Adult Therapy Services. Community Services. Roundshaw Health Centre. Team Lead / Service Manager. Service Manager / Clinical Director

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1 THE ROYAL MARSDEN NHS FOUNDATION TRUST Job Description Job Title Specialist Neuro Physiotherapist - Community Neuro Therapy Service Area of Specialty Adult Therapy Services Directorate Community Services Grade Band 6 Hours of work Full time (37.5) Site Roundshaw Health Centre Responsible to Team Lead / Service Manager Accountable to Service Manager / Clinical Director Community Services Division The Royal Marsden Community Services Division provides treatment and care for a wide range of healthcare needs within the London Borough of Sutton. We pride ourselves on having a highly dedicated team and offer a stimulating and dynamic working environment with a wide range of staff benefits and development opportunities. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements. Our vision is to promote independence and health, to deliver high quality excellent coordinated care that is patient centred and, to provide care within the heart of the patient s community. This is achieved through leadership and clinical excellence for our staff and involvement, self-care and personalisation for our patients Overview of the Post To provide a comprehensive community service to clients with a neurological condition who have multi-disciplinary needs and have a GP within Sutton CCG. The Community Neuro Services include the Community Neuro Therapy Team (CNTT) and Stroke Early Supported Discharge (ESD) Team, providing neurological rehabilitation & intervention to patients with a GP in Sutton CCG. Page 1 of 8

2 The CNTT provides a specialised multi-disciplinary service to patients with neurological conditions in the community in order to safeguard independence by preventing inappropriate hospital stays, maximising rehabilitation and recovery after illness or injury, and minimising premature dependence on long term institutional care. Therapists in the Community Neuro team assess, differentially diagnose, rehabilitate and manage a caseload of adults with neurological conditions in the community setting. The CNTT physiotherapy service provides both a domiciliary & outpatient service. Physiotherapists in the CNTT team may work within either of these services or across the services. The ESD team provides a flexible and proactive therapy service to facilitate early discharge of patients from acute, inpatient settings for clients with a new stroke diagnosis who have on-going therapy needs The post is within the Community neuro service & therefore the post holder may either work within the ESD or CNTT team, with potential to rotate within the service. The neuro service is also looking at the prospect of developing rotational or integrated roles opportunities across the acute & community settings. Job Purpose To work as part of a multi-disciplinary team of therapists and rehabilitation assistants to provide specialist neurological intervention to enable and rehabilitate patients registered with GP s within Sutton CCG. To provide rehabilitation to patients with a range of neurological diagnoses who meet the Community Neuro Therapy Team or Early Supported Discharge Team criteria. To have clinical responsibility for assessment and treatment planning of a caseload of clients within the community, including those based in residential and nursing home facilities. To assist in the overall development and management of physiotherapy and community neuro services. Key Result Areas/Principal Responsibilities To develop a high level of clinical skill in community rehabilitation and longer term management of disability and impairment. To provide comprehensive physiotherapy intervention to clients in the community, making use of community facilities where appropriate. To be responsible for a clinical caseload working within a multi-disciplinary team ensuring clients receive optimum level of therapy within available resources. To carry out assessments, plan and implement agreed goal orientated physiotherapy intervention with client/carers in an appropriate community setting. To carry out multi-disciplinary screening assessment and discuss outcomes with team members. To keep accurate up-to-date records on patient care and equipment provision, which are in accordance with quality standards of the Trust/Service policies and The Chartered Society of Physiotherapy. To provide written and/or verbal reports to referrers and other agencies involved in clients care and participate in clinical meetings as necessary. Page 2 of 8

