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Highly Specialist Physiotherapist

3 months ago

Tiverton, United Kingdom Devon Partnership NHS Trust Full time

Job summary

Thisvacancy has arisen at an exciting time of change within our learning disabilityservice. We are seeking a highly experienced, dynamic and enthusiasticphysiotherapist with diverse clinical and leadership skills to join the DevonLearning Disability Service. This postssits at cluster level and you will be able to provide specialist clinicalsupervision and support to members of the multi disciplinary teams across Mid and North Devon. You will be responsiblefor delivering dedicated postural management assessment clinics, providingevidence based treatment programmes and prescribing 24hour postural managementequipment as required. There will be opportunity to participate in hydrotherapyand supervision of students. You will also be required to work closely with theProfessional Lead Physiotherapist, taking a leading role in service developmentprojects to further the learning disability service.

Weprovide a client focused community based service to adults with a learningdisability and complex health needs that cannot be met by mainstream services. Aswell as working within the North and Mid cluster, you will be a part of theDevon wide specialist physiotherapy team. We are a Monday to Friday 9-5 servicewith no on call demand. This is a part-time vacancy ( hours) and flexibleworking will be considered. Hybrid working is also possible. Your work base will predominantly be Phoenix Lane, Tiverton with themajority of your clinical work in Mid Devon.

Main duties of the job

Weare looking for someone who is an excellentcommunicator with extensive experience of working with people with learningdisabilities, additionalcommunication needs and complex health needs.They will be highly competent ina wide range of clinical and supervisory skills as outlined in the JobDescription, demonstrate an ability to work alone and as part of amultidisciplinary team and be able to be mobile across a large rural area.

Youwill have responsibility for a caseload and be required to work confidentlywith adults with complex postural and physical needs, completing thoroughassessments and providing evidence based treatment programmes as well astraining family and carers in 24 hour postural management. You will utilise your excellent teaching and supervisory skills toensure all members of the teams receive professional support and supervisionensuring a high quality, evidence based physiotherapy service across North andMid Devon.

About us

About Devon Partnership Trust

We provide mental health, learning disability and neurodiversity services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high quality services that are safe & focused on people's recovery.

We are committed to developing a culture of coproduction, involving patients, families & carers in everything we do

Our values

We not only recruit based on qualifications & experience - we recruit individuals who possess & demonstrate the behaviours which underpin our Trusts core values. These include such attributes as showing a commitment to quality of care, improving lives of others, giving respect, dignity & compassion. We can bring those values to life in our everyday tasks by giving a smile; making time for people; challenging ourselves & others, & being open to new ideas.

We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health conditions, neurodiversity or learning disabilities. We are a Disability Confident Leader.

Job description

Job responsibilities

Communicationand Working Relationship Skills

To work asclinical specialist in Learning Disability Physiotherapy with theresponsibility for a specialist caseload and to provide advance clinicalsupervision for the Physiotherapy team.

To deputisefor the Lead Physiotherapist for Learning Disabilities,taking the lead on delegated tasks and providing relevant feedback and reportsas required to ensure the progress and development of the service.

To communicate effectively when impartingcomprehensive information relating to diagnosis, prognosis, physical andfunctional recovery and lifestyle adjustments to patients and theirrelatives/carers.

To spontaneously use verbal andnon-verbal communication tools to discuss complex information about underlyinginfluences, diagnosis, prognosis, progression of rehabilitation and treatmentprogrammes with patient or carer.

To confidently communicate with patientswho may have difficulties relating to complex emotional, psychological as wellas physical conditions relating to the presenting complaint. This client groupincludes those who have difficulties in understanding or communicating, clientsmay have severe sensory impairment or challenging behaviour.

Demonstrate advanced skills in motivating,negotiating, counselling and training and the ability to adjust communicationas required in the situation.

Confidently communicate with clients,relatives and carers as well as other health and social care staff includingDevon Partnership staff, Residential Home Staff, Day Services staff andEducational staff.

