First Contact Physiotherapist- Teasdale

Integrated Care System; Bishop Auckland; On-site; GBP 40,000 - 50,000; Full time

Job summary

A healthcare provider in the UK seeks a First Contact Practitioner to deliver expert clinical assessment and treatment for MSK conditions. Candidates should have at least 5 years of relevant experience, a BSc in Physiotherapy, and the ability to work autonomously. This role requires strong clinical reasoning and communication skills, offering a chance to contribute effectively to patient care in a collaborative team environment. Benefits include paid mileage, NHS pension, and ongoing training and development.

Benefits

Paid mileage

NHS pension

Training & development support

Health service discounts

Complimentary refreshments

Free Car Park

Qualifications

• Minimum of 5 years post graduate MSK experience.
• Independent practice without supervision.
• Strong knowledge of evidence-based practice.

Responsibilities

• Provide clinical assessment and diagnosis of MSK conditions.
• Manage a caseload of patients with complex conditions.
• Educate patients and other healthcare professionals.

Skills

MSK assessment

Clinical reasoning

Interpersonal skills

Communication skills

Education

BSc degree in Physiotherapy

MSc post graduate degree in Physiotherapy

Tools

Microsoft systems

Job description

You will work across TeesdalePCN which included 6 GP practices, to support the diagnosis and treatment of patients with musculoskeletalconditions. You will act as a first point of contact for patients with newmusculoskeletal conditions, offering evidence based treatment to help managethese conditions. You will offer expert advice to other members of the practiceteam, including GPs and nurses, to support high quality patient care. You willhave a minimum of 5 years post graduate MSK experience in an NHS or MSK role,and will be able to work independently without direct supervision in this role.

Main duties of the job

Be the firstpoint of contact for expert clinical assessment and diagnosis of patientspresenting with MSK conditions in GP practice. This will include patients whopresent with a range of multiple needs and underlying pathologies/other primaryconditions

Use ofadvanced clinical assessment tools andapplication of expert treatment modalities/techniques will be required

The linkbetween primary, community and acute services, This will include provision of triage to other servicesand/or directly providing management and advice

Demonstrateeffective communication between primary care services/GP practices and otherrelevant care providers. Educate others on the role of the FCP

Workindependently, without daily supervision to assess, diagnose, triage, andmanage patients, taking responsibility for prioritising and managing a caseloadof the PCNs Registered Patients

Receivepatients who self-refer or from a clinical professional within the PCN, andwhere required refer to other health professionals within the PCN

Work as partof a multi-disciplinary team in a patient facing role, using their expertknowledge of MSK physiotherapy

Developintegrated and tailored care programmes in partnership with patients, providinga range of first line treatment options including self-management, referral torehabilitation focussed services and social prescribing

About us

A group of 12 GP practices across Durham Dales got together, looking for a solution to help them provide the care patients needed, share resources and ideas, and be prepared for the challenges the NHS would face in the future.The answer they came up with was a formal collaboration between the dozen practices: the Durham Dales Health Federation. DDHFs founding principal is to work together to provide high-quality, cost effective primary healthcare services.That means providing a range of services that all GP practices in the area can use to help look after patients.We employ a range of clinical staff pharmacists, dispensers, nurses, emergency care practitioners and social prescribing link workers as well as non-clinical, administration support staff.

Benefits DDHF can offer; paid mileage. NHS pension. A car lease scheme which is transferable. We fully support training & development. Regular 1-2-1 support & appraisal. Dress Down Friday(office workers). Complimentary refreshments. Free Car Park, Health service discounts, Immunisations offered, Eye tests reimbursed

Job responsibilities

Use advancedclinical practice skills and clinical reasoning to provide comprehensivediagnostic and treatment support patients who present with complexmusculoskeletal conditions and/or multiple pathologies and/or mental healthand/or pain management needs

Request and progress referrals andinvestigations to facilitate the diagnosis and choice of treatment regime,considering the limitations of these investigations, interpret and act onresults and feedback to aid patients diagnoses and management plans

Carry owncaseload as an autonomous practitioner, providing directclinical/physiotherapeutic care for patients with a range of complexmusculo-skeletal conditions and who may have significant other primary orsecondary conditions/multi-pathologies

Be able todecide when appropriate to use advanced clinical practice clinical skills thatmay include:

Joint/softtissue injection therapy

Useprofessional judgement and advanced clinical reasoning skills to make decisionsabout safe and effective patient care in unpredictable situations, includingwhen there is incomplete/contradictory information

Demonstrateunderstanding of the impact of physiotherapeutic interventions on existingconditions and treatment programmes

Ensurephysiotherapy interventions are integrated and supportive of the wholetreatment aims promoting a holistic approach to condition management

Be able toclinically justify referrals onto appropriate MSK pathways within the communityor wider healthcare services, including referral to the appropriate stage ofthe pathway

Justifyclinical referrals to other specialist services. This will include referral toacute and specialist services such as surgical orthopaedics, rheumatology andneurology, other AHP services, nursing services and to the primary care medicalteams. This requires advanced knowledge of the role of other specialist healthprofessionals

Recognise Redflags, serious pathology and potential underlying non- MSK related disease,that may present as MSK symptoms and refer appropriately.

