Specialist Physiotherapist

2 weeks ago

Oxford, United Kingdom Oxford University Hospitals NHS Foundation Trust Full time

Job summary

The post holder will provide bio-psychosocial assessments, psychologically-informed group programmes and individual treatment. Specialised clinical reasoning and musculoskeletal rehabilitation skills will be used to provide assessment and treatment of complex patients as a practitioner within Optimise Pain Rehabilitation Unit. The service provides high quality clinical input for persisting pain patients. Due to the specialist nature of the role, the successful candidate will be provided with additional training from the team. Processes for ongoing supervision and training are in place.

Main duties of the job

To undertake comprehensive assessments of patients presenting with multiple pathologies, using bio-psychosocial clinical reasoning skills, knowledge of evidence based practice, and rehabilitation expertise. Demonstrate awareness of knowledge in the field of pain management. Develop new skills in response to emerging knowledge and techniques.

To assess patients attending Optimise Pain Rehabilitation Unit and refer to the most appropriate programme, including assessment for hydrotherapy, psychology and individual sessions. To participate in the running of the Get Back Active and Pain Management programmes. To see patients on an individual basis where appropriate.

About us

Due to a maternity cover, a post has arisen in the team.

The team is staffed by a consultant physiotherapist, advanced practice physiotherapists, psychologists, assistant practitioners and an administrative team. We have close links with pain teams, complex musculoskeletal clinics, rheumatology, spinal teams, neurology and orthopaedics creating a vibrant learning environment.

Job description

Job responsibilities

To be professionally and legally accountable and responsible for all aspects of own work including the management of individual caseload, working within accepted codes of professional conduct and clinical guidelines to minimise clinical risk. To be qualified to degree / diploma level in physiotherapy or Occupational Therapy and be HCPC registered. To have completed a series of rotations to include major specialities such as orthopaedics, musculoskeletal out-patients and medicine at basic grade level. To demonstrate sound theoretical knowledge of anatomy, physiology, and pathology and clinical reasoning skills to provide specialist rehabilitation for mixed and complex conditions requiring rehabilitation. To undertake comprehensive assessments of patients presenting with multiple pathologies, using bio-psychosocial clinical reasoning skills, knowledge of evidence based practice, and rehabilitation expertise. To develop accurate diagnoses. Demonstrate awareness of knowledge in the field of pain management. Develop new skills in response to emerging knowledge and techniques. To monitor and reassess therapeutic input and patient status in order to progress and adjust treatments effectively and develop comprehensive discharge plans referring to specialist services as indicated. To have the ability to work within the trusts guidelines and Chartered Society of Physiotherapy Guidelines / Royal College of Occupational Therapists and to have a good working knowledge of national standards. To be responsible for the competent use of exercise and gym equipment or capable of being trained in the use of such equipment, and patient appliances as indicated, and to report any defects or malfunctions to the Team Leader. To participate in clinical governance as required. To develop comprehensive discharge plans. To be responsible for writing clinical letters, reports and discharge letters issued to patients and outside agencies. To advise patients, employers and occupational health departments on the appropriate time to return to work, sports and other activities. To issue AHP fit notes. To manage clinical risk within own caseload and within the pain rehabilitation service. To be able to undertake a suicide risk assessment and follow the pathway for suspected cauda equina or refer to an appropriate clinician with the skills to assess for cauda equina. To report safeguarding issues and refer to appropriate teams under the guidance of senior staff. To assess patients attending Optimise Pain Rehabilitation Unit and refer to the most appropriate programme, including assessment for hydrotherapy, psychology and individual sessions. To participate in the running of the Get Back Active and Pain Management programmes. To see patients on an individual basis where appropriate. To decide (in consultation with colleagues) whether to treat, co-manage or refer patients with psychological needs. g. reason referral requirements to crisis team, community mental health or pain clinical psychology. To be aware of the impact of pain and discuss with senior clinicians which blending of therapies are required to address both the psychological and physical effects of pain. To provide post programme reviews for participants. To have knowledge of pain neurophysiology ( pain gate, neuroplasticity, peripheral and central sensitisation, centrally generated and maintained pain and Complex Regional Pain Syndrome). To be aware of a range of psychological approaches used in pain management such as mindfulness, motivational interviewing, ACT, CBT. Demonstrate ability to use activity/exercise sessions as an opportunity for patients to be exposed to difficult thoughts, emotions, and bodily sensations. Ability to facilitate patients in managing these when they arise, in keeping with values and workability. To evaluate, reassess and alter treatment programmes as required. To participate in the evening (if a physiotherapist) and weekend and Bank Holiday on call rota. Person Specification

Knowledge

Essential

MDT working Communication skills , negotiate, mediate, coach

Desirable

Working Knowledge of NHS IT systems

Emotional and mental

Essential

Able to work under stress and unpredictable environments Work effectively with staff / patient issues

Desirable

Student supervision

Experience

Essential

Years expereince Experience of chronic pain rehabilitation

Desirable

Post graduate courses Experience of classes or hydro

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