physiotherapy assessment and intervention for rehabilitation, promoting independence, and falls prevention. With a varied caseload, you will need to evidence at application and interview that you have at least undergraduate experience in Neurology, MSK/Orthopaedics, and Health Care of the Elderly. Postgraduate experience would be an advantage.
You will work alongside colleagues within a multidisciplinary team to deliver exercise programmes, gait rehabilitation, provision of mobility aids, and falls prevention strategies. As the assessment and treatment takes place in patients' own homes, you will need to be a car driver in order to carry out the role.
Experience of working in the community and as part of a multi-disciplinary team will be advantageous, and may mean that you are able to progress to a Band 6 role more quickly than if you do not have this experience at the point of application.
About us
We are a provider of NHS Community Health Services, CityCare exists to support the health and wellbeing of all local people, working alongside other health and care partners to achieve this. We are a value driven, people business with a passion for excellence. Our vision and social purpose is to make a difference every day to the health & wellbeing of our communities and our values of kindness, respect, trust and honesty lie at the heart of everything we do, guiding how we work together with partners and each other to consistently deliver high quality compassionate care. As a social enterprise we aim to add social value by investing in the future of our local communities and helping to make a difference in people's lives.
CityCare values the benefits of a diverse and inclusive workforce. We encourage applications from candidates who identify as disabled, LGBT+ or from a Black, Asian or Minority Ethnic (BAME) background, as they are currently under-represented within our organisation.
CityCare is an equal opportunities employer. We are positive about employing people with disabilities. If you require your application in a different format please contact Human Resources on 0115 8839418. CityCare is committed to the protection of vulnerable adults and children.
Job responsibilities
Job Purpose
To contribute to a high-quality service by carrying out assessment, goal setting, implementation and evaluation of treatment programmes, within patients' own homes, of adult clients who may have complex and/or chronic presentations including musculoskeletal, sensory impairment, medical and mental health needs, with support and supervision from Senior Physiotherapists.
To support clients to improve or maintain their level of function and quality of life, and in particular to reduce the risk of falls, in partnership with the multi-disciplinary team (MDT). This will include liaising with and referring on to other health services, voluntary services and public sector agencies, and planning safe and effective discharge from the service.
To participate actively in the services training strategy, including in-service training, organisation-specific and multi-agency training.
Dimensions
Responsible for Physiotherapy assessment and treatment for a defined clinical caseload appropriate to the service area, working in conjunction with and under supervision of a Senior Physiotherapist and other senior clinical professionals.
To participate in rehabilitation treatment programmes with the MDT, including leading group rehabilitation classes as appropriate.
To contribute to the supervision and training of Assistant Practitioners and Rehabilitation Support Workers, and to support senior colleagues with delivering student placements.
Able to fulfil physical demands of role, including manual handling applications.
Will be required to travel city-wide for patient visits, meetings and training.
The role has no specific budgetary responsibility, however there will be a requirement to demonstrate cost-consciousness within the role.
Key Responsibilities
Clinical and professional
* Responsible for physiotherapy assessment and treatment for a defined clinical caseload, working in conjunction with and under supervision of a senior physiotherapist and other senior clinical professionals.
* To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care.
* To ensure a high standard of clinical care for the patients under your management, and support other team members to do likewise, implementing appropriate teaching, supervision and delegation skills where appropriate.
* To work holistically across role boundaries to Band 4 level to assess for, provide, demonstrate and fit adaptive equipment using problem solving, and analytical skills.
* To organise own clinical caseload effectively.
* Working within a legal framework, gain informed consent to treatment and have the ability to identify, through assessment, patients who lack the capacity to consent.
* To demonstrate a sound understanding of Clinical Governance and Risk Management and apply to a work situation. To conduct and report on clinical risk assessments as and when appropriate.