When needed,accelerate the patients referral to other health professionals/ services

Work inpartnership with the patient at all times to attain maximum participation intreatment programmes. This will include working with patients from diversesocial background and cultures and understanding how this will affect treatmentproposals and models

Use effectiveshared decision making with a range of first line management options(appropriate for the persons level of activation)

Assess levelsof Patient Activation to confirm levels of knowledge, skills and confidence toself-manage

Agreeappropriate support for self-management through referral to rehabilitationfocussed services and social prescribing provision

Provideexpert advice and act as source of expertise in the management of musculoskeletalconditions

Provideadvice, instruction and teaching on aspects of management of a condition topatients, relatives, carers and other health professionals

Beaccountable for decisions and actions via Health and Care Professions Council(HCPC) registration, supported by a professional culture of peernetworking/review and engagement in evidence-based practice

Recognise and work within own competence andprofessional code of conduct as regulated by the HCPC

Deliver care according to NSF, NICE guidelinesand evidence-based care

Assess effectiveness of care delivery throughself and peer review.

Partake in the audit cycle as a means ofevaluating the quality of the FCP service

Actively participate in the DDHF significantevent procedures.

Understandand apply legal issues that support the identification of vulnerable and abusedchildren and adults, and be aware of statutory child/vulnerable patients healthprocedures and local guidance.

Prioritisework load and work efficiently in the FCP service, ensuring delivery in linewith service expectations

Workcollaboratively with the primary care team, including working across the PCNand other care providers to improve service delivery and meet the identifiedneeds of the local patient population.

Work with thePCN team to support preventative strategies for local populations, patientgroups and individuals

Participatein peer networking and support underpinned by active engagement in peer reviewand embracing evidence-based practice

Demonstrate adetailed knowledge of wider health, healthcare and social care agencies relatedto MSK conditions and physiotherapy.

Takeresponsibility for identifying and reporting any risk/ clinical governanceissues in the FCP service

Represent thePCNs FCP service at internal primary care meetings

Be aware of and able to demonstrate how the FCProle contributes to the achievement of Key performance Indicators (KPIs) forMSK primary care services

Provide andreceive clinical supervision and be an active provider of mentoring andcoaching of specialist clinicians from a range of disciplines.

Contribute totraining and supervision, some of which maybe to postgraduate level, forspecialist primary care professionals, including GPs in order for them todevelop specialist MSK patient referral and management skills

Maintain aprofessional portfolio of advanced clinical practice knowledge and skillsthrough participation in internal and external development opportunities

Person Specification

Experience

• Experience in applying the physiotherapy process to include MSK assessment, interpretation, individual care planning, motivation, monitoring and evaluation of highly specialized MSK treatment
• Strong knowledge of Microsoft and GPIT systems
• Experience of working with a diverse range of stakeholders/ providing physiotherapy within the MSK pathway
• Ability to integrate latest evidence based practice into services
• Able to understand and analyse complex issues and balance competing priorities in order to make difficult clinical decisions.
• Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues and recommend an appropriate course of action to address the issues.
• Excellent interpersonal and organisational skills
• Ability to evidence a sound understanding of the NHS principles and values
• Excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information
• Flexible skill set to adapt to and meet needs of the PCN Population and support public health
• Working towards Advanced clinical practitioner status
• Evidence of previous FCP experience and working inline with FCP roadmap
• Strong knowledge of cognitive behavioural and motivational interviewing skills
• Injection Therapy Post graduate Certificate
• Experience of working within a primary care/ GP surgery setting
• Evidence of working across organisational boundaries within health and social care
• Independent thinker with demonstrated good judgement, problem-solving and analytical skills
• Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively.
• Ability to negotiate effectively within the MDT or across a range of services/providers.

Other

• Minimum of 5 years post graduate MSK experience
• Ability to co-ordinate and prioritise workloads able to multi-task as well as be self-disciplined and highly motivated
• Demonstrates a flexible approach in order to ensure patient care is delivered
• High degree of personal credibility, emotional intelligence, patience and flexibility
• Ability to cope with unpredictable situations
• Confident in facilitating and challenging others

Qualifications

• BSc degree in Physiotherapy
• Health & Care Professions Council (HCPC) registration
• HEE FC Primary care roadmap training completed / working towards advanced level 7 Practice [within the ACP framework]
• MSc post graduate degree in Physiotherapy
• Completed or working towards Injection Therapy qualification

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.