Job summary Whittington Health is an Integrated care Organisation (ICO) and the MSK Physiotherapy Outpatient service sits within the Adult Community Services directorate. There are rotational schemes for Band 6 and Band 5 Physiotherapists across the ICO. Physiotherapy students are accepted from UEL, Brunel and Hertfordshire Universities, and St George's Medical School. The MSK Physiotherapy service uses one electronic patient data base for all its referrals and data recording. The MSK Physiotherapy Service uses a single Point of Access pathways for patients with MSK conditions including complex Musculoskeletal conditions. All Advanced Physios working in this service also work within the MSK outpatient department offering training, supervision and mentoring opportunities. Main duties of the job You will be expected to: Triage electronic referrals regularly. Effectively use and ensure that the electronic patient database records reflect your current caseload and activity; with timely discharge and outcome appointments. Provide high quality physiotherapy including assessment, treatment and advice to patients with various Neuromusculoskeletal presentations. Assess and treat own caseload of patients, and maintain associated records as an autonomous practitioner with support from senior staff when required. Communicate with other health professionals, patients and carers with regard to the delivery of patient focused care. Participate in departmental continuous professional development, departmental education and training, audit and evidence-based projects. Undertake all necessary verbal and written documentation required for patient care. Have clinical supervision on a regular basis with senior staff. Supervision can take the form of formal training, clinical reasoning, peer review, case reviews and reflective practise. Supervise and appraise juniors and students. Provide education, training and supervision to physiotherapists, students and other staff as appropriate. Assist in the operation and development of MSK Outpatient Service provision across Whittington Health. About us Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work. Date posted 28 January 2025 Pay scheme Agenda for change Band Band 6 Salary £44,806 to £53,134 a year Per Annum (pro rata) inclusive of HCAs Contract Fixed term Duration 12 months Working pattern Part-time Reference number 220-WHT-2885-A Job locations Holloway Health Centre Hornsey Street London N7 8GG Job description Job responsibilities Patient Clinical Care: To be professionally and legally accountable for all aspects of their work including the management of patients in their care and to seek advice from senior staff as appropriate. To carry out assessments of patients as an autonomous practitioner, using clinical reasoning skills, to determine an accurate diagnosis and care plan, utilising a wide range of assessment skills. To interpret and analyse clinical and non-clinical facts to form accurate diagnoses. To formulate goals/clinical objectives with patients/carers/relatives and other health professionals and continually re-assess patients to evaluate progress, and alter treatment programmes accordingly. To formulate and deliver an individual physiotherapy treatment programme based on a sound knowledge of evidence based practice including; manual and electrotherapy techniques, therapeutic handling, patient education, exercise classes, and other alternative options. To encourage Health Promotion for all patients. To co-ordinate intervention, this may include other disciplines and /or referral to other professionals for further investigation where appropriate. To be responsible for maintenance of accurate written and electronic records, involving comprehensive progress and discharge reports, in line with CSP and Trust standards. To manage clinical risk at all times by ensuring safety towards patients, self and other staff, according to clinical guidelines and Occupational Health and Safety standards. To be competent and responsible in the use/application of all equipment used in the course of patients treatment programmes. To flexibly plan and organise own time; prioritise patient caseload, administrative duties and meetings. To delegate, organise and monitor the work of undergraduate students when required. To carry out assessments and treatments involving moderate physical effort frequently throughout the day. This includes treatment sessions lasting 30 to 45 minutes per patient. To work in areas where the environment may have artificial lighting, variable temperatures, poor ventilation and poor ergonomics (workspace area). To comply with trust manual handling policy and local therapeutic handling guidelines at all times. To sensitively deal with distressing or emotional circumstances regarding patient care such as realistic expectations of rehabilitation outcome, difficult family and social circumstances which may lead to exposure to anxiety and aggressive behaviour? To refer to other Physiotherapy and Clinical Services within the trust and other local exercise settings e.g. Prescription for Exercise programmes. To work within the standards and guidelines of the Whittington Health MSK Service, The Chartered Society of Physiotherapy (CSP) and The Health Professionals Council (HPC). To provide clinical supervision to physiotherapy staff based at the Holloway Community Health Centre/Finsbury Health Centre, ensuring the following: A complete assessment Sound reasoning and development of a management plan Good handling skills Good communication skills Appropriate application of techniques Appropriate use of equipment Appropriate