First Contact Physiotherapist (FCP)

Integrated Care System; Warrington; Hybrid; GBP 60,000 - 80,000; Full time

Job summary

A healthcare organization in Warrington is seeking a qualified physiotherapist to manage patient care within a Primary Care Network. Ideal candidates will have over 3 years of MSK experience and will work flexible hours, including evenings and weekends. Responsibilities include leading clinical pathways and supporting the integration of multidisciplinary teams.

Qualifications

• Minimum of 3 years consolidated postgraduate MSK experience.
• Mandatory registration with Health and Care Professional Council.
• Member of The Chartered Society of Physiotherapy.

Responsibilities

• Manage a complex caseload of registered patients.
• Provide clinical expertise as first-contact physiotherapist.
• Develop relationships and a collaborative working approach across the PCN.

Skills

Musculoskeletal (MSK) experience

Excellent communication skills

Ability to work independently

Leadership skills

Clinical reasoning skills

Education

Undergraduate degree in Physiotherapy

Masters degree or equivalent

Job description

The postholder will undertake this role for the 7 GPPractices of Central & West Warrington Primary Care Network (CWW PCN), asper rota scheduling to manage the caseloads of allocated Practice(s) anddelivering the defined requirements to meet the Primary Care Network DES and asper core Practice requirements.

This post will be managed by a Lead Practice with sessionsand clinical work taking place across the Practice(s) weekly, as per agreedscheduled rotas.

Please note previous applicants need not reapply

It is essential that candidates have 3 years +consolidated Musculoskeletal (MSK) experience. Your application will not beconsidered unless you can meet this requirement

This position will include working evening hours (upto 8pm) on a Thursday and regular Saturdays (9am-5pm)

Hours per week between 15-22.5

**Salary is Whole Time Equivalent (WTE) dependent uponexperience**

Main duties of the job

Work across the multi-disciplinary team to create andevaluate effective and streamlined clinical pathways and services.

Provide leadership and support on MSK clinical and servicedevelopment across the PCN, alongside learning opportunities for the wholemultidisciplinary team within primary care.

Develop relationships and a collaborative working approachacross the PCN, supporting the integration of pathways in primary care.

Provide clinical expertise, acting as first-contactphysiotherapist and making decisions about the best course of action forpatients care (including in relation to undifferentiated conditions). This willinvolve seeing patients, without prior contact with their GP, in order toestablish a rapid and accurate diagnosis and management plan.

For full Job Description please see attached

About us

About us

The successful candidate will be required to support our 7Practices but will have one main lead Practice.

Causeway Medical Centre

Dallam Lane Medical Centre

Eric Moore Partnership

Folly Lane Medical Centre

Helsby Street Medical Centre

Penketh Health Centre

Westbrook Medical Centre

They will be part of our established FCP team. Supportis given by the FCP team, the employing Practice

Manager,the PCN Clinical Director and the PCN Manager.

Job responsibilities

Take professional responsibility as a first-contactphysiotherapist, with high-level decision-making and clinical-reasoning skillsto assess, diagnose and triage of patients.

Work independently, without day to day supervision, toassess, diagnose, triage, and manage patients, taking responsibility forprioritising and managing a caseload of the PCNs Registered Patients.

Manage a complex caseload (including patients with long termconditions, co-morbidities and multi-factorial needs).

Receive patients who self-refer (where systems permit) orfrom a clinical professional within the PCN, and where required refer to otherhealth professionals within the PCN

Leads, manages and contributes to service delivery,including attending Practice meetings and other meetings (e.g. PPG/ICS) asappropriate to report on workstreams.

Encourage collaborative working across the wider healtheconomy and be a key contributor to supporting the development of physiotherapyclinical services across the PCN.

Liaise with secondary and community care services, andsecondary and community MSK services where required, using local social andcommunity interventions as required to support the management of patientswithin the PCN; and support regional and national research and audit programmesto evaluate and improve the effectiveness of the FCP programme. This willinclude communicating outcomes and integrating findings into own and widerservice practice and pathway development.

Work as part of a multi-disciplinary team in apatient facing role, using their expert knowledge of movement and functionissues, to create stronger links for widerservices through clinical leadership, teaching andevaluation.

Develop integrated and tailored care programmes inpartnership with patients, providing a range of first line treatment optionsincluding self-management, referral to rehabilitation focussed services andsocial prescribing.

Make use of their full scope of practice, developing skillsrelating to independent prescribing, injection therapy and investigation tomake professional judgements and decisions in unpredictable situations,including when provided with incomplete or contradictory information. They willtake responsibility for making and justifying these decisions.

Manage complex interactions, including working with patientswith psychosocial and mental health needs, referring onwards as required andincluding social prescribing when appropriate.

Communicate effectively with patients, and their carerswhere applicable, complex and sensitive information regarding diagnoses,pathology, prognosis and treatment choices supporting personalised care.

Implement all aspects of effective clinical governance forown practice, including undertaking regular audit and evaluation, supervisionand training.

