Golden Jubilee National Hospital

AGENDA FOR CHANGE NHS JOB EVALUATION SCHEME JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title: Physiotherapist Reports to: Team Lead Department, Ward or Section: Physiotherapy Department Operational Unit/Corporate Department: Raigmore/ South and Mid and divisions Job Reference: GENIMFUAHPSPHYS02 No of Job Holders: TBC Date: May 2019 2. JOB PURPOSE To provide an efficient and effective Physiotherapy Service, to patients referred to the Physiotherapy Service in the Raigmore /South and Mid divisions. To provide a high standard of Physiotherapy, consistent with both local and national standards. This post could be static or part of the Physiotherapist rotations which can be throughout any hospital in Raigmore /South and Mid divisions. This post may include on-call and weekend work depending upon the particular department. 1 3. DIMENSIONS Physiotherapy in NHS Highland is currently divided into Raigmore, South & Mid and North & West Divisions. The acute service unit is based at Raigmore Hospital Inverness. All Physiotherapy posts are part of Multidisciplinary teams in the Hospital or the Integrated Community teams. Rotational posts can be in Raigmore Hospital, Invergordon County Community Hospital, Ross Memorial Hospital, Dingwall, Royal Northern Infirmary (RNI) Inverness, Nairn Town and County Hospital, or any other community site within the South and Mid and Raigmore divisions. The rotations may include all physiotherapy specialties, including paediatrics and mental health. 4. ORGANISATIONAL POSITION Operational Unit Allied Health Professional lead Team Manager Operational Unit Professional Lead Physiotherapist Team Lead Physiotherapist (This post) Line management HCSW Day to day supervision/delegation Professional accountability 5. ROLE OF DEPARTMENT To provide a comprehensive range of in-patient, out-patient and community physiotherapy services. 2 Chartered Physiotherapists use their expertise and skills in assessment, movement, exercise, electrotherapy, facilitation techniques and manipulation to effectively treat, rehabilitate and advise clients with a wide range of health problems. They work with people of all ages who have lost some degree of movement or ability through injury, surgery, pathological change or illness. Ultimately, the aim of Physiotherapy is to help patients resume as active and independent a lifestyle as possible through individual intervention or as part of a multidisciplinary team. It is the objective of all Physiotherapy staff in NHS Highland to provide the highest quality of patient care possible. As part of an on-going Physiotherapy departmental quality assurance programme, staff are actively involved in setting, maintaining and improving standards. This is primarily aimed at: 1. Improving the range and quality of services available. 2. Ensuring patient needs are best met. The Physiotherapy Department also supports undergraduate and pre registration training and professional development of BSc and MSc Physiotherapy students. 6. MAIN TASKS, DUTIES AND RESPONSIBILITIES CLINICAL To provide effective and efficient Physiotherapy Services for patients referred to physiotherapy in Raigmore/South and Mid division. To organise follow-up physiotherapy out-patient services on patient discharge/transfer, where appropriate. To be able to perform physiotherapeutic assessment to patients with diverse presentations and multi-pathologies and use developing clinical reasoning skills and manual assessment techniques to provide an accurate diagnosis of their condition. To interpret and analyse clinical and non-clinical facts to form a diagnosis in a wide variety of conditions; e.g. musculoskeletal, respiratory, neurological, surgical, and cardiovascular problems. To recommend the best course of intervention and to develop comprehensive treatment plans. To follow through treatment plans using evidenced base practice and clinical reasoning. To reach desired outcomes using validated outcome measures and modifying treatment where appropriate. To constantly re-assess and adjust physiotherapy interventions as clinically indicated. To assist the multidisciplinary team in making appropriate decisions regarding appropriate treatment and management of the patients conditions. To provide this treatment in the most appropriate location for that therapeutic intervention. On a daily basis provide spontaneous and planned advice, teaching and instruction to patients and other professionals to promote understanding of the aims of physiotherapy and to ensure a consistent approach to patient care. To be responsible for assessment and management of clinical risk within own caseload and to observe the Health and Safety at Work Act at all times by bringing defects of equipment to the notice of the appropriate authorities and reporting any accidents to staff or patients appropriately and as soon as possible. 