* To undertake the comprehensive assessment of patients, including those with a complex presentation with the support of senior physiotherapists. Formulate individualised treatment plans with rehabilitation goals using clinical reasoning in consultation with senior therapists as required. This should be based on sound theoretical knowledge, utilising a wide range of treatment skills, and options to formulate a specialised programme of care.
* To advocate on behalf of patients and carers, where appropriate, overcoming barriers to communication such as cultural or language difficulties, physical or mental health difficulties, using skills of empathy to facilitate or empower the patient.
* To be involved in the development of good practice for physiotherapists within Nottingham CityCare Partnership CIC and Social care under the guidance of senior staff.
* To complete patient records in line with organisation, regulatory body and legal requirements.
* To demonstrate a commitment to evidence-based practice and the use of outcome measures and make recommendations for change. To have a good understanding of the research process, and be willing to participate in local research and audit when appropriate.
* To be responsible for own Continuing Professional Development, keeping abreast of new recommendations, research and developments, incorporating them into your work as necessary.
* To maintain a high level of professional standards and work to the Professional Code of Conduct as set by the Health and Care Professions Council.
Management and Leadership
* To undertake day to day clinical prioritisation and work planning, supported by senior physiotherapists.
* To establish positive and mutually supportive relationships with all team members and contribute constructively to multi-professional team working.
* To promote the roles and skills of Physiotherapy staff to other professionals.
* To demonstrate a can-do attitude and support others to do the same.
* To demonstrate an understanding and application of the CityCare values and 6 Cs of compassionate care within daily practice, and support others to do the same.
Policy
* To be actively involved in Clinical Governance, implement policies and proposing practice changes.
* To comply with organisations Lone Working Policy and local team guidelines at all times when working alone.
Planning and Organisation
* To be responsible for own time and caseload management.
* To liaise effectively with other professionals and agencies to enhance rehabilitation within the boundaries of Nottingham CityCare Partnership CIC and Social Care.
* To use information technology on a daily basis to record information and statistics, to aid communication, and produce reports.
* To ensure the Health and Safety of staff and patients at all times in accordance with Health and Safety legislation, and CityCare policy and procedures.
* To undertake any other duties which may be reasonably required.
Training
* To comply with and complete statutory and mandatory training in line with Nottingham CityCare Partnership policy.
* To attend training events as appropriate for your continuing professional development.
* To actively participate in your own supervision, annual performance review and personal development plan.
Person Specification
Qualifications
* BSc/Diploma in Physiotherapy
* HCPC Registration
* Maintenance of CPD
* Relevant postgraduate education and training
* Manual Handling, Safeguarding Children & Adults, Medico-legal issues training
Experience
* Relevant undergraduate experience working with adults including Health Care of the Elderly / Integrated Medicine, Orthopaedics, Neurology and Musculoskeletal
* Experience of multi-disciplinary and/or multi-agency working
* Postgraduate experience working with adults including orthopaedics, neurology, falls prevention and musculoskeletal
* Community experience. Lone working
* Experience of working within multicultural communities
* Supervision of and delegation to Support Staff
Skills & Attributes
* Ability to adapt theory to practice
* Ability to assess, plan and evaluate treatment
* Working knowledge of a broad range of pathologies and their physiotherapy treatment
* Ability to manage caseload in terms of risks and priorities.
* Good communication skills, both verbal and written
* Ability to work independently and also participate as an MDT team member
* Ability to relate well to all groups of people and to create and maintain effective working relationships within the team and externally.
* Customer service skills. Enthusiastic and motivated. Non-judgemental attitude. Flexible, adaptable, innovative, self-reliant and with a positive attitude.
* Knowledge of risk assessment
* Specific treatment skills and ability to apply more complex interventions
* Achievement of full competencies relevant to the role
* An understanding of mental health policy and legislation e.g. Mental Capacity Act
Special requirements
* Full driving licence and the ability to travel between locations.
* Ability to be flexible over hours worked within contracted hours to meet the needs of the service.
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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