3 To assist in the development of the Physiotherapy Service to the specialist clinical area given that effectively contribute to the patient /care pathway, and to develop the skills required to undertake this. To develop skills in monitoring the effectiveness of intervention through goal setting, outcome measurement and evaluation of practice. To contribute to the development of information that enables clients to understand and self manage their condition whenever possible. To assist the Band 7 Lead Physiotherapist and Service Manager by monitoring caseloads, recording statistics and prioritising referrals as required. Core Development Duties & Responsibilities To participate in continuing professional development as identified through supervision and annual appraisal, including attending in-service training and courses as agreed. To participate in own supervision on a regular basis and work towards objectives set in appraisal. To keep abreast of new development within the clinical field as relevant to physiotherapy and community team working. To comply with Sutton Community Healthcare Services and physiotherapy service mandatory training requirements. To participate in the training of others, including education and support programmes for relatives/carers and giving presentations to other disciplines within the team. Further Information and General Responsibilities To have responsibility for the health, safety and welfare of self and others and to comply at all times with the requirements of health and safety regulations. To ensure confidentiality at all times, only releasing confidential information obtained during the course of employment to those acting in an official capacity. To comply with the requirements of the Data Protection Act. To comply with the Trust s Human Resources policies, including Equal Opportunities, Alcohol & Substance Misuse and No Smoking. To implement and monitor Trust and Departmental/Local Policies and Procedures as applicable to staff (supervisors and managers). To undertake such other duties as may be required from time to time and are consistent with the responsibilities of the grade. Research and Development To assist in the development of the physiotherapy service to ensure effective evidence based treatment to the patient and to develop the skills required to undertake this. To be involved in clinical innovation, using research evidence based practice and clinical networks. Page 3 of 8

4 To actively review efficacy of service delivery and facilitate setting up of new standards, or amend existing ones, in close liaison with the Band 7/ Service Manager. To be involved in monitoring and evaluation of physiotherapy intervention as part of the multi-therapy service To directly supervise physiotherapy students and rehabilitation assistants as appropriate To participate in clinical governance / audit / clinical effectiveness projects in this clinical area. Professional Responsibilities To participate in Individual Performance Reviews in accordance with trust and department standards. To keep up-to-date with the department and Royal Marsden standards and policies and facilitate dissemination of this knowledge to colleagues. To regularly participate in in-service programmes. To abide by the CSP rules of professional conduct and local professional and quality standards. To develop and maintain personal, clinical and managerial skills through supervision, CPD, peer support and a personal development plan agreed with the line manager/professional manager. To maintain a current knowledge of developments within the NHS and physiotherapy. To deputise for the Band 7 in their absence. To assist the Service Manager and other senior staff with the day-to-day running of the service, by carrying out duties as deemed necessary by the Service Manager. To work in accordance with the Standards and Policies issued by the Chartered Society of Physiotherapy, The Trust and Community Neuro Services. To attend any mandatory training and induction courses as designated by management. Present a positive image of The Royal Marsden Community Services. To behave in accordance with The Royal Marsden Values framework (see below) The four primary Royal Marsden Values are; Compassionate, Pioneering, Collaborate and Determined. Descriptions of expected behaviours relating to the values are set out below. Staff should uphold and demonstrate the values within their everyday practice. Values Compassionate patients and each other Pioneering Behaviours Shows kindness and compassion, puts patient care first. Treats others with dignity and respect, challenges others when they do not. Acts in ways which support equality and diversity. Offers ideas for improving the quality and safety of services Page 4 of 8

5 continuously improving services Collaborative achieving results by working together Determined quality and best use of resources and supports others in new ways of working. Takes action on feedback and seeks to develop skills and knowledge of self and others. Takes responsibility for personal and team performance and works with partners within and outside the organisation to achieve the Trust plans and priorities. Communicates courteously and constructively, reflects on barriers to effective communication and modifies response. Strives to ensure quality of services and make the best use of resources by minimising waste and finding the most efficient ways of working. Communication and Working Relationships Strengthen the bridge between primary, secondary and acute services. Promoting good practice and effective communication within and between primary care, statutory and voluntary organisations on all matters relating to the patient. Communicate complex information to staff, stakeholders, patients and carers where there may be barriers of understanding such as a lack of knowledge about service delivery or care pathways. Diffuse potentially hostile, antagonistic and emotive situations with staff, patients and relatives. To work single-handed or as part of the multi-therapy team and demonstrate good communication skills at all levels. To liaise with all members of the relevant multi-disciplinary team, as well as the patients, carers and external agencies. To contribute to the smooth running of services by maintaining patient records following admin procedures in operation and working in harmony with other staff members. To participate as a full member of the team(s), contributing to the development and practice of both uni-disciplinary and multidisciplinary care. To liaise as necessary with other departments/disciplines To attend appropriate meetings in agreement with the Neuro Therapy Service Manager and/or Band 7 occupational therapist. Confidentiality and Data Protection Act All employees of The Royal Marsden NHS Foundation Trust must not, without prior permission, disclose any information regarding patients or staff (please also see the Trust s policy on Whistleblowing). In instances where it is known that a member of staff has communicated information to unauthorized persons, those staff will be liable to dismissal. Moreover, the Data Protection Act 1998 also renders an individual liable for prosecution in the event of unauthorized disclosure of information. Safeguarding Children and Vulnerable Adults All staff must be familiar with and adhere to the Trust s child protection and safeguarding vulnerable adult policies and procedures. All staff are required to Page 5 of 8

