About this role
Job summary
This is a great opportunity to join our comprehensive neuro-specialist rotation to develop experience right across the pathway.
We have 5 rotations in Acute/Rehab & Community settings, based at St Peter's Hospital, Woking and Walton Community Hospitals, and in patients' own homes:
Hyper acute and Acute Stroke Unit Stroke Rehab Neuro-rehab - Bradley Unit: regional unit for patients with conditions such as TBI, MS, SCI and GBS Early Supported Discharge for Stroke Community Neuro-rehab - with Central Surrey Health (CSH), providing treatment and supporting long-term management Keen to develop specialist skills in neurology?Want to participate in local service development?
You'll need senior experience in stroke or neurology and preferably have worked in community settings; also a broad grounding in a variety of fields including acute hospital experience and different specialties, e.g. older people, orthopaedics, medicine.
Have you got these skills - why not apply?
excellent clinical knowledge/application of neurorehabilitation skills flexibility,good organisation/prioritisation skills sound clinical reasoning excellent communication skills confidence in busy multi-disciplinary environments enthusiasm and interest in developing services Supervision and appraisal processes are well established, as well as in-house training in each specialist area. We are happy to discuss flexible working to support staff in achieving a good work/life balance.
Main duties of the job
Undertake advanced assessments, formulate clinical diagnoses, problem lists and patient led goals, to provide appropriate treatment for patients with neurological conditions which may include acute or sub-acute, complex and / or chronic presentations
Work as an autonomous practitioner to undertake a significant specialist clinical caseload, without direct supervision
Participate in the development of Physiotherapists/ Occupational Therapists and Assistants within clinical speciality through training, competencies and supervision
Demonstrate leadership skills and deputise for the team leads whenever necessary
About us
Ashford and St. Peter's Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond.
Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey.
We also run many specialist clinics in the community and local community hospitals and other healthcare facilities.
Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development and flexibility to shape our workforce around our patient care.
We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures.
We can offer you the full range of NHS benefits/discounts and in addition:
Excellent pension scheme and annual leave entitlement On-site Nurseries On-site staff cafes On-site parking Support in career development Salary Sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics Adverts may close early, so applicants are encouraged to submit an application as soon as possible.
For more information about a career at ASPH please visit:www.asph-careers.org
Job description Job responsibilities
Undertake specialist patient assessments, including those with diverse or complex presentations/multipathologies and assess patients jointly with other members of the multidisciplinary team
Use sound investigative, analytical and clinical reasoning skills, manual assessment techniques and diagnostic procedures to assess and develop treatment programmes
Devise individualised physiotherapy management and / or treatment plans, using a range of treatment/ management options, to include patient education and exercise and use of groupwork/ classes in other settings, also including video and telephone consultation
Formulate accurate prognoses and recommend best course of intervention, developing comprehensive, timely discharge plans, liaising with community rehabilitation teams and intermediate care teams
Evaluate patient progress, reassess and alter treatment programmes if required
Evaluate the outcomes of your interventions
Demonstrate the physical ability to carry out physiotherapy assessments and interventions, including manual physiotherapy techniques and therapeutic handling. This post includes frequent light to moderate physical effort
Keep up to date with developments, analysing current research and discussing and implementing changes to your clinical practice
Be professionally and legally responsible and accountable for all aspects of your professional activities working within the codes of practice and professional guidelines
Take responsibility for and actively record your own personal development
Ensure professional competence is maintained by participating in all CPPD opportunities and maintaining a portfolio
Participate in the appraisal scheme as an appraisee and appraiser (including for junior staff, students, or assistants/technicians, other therapists, nursing staff and care workers within the clinical area)
Participate in training sessions as a recipient and facilitator
Disseminate any training received to other staff and health care professionals
Take responsibility for the supervision of Band 5 Physiotherapists on rotation, Students and Assistants
Support the Band 7 Physiotherapy Team Leader with the appraisals of Band 5 Physiotherapists on rotation and Assistants
Evaluate own and others practice, identifying own and others development needs
Work as part of the physiotherapy team and wider MDT to provide an efficient and effective service
Deputise for the Team Leader when required
Effectively plan the daily management of the patient caseload by prioritising clinical work, responding to urgent referrals and occasionally unpredictable work patterns
Prioritise clinical work and managerial work, and balance other patient-related and professional activities as required
Communicate effectively with all disciplines involved in patient care, both within and outside the organisation, to ensure effective multidisciplinary working
Communicate complex and sensitive information to patients, carers and other staff including imparting unwelcome news relating to their rehabilitation potential and gaining cooperation for treatment and valid consent
Use influencing and motivational skills to encourage patients to manage their own conditions
Communicate any changes in care plan or treatment approach to other physiotherapists as necessary
