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Senior Clinical Fellow in Critical Care

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Blackburn, United Kingdom East Lancashire Hospitals NHS Trust Full time
Job overview

We have a rare and exciting opportunity for a part time Band 6 Stroke Specialist Physiotherapist to join our Integrated Stroke Therapies Service. The role will be working across the stroke therapy rotation wheel which includes Acute Stroke at RBH, Inpatient Stroke Rehab at PCH, & Community Stroke at PCH.

The job focus will be to work as part of the Physiotherapy Team and wider MDT providing responsive and high-quality complex stroke rehabilitation. You will be a HCPC registered Physiotherapist with sound knowledge and experience of specialist neurological assessment and treatment procedures for this client group. This post will suit a therapist ready to progress into a senior position with a special interest in stroke.

Excellent interpersonal and communication skills are required together with good organisational and time management skills. Flexibility in working patterns to meet the needs of the service is essential as you will be working as part of the 7 day weekend working rota.

Main duties of the job

The role will require you to undertake comprehensive Physiotherapy assessment at a specialist level with patients, allocated to your caseload, under the supervision of the Clinical Team Lead Physiotherapist in the service.

You will be required to complete specialised assessment, treatment planning, and clinical intervention in the field of neurology. You will select and apply appropriate evidence-based assessment tools and outcome measures to identify the clinical benefit within your practice. As part of the role, you will be expected to formulate patient centred goals along with individualised management and treatment plans, where appropriate, including effective discharge planning and onward referral to community services.

As a senior therapist you will independently manage a varied and complex caseload on a day to day basis, organising your time effectively and efficiently with regard to clinical priorities; ensuring good use of skills within the team by delegating and allocating work to junior staff and assistant therapy staff.

Working for our organisation

The Integrated Stroke Therapy Team is a SSNAP ‘A’ rated service which provides specialist stroke services to adults within the acute & rehabilitation setting at both Royal Blackburn Hospital and Pendle Community Hospital. While the East Lancashire Community Stroke Service provides rehabilitation to patients within a range of settings including outpatient departments, patients’ homes, and care home settings.

The integrated therapy team consists of a whole MDT team including Occupational Therapists, Speech & Language Therapists, Physiotherapists, Clinical Psychology, AHP Professor in Neurorehabilitation and Stroke along with Therapy Assistant Practitioners.

As a service we are actively involved in research developments and keen to encourage staff to participate in service improvement projects. We also have a robust training and supervision structure in place to support staff to full fill their role.

Detailed job description and main responsibilities

CLINICAL

1.Be professionally and legally accountable for all aspects of own work, including the management of patients in your care.

2.Undertake a comprehensive assessment of patients including those with diverse or complex presentations/multi pathologies; use advanced clinical reasoning skills and manual assessment techniques to provide an accurate diagnosis of their condition.

3.Formulate and deliver an individual physiotherapy treatment programme based on a sound knowledge of evidence based practice and treatment options using clinical assessment, reasoning skills and knowledge of treatment skills e.g. manual physiotherapy techniques, patient education, exercise classes, and other alternative options.

4.Take delegated responsibility from the Band 7 Physiotherapist for managing patients with particular conditions and be responsible for providing specialist physiotherapy assessment and treatment plans for patients with these conditions.

5.Use a range of verbal and non-verbal communication tools to communicate effectively with patients to progress rehabilitation and treatment programmes. This will include patients who may have difficulties in understanding or communicating. For example, patients may dysphasic, depressed, deaf, blind or who may be unable to accept diagnosis.

6.Evaluate patient progress, reassess and alter treatment programmes if required.

7.Manage clinical risk within own patient caseload.

8. When working in the community and domiciliary settings, work as a lone practitioner with telephone support from a more senior physiotherapist if required.

9. Supervise junior physiotherapists and assistants’ record keeping system according to professional and the physiotherapy service standards.

PROFESSIONAL

1.Be responsible for maintaining own competency to practice through Continuing Professional Development activities and maintain a portfolio which reflects personal development.

2.Be responsible for teaching student physiotherapists to graduate level on physiotherapeutic skills and knowledge within core clinical areas as required.

3.Be responsible for teaching, assessment and contributing to the performance assessment and appraisal of newly qualified physiotherapists and physiotherapy assistant staff, as required.

4.Maintain and develop current knowledge of evidence based practice in the relevant clinical areas, developing specialist knowledge of particular conditions and patient types.

5.Undertake the measurement and evaluation of your work and current practices through the use of evidence based practice projects, audit and outcome measures, either individually or with colleagues.

ORGANISATIONAL

1.Responsible for the supervision and co-ordination of junior staff and assistants on a daily basis.

2.Deputise for the Band 7 in their absence, taking responsibility for operational management of the team, allocating and organising the work of junior and assistant staff to meet service priorities on a daily basis.

Person specification clinical and non clinical Essential criteria
  • Registration with Health and Care Professions Council
  • Individual and group treatment skills in stroke rehab
  • Worked as Band 5 in stroke or neuro
  • Clinical experience in using a range of stroke specialist neurological interventions
  • Experience of delivering training to colleagues in health and/ or other relevant agencies
  • Access to a vehicle to work across sites
  • Awareness of national policy, clinical practice standards and guidelines relevant to service
  • Able to undertake complex manual handling
Desirable criteria
  • Training relevant to role e.g. Bobath, NCORE course, spasticity management
  • student educators course
  • Appraisal Skills