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Specialist Physiotherapist MSK Triage

4 months ago


Beccles, United Kingdom East Coast Community Healthcare CIC Full time

Job summary

East Coast Community Healthcare (ECCH) are looking for an enthusiastic, highly skilled senior physiotherapist with excellent communication skills to work as a Specialist Physiotherapist within our MSK Triage Team.

The successful candidate will be offered training and mentoring from our experienced ESPs to meet the demands of the role. ECCH MSK covers a large geographical area including Great Yarmouth and Waveney and North Norfolk.

The successful candidate would be expected to work across all MSK hubs as required to meet the needs of the service.

East Coast Community Healthcare CIC (ECCH) is entering exciting new times with integrated health and social care provision. In partnership with local health and care providers we are evolving into a multidisciplinary, multi-organisational workforce as we continue to deliver community care. There is an expectation that as this new system develops, this role will also evolve and change providing an exciting opportunity for the post-holder to further develop their skills and knowledge.

For further information please contact Martin MacDonald, Clinical Lead ESP, via email-

Main duties of the job

- To provide Specialist triage, assessment and treatment where appropriate for patients with complex musculoskeletal (MSK), chronic pain and rheumatological conditions to ensure progress through the appropriate care pathway. Including patient referred to secondary care.

- To act as a source of expertise and advice on the Physiotherapy assessment and management of MSK dysfunction; providing advice to patients, senior Physiotherapists, other healthcare professionals, GPs and consultants.

- To assist the ESPs for the MSK Assessment and Triage Service in the running of the Service.

- To develop and maintain skills required to practice at an advanced level and to use these skills to aid diagnosis and develop treatment plans within individual clinical competencies which may include;

- Joint/ soft tissue injections

- Imaging /pathology request and interpretation.

About us

ECCH is well established health care provider and has been successfully delivering NHS care within the community since 2011. We provide a range of NHS, community health and social care services predominantly across the easterly region of the Norfolk/Suffolk borders.

We are aligned to NHS terms and conditions, and offer many employee benefits, to find out more about us visit our website - We are a social enterprise and staff owned organisation which means staff can opt to be shareholders and have a real say in how ECCH is run and evolves to deliver healthcare for the future.

At the heart of our ambition, we work in partnership with and for the community to become the provider and employer of choice for community healthcare.

We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received.

Job description

Job responsibilities

Clinical

To have an active role inthe assessment of a wide range of musculoskeletal, chronic pain andrheumatologically conditions based on advanced theoretical knowledge ofanatomy, physiology, neuro-anatomy and pathology, often in situations whereconflicting evidence and/or complex bio-psychosocial issues are present. Toapply advanced clinical reasoning skills to assess and form a diagnosis andensure progress through the appropriate care pathway.

To recognise the mostappropriate pathway for patient such as when referral to specialistOrthopaedic, Rheumatology or Pain Management is fully appropriate. To usetheoretical and practical knowledge to make recommendations for furthermanagement of the condition and assist the patient as far as possible in thereferral process. This requires knowledge and understanding of the role ofother health professionals, ( psychology, occupational therapy, pharmacy,orthopaedics, rheumatology, pain clinic, general practitioner).

To communicate some highlycomplex patient related information effectively to ensure collaborative workingwithin the MSK, pain and rheumatology services/teams and with multidisciplinarycolleagues across health and social care sectors to ensure the delivery of acoordinated multidisciplinary care. Making appropriate recommendations forfurther management and ensuring that the patient is informed.

To accept clinicalresponsibility for a designated caseload of patients and to organise thiseffectively and efficiently with regards to clinical priorities and use oftime.

To independently or withthe Extended Scope Practitioner triage referrals and make onward referrals asappropriate. This will involve the coordination of the patients complexpathway of care between healthcare professionals comprising themultidisciplinary team. The multidisciplinary team consists of Allied HealthProfessionals, Healthcare Scientists, GPs, Doctors and Consultants in bothprimary and secondary care and may involve other agencies social care. Thus,the clinician will be expected to refer on beyond their scope of practice.

To undertake comprehensiveassessment of patients, including those with complex presentation, usinginvestigative and analytical skills and to formulate individualised managementand treatment plans, using clinical reasoning and utilising a wide range oftreatment skills and options to formulate a specialised programme of care.There may be conflicting information to make a judgement on the best course ofaction to be taken for the management of patients condition.

To develop and maintainskills required to practice at an advanced level and use an extended scope ofpractice beyond that of Physiotherapy (including referral for andinterpretation of imaging, pathology reports, delivery of injection therapy).

To be professionally andlegally responsible and accountable for all aspects of your own work includingthe management of patients in your care. To ensure high standards of clinicalcare for the patients under your management and support others to do likewise.

Provide advice and supportto staff, patients and carers in relation to the general management of theservice users condition whilst understanding the broader implications for theindividual, family unit and carers.

To provide spontaneous andplanned specialist advice, teaching and instruction to patients, relatives,carers and other professions to promote understanding of the aims of clinicaltriage and Physiotherapy and to ensure a consistent approach to patient care.

