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2 Contents Section Section 1: Section 2: Section 3: Section 4: Section 5: Section 6: Section 7: Section 8: Section 9: Introduction to Appointment Person Specification Job Description NHS Lothian Values General Information for Candidates Working in Edinburgh and the Lothians Workplace Equality Monitoring Equal Opportunities Policy Statement Code of Conduct for Healthcare Support Workers

3 1. Section 1: Introduction to Appointment Reference Number: NHSL/2018/0101 Job Title: Assistant Practitioner Grade: Band 4 Location: St John s Hospital, Livingston (travel to other sites as required) Contract Duration: Fixed term (1 year) Hours: 24 per week Closing Date: 8 th February 2018 Salary Scale: 20,302-22,910 per annum, pro rata Apply on-line This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post. **Please note the address you provide on the application form will be used to communicate any further correspondence relating to this vacancy therefore please check your TRASH and SPAM folders**

4 Section 2: Person Specification In order to be shortlisted you must demonstrate you meet all the essential criteria and as much of the desirable as possible. When a large volume of applications are received for a vacancy and most applicants meet the essential criteria then the desirable criteria is used to produce the shortlist Criteria Essential Desirable How Assessed Personal Traits Smart and tidy appearance I Qualifications & Training Clear speech English (standard, intermediate or higher grade) HND in health related subject /SCQF Level 8 or SVQ III/HNC Familiar with word processing package, e- mail and internet A, I Experience and Knowledge Significant experience working within health and/or social care and managing a delegated caseload Experience of implementing programmes of care as prescribed by qualified practitioner and working within agreed scope of practice Skills/Abilities Good communication skills verbal and written Good organisational skills - verbal and written Good prioritisation skills Multidisciplinary team working Able to work on own initiative Competent in dealing with patients who may have cognitive and speech problems, the public, doctors and healthcare professionals Pleasant nature Good numeracy skills Ability to multi-task Specific Job Requirements Able to work in other Community Physiotherapy bases as required Knowledge of Community TRAK Knowledge of clinical area/patient group pathology Knowledge of NHS Experience of audit In possession of clean driving licence I I I A = Application form C = Copies of certificates P = Presentation Key how assessed I = Interview T= Test or exercise R = References

5 Section 3: Job Description 1. JOB IDENTIFICATION Job Title: Physiotherapy Assistant Practitioner (Band 4) Responsible to: Department: Directorate: Job Reference: Physiotherapy Team Lead Physiotherapy Edinburgh CHP NHSL/2018/0101 No of Job Holders: 7 Last Update: 30/01/14 2. JOB PURPOSE As part of a dedicated AHP Therapy team the post holder will be allocated a delegated patient caseload by the qualified AHP and be expected to work independently, assessing the patient s care needs and/or modifying existing treatment plans and delivering this care without supervision. This includes progressing patients, reassessing and discharging within the scope of practice. Support qualified AHP staff, by taking an active clinical role within the specialist clinical area as guided by evidence based protocols produced by the registered practitioner. To support efficient service delivery, the practitioner will delegate tasks to others in the team and maximise the use of technology (e.g. telehealth) and adopt new ways of working. 3. DIMENSIONS The post holder will have a designated base but could work in any of the Pulmonary Rehabilitation Sites. The post holder will work within a variety of designated NHS and non NHS sites. Population and demographic indicators of the area are: Lothian has 14,000 people with a coded diagnosis of COPD; this population is rising by about 4% per annum. About 40% of all patients with COPD would benefit from Pulmonary Rehabilitation. In 2013, approx 900 patients in Lothian completed PR. (Referrals: Edinburgh 600; E&M 260; WL 270) Staff responsibility Supervise clinical workload of support workers and/or students and will order patient consumables/equipment as required The post holder is employed within NHS Lothian and there may be a requirement to work flexibly across Lothian to meet service demands.

6 4. ORGANISATIONAL POSITION Team Leader Specialist PT Registered PT Assistant Practitioner (this post) Reports to May work with Clinical Support Workers 5. ROLE OF DEPARTMENT The pulmonary rehabilitation service sits within ECHP The Key responsibilities of the service are: Provision of care to a diverse range of clinical conditions and patient types in a variety of environments across acute and community settings Service management, planning and development within a defined budget and a multidisciplinary framework Development, implementation and management of a Clinical Governance Strategy Provide pulmonary rehabilitation to patients with COPD in the Lothian Community.

