Consultant Musculoskeletal Physiotherapist

Job summary

Consultant Physiotherapist (Musculoskeletal Community Assessment Treatment Service)

Full time and Flexible working considered

An exciting opportunity has arisen for a Consultant Physiotherapist specializing in musculoskeletal (MSK) care at Lewisham and Greenwich NHS Trust. This new position is part of the launch of a single point of access for MSK services in Lewisham Borough.

The post holder will provide consultancy and engage in the four pillars of advanced practice: clinical practice, leadership and management, education, and research, thereby enhancing system-wide expertise. Candidates must meet the requirements outlined in the Centre for Advancing Practice framework for consultant-level practice.

This role is ideal for individuals with extensive clinical and leadership experience at an 8a level seeking further development, or for those already working at a consultant physiotherapy level.

The MCATS team includes a consultant physiotherapist and advanced practice physiotherapists, with clinical supervision and support from consultant rheumatology and orthopaedic teams. The main site for this position is University Hospital Lewisham, but flexibility to work at other Trust sites, including Queen Elizabeth Hospital and community locations, is required.

Main duties of the job

Main Duties

To be an expert practitioner in Musculoskeletal (MSK) services, working with an advanced level of professional autonomy & accountability in the provision of clinical care to patients,carers and professional colleagues across pathways and systems.

To lead the delivery, monitoring and evaluation of a high quality, safe, effective and efficient MSK service, ensuring maintenance of clinical excellence.

To lead, develop and support staff within the Musculoskeletal Community Assessment and Treatment Service (MCATS) locally and to advise on MSK and MSK Physiotherapy regionally and nationally.

To be an expert consultant on the assessment and rehabilitation of MSK patients across the service challenging traditional models of care & leading innovation in practice.

To work in partnership with the other areas in the Trust and locally in order to contribute to a strategic approach for the provision of MSK services, physiotherapy and rehabilitation services

To work in collaboration with academic institutions and lead on education, training, research, innovation and practice development in MSK.

To evolve the role of the Consultant Therapist, proposing and negotiating advanced practice as efficiency and effectiveness requires

7-day working for Therapies is under development within the Trust and the post holder may be required to undertake a different working pattern, including weekends, in the future.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development Widening access (anchor institution) and employability Improving the experience of staff with disability Improving the EDI literacy and confidence of trust staff through training and development Making equalities mainstream

We place a strong emphasis on development and learning opportunities. This year, we successfully held our inaugural AHP Inspires event to showcase the potential within the AHP framework.

You will join a friendly, supportive, and inclusive culture focused on delivering quality patient care while prioritising staff welfare and engagement. Reporting to the Head of Therapies for Allied Clinical Services, you will play a vital role in promoting these positive values.