documentation Appropriate referral to relevant services Communication: To gain valid informed consent and have the capacity to work within a legal framework with patients who lack the capacity to consent to treatment. To liaise to senior staff with regards to more complex patients. To be able to motivate and persuade patients, carers and other staff through effective communication skills, with the benefit of verbal and non-verbal skills, for example, patients with communication difficulties, hearing or sight impairments, memory loss, mental illness or those who may be unable to accept diagnosis. To demonstrate the ability to communicate complex and sensitive information to patients, carers and other staff, where there may be barriers to communication i.e. non-English speaking patients, communication impairment, and cognitive impairment, use of interpreters, excess noise or lack of privacy. To ensure that documentation is accurate and meets the standards legally required by the CSP, Whittington Health and the Commissioners. Professional: To develop a specialised knowledge base, and assessment, clinical reasoning and management skills, specific to Neuromusculoskeletal physiotherapy. To effectively utilise the Continuing Professional Development and support schemes of the physiotherapy department, and maintain and update a professional Portfolio. Participate in a staff appraisal scheme as an appraise and appraiser, being responsible for own and others personal development plan and meeting competencies. To be aware of current opinion on the provision of care of various Neuromusculoskeletal presentations through: o Reading of physiotherapy related literature o Individual clinical supervision o Reading of National guidelines and standards o Attendance at peer support groups, in-services training (IST) and courses o Involvement in NHSI appraisal scheme o Formal reflection To be aware of the Department of Health, NHS and CSP guidelines relevant to the Whittington Health MSK Service. To present specialised in-services training to Whittington Health MSK Physiotherapy staff, local Acute Care Physiotherapy Out-patient Services and other health professionals, this may be to large groups. To assist in the organisation and arrangement of courses as appropriate. To be actively involved in, and lead student teaching and supervision. To be active in the clinical development undertaken by the Whittington Health MSK Outpatient Service, through: o Involvement in proposing policy and service development relevant to work sites. o Assisting in the implementation of service developments as required. o Involvement in ICO MSK Service ongoing research/evaluation audit projects o Involvement in developing service links with other physiotherapy and NHS Services, local facilities, and local and voluntary groups. To provide neuromusculoskeletal physiotherapeutic perspectives on particular cases, awareness of the physiotherapy profession and education to referring GPs or other health professionals. To be responsible for student supervision, appraisal and teaching. Organisational: To manage own clinical caseload. To manage own diary in respect of MSK service priorities e.g. caseload, In service training, supervision and meetings. To assist in the efficient running of the MSK Service on sites working on and being responsible for the operation and maintenance delegated procedures e.g. laundry and department statistics To triage received referrals and ensure that inappropriate referrals are dealt with according to service guidelines. To undertake any departmental duties as required or requested by the Departmental manager or Team Leader. To ensure that all equipment defects, accidents and incidents, and complaints are reported and appropriate action and follow up is taken. To ensure an adequate level of equipment is maintained by monitoring stock levels and ensuring re-ordering is timely and appropriate To participate in the electronic collection of accurate statistics and reports required for monitoring and evaluating the service. Governance: To support MSK Service and Whittington Health Strategies regarding Clinical Governance issues. To evaluate own work and current practices through the use of projects, audit or outcome measures, as directed by senior physiotherapists. To ensure a good working knowledge of national and local standards. To actively assist in the implementation of new policies and practice in the current area of practice in the department. To comply with all mandatory training: o Fire o Violence Awareness o CPR o Manual Handling o Child Protection To ensure close lines of communication are developed and maintained with other physiotherapists, other clinical disciplines, management and other agencies involved in the care and support of patients. To assist and support the Team Leader on allocated service delivery site(s). To comply with all WH policies and procedures and the Health and Safety at Work Act, and ensure that all staff are aware of these and do likewise. To actively participate in any relevant meetings and seminars. To maintain and update a Continuing Professional Development Portfolio (CPD). To delegate and supervise Service assistants and Junior staff. To be responsible for the competent and safe use of equipment, electrotherapy machines and patient appliances. To ensure an adequate level of equipment is maintained by monitoring stock levels and ensuring re-ordering is timely and appropriate. To perform electronic searching of databases to update clinical knowledge base for own professional development, for training purposes, and for service development. To assist