Job summary We are delighted to be able to advertise a permanent Band 8a Advanced Hand Therapy Practitioner post at Mid Yorkshire NHS Teaching Trust we would accept applications from those wanting to work from 22.5 hours up to 37.5 hours, to join our other three advanced hand therapy practitioners. Both Occupational Therapist and Physiotherapists are able to apply. This is such an exciting opportunity for our service as we are expanding our team and a number of roles are being advertised. The Mid Yorkshire Specialist Hand Therapy Team with our expansion will consist of 24 Qualified Therapists, 5 Therapy Assistants and 5 Therapy Administrators, who are experienced, dynamic and passionate about providing a quality service for our patients. The team are supported by a dedicated team leader and service lead. This role will join our existing Advanced Hand Therapy Practitioners having overall responsibility for the clinical delivery of Hand Physiotherapy and Occupational Therapy in partnership with therapy team and wider MDT within this specialist hand/plastics service. The therapists work extremely close with the hand and plastics Consultants and the rest of the multidisciplinary team ensuring patients receive the best care and high quality service. We work generically and have dual competences in Occupational Therapy and Physiotherapy to provide you a seamless and effective service by only having to see one therapist where appropriate. Main duties of the job The role will involve taking on the lead for advanced pathway management and review within the hand therapy service, in order to optimise the operational efficiency and clinical outcomes. You will be expected to take on the lead responsibilities for managing Hand Therapy Trauma Clinics and Therapy led elective/outpatient clinics; working autonomously, assessing, diagnosing, planning and implementing pathways of care for this highly specialist caseload. You will have to work closely with the other advanced practitioners in hand therapy, and able to form great working relationships with consultants. You will deputise for the therapy service lead as required, delivering service improvements and providing expert clinical knowledge in relation to service development. You will lead appropriate education and training of therapy staff and other health care professionals including GPs, consultants and other AHPs. You will supervise other therapy practitioners working in plastics clinics including responsibility for the competency framework and supervision of therapy staff working in clinics. About us We provide care and support to over a million people in Wakefield and Kirklees in their homes, community settings and across our three hospital sites at Pontefract, Dewsbury and Pinderfields (Wakefield). Always striving for excellence, we are at the forefront of innovation and research, and we invest in teaching and the development of our workforce. We live by our values of caring, improving, being respectful and maintaining high standards. We listen and learn because we aim to make Mid Yorkshire the best place to work and receive care. We value diversity and welcome talent and enthusiasm irrespective of age, disability, neurodivergence, sex, gender identity and gender expression, race or ethnicity, religion or belief, sexual orientation, or other personal circumstances including providing unpaid carers support to someone with a health and care need. As ethnic minority groups, members of the LGBTQ community, and people with a disability/neurodivergence are currently under-represented across the organisation, we encourage applications from members of these groups. We have policies and procedures to ensure all applicants are treated fairly and consistently. We are proud of our staff networks - who offer valuable guidance and feedback from those with lived experience. We have a clear vision and you could be part of this If you share our values and you want to make a difference to the lives of our patients and their families and carers, we would love to hear from you. Date posted 28 January 2025 Pay scheme Agenda for change Band Band 8a Salary £53,755 to £60,504 a year Contract Permanent Working pattern Full-time, Part-time Reference number C9377-ATS1155a Job locations Pinderfields Hospital Aberford Road Wakefield West Yorkshire WF1 4DG Job description Job responsibilities Be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care. Ensure a high standard of clinical care for the patients under your management. To work autonomously in a clinic, assessing, diagnosing, planning and implementing pathways of care for a highly specialist caseload. To work independently in the absence of the consultant, liaising if appropriate on their return. To work beyond the usual scope of practice to order diagnostics tests and implement treatments within individual skills and knowledge. Accept sole clinical responsibility for a designated caseload of patients, and organise this effectively and efficiently with regard to clinical priorities and use of time. The caseload will include patients with diverse presentations, complex symptoms and where significant negative alterations to the patients quality of life exist. Undertake the specialist and comprehensive assessment of patients referred from a variety of sources, including those with a complex