Job description

Job responsibilities

To act as a highly advanced expert practitioner, managing a caseload of the most complexpatients working at the forefront of knowledge and practice of MSK physiotherapy1 To be responsible for the delivery of advanced physiotherapy clinics, To use advanced clinical reasoning skills, critical thinking, reflection, analysis andskills beyond the traditional scope of Physiotherapy ie requesting x-rays, MRI/CTScans, US scans and blood tests, to aid diagnosis and plan management of patientsusing a patient centred approach to To act as a source of expertise in the management of musculoskeletal conditionsand provide an advisory service to patients, other Advanced Physiotherapists andclinical practitioners, senior Physiotherapists, other healthcare professionals, GPsand To be involved in the clinical triaging of referrals as To reconcile inter/intra professional differences of opinion on complex clinical issuesincluding the formulation of accurate prognoses, recommendation of best course ofintervention, including withdrawal of treatment across the service6 To develop and maintain advanced skills required to work at a level of consultantpractice of Physiotherapy. This includes referring patients for x-rays, blood tests,MRI/CT scans, ultrasound scans blood tests etc. Where applicable, to be skilled andcompetent in injection therapy and independent To be aware of the boundaries of own scope of practice and to manage theassociated clinical risk effectively at all To follow up the results of clinical investigations, discuss these with the medicalcolleagues as appropriate and communicate results to the patient when appropriate,arranging further management as To work with Therapy Leads and the service manager in developing the strategic andoperational management of the MSK physiotherapy To use a highly advanced theoretical and evidence-based knowledge of anatomy,physiology and pathology and clinical reasoning to assess and diagnose patients,often in situations where conflicting evidence is To accept clinical responsibility for a designated caseload of patients, in the MSKservice, and to organise this efficiently and effectively with regard to clinical prioritiesand use of time, ensuring a high standard of clinical care for the patients under yourmanagement and under the management of the staff for whom you are To demonstrate physical ability to carry out highly skilled physiotherapy assessmentsand interventions including a wide range of therapy techniques and To co-ordinate intervention which may include other disciplines, including advisingand educating patients, carers and To act as an expert advisor locally, regionally and nationally in MSK physiotherapy andrehabilitation advising and challenging traditional models/processes of care, suggestingand implementing innovation in clinical practice, including expert advice to To be responsible for ensuring that quality standards and effectiveness of patientcare are continually improved by self and designated team through formal andinformal facilitation / staff To contribute to and influence the local, regional and national policy agenda inphysiotherapy professional and clinical strategy for MSK physiotherapy andrehabilitation services. To propose and lead policy changes concerning themanagement of patients with MSK conditions in conjunction with the physiotherapyteam leads, hospital Consultants and other relevant colleagues such as GPs17 To work with the Lead Musculoskeletal Physiotherapist in developing the strategicand operational management of the musculoskeletal physiotherapy To assess patients capacity, gain valid informed consent to treatment and wheresuch capacity is lacking/absent to work within a legal framework in the managementof the To ensure accurate, comprehensive and up to date clinical records are maintained inaccordance with Trust guidance and professionally agreed To use recognised outcome measures to evaluate the effect of physiotherapyinterventions and ensure that treatment programmes are progressing To promote best practice and ensure that individual practice and that of the team ispatient centred and patient views are incorporated into treatment To produce comprehensive patient related reports for other disciplines or agenciesrelating to assessment findings and/or treatment To undertake the measurement and evaluation of own work through audit, outcomemeasurement, the application of evidence-based practice and research whereappropriate. To identify and initiate audit projects to review current clinical practicewithin pathways, working with service users, communities and partners

Person Specification

Qualifications & Training

Essential

State registration to HPC Podiatry Diploma/ Degree Post graduate diploma/certificate in management Local Analgesia Administration Certificate. Commitment and demonstration to continuous development of clinical skills and professional knowledge. Full Driver's Licence

Desirable

IRMER certificate POMs certificate Evidence of CPD portfolio demonstrating knowledge base.

Experience

Essential

A minimum 8 years post graduate experience as a NHS Physiotherapist A minimum 4 years experience in a band 7 clinical lead role Experience of dealing with complaints, investigating incidents and experience in managing sensitive information Proven ability to manage multiple projects/tasks at any one time Significant experience of managing staff and adhering to HR procedures Able to demonstrate experience of being patient centred in approach to service development Management and training/coaching experience

Desirable

Qualification in project management Experience of financial and budgetary control

Knowledge & Skills

Essential

Ability to use electronic resources to create, analyse and share information , Word, Excel, Power Point Strong interpersonal skills and willingness to positively engage in difficult conversations Well-developed leadership and management skills with the ability to enthuse, motivate and engage individuals and teams Confident communicator, able to present to large groups and chair meetings Demonstrable influencing and persuasion skills Collation of complex information requiring analytical skills with the confidence to present findings Able to produce reports and assist in business case writing Strong planning and organisational skills Ability to diagnose, construct, document, implement and evaluate care plans using a holistic approach Good verbal and written communication skills in order to deal with people of all age groups in clinical situations, health care professionals and key personnel working wintin the Trust employee relations team. Demonstrate ability to use specialist diagnostic & therapeutic equipment , doppler ultrasound, Hand eye co-ordination, dexterity, manipulation, keyboard activity

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