and support the Team Leader at allocated MSK Service delivery site(s). Job description Job responsibilities Patient Clinical Care: To be professionally and legally accountable for all aspects of their work including the management of patients in their care and to seek advice from senior staff as appropriate. To carry out assessments of patients as an autonomous practitioner, using clinical reasoning skills, to determine an accurate diagnosis and care plan, utilising a wide range of assessment skills. To interpret and analyse clinical and non-clinical facts to form accurate diagnoses. To formulate goals/clinical objectives with patients/carers/relatives and other health professionals and continually re-assess patients to evaluate progress, and alter treatment programmes accordingly. To formulate and deliver an individual physiotherapy treatment programme based on a sound knowledge of evidence based practice including; manual and electrotherapy techniques, therapeutic handling, patient education, exercise classes, and other alternative options. To encourage Health Promotion for all patients. To co-ordinate intervention, this may include other disciplines and /or referral to other professionals for further investigation where appropriate. To be responsible for maintenance of accurate written and electronic records, involving comprehensive progress and discharge reports, in line with CSP and Trust standards. To manage clinical risk at all times by ensuring safety towards patients, self and other staff, according to clinical guidelines and Occupational Health and Safety standards. To be competent and responsible in the use/application of all equipment used in the course of patients treatment programmes. To flexibly plan and organise own time; prioritise patient caseload, administrative duties and meetings. To delegate, organise and monitor the work of undergraduate students when required. To carry out assessments and treatments involving moderate physical effort frequently throughout the day. This includes treatment sessions lasting 30 to 45 minutes per patient. To work in areas where the environment may have artificial lighting, variable temperatures, poor ventilation and poor ergonomics (workspace area). To comply with trust manual handling policy and local therapeutic handling guidelines at all times. To sensitively deal with distressing or emotional circumstances regarding patient care such as realistic expectations of rehabilitation outcome, difficult family and social circumstances which may lead to exposure to anxiety and aggressive behaviour? To refer to other Physiotherapy and Clinical Services within the trust and other local exercise settings e.g. Prescription for Exercise programmes. To work within the standards and guidelines of the Whittington Health MSK Service, The Chartered Society of Physiotherapy (CSP) and The Health Professionals Council (HPC). To provide clinical supervision to physiotherapy staff based at the Holloway Community Health Centre/Finsbury Health Centre, ensuring the following: A complete assessment Sound reasoning and development of a management plan Good handling skills Good communication skills Appropriate application of techniques Appropriate use of equipment Appropriate documentation Appropriate referral to relevant services Communication: To gain valid informed consent and have the capacity to work within a legal framework with patients who lack the capacity to consent to treatment. To liaise to senior staff with regards to more complex patients. To be able to motivate and persuade patients, carers and other staff through effective communication skills, with the benefit of verbal and non-verbal skills, for example, patients with communication difficulties, hearing or sight impairments, memory loss, mental illness or those who may be unable to accept diagnosis. To demonstrate the ability to communicate complex and sensitive information to patients, carers and other staff, where there may be barriers to communication i.e. non-English speaking patients, communication impairment, and cognitive impairment, use of interpreters, excess noise or lack of privacy. To ensure that documentation is accurate and meets the standards legally required by the CSP, Whittington Health and the Commissioners. Professional: To develop a specialised knowledge base, and assessment, clinical reasoning and management skills, specific to Neuromusculoskeletal physiotherapy. To effectively utilise the Continuing Professional Development and support schemes of the physiotherapy department, and maintain and update a professional Portfolio. Participate in a staff appraisal scheme as an appraise and appraiser, being responsible for own and others personal development plan and meeting competencies. To be aware of current opinion on the provision of care of various Neuromusculoskeletal presentations through: o Reading of physiotherapy related literature o Individual clinical supervision o Reading of National guidelines and standards o Attendance at peer support groups, in-services training (IST) and courses o Involvement in NHSI appraisal scheme o Formal reflection To be aware of the Department of Health, NHS and CSP guidelines relevant to the Whittington Health MSK Service. To present specialised in-services training to Whittington Health MSK Physiotherapy staff, local Acute Care Physiotherapy Out-patient Services and other health professionals, this may be to large groups. To assist in the organisation and arrangement of courses as appropriate. To be actively involved in, and lead student teaching and supervision. To be active in the clinical development