6 attend child protection and safeguarding vulnerable adults awareness training, additional training and supervision regarding child protection relevant to their position and role. Health and Safety All staff are required to make positive efforts to maintain their own personal safety and that of others by taking reasonable care, carrying out requirements of the law whilst following recognised codes of practice and Trust policies on health and safety. Customer Service Excellence All staff are required to support the Trust s commitment to developing and delivering excellent customer-focused service by treating patients, their families, friends, carers and staff with professionalism, respect and dignity. Emergency Planning In accordance with the Trust's responsibilities under the Civil Contingencies Act 2004 all staff are required to undertake work and alternative duties as reasonably directed at variable locations in the event of and for the duration of a significant internal incident, major incident or pandemic. Equality and Diversity The aim of the Trust s policy is to ensure that no job applicant or employee is discriminated against either directly or indirectly on the grounds of race, creed, sex, marital status, disability, age, nationality, ethnic or national origins. The Trust commits itself to promote equal opportunities and will keep under review its policies, procedures and practices to ensure that all users and providers of its services are treated according to their needs. The policy also applies to staff working within the hospital and its community services. No Smoking Policy It is the policy of the Trust to promote health. Smoking is actively discouraged and is prohibited in most areas of the Hospital, including offices, with the exception of designated smoking areas on both sites. Review of this Job Description This job description is intended as an outline of the general areas of activity. It will be amended in the light of the changing needs of the organization, in which case it will be reviewed in conjunction with the post holder. Terms and Conditions of Employment This post is exempt from the Rehabilitation of Offenders Act 1974, meaning that any criminal conviction must be made known at the time of application. Page 6 of 8

7 PERSON SPECIFICATION JOB TITLE: Specialist Neuro Physiotherapist - Community Neuro Therapy Service AREA OF SPECIALITY: Adult Therapy Services DIRECTORATE: Community Services BAND: Band 6 SELECTION CRITERIA: Education/Qualifications How measured (application form, interview, test, presentation, references, occupational health) Essential Diploma/Degree in Physiotherapy Registered with Health Professions Council Application form Desirable CSP membership Membership of a specialist interest group or network Application form Experience Essential Relevant experience as Junior physiotherapist Application form, Interview, Post-graduate experience covering core rotations References Ability to supervise Juniors / Assistants / Students Experience of MDT working Relevant experience in neurology Desirable Ability to delegate tasks Previous community experience Application, Interview Skills/Abilities/Knowledge Essential Ability to demonstrate on-going CPD Awareness of professional issues (CSP) Realistic about ability (seeks help appropriately) Up to date with evidence based practice Ability to assess, set realistic goals and evaluate Effective written and spoken communication skills Ability to manage own case load Ability to manage own time Page 7 of 8 Application, Test, Interview, references

8 Ability to teach (e.g. IST) Ability to work independently Desirable Awareness of current issues in NHS Knowledge of relevant Health and Safety issues Experience of carrying out audits Interview Personal Qualities Demonstrates appropriate use of initiative Highly motivated Flexibility and able to cope with change Sensitive to the needs of others Test, Interview, References Other Requirements Basic computer skills Current Driving Licence Where the post holder uses their own car for work purposes, that post holder is expected to have car insurance to cover business use (transporting patient equipment) Physically fit to meet the demands of the post regarding fitting equipment in patients homes and therapeutic handling of patients with severe balance and mobility problems, subject to Occupational Health clearance The successful job applicant must apply for and receive satisfactory clearance of suitability from the Criminal Records Bureau prior to confirmation and commencement of employment with the Trust Application Page 8 of 8

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