Specialist B6 Neuro-rotational Physiotherapist inChertsey inChertsey PUBLISHED 22 OCT 2024

An opportunity for 2 specialist Physiotherapists to join our Stroke & Neuro teams on 12-month Fixed Term Contracts

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.

Undertake advanced assessments, formulate clinical diagnoses, problem lists and patient led goals, to provide appropriate treatment for patients with neurological conditions which may be acute or sub-acute, complex and / or chronic presentations

Work as an autonomous practitioner to undertake a significant specialist clinical caseload, working without direct supervision

Contribute to board rounds or problem patient sessions to ensure that patients get the right treatment, in the right place at the right time

Work as part of a multi-disciplinary team, putting patient care and patient experience first

Show passion for providing a high level of care and safeguarding to patients in our services

Use initiative, communicate with empathy and be an effective team player

Facilitate onward planning and safe discharge from hospital

Demonstrate leadership skills and deputise for the team leads whenever necessary

Actively participate in service development and contribute to monitoring of standards of practice

Take personal responsibility in professional development and professional registration requirements

Take part in the respiratory on call service

Participate in specific 7 day working rotas, dependent on the team/area

About us

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