Ensure timely and effective communication with the Clinical/Therapy Leads on all professional matters
Maintain accurate records in line with the Chartered Society of Physiotherapy standards as well as Trust and service standards/policies. Ensure that records of directly managed staff also comply with these standards
Attend relevant board rounds, meetings and case conferences to ensure appropriate management and effective and timely discharge of patients
Attend staff meetings and actively participate ensuring understanding of information
Assess patients understanding of treatment proposals, and be able to work within a legal framework with patients who lack capacity to consent to treatment
Use a range of verbal and non-verbal communication tools to communicate effectively with patients to progress rehabilitation and treatment programmes. This may include patients with comprehension or communication difficulties, e.g. patients who may be deaf, blind, or be unable to accept diagnoses or presenting condition, or who have cognitive and behavioural problems, and those for whom English is not their first language
Manage frequently highly stressful, upsetting or emotional situations in an empathetic manner
Manage patients who maybe occasionally aggressive or confused
Appreciate cultural differences and take these into account when agreeing treatment plans with patients
Regularly participate in and lead on appropriate work-related research/evaluation projects and be aware of current research relevant to the speciality
Participate in and initiate clinical audit
Evaluate your own clinical effectiveness
Ensure relevant topics are included in annual clinical governance and service plan
Undertake and present relevant evidence-based projects
Demonstrate a good understanding of clinical governance and clinical risk, actively contributing to the clinical governance arrangements and quality agenda at Team, Division and Trust level
Monitor and maintain health, safety and security of self and others
Take responsibility for identifying and assessing potential risks involved in work activities and processes for self and others
Ensure completion of relevant risk assessments and associated documentation
Take appropriate action, reporting actual or potential problems that may put health and safety and security at risk
Take responsibility for the safe use of equipment used in carrying out physiotherapy duties adhering to Trust and department policies and procedures
Be aware of risks involved as part of delivering clinical care and manage this within own caseload
Maintain the high standards of the service by contributing towards individual, team and service objectives
Achieve and maintain a high standard of clinical care using evidence-based practice, keeping up to date with clinical developments, analysing current research, discussing and implementing changes in your clinical practice and encouraging this throughout the team
Make appropriate recommendations for changes in practice leading to improvement in the service
Assist the Clinical Lead for specialty in setting and monitoring of standards and policies of clinical practice for the team and evaluate outcomes
Take responsibility for supporting a culture which promotes equality and diversity
Take responsibility for the safe and effective use of equipment and resources in the course of work
Maintain accurate and timely statistical information as required
Take responsibility for the accurate inputting of clinical information onto the Trust IT systems
Take responsibility for the health, safety and welfare of self and others at work. This includes being conversant with relevant trust safety policies and procedures; reporting incidents and near misses at work; take part in the risk management process; attend all mandatory training courses in the agreed duration as defined by Trust policy and carry out tasks and use equipment only when competent to do so
Ensure confidentiality, only releasing confidential information obtained during the course of employment to those acting in an official capacity
Comply with the requirements of the Data Protection Act
Support the department and organisation by carrying out any other duties that reasonably fit within the broad scope of a job of this grade and type of work
Support the department and organisation by carrying out any other duties as qualified and able
Comply with the Trusts corporate and local policies and procedures
Ensure that patients, clients and members of the public are consulted and involved in decisions about local health service developments. As a Trust employee, be mindful of this and do what is appropriate to the role and level to meet this duty of responsibility
Undertake such other duties as may be required from time to time and are consistent with the responsibilities of the role
Comply with the Trusts policies on equal opportunities, the consumption of alcohol and smoking
This job involves regular exposure to unpleasant working conditions e.g. bodily fluids including urine and faeces and occasional exposure to verbal aggression
Person Specification
Qualifications Essential
Evidence of relevant post-registration training relevant to clinical speciality
Desirable
Basic Bobath course
Experience Essential
Variety of post-registration rotations including ortho, medicine, elderly Stroke/neuro in acute/rehab setting Team working Goal setting
Desirable
Community experience Supervision of students
Knowledge Essential
Understanding of pathologies and presentations in this clinical specialty Understanding of different treatment approaches and evidence base
Desirable
Understanding and use of clinical audit Excellent knowledge & application of neurorehabilitation skills to deliver high quality intervention in different settings
Skills Essential
Caseload management Organisational/prioritisation skills Respiratory competent Demonstrates a range of communication skills
Desirable
Appraisal skills with junior staff
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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Ashford & St. Peter's Hospitals NHS Foundation Trust
Address St Peter's Hospital
Guildford Road
Chertsey
KT16 0PZ
United Kingdom
Employer's website https://www.ashfordstpeters.nhs.uk/ (Opens in a new tab)