Clinical Specialist Physiotherapy

Job summary

This is an exciting opportunity for a physiotherapist looking for a new opportunity with a passion for respiratory care to complete a one-year secondment leading our highly regarded private patient service. The post is based at the Royal Brompton Hospital and Wimpole Street working in the Heart, Lung and Critical Care clinical group which is a leading centre for the care of patients with cardio-respiratory disease. The Private cardio-respiratory outpatient physiotherapy service is part of a growing, dynamic and motivated team. We provide excellent outpatient physiotherapy care to patients with a variety of conditions including non-CF bronchiectasis, asthma, Sleep and Ventilation, Primary Ciliary Dyskinesia, COPD, ILD, Cystic Fibrosis. A range of therapies are provided including airway clearance, nebulised drug response assessments, breathing re-education, assessment of long-term and ambulatory oxygen therapy, as well as individual cardiorespiratory rehabilitation.

This post offers huge opportunity for service development and research in specialist services that are internationally recognised. We are looking for a driven, dynamic and enthusiastic individual to lead the service for a one year secondment - please contact us for more information if you think this could be the role for you.

Main duties of the job

Responsible for the operational management of a specialist private physiotherapy service in their specialist area and contributes to/leads departmental management and Trust initiatives in strategic planning and development of a specialist Physiotherapy service across the whole organisation. Uses expert clinical reasoning skills to provide highly specialist support and advice to the physiotherapy team and other medical staff, whilst maintaining a clinical caseload of highly complex patients Professional and clinical Leadership in the development and implementation of a comprehensive training and personal development plan for all designated physiotherapy staff working in private patients, in conjunction with the management team, strives to ensure excellence of training across the whole organisation. Supports theLung Therapy Lead in a specialist area to identify and implement clinical research, audit and data collection priorities within the area of own expertise to inform departmental clinical development strategy Responsible for maintaining and improving all aspects of clinical governance, evidence based practice and quality assurance in designated area.

About us

We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.

We strive to recruit and retain the best staff as the dedication and skills of our employees lie at the heart of our organisation and ensure that our services are of the highest quality, safe and focused on our patients.

Job description

Job responsibilities

Main tasks and responsibilities

Professional / Clinical responsibilities

To be professionally and legally responsible and accountable for all aspects of the practitioners professional activities. To carry out assessment, analysis and formulation of best care programmes for a wide range of patients as an expert autonomous practitioner, including those with highly complex presentations and to use clinical reasoning skills, knowledge of evidence based practice and advanced rehabilitation expertise to determine appropriate care plan utilising highly specialist treatment skills and options. To be responsible and accountable for own and department patient care plans and to provide consultation as an expert on physiotherapy within the specialist area with advice and guidance for junior and senior team members and other health care professionals both within and outside the Trust. To co-ordinate intervention which may include other disciplines; advise and educate patient/carers/relatives/other health professionals To manage clinical risk within own caseload at all times and ensure clinical risk is effectively managed across the specialist Physiotherapy service To demonstrate physical ability to carry out physiotherapy assessment and interventions including manual therapy techniques and therapeutic handling. To demonstrate highly developed dexterity, co-ordination and palpatory sensory skills for assessment and manual treatment of patients. To be highly competent in assessing and managing a wide range of conditions withintheir own specialist area based on advanced theoretical knowledge of anatomy, physiology and pathology, often in situations where conflicting evidence is present Able to interpret and analyse clinical and non-clinical facts, which may be conflicting, to form accurate diagnoses in the most highly complex types of conditions for patients in the designated area. To use advanced theoretical and practical knowledge to refer to other health disciplines as appropriate and to ensure appropriate referral systems are used by departmental and other health professional staff. To provide expert Physiotherapy input to the development of both Trust and National level initiatives within own specialist area.

Management and Leadership

To lead, in liaison with Therapy Lead in own specialist area and Associate Director, in policy and service development and implementation within their specialist Physiotherapy service and to ensure that quality standards and effectiveness of patient care are continually monitored and improved. To manage, in liaison with the Therapy Lead for the speciality, the areas team and workload To ensure that the service responds to Trust, KHP and national initiatives and policy within the framework of clinical governance including clinical effectiveness, evidence-based healthcare, managing clinical risk and, research and development issues. To develop the role of the Clinical Specialist Physiotherapist, proposing extension of practice beyond traditional scope of practice To be the Physiotherapy Lead [if appropriate] in liaison with the Therapy Lead in own area and Associate Director, ensuring Physiotherapy is integrated within the Trust and KHP initiatives and implementing, in liaison with the management team, appropriate developments. To liaise and work with other Therapy Leads and Clinical Specialists to effectively support the specialist Physiotherapy services across trust sites. To be responsible for protection, maintenance and repair of all equipment within the specialist Physiotherapy service and to ensure that designated staff attain competency prior to use To provide clinical teaching and staff development of peers, medical colleagues and other health professionals within this clinical area, across the trust and outside the organisation. This may be to large groups and may include Consultants, GPs and nurses To assist the management team in the recruitment of staff as a clinical specialist panel member To provide highly specialist clinical opinion, as required, in the development of clinical policy and service development within the physiotherapy department and related health specialities To maintain service links with KHP, external NHS, voluntary and speciality related organisations to ensure seamless inpatient, outpatient and community based care To ensure teams are user focused and patient views are incorporated into service planning. To take a leadership role in the development of R&T private patient services, support the operational team and other clinicians/professions.