To be proactive in encouragingthe use of a range of self-management strategies to patients or theircarer/relative and in doing so overcome barriers to understanding. This willfrequently require negotiation with patients on the return to activities wherecognitive, behavioural and motivational issues may be significant barriers tochange.

To maintain accurate,comprehensive and up to date treatment documentation in line with legal andservice requirements, communicating assessments and treatment results to theappropriate disciplines in the form of reports and letters.

To assess capacity, gainvalid informed consent and have the ability to work within the legal frameworkwith patients who lack capacity to consent to treatment.

Safeguard theconfidentiality of all information discussed regarding the medical and socialcircumstances of the patient and their family.

Professional :

To maintain own clinicalprofessional development and competence (CPD) by keeping abreast of any newtrends, research evidence and clinical guidelines and incorporate them asnecessary into your work.

To develop, monitor andmaintain high standards of practice for Musculoskeletal Physiotherapy withinthe MSK Triage and physiotherapy service.

To make recommendationsabout and lead on the development of evidence-led clinical initiatives withinthe Musculoskeletal Physiotherapy service.

To have a role in thedevelopment of ECCHs contribution to the local pathways within the scope ofthe MSK Triage and physiotherapy service.

To take a leading role inthe clinical development of Physiotherapy staff within ECCH and their teachingand supervision.

To be an active member ofthe in-service training programme and provide clinical leadership within themusculoskeletal team by attending and delivering presentations and trainingsessions at staff meetings, tutorials, training sessions in-house and byattending external courses, practicing reflective practice and performing peerreviews.

To liaise with GPs andother health care professionals to improve communication and quality ofreferrals and to provide them with training when required.

To participate in the staffappraisal scheme.

To take a lead role for themeasurement and evaluation of the MSK Triage Team working with the MSKPhysiotherapy team where appropriate regarding current practice through the useof audit and outcome measures. To make recommendations for change and implementchanges to practice as necessary.

Demonstrate a soundunderstanding of Clinical Governance and Risk Management and apply to the worksituation.

Organisational :

To be responsible forequipment used in carrying out duties and to adhere to any relevant policiesincluding competence to use equipment and ensure safe use of equipment byothers through teaching, training and supervision of practice.

To be aware of Health andSafety and Infection Control aspects of your work and implement any policies,which may be required to improve the safety of your work area, including promptand appropriate recording and reporting of accidents to and ensuring thatequipment use is safe.

Manage personnel (HR)issues in line with ECCH policies sickness and performance and takeappropriate action when identified as necessary for staff within MSK servicesin conjunction with the clinical coordinator for MSK services.

To be responsible for thecollection of appropriate data and statistics for use in the MSK Triage Teamand MSK service and to provide reports as necessary to the Clinical Coordinatorfor MSK services.

To comply with the Organisationaland service policies and procedures and to be involved in the reviewing andupdating as appropriate.

To ensure that other MSKTriage and Physiotherapy staff comply with organisational and service policieswhen carrying out their work.

To act as a representativeof and an ambassador for the Company to ensure it is held in high regard.

To deputise for theExtended Scope Practitioner for the MSK Triage Team.

All roles within East Coast Community Healthcare CIC(ECCH) require staff to demonstrate our Values and Signature Behaviours in thecare and service they provide to patients, service users, stakeholders andcolleagues. All members of staff should consider these as an essential part oftheir job role.

Our Valuesoutline the core behaviours that we can all achieve and are summarised as anacronym within the word CARE .These stand for: Compassion, Action, Respect and Everyone .

Underpinning ourValues are our Signature Behaviours which highlight by taking the right actionswe continue to build a strong culture.Our four Signature Behaviours are: Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together .

Person Specification

Personal Attributes

Essential

Committed to a successful Physiotherapy / MSK team Able to work collaboratively within a team Able to work independently Committed to personal and team development Able to work with others and pass on skills and knowledge Able to communicate well at all levels Able to maintain judgement under pressure Able to maintain motivation, drive and enthusiasm Confident Empathetic Sympathetic Sensitive Assertive Flexible working Ability to embrace our Culture, Values and Signature Behaviours: (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together) Willingness and ability to work across different sites and travel to alternative sites and across the community as required

Qualifications

Essential

Diploma / Degree in Physiotherapy Registration with HCPC Evidence of relevant post graduate courses / CPD Have or working towards relevant MSc or evidence of academic / intellectual level equivalent to MSc level

Desirable

Membership of clinical special interest group Previous experience of requesting imaging and bloods

Experience

Essential

Relevant experience in specialist Physiotherapy clinical area Experience of service evaluation and development Previous experience of teaching / training members of staff Completion of audits

Desirable

Experience of collaborative working within a multidisciplinary team Previous experience in a team leadership role

Skills and Knowledge

Essential

Good knowledge of all aspects of Physiotherapy Musculoskeletal expertise Supervisory skills Critical appraisal skills Presentation skills Forward thinking Excellent interpersonal skills Self-directed learning Ability to work independently Ability to pass on skills / knowledge to others within both formal and informal environment Negotiating skills Conflict management skills Ability to articulate a vision for MSK Physiotherapy Ability to work outside traditional professional boundaries Computer literate High level problem solving

Desirable

Research skills and experience of involvement in clinical studies