7 6. KEY RESULT AREAS Clinical 1. To work without direct supervision, to implement agreed specialist programmes of care ongoing assessment, evaluation, management and discharge of patients and identifying the need for changes in treatment pathway in line with agreed service protocols referring back to registered AHPs as necessary 2. To undertake a range of procedures, as described in the care pathway using acquired skills and techniques with individuals and groups. 3. To develop a rapport with patients and use behaviour change techniques to support, encourage and motivate to make the necessary lifestyle changes/support self management/achieve goals within treatment plan 4. To have a thorough knowledge of treatment pathways and service protocols and be able to communicate this to patients, health care staff, other agencies and the public and offer guidance and advice as necessary. 5. Ability to effectively organise and prioritise their own delegated caseload even when lone working 6. To maintain professional standard of record keeping which is accurate and current, in line with professional codes, service standards and organisational requirements 7. To attend and participate in relevant meetings and multi-disciplinary team (MDT) meetings that will include contributing to client case discussions including discharge planning and providing update on area of work 8. To contribute to development and design of resources which may include patient literature, training programmes, handouts and evaluation forms 9. To work within all local policies, procedures and protocols and in compliance with NHS Scotland Mandatory Induction Standards and Code of Conduct for Healthcare Support Workers (2010). Patients may include vulnerable adults and young people under the age of 18 therefore must have an understanding and work within the legal framework of the adults of incapacity act and child protection. Leadership 10. Delegates tasks to other members of the team based on the clinical/administrative need 11. To provide support and supervision to team members of routine clinical tasks and delegate appropriately where required 12. To help the registered practitioner to develop and deliver training and induction programmes in partnership with other members of staff and organisations. 13. To assist in research, or audit to support service development and evidence based practice 14. To participate in the departmental Personal Development and Performance Review (PDP) system including reflecting on own practice to maintain standards, identify learning and development needs and to identify areas for potential service improvements Admin 15. To produce reports from IT systems on key outcome areas as instructed by AHP staff/service Lead. 16. To undertake some housekeeping duties. 17. To support NHS Lothian s values of quality, teamwork, care and compassion, dignity and respect, and openness, honesty and responsibility through the application of appropriate behaviours and attitudes.

8 7a. EQUIPMENT AND MACHINERY Be competent in the use of a wide range of equipment. Ensure that equipment in use is clean and safe, and regularly monitored for safety as per professional and organisational standards of practice. Must ensure that all equipment issued by them is safe to use and be responsible for the safe and competent use of equipment they issue to patients. The following are examples of equipment which may be used when undertaking the role: IT Equipment Personal Computer, phones, mobile phone, telehealth units, teleconference, videoconference. Manual Handling equipment - Mechanical Hoists, Samhall turner, Sliding boards, Rope Ladders to facilitate patient transfers. Detail of equipment will be held locally and will depend on the work area. Note: New equipment may be introduced as the organisation and technology develops, however training will be provided. 7b. SYSTEMS The following are examples of systems which may be used when undertaking the role: Maintaining patient records documenting all patient interventions and non-direct contacts e.g. TRAK, MIM system, Picture Archiving Communication Systems (PACS), PIMs. Internet based clinical information sources e.g. E-Library Update department shared drive/intranet site Use of intranet to access information within NHS Lothian Daily use of for communication Microsoft Office - Formatting and populating spreadsheets and databases to produce statistics and reports as required Health & Safety, Datix and COSHH Systems Note: New systems may be introduced as the organisation and technology develops, however training will be provided

9 8. ASSIGNMENT AND REVIEW OF WORK The clinical caseload is generated by the specific service needs of the clinical area. Further tasks may be delegated on a daily/weekly basis. Access to advice and support from the Service Lead / senior staff will be available as required, and may be indirect. Range of responsibilities will be clearly defined in the care pathway. The post holder may work independently on a day-to-day basis, being accountable for own actions and working within the relevant AHP related codes of practice and professional guidelines with input/supervision as required. The range of responsibilities will be specified in clearly defined in care pathways. The post holder will plan and organise delivery of therapy for designated clinical caseload and completion of administrative tasks related to the role. Formal and/or informal meetings/support with senior staff for purposes of clinical discussion will be regularly available and form part of routine practice. Local induction and annual eksf PDPR to be facilitated via team lead with individual responsibility for continuing professional development 9. DECISIONS AND JUDGEMENTS Assistant Practitioners are responsible for carrying out their own patient consultations / interventions in a safe and effective manner. Decisions may include: Identifying patients that require input from qualified staff in line with standard protocols Prioritising own caseload. The post holder is expected to recognise and escalate clinical concerns to the qualified AHP as appropriate when care deviates from protocols. Judgements regarding the current condition and status of patients receiving treatment and adapting treatment within the scope of the post holders skills and training including whether it as appropriate for a patient to continue treatment e.g. deterioration of patient When to seek support or guidance from a qualified member of staff When delegation of tasks is appropriate to other members of the team What/when to feedback to other staff Participate in service/team discussion to inform and advise on decision-making processes e.g. use of resources, service developments, and patient pathways. 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Utilisation of time management skills to provide a service incorporating management of personal caseload, support to other staff, administrative tasks including producing service reports, audit and development activity. Ongoing patient monitoring and evaluation of outcomes to ensure appropriate caseload management, maintain patient safety and working within scope of practice Dealing with emotional and/or distressing situations including patients with co-morbidities that require the utilisation of motivational, negotiating and persuasion skills to support behaviour and lifestyle change. Supporting self-management strategies to embed and sustain behaviour change and effectively manage their condition.