Planning and organisation

To flexibly manage responsibility for the clinical caseload for own specialist Physiotherapy Team including own complex caseload, clinical education, departmental and external teaching, service development, and quality assurance, including research and audit. To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service To lead the private patient service organisation, development, advertisement, engagement with key stakeholders and day to day running across multiple sites. To lead on monitoring and managing income through the private patient service, completing regular service reports to the associate directorate. To take a leadership role in the development of R&T private patient services, support the operational team and other clinicians/professions.

Communication

To demonstrate an ability to communicate complex, emotive and sensitive information to patients, carers and other staff, where there may be barriers to communication or may include information about long-term / permanent disabilities ensuring confidentiality at all times To clearly convey complex knowledge of techniques, biomechanics, anatomy and physiology to patients and staff, where evidence underpinning practice may be conflicting and ensuring sensitivity to the audiences level of understanding and prior knowledge To be able to motivate and persuade others (including staff and patients) through advanced communication skills, with the benefit of verbal, non-verbal skills, using written and electronic information To facilitate patients attitudinal change towards their condition thus encouraging health/function promoting behaviour To articulate effectively the specialist physiotherapeutic perspective on a patients condition with medical colleagues and members of the multidisciplinary team, negotiating when various patient management options are available. To diffuse potentially hostile and antagonistic situations with staff, patients and relatives, using highly developed negotiation and interpersonal skills To use a wide variety of adult learning techniques to optimise clinical development To represent the Rehab and Therapies Directorate within the Trust and to external agencies regularly, and on a district and national level occasionally To resolve written and verbal complaints and to be well versed with the Trusts formal complaints procedure within specialist area, in conjunction with the Rehabilitation and Therapies Leadership Team To promote the role of Physiotherapy in own specialty within the Trust, local communities and nationally. To cascade corporate strategic ideas and information to all staff within designated area, whilst being sensitive to their levels of understanding and prior knowledge

Information Management

To be responsible for maintenance of accurate records including appropriate electronic systems and supervision of departmental record keeping; to include comprehensive progress and discharge reports to medical referrers and legal and disability reports To identify appropriate outcome measures and service impact measures which accurately evaluate patient response and service development needs To maintain accurate statistical information on specialist area using databases as necessary to inform management team and drive audit agenda

Education and Professional Development.

To present service development/research regularly at local and occasionally national level. To maintain a CPD portfolio reflecting personal professional development and ensure members within the specialty Physiotherapy team have a comprehensive performance plan To ensure the Physiotherapy special service has a comprehensive annual audit programme based on the Trusts corporate objectives and to report all research and audit activities to senior management within Trust guidelines. To keep abreast of physiotherapy evidenced based practice by use of relevant reading, attendance at in-service training, external courses and database searches. To develop local departmental standards based on a good working knowledge of National standards where they exist and on best evidence and to ensure these standards are monitored and adhered to by all members of own Physiotherapy specialty team and other Physiotherapy staff as appropriate. To influence the National agenda in the development of standards and guidance in own specialist Physiotherapy service. To promote a research environment within the specialist Physiotherapy team and offer support and guidance to research teams, MSc projects and external agencies using Trust property and patients and to identify sources of research funding where appropriate Person Specification

Qualifications/ Education

Essential

Degree in Physiotherapy Evidence of Continued Professional Development at 'M' level including attendance at recent post graduate courses relevant to own specialty HCPC registration

Desirable

Membership of other relevant Special Interest Groups

Previous experience

Essential

Significant Band 7 level experience of working within the specialty in both inpatient and outpatient environments, including management of highly complex patients with complex cases relevant to own specialty Experience in physiotherapy team management Experience in leading service development Experience of research methodology

Skills/Knowledge/ Ability

Essential

Expert physiotherapy skills in specialty including advanced specialist care Proven Therapy Leadership ability Excellent time management and organisational skills

Desirable

Advanced specialist Physiotherapy skills that may constitute extended scope

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