presentation, using investigative and analytical skills. Formulate individualised management and treatment plans, using clinical reasoning, and utilising a wide range of advanced treatment skills and options to formulate a specialised programme of care in conjunction with the patient and carers. To provide diagnosis, develop and negotiate an agreed individual and holistic programme of treatment options, incorporating inter-disciplinary team working. Provide advanced clinical expertise to colleagues within the team and referrers to the service. Communicate effectively with patients and carers to maximise rehabilitation potential and ensure understanding of condition. Communication skills of persuasion, motivation and explanation to encourage patients to undertake their treatment programme. Use verbal and non-verbal communication skills to gain informed consent with patients where there will often be barriers to effective communication e.g. loss of hearing, altered perception, expressive or receptive dysphasia, pain, fear. Assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who may lack capacity to consent to treatment. To be the lead therapist at MDT meetings, case conferences and to ensure therapeutic management of patients is integrated and rehabilitation potential is maximised and is central to overall assessment, audit and objective evaluation of treatment / management programmes. To refer patients onwards to relevant health care professionals To ensure robust clinical governance for service speciality, through supervision, audit and best practice through pathway development and evidence base. To work extended hours and weekends as service requires within own speciality, including emergency work as per service business continuity plan. Job description Job responsibilities Be professionally and legally responsible and accountable for all aspects of own work, including the management of patients in your care. Ensure a high standard of clinical care for the patients under your management. To work autonomously in a clinic, assessing, diagnosing, planning and implementing pathways of care for a highly specialist caseload. To work independently in the absence of the consultant, liaising if appropriate on their return. To work beyond the usual scope of practice to order diagnostics tests and implement treatments within individual skills and knowledge. Accept sole clinical responsibility for a designated caseload of patients, and organise this effectively and efficiently with regard to clinical priorities and use of time. The caseload will include patients with diverse presentations, complex symptoms and where significant negative alterations to the patients quality of life exist. Undertake the specialist and comprehensive assessment of patients referred from a variety of sources, including those with a complex presentation, using investigative and analytical skills. Formulate individualised management and treatment plans, using clinical reasoning, and utilising a wide range of advanced treatment skills and options to formulate a specialised programme of care in conjunction with the patient and carers. To provide diagnosis, develop and negotiate an agreed individual and holistic programme of treatment options, incorporating inter-disciplinary team working. Provide advanced clinical expertise to colleagues within the team and referrers to the service. Communicate effectively with patients and carers to maximise rehabilitation potential and ensure understanding of condition. Communication skills of persuasion, motivation and explanation to encourage patients to undertake their treatment programme. Use verbal and non-verbal communication skills to gain informed consent with patients where there will often be barriers to effective communication e.g. loss of hearing, altered perception, expressive or receptive dysphasia, pain, fear. Assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who may lack capacity to consent to treatment. To be the lead therapist at MDT meetings, case conferences and to ensure therapeutic management of patients is integrated and rehabilitation potential is maximised and is central to overall assessment, audit and objective evaluation of treatment / management programmes. To refer patients onwards to relevant health care professionals To ensure robust clinical governance for service speciality, through supervision, audit and best practice through pathway development and evidence base. To work extended hours and weekends as service requires within own speciality, including emergency work as per service business continuity plan. Person Specification Experience Essential Evidence of extensive clinical experience of relevant area at a senior level Evidence of splinting and wound care Participation in research, audit and service development Supervision of more junior and support staff and students Wide range of experience of management of MSK hand conditions with an emphasis on a particular speciality Detailed knowledge of MSK hand pathologies within a defined speciality including indications for surgery Current knowledge of evidence base relevant to area Knowledge of bio-psychosocial approach Information management and technology skills Use and interpretation of data Desirable Broad general experience of physiotherapy. Experience of working in clinics