Analytical and JudgementalSkills

To take a leadrole in the advanced physiotherapeutic assessment of learning disabled patientswith diverse presentations and complex physical, psychological and behaviouralconditions, to provide a diagnosis and prognosis to formulate and deliver a specialised physiotherapy treatment programme. This includesthe appropriate selection of referrals for inclusion in a range of treatmentprogrammes, one to one sessions using advanced communication, questioning andreasoning skills.

To be responsible for accurate andtimely recording of information on assessment, interventions anddecisions. To produce letters, reportsand discharge summaries in line with the Trust Record Keeping Policy.

To assist theLead Physiotherapist in monitoring the standard of Physiotherapy assessment andintervention and the use of audit toprovide evidence of improvement in services

To analyse andmake judgements on competing and conflicting demands and formulate actions toensure that the Physiotherapy service is delivered and resourced effectively.

To share information and advice with LeadPhysiotherapist relating to service planning, changes of clinical practice andcomplaints.

Demonstrate highly advanced problemsolving and clinical reasoning skills.

Abilityto maintain judgement under pressure.

Planningand Organisational Skills

To co-ordinate core group and servicereview meetings to integrate physiotherapy management in to the overallmanagement plan. This may involve health, education and social care staff,voluntary and private sector. This will involve providing highly specialistadvice to the multi-disciplinary team on management of physical recovery anddiscussion of patient care, progress and discharge planning.

To be responsible for organising andplanning a complex caseload to meet the service and patient priorities. This may include setting up complexphysiotherapy and hydrotherapy programmes, trialling equipment, training staffetc

Be responsible for the clinical supervisionand co-ordination of less experienced physiotherapists, students and assistants.

To confidently delegate and work closelywith physiotherapists and assistant physiotherapists to ensure the professionaland efficient provision of the Physiotherapy service.

Be responsible for organising loan andtrial of equipment such as standing frames, walking aids, postural supportsystems and orthotics, ordering definitive equipment as required.

Clinical workload involves daily lone working, assessing and managing the risk. Ensuring thesafety of less experienced staff in these settings.

Responsibilityfor Patient/Client Care, Treatment and Therapy

To take a leadrole in the advanced physiotherapeutic assessment of learning disabled patientswith diverse presentations and complex physical, psychological and behaviouralconditions.

To provide adiagnosis and prognosis to formulate and deliver a specialised physiotherapy treatment programme. This includesthe appropriate selection of referrals for inclusion in a range of treatment programmes,one to one sessions using advanced communication, questioning and reasoningskills.

To educate,train and supervise physiotherapists, physiotherapy assistants, students andother health education and social care professionals in physiotherapeuticmanagement of clinical conditions and physiotherapy record keeping.

To beresponsible for safe and competent assessment, provision and use ofphysiotherapy equipment, wheelchairs, standing frames, walking aids, orthotics,gym equipment and postural management equipment by patients ensuring that lessexperienced physiotherapy staff and assistants attain competency prior to use.

Assess patient and parent/carers understanding oftreatment proposals, gain valid formal consent and jointly agreed goals. Consentmay be gained from the client using total communication skills and from theparents, carers or medical panel where a client has severe barriers tounderstanding. To work within a legal framework with patients who lack capacityto consent to treatment.

Advanced communication skills are needed to impartand understand communication, such as signing, symbols, gesture and electroniccommunication aids.

To teach and assess carers competency to carryout physiotherapy treatment programmes.

To maintain accurate comprehensive and up to datedocumentation, in line with legal, departmental and CSP standards of practice.To communicate assessment and treatment results to the appropriate disciplinesin the form of reports, letters or verbally

Responsibilityfor Policy and Service Development Implementation

To comply with and be involved inreviewing, updating and implementing, as appropriate, national and localpolicies and procedures..

To have an advanced understandingof Clinical Governance and its implications for services, including experienceof quality issues and audit.

To work closely with the leadphysiotherapist and other service managers in the development of the Physiotherapyservice.

To participate in working parties andsubgroups developing policy changes within Learning Disability services.

