Job summary This is an exciting opportunity for a motivated, flexible and enthusiastic individual for the KOTS service. There needs to be a special interest in working both in hospital and in the community. The KOTS service is an innovative service that bridges the care from hospital to home, covered over seven days and overseen by a band 7 team lead and Clinical Lead in Acute Medicine. The post holder will work closely with community partners, other Band 7's, Band 6's, Band 5's and assistants within the wider acute medicine team at Denmark Hill. This is a permanent, full-time post based at Denmark Hill, Kings College Hospital. Main duties of the job The post holder will provide specialist assessment, and intervention to patients In the community. The post holder will manage a variety of patients with long-term conditions including dementia and delirium, falls, and chronic neurological and respiratory conditions. You will complete comprehensive assessments, treatment and early discharge plans for patients with complex health and social care. As well as gaining valuable clinical experience in the community you will also get an opportunity to develop your managerial and supervisory skills providing supervision to a band 4. As band a band 6 there will be opportunities to be involved in service development and research. Continuing professional development is encouraged through the appraisal system, peer working and support. We invite applications from HCPC- registered Physiotherapists with experience in care of older people/ elderly rehabilitation at band 6 level with good insight into falls, dementia, Delirium and early discharge planning. Applicants should also have a sound all round level of experience. 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. Date posted 23 October 2024 Pay scheme Agenda for change Band Band 6 Salary £44,806 to £53,134 a year Per Annum including high cost area Contract Fixed term Duration 5 months Working pattern Full-time Reference number 213-PRUH-6678275-A Job locations King's College Hospital NHS Foundation Trust Denmark Hill London SE5 9RS Job description Job responsibilities CLINICAL AND PROFESSIONAL Patient Care To be professionally and legally responsible and accountable for all aspects of own work 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 receive referrals, undertake full assessment and independently plan individual specialized treatment programmes for patients appropriately depending on the physiotherapists diagnosis, using clinical reasoning and specialist skills such as use of respiratory adjuncts, tone management, patient education, exercise and posture and seating management. To use recognized outcome measures to evaluate the effect of the physiotherapy interventions and ensure the treatment programmes are progressing appropriately. To carry a designated clinical caseload including complex patients and prioritise that work efficiently taking into account clinical and service priorities using specialist knowledge to underpin decisions. To provide individual patient equipment as required, such as, walking aids, splints and supports. To issue such equipment with due regard to safety of the equipment, and in line with legal, national and local guidelines To be responsible for the standard of physiotherapy carried out by senior physiotherapy assistants or assistant practitioners working with you. To undertake home visits when appropriate, to ensure planned discharge from hospital. Advise, guide and teach junior staff and students in the assessment and management of patients and other aspects of clinical practice. To be an active member of the on-call, weekend duty rotas, and cover of statutory and public holidays including working as lone physiotherapy practitioner at night. Communication To consult appropriately with senior specialist staff regarding patients with particular problems. 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 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 patients level of communication, facilitating the best possible communication outcome e.g. use of interpreters. To be able to persuade and motivate patients through effective communication skills. To provide and receive information from patients, carers and other professionals regarding a patients condition and treatment progress. This may include the sharing and receiving of complex and/or sensitive information. Develop and maintain close working relationships with physiotherapy colleagues, referring clinicians, other members of the multidisciplinary team and other appropriate persons or agencies involved in the provision of care to these groups of patients in the community and hospital settings to provide a co-ordinated service. MANAGEMENT AND ADMINISTRATION Information Management To maintain comprehensive, accurate and timely patient notes and records in accordance with departmental policy and to ensure the safekeeping and confidentiality of these records. To keep comprehensive records of activity in accordance with local and national requirements, using departmental software systems as required. Human Resources Management To participate in the Kings College Hospital Employee Performance Appraisal system and to fulfill its requirements, progressing to undertaking independent appraisals of junior staff. To organise and monitor the day to day work of the physiotherapy assistants and porter where allocated. To deputise for the Band 7 physiotherapist when appropriate and adapt to changing service demands. To participate in the supervision and teaching of junior physiotherapy staff, students and assistants, progressing to independent supervision, management and competency assessment of a student. Physical Resources To ensure that work areas are kept safe and tidy and to be responsible for regular inspection and reporting defects of equipment used and report to the Clinical Lead Physiotherapist. Service Development Identify opportunities to improve the service, and to discuss them with the Clinical Lead Physiotherapist and take forward as personal project. To demonstrate a knowledge of Clinical Governance and have an active role in clinical effectiveness and audit programmes in order to develop and improve services. TRAINING, EDUCATION AND RESEARCH To undertake in-service and post-graduate training to improve patient care and for professional development. Keep abreast of current development in physiotherapy generally and specifically in the area of Elderly Rehabilitation physiotherapy, and incorporate into current practice and disseminate to other members of staff, following discussion with the Clinical Lead. To contribute to the in-service training programmes for the physiotherapy staff, including teaching on it. To be responsible for maintaining own competency to practice through CPD activities, using reflective practice and maintain a portfolio that indicates personal development. To be involved in research and evaluation of practice as opportunities arise. To participate in education programmes for schools, community groups and other visitors to Kings College Hospital. Job description Job responsibilities CLINICAL AND PROFESSIONAL Patient Care To be professionally and legally responsible and accountable for all aspects of own work 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 receive referrals, undertake full assessment and independently plan individual specialized treatment programmes for patients appropriately depending on the physiotherapists diagnosis, using clinical reasoning and specialist skills such as use of respiratory adjuncts, tone management, patient education, exercise and posture and seating management. To use recognized outcome measures to evaluate the effect of the physiotherapy interventions and ensure the treatment programmes are progressing appropriately. To carry a designated clinical caseload including complex patients and prioritise that work efficiently taking into account clinical and service priorities using specialist knowledge to underpin decisions. To provide individual patient equipment as required, such as, walking aids, splints and supports. To issue such equipment with due regard to safety of the equipment, and in line with legal, national and local guidelines To be responsible for the standard of physiotherapy carried out by senior physiotherapy assistants or assistant practitioners working with you. To undertake home visits when appropriate, to ensure planned discharge from hospital. Advise, guide and teach junior staff and students in the assessment and management of patients and other aspects of clinical practice. To be an active member of the on-call, weekend duty rotas, and cover of statutory and public holidays including working as lone physiotherapy practitioner at night. Communication To consult appropriately with senior specialist staff regarding patients with particular problems. 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 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 patients level of communication, facilitating the best possible communication outcome e.g. use of interpreters. To be able to persuade and motivate patients through effective communication skills. To provide and receive information from patients, carers and other professionals regarding a patients condition and treatment progress. This may include the sharing and receiving of complex and/or sensitive information. Develop and maintain close working relationships with physiotherapy colleagues, referring clinicians, other members of the multidisciplinary team and other appropriate persons or agencies involved in the provision of care to these groups of patients in the community and hospital settings to provide a co-ordinated service. MANAGEMENT AND ADMINISTRATION Information Management To maintain comprehensive, accurate and timely patient notes and records in accordance with departmental policy and to ensure the safekeeping and confidentiality of these records. To keep comprehensive records of activity in accordance with local and national requirements, using departmental software systems as required. Human Resources Management To participate in the Kings College Hospital Employee Performance Appraisal system and to fulfill its requirements, progressing to undertaking independent appraisals of junior staff. To organise and monitor the day to day work of the physiotherapy assistants and porter where allocated. To deputise for the Band 7 physiotherapist when appropriate and adapt to changing service demands. To participate in the supervision and teaching of junior physiotherapy staff, students and assistants, progressing to independent supervision, management and competency assessment of a student. Physical Resources To ensure that work areas are kept safe and tidy and to be responsible for regular inspection and reporting defects of equipment used and report to the Clinical Lead Physiotherapist. Service Development Identify opportunities to improve the service, and to discuss them with the Clinical Lead Physiotherapist and take forward as personal project. To demonstrate a knowledge of Clinical Governance and have an active role in clinical effectiveness and audit programmes in order to develop and improve services. TRAINING, EDUCATION AND RESEARCH To undertake in-service and post-graduate training to improve patient care and for professional development. Keep abreast of current development in physiotherapy generally and specifically in the area of Elderly Rehabilitation physiotherapy, and incorporate into current practice and disseminate to other members of staff, following discussion with the Clinical Lead. To contribute to the in-service training programmes for the physiotherapy staff, including teaching on it. To be responsible for maintaining own competency to practice through CPD activities, using reflective practice and maintain a portfolio that indicates personal development. To be involved in research and evaluation of practice as opportunities arise. To participate in education programmes for schools, community groups and other visitors to Kings College Hospital. Person Specification Education and Qualification Essential HCPC registration Degree or other recognized qualification in physiotherapy Desirable Member ACPIN or AGILE Knowledge and Experience Essential Wide-ranging post-graduate clinical experience including musculo skeletal, orthopaedics, respiratory, elderly and neurology Extended post-graduate experience in acute medicine including elderly care. Knowledge and understanding in a broad range of conditions and problems which may affect adults, including Older people in an acute setting Desirable Experience working in the Community Knowledge of assessment and provision of ADL equipment and minor adaptation Skills and Competencies Essential Good assessment skills and varied rehab techniques IT skills, including keyboard and word processing skills Able to work collaboratively within multi-disciplinary team and understand roles Desirable Able to present information to small groups Person Specification Education and Qualification Essential HCPC registration Degree or other recognized qualification in physiotherapy Desirable Member ACPIN or AGILE Knowledge and Experience Essential Wide-ranging post-graduate clinical experience including musculo skeletal, orthopaedics, respiratory, elderly and neurology Extended post-graduate experience in acute medicine including elderly care. Knowledge and understanding in a broad range of conditions and problems which may affect adults, including Older people in an acute setting Desirable Experience working in the Community Knowledge of assessment and provision of ADL equipment and minor adaptation Skills and Competencies Essential Good assessment skills and varied rehab techniques IT skills, including keyboard and word processing skills Able to work collaboratively within multi-disciplinary team and understand roles Desirable Able to present information to small groups 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 King's College Hospital NHS Foundation Trust Address King's College Hospital NHS Foundation Trust Denmark Hill London SE5 9RS Employer's website https://www.kch.nhs.uk/ (Opens in a new tab)