alongside consultants Evidence of published papers An active participant in regional / national groups Understanding of business planning process Understanding of skill mix and staffing requirements Experience of working in partnership with stakeholders Evidence of training at multi-disciplinary level Specialist Knowledge & Skills Essential Expert negotiation and communication skills Promotion of role of therapies Moving and Handling Forward thinking Ability to pass on knowledge and skills within both formal and informal environments including teaching and presentation skills Ability to present information, written and orally in a clear and logical manner Ability to organise, prioritise and delegate Understanding of Clinical Governance and its implications for services Working knowledge of the NHS Desirable Undertaken research projects Awareness of current NHS strategy in relation to MSK/Hand therapy services Personal Attributes Essential Confident Able to work both independently and to promote MDT working Able to cope with the demands of the patient group Ability to motivate Committed to personal and team development Ability to cope working in a stressful environment Ability to cope with emotional or aggressive patients and carers Leadership qualities - Adaptable, motivated & an ability to maintain judgement under pressure Clear vision of role/commitment to speciality Desirable Able to support others manage coping skills and stress levels Access to a vehicle that can be used for work purposes Qualifications Essential Degree in relevant therapy profession or equivalent Registered with the Health Care Professions Council (HCPC) Educated to Masters degree level in advanced clinical practice or equivalent level of experience in a specialist area including having relevant Masters modules Evidence of CPD maintained in a portfolio including attendance at recent and relevant postgraduate courses Clinical Educators Course Extensive evidence of training at a specialist level relevant to hand therapy Desirable Injection therapy qualification or willingness to complete Independent prescriber (if applicable to profession) Management/leadership course Research qualification Person Specification Experience Essential Evidence of extensive clinical experience of relevant area at a senior level Evidence of splinting and wound care Participation in research, audit and service development Supervision of more junior and support staff and students Wide range of experience of management of MSK hand conditions with an emphasis on a particular speciality Detailed knowledge of MSK hand pathologies within a defined speciality including indications for surgery Current knowledge of evidence base relevant to area Knowledge of bio-psychosocial approach Information management and technology skills Use and interpretation of data Desirable Broad general experience of physiotherapy. Experience of working in clinics alongside consultants Evidence of published papers An active participant in regional / national groups Understanding of business planning process Understanding of skill mix and staffing requirements Experience of working in partnership with stakeholders Evidence of training at multi-disciplinary level Specialist Knowledge & Skills Essential Expert negotiation and communication skills Promotion of role of therapies Moving and Handling Forward thinking Ability to pass on knowledge and skills within both formal and informal environments including teaching and presentation skills Ability to present information, written and orally in a clear and logical manner Ability to organise, prioritise and delegate Understanding of Clinical Governance and its implications for services Working knowledge of the NHS Desirable Undertaken research projects Awareness of current NHS strategy in relation to MSK/Hand therapy services Personal Attributes Essential Confident Able to work both independently and to promote MDT working Able to cope with the demands of the patient group Ability to motivate Committed to personal and team development Ability to cope working in a stressful environment Ability to cope with emotional or aggressive patients and carers Leadership qualities - Adaptable, motivated & an ability to maintain judgement under pressure Clear vision of role/commitment to speciality Desirable Able to support others manage coping skills and stress levels Access to a vehicle that can be used for work purposes Qualifications Essential Degree in relevant therapy profession or equivalent Registered with the Health Care Professions Council (HCPC) Educated to Masters degree level in advanced clinical practice or equivalent level of experience in a specialist area including having relevant Masters modules Evidence of CPD maintained in a portfolio including attendance at recent and relevant postgraduate courses Clinical Educators Course Extensive evidence of training at a specialist level relevant to hand therapy Desirable Injection therapy qualification or willingness to complete Independent prescriber (if applicable to profession) Management/leadership course Research qualification 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 The Mid Yorkshire Teaching NHS Trust Address Pinderfields Hospital Aberford Road Wakefield West Yorkshire WF1 4DG Employer's website https://www.midyorks.nhs.uk/ (Opens in a new tab)