Request and progress investigations (such as x-rays andblood tests) and referrals to facilitate the diagnosis and choice of treatmentregime including, considering the limitations of these investigations,interpret and act on results and feedback to aid patients diagnoses andmanagement plans; and Develop integrated and tailored care programmes inpartnership with patients through:

Effective shared decision-making with a range of first linemanagement options (appropriate for a patients level of activation).

Assessing levels of Patient Activation tosupport a patients own level of knowledge, skills and confidence to self-managetheir conditions, ensuring they are able to evaluate and improve theeffectiveness of self-management interventions, particularly for those at lowlevels of activation.

Agreeing with patients appropriate support forself-management through referral to rehabilitation focussed services and widersocial prescribing as appropriate; and designing and implementing plans thatfacilitate behavioural change, optimise patients physical activity andmobility, support fulfilment of personal goals and independence, and reduce theneed for pharmacological interventions.

Help plan, develop and support the introduction of newworking processes within the Practice to optimise the service.

Accountable for decisions and actions via HCPC registration,supported by a professional culture of peer networking/review and engagement inevidence-based practice.

Streamline pathway of care by providing a responsive serviceso that patients receive timely access to care.

Ensure care is proactive, preventative in focus andpopulation based, with an emphasis on early intervention.

Provide care which is tailored to the individual needs. Thiswould include appraising the impact of individuals clinical status on theirgeneral health, well-being, employment status (including in relation tofunction, physical activity, mobility and independence).

Support patients to set their own goals and be confident intheir approach to self-management.

Communicate effectively and appropriately with patients andcarers complex and sensitive information regarding diagnosis, pathology andprognosis.

Use a range of clinical skills which may include:

o Non-medical independent prescribing

o Joint aspirations

Provide learning opportunities for the whole multiprofessional team within primary care.

Work with Multi-Disciplinary Team (MDT) to develop moreeffective and streamlined clinical pathways and services.

Exercise professional judgement, making, justifying andtaking responsibility for decisions in unpredictable situations, including inthe context of incomplete/contradictory information.

Manage interactions in complex situations, including withindividuals with particular psychosocial and mental health needs and withcolleagues across the primary care team, sectors and settings.

Undertake any other duties commensurate with the postholdersgrade as agreed with the postholders line manage.

Person Specification

Qualifications

• PROFESSIONAL REGISTRATION
• Minimum of 3 years consolidated postgraduate MSK experience
• Mandatory registration with Health and Care Professional Council
• Member of The Chartered Society of Physiotherapy.
• Has completed an undergraduate degree in Physiotherapy.
• Masters degree or the equivalent specialist knowledge, skills and experience.
• May hold or be working towards a prescribing qualification.

Knowledge and skills

• Minimum of 3 years consolidated postgraduate MSK experience
• Can demonstrate working at Level 7 capability in MSK related areas of practice or equivalent (such as advanced assessment diagnosis and treatment)
• Can demonstrate ability to operate at an advanced level of practice
• Demonstrates general physiotherapy skills and knowledge in core areas
• Is able to plan, manage, monitor, advise and review general physiotherapy care programmes for patients in core areas, including diseases/long term conditions identified by local needs assessment
• Demonstrates accountability for delivering professional expertise and direct service provision
• In depth therapeutic and clinical knowledge and understanding of the principles of evidence based healthcare
• An understanding of the nature of GPs and general practices
• Excellent interpersonal, influencing and negotiating skills
• Excellent written and verbal communication skills
• Demonstrates understanding of the physiotherapy role in governance and is able to implement this appropriately within the workplace
• Can operate as a full member of the primary care team, including contributing to leadership, service evaluation and research activity
• Can manage and co-ordinate care that individual patients receive, including through liaising with other members of the MDT and with patients/carers
• Can lead primary care activity, with a strong emphasis on prevention and early intervention, including through delivery of public health advice (e.g., relating to physical activity, weight management and smoking cessation)
• Contributes to the use of healthcare technologies to optimise the integration of service delivery and patients access and continuity of care
• Contribute to the development of primary care teams, including through contributing to others learning
• Able to obtain and analyse complex technical information
• Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
• Able to work under pressure and to meet deadlines
• Gain acceptance for recommendations and influence/ motivate/ persuade the audience to comply with the recommendations/ agreed course of action where there may be significant barriers
• Work effectively, independently and as a team member
• Meets DBS & reference standards and criminal record checks
• Willingness to work flexible hours when
• required to meet work demands
• Access to own transport
• Ability to travel across the locality on a regular basis

Experience

• Dependable
• Proactive
• Able to work under pressure
• Able to cope with conflicting pressures and meet deadlines
• Self-confident
• Able to work on own initiative and as part of a team
• Self-motivation
• Adaptable/flexible
• Team Player
• Ability to see the bigger picture
• Value and be considerate of others opinion/contributions
• Proficient speaker of another language to aid communication with people in the community for whom English is a second language

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.

Depending on experience£46,930 per annum Whole Time Equivalent (WTE)