undertaken by the Whittington Health MSK Outpatient Service, through: o Involvement in proposing policy and service development relevant to work sites. o Assisting in the implementation of service developments as required. o Involvement in ICO MSK Service ongoing research/evaluation audit projects o Involvement in developing service links with other physiotherapy and NHS Services, local facilities, and local and voluntary groups. To provide neuromusculoskeletal physiotherapeutic perspectives on particular cases, awareness of the physiotherapy profession and education to referring GPs or other health professionals. To be responsible for student supervision, appraisal and teaching. Organisational: To manage own clinical caseload. To manage own diary in respect of MSK service priorities e.g. caseload, In service training, supervision and meetings. To assist in the efficient running of the MSK Service on sites working on and being responsible for the operation and maintenance delegated procedures e.g. laundry and department statistics To triage received referrals and ensure that inappropriate referrals are dealt with according to service guidelines. To undertake any departmental duties as required or requested by the Departmental manager or Team Leader. To ensure that all equipment defects, accidents and incidents, and complaints are reported and appropriate action and follow up is taken. To ensure an adequate level of equipment is maintained by monitoring stock levels and ensuring re-ordering is timely and appropriate To participate in the electronic collection of accurate statistics and reports required for monitoring and evaluating the service. Governance: To support MSK Service and Whittington Health Strategies regarding Clinical Governance issues. To evaluate own work and current practices through the use of projects, audit or outcome measures, as directed by senior physiotherapists. To ensure a good working knowledge of national and local standards. To actively assist in the implementation of new policies and practice in the current area of practice in the department. To comply with all mandatory training: o Fire o Violence Awareness o CPR o Manual Handling o Child Protection To ensure close lines of communication are developed and maintained with other physiotherapists, other clinical disciplines, management and other agencies involved in the care and support of patients. To assist and support the Team Leader on allocated service delivery site(s). To comply with all WH policies and procedures and the Health and Safety at Work Act, and ensure that all staff are aware of these and do likewise. To actively participate in any relevant meetings and seminars. To maintain and update a Continuing Professional Development Portfolio (CPD). To delegate and supervise Service assistants and Junior staff. To be responsible for the competent and safe use of equipment, electrotherapy machines and patient appliances. To ensure an adequate level of equipment is maintained by monitoring stock levels and ensuring re-ordering is timely and appropriate. To perform electronic searching of databases to update clinical knowledge base for own professional development, for training purposes, and for service development. To assist and support the Team Leader at allocated MSK Service delivery site(s). Person Specification Education / Qualifications Essential Good written/spoken English Degree / Diploma in Physiotherapy leading to HCPC registration Desirable Membership of other professional groups (MACP/SOM/clinical Interest groups) Evidence or commitment of substantial post registration training in Musculoskeletal Physiotherapy Skills & Abilities Essential Specialised knowledge of the safe management of musculoskeletal disorders Able to work alone as an autonomous practitioner Desirable Experience of undertaking departmental duties. Previous experience teaching Musculoskeletal physiotherapy staff/students and other professionals Knowledge & Experience Essential Experience of MSK outpatients, including acute and chronic presentation. Referrals from GPs, consultants and self-referrals. Post registration experience: - MSK conditions - Sports injuries, Rheumatology, Orthopeadics, Neurology/Elderly rehabilitation Desirable Specialised knowledge of the current management guidelines and evidence in the safe treatment of Musculoskeletal disorders Person Specification Education / Qualifications Essential Good written/spoken English Degree / Diploma in Physiotherapy leading to HCPC registration Desirable Membership of other professional groups (MACP/SOM/clinical Interest groups) Evidence or commitment of substantial post registration training in Musculoskeletal Physiotherapy Skills & Abilities Essential Specialised knowledge of the safe management of musculoskeletal disorders Able to work alone as an autonomous practitioner Desirable Experience of undertaking departmental duties. Previous experience teaching Musculoskeletal physiotherapy staff/students and other professionals Knowledge & Experience Essential Experience of MSK outpatients, including acute and chronic presentation. Referrals from GPs, consultants and self-referrals. Post registration experience: - MSK conditions - Sports injuries, Rheumatology, Orthopeadics, Neurology/Elderly rehabilitation Desirable Specialised knowledge of the current management guidelines and evidence in the safe treatment of Musculoskeletal disorders 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 Whittington Hospital NHS Trust Address Holloway Health Centre Hornsey Street London N7 8GG Employer's website https://www.whittington.nhs.uk/ (Opens in a new tab)