Specialist (Enhanced level) Physiotherapist

Gloucestershire Hospitals NHS Foundation Trust; Gloucester; On-site; GBP 38,000 - 52,000; Full time

Job summary

Gloucestershire Hospitals NHS Foundation Trust is seeking an experienced physiotherapist to join our Community MSK Advanced Practice Service at an enhanced level. You will provide specialist triage for orthopaedic and MSK referrals, deliver advanced clinical diagnoses, and support self-management with MDT collaboration across Gloucestershire Royal and Cheltenham General sites.

You will work autonomously, with leadership in clinical area management and supervision, and contribute to service

Qualifications

• Degree/Diploma in Physiotherapy and HCPC registration.
• Registered with HCPC.
• Post registration masters (level 7) module(s) or specialised qualification e.g. PgCert / PgDip / MACP.
• Working towards relevant post-graduate study or equivalent.
• Commitment to injection therapy and relevant post-registration Masters.
• Portfolio of mentored practice within specialty.
• Non-medical prescribing.
• Evidence of delivering NHS MSK care in the UK.
• Evidence of quality improvement (audit/evaluation/QI).
• Experience in education, supervision and mentoring of staff and students.

Responsibilities

• Specialist triage for orthopaedic and MSK referrals.
• Advanced clinical diagnosis, prevention and self-management advice.
• Early treatment and appropriate referrals.
• Collaborative MDT work with orthopaedics and pain medicine.
• Deliver safe, client-centred MSK care with enhanced clinical assessments and interventions.
• Support service development and supervision within the MSK pathway.

Skills

Advanced clinical reasoning

Autonomy

Clinical leadership

Mentoring/teaching

Education

HCPC registered Physiotherapist

Post-registration masters (Level 7)

Postgraduate study (or equivalent)

Injection therapy qualification

Non-medical prescribing

iRMER credential

Experience in NHS MSK care

Tools

iRMER

Job description

You will have a broad MSK capability, integrating advanced clinical reasoning and autonomy in diagnosing and managing patients. You will use a patient-centred approach to deliver high quality, best MSK health management approach for our patients. You will have had experienced working in an enhanced or advanced role. Demonstrating a progressive mind set and a clear sense of direction regarding personal and service development is important. You would be a resource for supporting development of other health professionals and less experienced staff by contributing to our training programme., To work as an autonomous and independent specialist practitioner, working with the responsibility for assessing and directing the management of patients referred to the community MSK interface service. To deliver therapeutic intervention, acting as a highly specialist clinician in MSK Outpatients and the community MSK interface service, by using the principles of Physiotherapy in an integrated and client-centred way. To apply highly specialist theoretical knowledge, clinical experience and advanced clinical reasoning to provide comprehensive patient management. This will include patients with diverse or complex presentations/multi-co-mobilities and those referred from other therapists and health care professionals for a second opinion/advice on further management. To identify, request and interpret specialist diagnostics within own scope of practice to inform the delivery and management of specialist care for patients and families. To provide clinical expertise, education, support and guidance for therapy staff. To promote effective communication with therapy, consultant, nursing and other healthcare staff in order to agree an inter-professional approach to patient management and ensure equity of care. To support the operational delivery of the out of hours service at Gloucestershire Royal Hospital or Cheltenham General Hospital. To assume responsibility for personal development and ensure other team members are supported for development and supervision by continuing professional development, linked to appraisal To communicate effectively with patients and carers potentially complex, sensitive or distressing information; in order to provide patient centred care, to encourage self-management, maximise rehabilitation potential and to ensure understanding of the condition. Patients may have communication, perceptual or cognitive/understanding difficulties.
Due to retirement, we are seeking experienced physiotherapists to join our community Musculoskeletal (MSK) Advanced Practice Service in an enhanced level post. Candidates will be able to demonstrate advanced clinical diagnostic skills in practice and will join our integrated advanced practitioner service and MSK core rehabilitation therapy team. The role responsibilities include Specialist Triage for orthopaedic and MSK referrals, offering advanced clinical diagnosis, prevention and supported self-management advice, early treatment and referral as required. Multi-disciplinary working alongside our consultants in orthopaedics and pain medicine supports delivery through collaborative clinical pathways. Our job planned service supports working across the four pillars of practice.A capability driven Band 6/7 development opportunity may be considered for candidates that demonstrate the ability to achieve the essential role requirements within 6 months via a probation process.

• Degree/Diploma in Physiotherapy and HCPC registration
• Registered with HCPC
• Successful in completion of post registration masters (level 7) module (s) or specialised qualification program relevant to the role e.g. (PgCert / PgDip / MACP)
• Working towards completion of relevant post-graduate study (or equivalence)
• Commitment to undertake training as an injection Therapist, Completion of relevant post registration Masters
• Portfolio of mentored practice within specialty
• Injection therapy. Qualification
• Non-medical prescribing
• Previous / current certification on iRMER, Evidence of relevant specialist experience in the musculoskeletal field
• Proven clinical leadership experience
• Experience of delivering NHS care in the UK
• Evidence of delivering quality improvement: e.g. audit, evaluation, QI and service improvement
• Experience of providing education, supervision and mentoring to staff and students
• Ability to demonstrate independent thinking and autonomous decision-making
• Applies strong leadership to day-to-day clinical area management
• Application of good resource management in service delivery
• Evidence of reflective practice within CPD, Evidence of working in an enhanced / screening / diagnostic role
• Evidence of working at a senior level in this specialist area
• Evidence of work across the MSK pathway; including MDT
• Experience of clinical research
• Multi-organisation or system working
• Evidence of national and local guidance delivery in practice
• Actively participated in Recruitment experience
• Engagement in strategic service development, Personal tolerance of uncertainty and conflicting opinions
• Well-developed leadership and motivational skills alongside team building and team working skills.
• Ability to manage pressure and changing working environment
• The ability to react in a flexible way to changing demands in service delivery, both operationally and strategically.
• Advanced clinical diagnostic reasoning skills with the ability to provide highly specialised and expert clinical advice to colleagues and other healthcare professionals
• Act independently to plan, deliver, monitor and evaluate complex care using enhanced clinical assessments, diagnostics, and interventions with a broad-spectrum knowledge of MSK disorders
• Evidence of clinical utilisation of behavior change, manual therapy, exercise therapy, lifestyle management, return to work, shared decision making,
• Evidence of a biopsychosocial, patient centred approach to management.
• Excellent planning and organisational skills.
• Proven negotiation/communication skills
• The ability to inspire, influence, persuade and negotiate
• The ability to manage change and conflict to ensure resolutions with positive outcomes
• Managing diagnostic uncertainty e.g. complex multi-pathology presentations
• Evidence of being an effective supervisor, educator and mentor
  As a team, we are committed to delivering high quality, value-based healthcare for our patient population across the integrated MSKpathway.

We have a culture of facilitated learning and supervision against MSK capability frameworks, and post-graduate Masters / Level 7 education. We would support the successful candidate to deliver safe consistent practice. We are actively engaged in research and have a proven record of leading trials with Oxford University and NIHR.