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Physiotherapy Lead for Same Day Emergency Care (SDEC)

Lewisham and Greenwich NHS Trust
City of London
3 days ago
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Physiotherapy Lead for Same Day Emergency Care (SDEC)

Band 7 Physiotherapy Team Lead for Same Day Emergency Care (SDEC)

We are looking for an enthusiastic, organised and caring individual with good communication and interpersonal skills to join our Emergency Department Therapy Team as the Physiotherapy Team Lead for Same Day Emergency Care.

The post holder will work alongside the band 8a AMU Clinical Lead, band 7 Physiotherapists Leading AMU and Emergency Department, as well as the equivalent Occupational Therapy band 7s, to lead and develop therapy services within the Same Day Emergency Care Service (SDEC) at Queen Elizabeth Hospital (QEH). In addition the post holder will be required to support band 7 colleagues with the wider physiotherapy service at QEH.

The role will include a large clinical caseload, clinical governance activity, supervision and the development of Band 6, 5, 4 and assistant staff working within the Emergency Department Therapy Team. The post holder will be expected to provide clinical education to undergraduates. The post holder will also coordinate a rolling programme of audit and training within the pathway.

Main duties of the job

The SDEC pathway includes developing practice within the following patient groups: Acute Medicine, Frailty, and Falls.

The post holder will need to have previous experience in working in an Emergency Department or Same Day Emergency Care setting, as well as with patients presenting with frailty. A commitment to development is required.

The post holder will also be required to develop and maintain senior respiratory physiotherapy skills and competence and will be required to contribute to support respiratory patients within this setting.

The team currently works extended days. The post holder will be required to support shift patterns covering 08:00 to 20:00, across a 7 day rota, with a weekend frequency of 1 in 4.

If you are a motivated Physiotherapist looking to progress as a Band 7 Physiotherapist do not miss this opportunity to work within a progressive, friendly department with all the benefits of being a large London Trust.

Working in Therapies

https://www.youtube.com/watch?v=MVS-EjGWloM

https://www.youtube.com/watch?v=RimWWRzVS5Y

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
Job responsibilities

JOB PURPOSE

The Physiotherapy Team Lead for Emergency Department Therapy Team at the Queen Elizabeth Hospital (QEH) provides clinical leadership to physiotherapy staff working in this pathway on this site. The postholder is an experienced clinician who independently manages a significant clinical caseload and supports other team members.

The postholder, alongside the other band 7s within the team, supervises the day to day running of the Emergency Department Therapy Team, leads Same Day Emergency Care Services (SDEC), as well as covering ED, AMU and Ambulatory Care as required, and is line managed by the AMU Clinical Lead and Physiotherapy Inpatient Site Lead for QEH.

The team works closely alongside the Occupational Therapy Team for the same area, and together they provide a 7-day service in this area, covering extended hours 8-6pm. Generic competencies are in development between the two professions.

In conjunction with the Physiotherapy Inpatient Site Lead for QEH and the AMU Clinical Lead, the postholder coordinates a rolling program of education, clinical evaluation, audit and research within the Emergency Care clinical pathway at QEH.

As part of the senior clinical physiotherapy team on the QEH site, the postholder will deputize for the inpatient lead as required.

DUTIES AND RESPONSIBILITIES

Clinical

  • To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with complex presentations
  • To work at an advanced level and to be professionally and legally accountable for a highly specialized patient caseload and to decide priorities for own work area, balancing other patient related and professional demands
  • To be professionally and legally responsible and accountable for all aspects of own work, and of the local pathway teams work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with national and trust clinical guidelines and protocols where they exist.
  • To assess patients capacity, gain valid and informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient
  • To undertake the comprehensive assessment and accurate diagnosis of patients including those with complex presentation, using investigative, palpatory, analytical and clinical reasoning skills
  • Under supervision of the AMU Clinical Lead and Physiotherapy Inpatient Site Lead to request diagnostic procedures that will inform clinical decision making as appropriate to individual competency level and the job role
  • To undertake physical treatment techniques utilizing highly developed manual skills
  • To formulate individualized clinical management programs, utilizing a wide range of treatment skills and options to plan a highly specialized program of care
  • To use recognized outcome measures to evaluate the effect of physiotherapy interventions and ensure that treatment programs are progressing appropriately
  • To provide spontaneous and planned expert advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of physiotherapy and to ensure continuation of the treatment program. To be consulted by staff within the local pathway and the trust
  • To participate in and where indicated, initiate multidisciplinary / multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning
  • To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria
  • To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services, e.g. interpreters, SALT
  • To ensure that individual practice and that of the local pathway team is patient focused and patient views are incorporated into treatment planning
  • To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment program
  • To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome
  • To receive complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management
  • To communicate and advise regarding complex patient related information effectively to ensure collaborative working within the physiotherapy service and with other professionals across health and other agencies to ensure the delivery of a coordinated multidisciplinary service
  • To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge reports
  • To produce comprehensive patient related reposts for other disciplines or agencies relating to assessment findings and or treatment outcomes
  • To undertake an extended scope role as appropriate to the needs of the service and supervised by the AMU Clinical Lead and/ or Physiotherapy Site Lead (an extended scope practioner undertakes delegated responsibility on behalf of medical practioner(s) including the independent management of complete episodes of care of patients from referral to discharge)
  • To undertake the measurement and evaluation of work through audit, outcome measurement, the application of evidence-based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway
  • To facilitate the implementation and evaluation of physiotherapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards
  • To work to Trust and Chartered Society of Physiotherapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored.
  • To raise physiotherapy staff awareness of current clinical developments and the implication these may have on clinical practice
  • To be accessible and provide expert clinical advice to colleagues in particular for complex case management
  • Once considered competent to participate in the on-call, weekend, bank holiday and extended working rotas where clinically appropriate
  • To fully participate in whatever pattern of working (including 7-day rosters) is required by the service in the future

All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies.

Person SpecificationQualifications
  • HCPC registered physio
  • MSc level training
  • Member of CSP
  • Member of Special interest Group
Skills and abilities
  • Demonstrates awareness of leadership skills
  • advanced communication skills
  • Respiratory Physiotherapy competence to a senior ward-based standard
Experience
  • Comprehensive post graduate physiotherapy experience including experience of relevant specialist pathway, ED/SDEC/frailty
  • Experience in completing audit and evidence based projects
  • Experience of supervising others
  • Previous experience at band 7 level
Knowledge
  • Knowledge of national guidelines and standards pertaining to specialist pathway and physiotherapy
  • Understanding of clinical governance and it's implication for physiotherapy
  • Awareness and understanding of NHS structure, current issues and developments
  • Understanding of the legal responsibilities of the profession
  • Knowledge of evidenced based practice pertaining to specialist areas of physiotherapy
Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Band 8a Clinical Specialist Physiotherapist.

£47,810 to £54,710 a yearper annum plus HCAS


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