To represent Physiotherapy and the DevonPartnership Trust at local, regional and national level, in the form oflectures, presentation, training, higher education and professional bodyworking parties.

Responsibilityfor Finance, Equipment and Other Resources

Be responsible for ordering and maintainingequipment and consumables

To be a prescriber of community equipment, assessing, providing, monitoring and evaluating the use of complex equipment and ensureresponsible use of funding.

To be an authorised signatory for special orders ofcomplex and high value equipment

Report any health and safety issues to the LeadPhysiotherapist

Responsibilityfor Human Resources, Supervision, Training, HR Advice and Management

To be responsible for maintaining owncompetency to practise through CPD activities, and maintain a portfolio whichreflects personal development. Maintain and develop current knowledge ofevidence-based practise in learning disability physiotherapy, developingspecialist knowledge of particular conditions and patient types as required.

Participate in the staff appraisalscheme as an appraisee and appraiser and be responsible for complying withagreed personal development programmes to meet set knowledge and competencies.To provide an environment commensurate with lifelong learning.

To take an active role in the in-servicetraining programme by attendance at, participation in and contribution toin-service training programmes, tutorials, delivering individual trainingsessions, external courses, peer review and undertaking reflective practice.

Provide regularsupervision and support, caseload allocation and co-ordination and training andlearning opportunities to qualified and assistant staff.

Act as aPhysiotherapy student supervisor and liaise with relevant Higher Educationstaff.

Ensureefficient management of time and resources

Responsibilityfor Information Resources and Administrative Duties

Ensure allrecords are up to date and compliantwith the data protection act and Trust recording standards

Use allavailable IT applications to enhance the communication of treatment plans tousers, care providers and carers

Responsibilityfor Research and Development

Undertake evidenced-based audit andresearch projects to further own and teams clinical practice.

Make recommendations to the LeadPhysiotherapist for changes to practice by the Learning DisabilityPhysiotherapy team and Devon Partnership Trust.

To take the lead in the implementationof specific changes to practice and contribute to service protocols.

Freedomto Act

Work autonomously following protocols andprofessional standards from the Chartered Society of Physiotherapists.

Expected results are defined but the post holder decides how they arebest achieved and is guided by principles and broad occupational policies or regulations.Guidance may be provided by peers or external reference points.

Person Specification

Qualifications

Essential

Diploma/degree in physiotherapy. State registration current HPC certificate Evidence of extensive Continuous Professional Development maintained in a portfolio. Training/experience in management of conditions relating to the specialty at post grad diploma or equivalent, including recent postgraduate courses relevant to the clinical field in wheelchair prescription, postural management or equivalent specialist training. Extensive postgraduate experience some of which were spent at a senior level within a paediatric, learning disability or neurology setting. Good experience working for the NHS

Desirable

Experience in developing workforce, services and other related management, leadership supervision skills

Knowledge and Skills

Essential

Extensive working knowledge of a broad range of learning disability, neurological conditions etc Knowledge of the relevant National Service Frameworks and clinical guidelines, and experience of implementing these recommendations in practice Training in staff appraisal Competent IT skills Ability to run internal/external courses or workshops for parents, carers, other health, and social care professionals Highly specialist manual handling training and ability to risk assess the physiotherapy programmes to be carried out by carers. Advanced training/experience in standardised assessment and outcome measures appropriate to learning disability Advanced training/experience in and working knowledge of equipment used for treatment of severe physical disability standing frames, sleep systems, specialist seating, trikes and orthotics. Advanced training/experience in specialist communication and behaviour management used within the field of learning disability Group work skills Ability to work autonomously, seeking guidance as necessary Ability to be independently mobile across a geographical area Requirement for prolonged periods of intense concentration (to analyse and interpret complex information such as assessments up to 90 minutes duration taking in depth patient history and movement analysis, teaching clinical skills).

Experience

Essential

Specialist experience in managing complex disability and clients with significant barriers to normal communication.

Desirable

Experience and evidence of conducting audit and research.