10 11. COMMUNICATIONS AND RELATIONSHIPS Patients Provides advice, education and encouragement in an individual and/or group setting. Apply knowledge of clinical conditions to facilitate effective communications with patients and others involved in their care. Utilises developed motivational and behavioural skills to facilitate behaviour change in an individual or group session, including patients with complex psychosocial problems.. Liase with the senior clinicians regarding the management of complex cases, communicating and discussing these as appropriate. Relatives / Carers Receive information directly relevant to patient care and encourage/advise on a range of patient management strategies Deal with verbal complaints and challenging behaviour, including aggression either in person or via telephone and refer up to line manager Service Management Regular meetings, and telephone conversations ensuring a two-way flow of information. Disseminate service information as appropriate Advise and negotiate with senior staff/service Lead regarding service review and development for their areas of responsibility Promote and share ideas Multidisciplinary team Liase with other members of the team, other AHP s and medical staff for purposes of receiving guidance and advice for the exchange of information to ensure clinically effective care. Applying knowledge of clinical conditions to contribute to multidisciplinary case conferences. Feedback patient information regarding treatment, progress, presentation and response to intervention. Share practice skills with other staff, students and contribute to clinical education as possible within area of expertise and as required. Utilise team support for emotional and challenging patients/situations. Other Agencies Liase with a number of local and Lothian wide agencies including Local Authority Engage with the general public and service users in consultation as required 12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB Physical skills Accurate IT skills daily use of computer eg communicate with other colleagues, complete data input. Knowledge of how to use specialist equipment required for day to day use with specific patients e.g. communication aids, special seating, standing frames etc. Physical effort Direct manual handling of patients with due regard for own safety, including lifting, carrying, pushing

11 wheelchairs, arranging seating and feeding required on a daily basis. Lifting, carrying and transferring a range of equipment to and from locations. Skills required to assist with therapeutic handling dependent on clinical area. Mental demands Reacting flexibly to constantly changing situations and prioritising the workload as possible within existing resources. Concentration required when undertaking the treatment of patients. Constant need to be flexible to the demands of the environment including unpredictable work patterns, deadlines and frequent interruptions. Emotional demands Communicating frequently with distressed/anxious/worried and emotionally demanding patients/relatives. On a daily basis, dealing with patients who have communication/ Language difficulties. Assisting in the treatment of patients who have deteriorating conditions or may be terminally ill. Providing emotional support to peers. Working Conditions Working within infection control and Health and Safety guidelines in order to deal appropriately with unpleasant conditions related to client contact as they arise; including exposure to body fluids, odours and head lice. Potential exposure to unsafe situations e.g. aggressive behaviour and verbal abuse from patients and relatives, lone working. Requirement to travel between locations and across Lothian in course of duties. 13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB SCQF Level 8 / HND in health related subject / or SVQ III/HNC plus evidence of experience working within health and/or social care and managing a delegated caseload Demonstrate competencies in Skills for Health Core Standards for Assistant Practitioners (2009) for example: Reflect on and evaluate your own values, priorities, interests and effectiveness Synthesise new knowledge into the development of your own practice Communicate effectively with individuals Audit your own work practice Act within the limits of your competence and authority Knowledge of clinical area/patient group pathology Experience of implementing programmes of care as prescribed by qualified practitioner and working within agreed scope of practice Experience of audit Multidisciplinary team working

12 14. JOB DESCRIPTION AGREEMENT A separate job description will need to be signed off by each jobholder to whom the job description applies. Job Holder s Signature: Head of Department Signature: Date: Date:

13 Section 4: NHS Lothian Values into Action NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients. Our Values are: Quality Dignity and Respect Care and Compassion Openness, Honesty and Responsibility Teamwork Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page: Section 5: General Information for Candidates Data Protection Act 1998 Please note that any personal information obtained from you throughout the recruitment process will be collected, stored and used in line with the Data Protection Act Information will be available to the recruiting manager and to the Human Resource staff. Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website: References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job. Disclosure Scotland Where a Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available from the recruitment centre. Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: or visit our Careers website:

14 Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post. Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions please click on this link: Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair. Application Form Completion The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for. (7500 is the character limit for statement in support of application.) Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required. Please note for equal opportunity purposes NHS Lothian do not accept CV s as a form of application. For general help and advice on how to complete an application form please visit our careers website:

15 Section 6: Working in Edinburgh and the Lothians NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits. The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians. Edinburgh and the Lothians Edinburgh and the Lothians are on the eastern side of Scotland s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians Edinburgh, East, Mid and West Lothian. NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian. It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages. For further information on relocating to Edinburgh please visit our careers website: px Section 7: Workplace Equality Monitoring NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued. In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally. Section 8: Equal Opportunities Policy Statement NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination. The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or

16 activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our Equal Opportunities in Employment policy can be viewed on our careers website: Section 9: Code of Conduct for Healthcare Support Workers If this post is a healthcare support worker position the post holder will need to follow the Code of Conduct for Healthcare Support Workers. A Healthcare Support Worker is defined as any healthcare worker working within NHS Scotland who is not currently statutorily regulated or in a role that has been recommended for statutory regulation by the Government. The Code of Conduct sets the standard of conduct expected of healthcare support workers and adult social care workers. It outlines the behaviour and attitudes that you should expect to experience from those workers signed up to the code. It helps them to provide safe, compassionate care and support. For more information on the Code of Conduct for Healthcare Support Workers please read the guidance: