Job Description

The post holder will provide a high standard physiotherapy service to patients through all stages of their Chronic Pain & Rehabilitation pathway. As a non-rotational physiotherapist, act as a link person in the day to day running of the area of specialty, liaising with other professional team members.



To perform advanced physiotherapeutic assessment of patients with diverse and complex conditions, including but not limited to: Persistent Widespread Pain, Fibromyalgia, Joint Hypermobility Spectrum Disorder, Complex Regional Pain Syndrome, Chronic Low Back Pain, Inflammatory joint disease and Osteogenesis Imperfecta.



To develop and deliver a patient focused management programmes across the range of rehabilitation programmes on offer. These include individual and group based education and treatment.



To be responsible for own caseload, working without direct supervision. All aspects of clinical duties will be undertaken as an autonomous practitioner within the wider Multidisciplinary team. Supervision takes the form of regular formal training and clinical reasoning sessions, problem case sessions and peer review. Access to advice and support from senior colleagues is available when required.



To supervise, educate and assess the performance of rotational staff, Therapy technician's and physiotherapy students. To provide support and supervision to staff undergoing preceptorship and apprenticeships.



To undertake evidence based audit and research projects to further own and teams clinical practice. To make recommendations to the Clinical Specialist for changes in practice by team. To lead on the implementation of specific changes to practice.



RNOH Royal National Orthopaedic Hospital NHS Trust (RNOH) is the largest orthopaedic hospital in the UK and a global leader in our field. We provide a dynamic working environment where we support frontline staff to implement improvements so that we can realise our vision of being a world leading neuro-musculoskeletal hospital providing the best patient care and staff experience in the NHS, delivering world leading research, and offering a strong foundation of education, training and career progression. Our dedicated staff come from diverse backgrounds, and our patients benefit from the wide range of experience they bring to the trust. RNOH brings unrivalled expertise together in one place allowing us to deliver some of the world's most complex and innovative care to our patients. RNOH is rated good by the CQC and covers two sites, one in central London and one in Stanmore - which has recently opened The Stanmore Building, a new, state-of-the-art inpatient facility. For more information, please access the following link: https://www.rnoh.nhs.uk/



Clinical Responsibilities



To be professionally and legally accountable for all aspects of own work, including the management of patients in your care



To undertake a comprehensive biopsychosocial assessment of patients with diverse or complex presentations, using advanced clinical reasoning skills.



To formulate and deliver an individual physiotherapy management programme based upon sound knowledge of the evidence of the treatment options available and skills to facilitate behaviour change



To plan and prioritise your own patients case load and that of more junior staff and Therapy technician's where necessary



To take delegated responsibility from senior colleagues for managing and treating patients with particular conditions and be responsible for providing specialist physiotherapy assessment and management plans



To recognising the impact of psychological and social factors on prognosis and able to develop discharge plans



To determine the patients' understanding of treatment proposals to ensure valid patient consent. To understand and work within a legal framework with patients who lack the capacity to consent to treatment



Be highly skilled in communicating with patients of all ages and cultural backgrounds who have a range of physical, psychological and language barriers to understanding



To be able to effectively present information and facilitate discussion in small groups.



To evaluate a patients' progress, reassess and alter treatment programmes if required, ensuring reflective practice



To manage clinical risk within own patient case load



To work within Trust and Chartered Society of Physiotherapy (CSP) clinical guidelines and to have a good working knowledge of national and local standards and monitor own and others quality of practice as appropriate



To be responsible for maintaining accurate and comprehensive patient treatment records in line with CSP standards of practice



To supervise junior, rotational staff, Therapy Technician's and student physiotherapists record keeping according to professional and physiotherapy service standards



To represent physiotherapy/individual patients at MDT meetings. To ensure the delivery of a co-ordinated multidisciplinary service and integrate physiotherapy treatment into the treatment programme. This will involve discussion of patient care, patient progress and involvement in discharge planning



To be responsible for the safe and competent use of all equipment and techniques And ensure that junior staff and Therapy technicians attain competencies prior to use



To be competent using the internet in the search for evidence based practice and the internal IT systems for communication purposes



Professional



The post holder must comply with the Physiotherapy Code of Professional Conduct

To be responsible for maintaining own competency to practice through CPD activities, maintaining a portfolio, which reflects personal development



To be responsible for teaching student physiotherapists to graduate level and more junior staff on physiotherapeutic skills and knowledge within the Rehabilitation & Pain Management specialist unit



4. Teach, assess and contribute to the performance assessment and appraisal of more junior and therapy technician staff



To maintain and develop current knowledge of evidence based/best practice, developing specialist knowledge of particular conditions within specialist unit



To undertake evidence based projects, contributing to changes in service delivery and clinical practice.



To participate in the staff appraisal scheme as an appraisee and be responsible for complying with your agreed personal development programmes to meet set knowledge and competencies



To assist more junior staff in the development of their IPR objectives, sometimes and appraise some junior staff where appropriate



To undertake the measurement and evaluation of your current practice through the use of projects, audit and outcome measures either individually or working with more senior colleagues



To actively participate in the in service training programmes, tutorials, individual training sessions, external courses and peer review



Under direction, to collect data for use in service audit and research projects. To manage and undertake research into specific areas of clinical practice and service delivery using a range of research methodologies as part of audit and research initiatives



To be actively involved in professional clinical groups such as peer review groups, journal clubs, CSP interest groups and other professional development activities



To provide clinical education and training to physiotherapy students to graduate level. To provide support, guidance and training to rotational staff and Therapy Technician's , assessing and evaluating competence.



Organisational



1. To be responsible for the supervision and co-ordination of junior staff, students and Therapy Technician's.



Ensure that your own practice meets the required professional standards of physiotherapy practice



To deputise for the Band 7 in their absence, taking responsibility for the day to day operational management of the team, allocating and organising the work of junior rotational staff and Therapy technician's to meet service priorities



To actively participate in other professional and departmental duties



To support the work experience programme providing the opportunity for students to observe physiotherapy, thereby promoting the profession



To be responsible for own time management in planning caseload to meet service and patient priorities



Effort and Environment



Carry out assessments and treatments of patients with musculo-skeletal conditions requiring moderate to intense physical effort on a daily basis



To comply with Trust manual handling policy and local therapeutic handling guidance at all times



To deal sensitively with patients who have high levels of anxiety and aggression caused by pain or limited mobility



To work alone at times when required



Safeguarding Children and Vulnerable Adults At Risk



The Trust recognises its duty to safeguard and promote the welfare of children, young people and adults. Staff must at all times treat patients with dignity and respect protecting, young people and adults at risk from abuse and neglect



Employees have a responsibility to ensure that prompt and appropriate action is taken when concerns have been made about a child, young person or adults at risk. Employees should be aware of their responsibilities as detailed in the Local Safeguarding Children Procedures and Safeguarding Adults at Risk Policy.



The Trust will assist you by providing mandatory training, support and advice.



Safeguarding children and adults is everyone's business



IT Skills



All staff are required to demonstrate a level of IT literacy skills appropriate to their job, as the use of IT is fundamental in delivering good quality efficient health care.