3 To be professionally and legally responsible and accountable for all aspects of own work including the management of patients. To ensure a high standard of clinical care for patients and to assist colleagues less experienced and/or Physiotherapy Assistants to do likewise. This post will involve being part of the on call rota at Raigmore Hospital. To maintain accurate, comprehensive and up-to-date documentation in line with legal, Chartered Society of Physiotherapy (CSP) and Departmental requirements, and communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters and to assist colleagues less experienced and/or HCSW’s to do likewise. To respond efficiently to unplanned events (e.g. staff shortages), which may require a change to work schedule. PROFESSIONAL To maintain own clinical professional development (CPD) by keeping abreast of new research evidence and developments and incorporate them, as appropriate, into care programmes and maintain a portfolio which reflects personal development. Maintain and develop current knowledge of evidence-based practice, developing specialist knowledge of particular conditions and patient types (relevant to each rotational placement) and to seek advice from Senior Physiotherapy colleagues, as required. To be actively involved in the collection of appropriate data and statistics for the use of the department on a daily basis. To provide support, guidance, clinical education and training to Physiotherapy Assistants, where appropriate. To be responsible for keeping up to date with mandatory training, i.e. Basic Life Support, Manual Handling, Fire Lectures, Hydrotherapy Evacuation, Violence and Aggression and On-call training. To participate in the staff appraisal scheme TURAS and Personal Development Plan (PDP) and be responsible for complying with agreed personal development programmes to meet set knowledge and competencies. To comply with NHS Highland and Departmental policies and procedures and to maintain the strictest levels of confidentiality at all times to include General Data Protection Regulations (GDPR). ORGANISATIONAL To be responsible for organising and planning own caseload, to meet patient priorities and service needs. Regularly readjust plans as situations change/arise. To assist with the supervision and delegation of appropriate tasks to the Physiotherapy HCSW’s. To be responsible for equipment used in carrying out physiotherapy duties and to adhere to departmental policy, including competence to use equipment and, where appropriate, to ensure the safe use of equipment by others through teaching, training and supervision of practice. 4 7a. EQUIPMENT AND MACHINERY Be competent in the use of a wide range of equipment. Ensure that equipment in use is clean and safe, and regularly monitored for safety as per professional and organisational standards of practice To understand, prescribe and ensure safe use of any relevant Physiotherapy Equipment; could include electrotherapy, exercise equipment, orthotics/appliances, prosthetics, mobility aids and assisted ventilation Walking aids. Detail of equipment will be held locally and will depend on the work area. Note: New equipment may be introduced as the organisation and technology develops, however training will be provided. 7b. SYSTEMS The following are examples of systems which may be used when undertaking the role: IT Equipment –Personal Computer, phones, mobile phone, telehealth units, teleconference, videoconference. Maintaining patient records– documenting all patient interventions and non-direct contacts e.g. TRAK/PMS, PACS, SCI store, Learn Pro, MORSE. Datix to report any incidents. Use of intranet to access information within NHS Highland including physiotherapy shared drives. e-mail for communication. Note: New systems may be introduced as the organisation and technology develops, however training will be provided 8. ASSIGNMENT AND REVIEW OF WORK The Team Lead responsible for the provision of clinical Physiotherapy Services within the unit in which the post holder is working, is the potholder’s immediate clinical line manager. The Team Lead will delegate duties and approve planned leave in the first instance. However, the post holder is ultimately responsible to the Physiotherapy Service Manager, who will authorise leave, post graduate training requirements and record sickness absence. Clinical caseload/workload is assigned and reviewed by the potholder’s immediate clinical line manager. The post holder is expected to organise and plan his/her own clinical workload/caseload effectively and efficiently. Guidance and support will be provided by their immediate clinical

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