About this role
Job summary
This role would suit either an experienced Advance Clinical Practice Physiotherapist looking for a new challenge, or an experienced MSK physiotherapist looking to develop into the Advance Practice role. Although not necessary but having experience of being part of pain management service or independent prescribing or injections will be an advantage.
Our innovative Service offers a unique multidisciplinary triage with pathways aimed at clinical effectiveness and right place at right time, for all MSK referrals across North West Surrey. We have a team of Advance Practitioners with interest in the rheumatology, pain management, Sonography skills, and orthopedics subspecialties like spine, lower limbs and upper limb.
You will need to access, diagnose and initiate referral to right pathway along providing person centered care. The role involves providing treatments, advice on promoting health and wellbeing as clinically appropriate in managing long term musculoskeletal conditions. The advance practice development is inline with the HEE multi-professional framework.
The advance clinical practice role within the team also acts as an expert resource for physiotherapy and hand therapy department, providing input in managing complex musculoskeletal conditions. You will have close working relationships with clinical leadership from our supportive Orthopaedic, Rheumatology and Pain Consultants as well as access to regular MDT meeting to discuss complex cases.
Main duties of the job
To provide an expert and highly developed musculoskeletal assessment, diagnosis and appropriate onward management of patients presenting with chronic and acute musculoskeletal conditions within the orthopaedic clinics. To use specialist skills extended beyond the scope of physiotherapy to aid diagnosis and development of treatment plans in the orthopaedic clinic setting working on own. Patients will be assessed by the practitioner as first contact from the GP referral and will not have been seen by a doctor To triage secondary care referrals independently and make onward appropriate consultant/clinic/rehabilitation referrals and to discharge patients directly from the clinic To undertake delegated responsibility for the regular electronic triage of orthopaedic referral letters on behalf of the orthopaedic consultants To lead, in collaboration with the Trust MSK Lead, on the strategic physiotherapy improvement of local services and patient care pathways relating to spine pain. To act as a source of professional advice and expertise to physiotherapists and Consultants, GPs and other external health professionals. Internally the post holder will develop effective working relationships with: Orthopaedics, therapies, advance clinical practitioners, pain, rheumatology, radiology teams along with IMSK operational team and patient groups.
About us
Ashford and St. Peters 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
Clinical
Work autonomously as an advanced practitioner within the specialty, managing a caseload of patients delivering individualised direct patient care.
Direct responsibility for assessment, examination, investigation and diagnosis of patients within their area of work.
Appropriately treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations.
Receive referrals via a variety of sources, including direct patient referral. Manage own caseload and clinical priorities according to agreed protocols and working practices.
Participate in multidisciplinary clinics, participate in ward rounds, patient reviews and multidisciplinary team meetings
Undertake a variety of clinical skills and provide treatment/ advice as per speciality and scope of practice. Using agreed protocols of clinical practice and professional guidelines. This service may be provided within an acute secondary healthcare facility or in primary, community or home care settings.
Within scope of practice and clinical competence request and / or undertake diagnostic procedures and clinical investigations related to plans of care
Utilise scope of practice to undertake Non-Medical Prescribing role and provide advice on medicine management issues associated with the patient specialty group. Work within Trust policy for Medicines Management
Utilise advanced knowledge and skills relating to the speciality to provide specialist advice to other members of the multidisciplinary team based on patient assessment.
Provide a seamless, high-quality service from referral through to assessment, diagnosis, treatment and review, referring to other specialists as required. Provide guidance to staff, patients and their families and carers on pathway navigation
Lead in the development and updating of referral guidelines and policies for the service.
Use highly developed communication skills to effectively communicate with colleagues, patients and their relatives/carers, making reports and liaising as required with medical staff and other members of the multidisciplinary team both verbally and in writing.
Use professional judgement to act as an advocate for patients to ensure a patient focused approach to the delivery of care. Support and enable patients and carers to make informed decisions relating to their treatment and management. Escalate any concerns via the nursing / professional structures as required
Work towards safe and timely discharge and/ or transfer of care of patients from or between hospitals and services and healthcare professionals, ensuring barriers to discharge / transfer are identified and acted upon appropriately.
Report and raise concerns related to Safeguarding, accessing advice and support as required. Be conversant with Trust policies for safeguarding including the assessment of mental Capacity, and consideration of Deprivation of Liberty Safeguards (DOLS) and the application of the principles of Prevent (counter terrorism awareness)
Ensure effective and accurate verbal or written handover of patients between healthcare professionals
Ensure that high standards of all documentation are maintained, with accurate, complete and up-to-date information regarding patient care are kept in accordance with Trust standards.
Monitor the quality and standard of care provided by all members of the team and all staff in clinical areas. Identifying any skills or training gaps and escalating to the appropriate Senior Nurse or Matron.
Undertake training to develop further advanced clinical practice roles required by the service to provide a high standard of patient care.
Continues as per the job description
Person Specification
Qualifications Essential
professional registration non medical prescriber Teaching and assessing qualification IRMER Relevant MSc or Completed Advanced Clinical Practice MSc
Experience Essential
Significant post registration specialty experience - to the level of advanced practice Enhanced clinical skills relevant to area of clinical practice Interpretation of laboratory tests and imaging/CXR Working as an autonomous practitioner Experience of complains and managing incidents
Desirable
Experience in writing policies and development local guidance Change management skills Experience of presenting to multidisciplinary audiences
Skills Essential
Patient facing roles -be able to understand an individual's communication, physical & emotional needs; recognise their needs and preferences You are able to communicate effectively to ensure high standards of care, treatment, service or support as appropriate to your role,
attitude, behaviours and values Essential
Flexible in their attitudes and behaviours to support team working and delivery of objectives Always puts patients first and Customer service focus
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)