Physiotherapist

Central and North West London NHS Foundation Trust; Colham Green; On-site; GBP 32,000 - 46,000; Full time

Job summary

Central and North West London NHS Foundation Trust invites applications for a physiotherapist to provide specialised rehabilitation assessment, education, advice and treatment to adult patients in the Hawthorn Intermediate Care Unit.

You will independently manage a defined caseload from referral to discharge, contribute to seven-day service provision where required, and work with a multidisciplinary team to optimise patient outcomes and safe discharges.

Responsibilities

• Provide specialised physiotherapy advice to adults 18+ with psycho-social, physical and emotional problems in a rehabilitation setting.
• Ensure safe, effective and efficient physiotherapy practice within this field.
• Work independently, seeking support from seniors when required.
• Manage a defined caseload from referral to discharge and plan around clinical priorities and time management.
• Be professionally accountable for all aspects of your own work and patient care.
• Carry out all stages of the physiotherapy process: referral, assessment, goal setting, intervention, and discharge planning.
• Plan and supervise equipment fitting and use in ward and community settings.
• Communicate effectively with patients and carers to maximise rehabilitation potential and obtain informed consent.
• Maintain accurate documentation in line with HCPC and CSP standards.
• Delegate tasks to Health Care Assistants and junior staff and coordinate with MDT across hospital and community.
• Evaluate outcomes and ensure continuity of care after discharge, adapting plans as needed.
• Demonstrate awareness of wider team and service issues and prioritise caseloads.

Job description

To provide specialised rehabilitation assessment, education, advice and treatment to adult patients in the intermediate care unit who have a range of health and social care needs. To enable these patients to reach their maximum functional potential and facilitate safe discharges. To independently manage a defined caseload of patients, contributing to the provision of the physiotherapy service. To undertake seven-day service provision where required.

The Hawthorn Intermediate Care Unit (HICU) is situated in the grounds of Hillingdon Hospital but owned by Central and North West London Trust. HICU offers physical rehabilitation to Adults aged 18years + for a varying range of physical disabilities. CNWL is devoted to staff development and enhancing staff well-being at work.

Key Duties and Responsibilities: Clinical

• To provide specialised physiotherapy advice in relation to patients 18 years and above with a range of psycho-social, physical and emotional problems working in a rehabilitation setting.
• To ensure safe, effective and efficient physiotherapy practice within this field of practice.
• To work independently seeking support from the seniors when required.
• To accept clinical responsibility and professional autonomy for a designated caseload of patients, from referral to discharge, and to organise this efficiently and effectively in relation to clinical priorities and use of time.
• To be professionally and legally responsible and accountable for all aspects of your own work, including the management of patients in your care.
• To undertake all stages of the physiotherapy therapeutic process: 1. Referral taking and information gathering through searching clinical records and through liaison with the client, carers and colleagues from health and other relevant agencies. 2. Completing assessments, through interview, observation of functional tasks and using standardised assessments 3. Identifying needs and forming SMART goals and plans for interventions 4. Completing a wide range of interventions including giving advice and support, rehabilitation, equipment provision and home adaptation. 5. To formulate an individual management and/or treatment programme, using clinical reasoning and a range of evidence-based treatment skills including, manual physiotherapy techniques, patient education, exercise classes, electrotherapy and other options. 6. Evaluate patient progress through regular re-assessment and ensure continuous progression by graded activity for improving conditions. 7. Discharge planning and referral onto alternative services.
• To accept responsibility for ensuring the effective selection, use and fitting of equipment used both in the ward and community ( e.g. toilet equipment)
• To independently plan and carry out assessments in the patient's own home where required. This may involve unforeseen exposure to environmental hazards (e.g. squalid home environment).
• To communicate effectively with patient and carers to maximise rehabilitation potential whilst being realistic about patients expectations. Communication skilled persuasion, motivation, explanation and gaining informed consent will be used with a variety of patients. Barriers to effective communication will regularly be evident, e.g. sensory impairment, cognitive impairment, pain, emotional state, behavioural and communication difficulties.
• To be able to deal effectively and appropriately with patients who display inappropriate behaviours ( eg physical and verbal aggression.)
• To provide spontaneous and planned advice, teaching and instruction to relatives, cares and other professionals
• To maintain accurate and up-to-date documentation in line with Service, Trust, Health and Care Professions Council (HCPC) and The Chartered Society of Physiotherapy (CSP).
• To take responsibility for appropriate delegation of tasks to Health Care Assistants and other junior staff.
• To ensure effective communication and collaboration takes place between yourself and members of the multi-disciplinary and multi-agency teams across hospital and community (both written and verbal). This may require communicating complex information on sensitive issues.
• To evaluate the outcome of the communications and ensure there is adequate carry over of information to enable ongoing care of patients once discharged.
• To support others and recognise the limitations of your own clinical practice and seek the advice of others as appropriate.
• To demonstrate an awareness of wider team and service issues.
• You will need to be able to prioritize caseload and work flexibly around interruptions relating to patient care.