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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 Section 1: Introduction to Appointment Reference Number: SJH/HN/2018/BU/B6/27 Job Title: Specialist Physiotherapist Grade: Band 6 Location: St Johns Hospital Contract Duration: Fixed Term, 1 year Hours: 37.5 per week Closing Date: 18 th May 2018 Salary Scale: 26,830-35,933 per annum 2018/19 Pay Award Pending Apply on-line 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 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.

4 Section 2: Person Specification NHS LOTHIAN WEST LOTHIAN COMMUNITY HEALTH & CARE PARTNERSHIP PHYSIOTHERAPY SERVICE PERSONNEL SPECIFICATION Specialist Physiotherapist Band 6 -HANDS ST JOHN S HOSPITAL ATTAINMENTS SKILLS DISPOSITION EXPERIENCE SPECIAL SKILLS ESSENTIAL Diploma / Degree /MSc in Physiotherapy HPC registration Relevant Post Graduate courses Awareness of evidence based practice relating to specialism Organisational /Time management / Prioritisation Presentations / teaching Communication Leadership Team Leader Flexibility Willingness to learn Interest in clinical specialism. Team worker Wide clinical experience Substantial proven experience within specialism. Hand therapy Research / Audit Supervisory Experience Splinting skills DESIRABLE MCSP Management qualification / experience Relevant post graduate qualification Special interest groups Involvement and/or experience in clinical effectiveness processes Involvement in Guideline development Involvement in service development IT Literate Student supervision Report writing Awareness of current physiotherapy issues

5 Section 3: Job Description 1. JOB IDENTIFICATION Post Holder: Job Title: Responsible to: Accountable to: Department: Specialist Physiotherapy (Static) Physiotherapy Team Leaders Physiotherapy Services Manager Physiotherapy Operating Division: Job Reference: L-PHYSIO-SS1 Last Update: September, JOB PURPOSE Provide specialist direct clinical care, which encompasses physiotherapy assessment, diagnosis, treatment and management of patients. Support the Physiotherapy Team Leader and ensure continuity of service delivery. 3. DIMENSIONS Range of Clinical Areas - One of the following areas will be the area of specialism and the postholder will be permanently based in one of these Domiciliary, General Rehabilitation, Learning Disability, Medical, Mental Health, Musculoskeletal Out-patients, Neurology, Paediatrics, Respiratory, Surgical, Women s Health, working with the Advanced Practitioner attached to Orthopaedic clinics Staff Responsibility Supervise clinical workload of Physiotherapists, Support Workers and/ or Students. Post will be based At SJH

6 4. ORGANISATIONAL POSITION Team Leader Specialist Physiotherapist Support Worker/A/C 5. ROLE OF DEPARTMENT The Physiotherapy Service sits within WLHSCP Key responsibilities of the service are:- Provision of physiotherapy 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. 6. KEY RESULT AREAS Clinical 1. Act independently as a specialist to assess, analyse and provide a clinical diagnosis using highly developed clinical reasoning skills for individual patients who may have complex needs to determine their need for physiotherapy intervention within specialist area. 2. Act independently to plan, implement, evaluate, treat and progress patient care through patient centred goal setting to maximise rehabilitation potential within specialist area. 3. Manage an individual caseload of patients effectively and efficiently from initial assessment to discharge. 4. Liaise with Senior Physiotherapists to gain support and direction in management of their caseload when required. 5. Work as part of a team to ensure effective communication and delivery of care, including discharge planning. 6. Maintain patient documentation, records and accurate statistical information to reflect care provided and meet professional standards.

7 7. Communicate and make recommendations e.g. requesting appropriate investigations and screening for serious pathology to all relevant disciplines of staff to maximise patient care and promote multidisciplinary team working. 8. Implement appropriate clinical guidelines to optimise patient care. 9. Depending on the clinical area, provide physiotherapy on-call care to support delivery of the 24-hour service to acutely ill patients. 10. Educate patients, families and carers on their diagnosis and encourage self management Managerial 1. Deputise for Team Leader to maintain continuity of service delivery in their absence. 2. Supervise clinical workload of Physiotherapists, Support Workers and students to maximise efficiency and achieve optimal quality of care. 3. Participate in the NHS Lothian KSF Framework to promote personal and service developments. 4. Participate in clinical audit and service review to support the Physiotherapy Service Clinical Governance Strategy. 5. Attend and participate in relevant team meetings. Educational 1. Participate in physiotherapy in-service and lead team in-service training to promote development of self and others 2. To assist in maintaining and developing current knowledge of evidence based practice (e.g. critical appraisal, reflective practice) in the clinical areas to ensure the provision of up to date effective and efficient patient care. 3. Produce and present projects to promote service development and / or personal development. 4. Assist in the teaching of nursing, medical, other multidisciplinary team members, educational staff and others to promote knowledge of physiotherapy management to enhance patient care. 5. Supervise the clinical training of undergraduate and postgraduate physiotherapy students. 7a. EQUIPMENT AND MACHINERY The following equipment may be used depending on clinical area: Walking aids - Arjo Walker, Gutter frame, Mobilators, Zimmers, Elbow crutches, Quadrapods, Sticks, Crutches, Specialist walking frames to assist/progress the functional independence of patients. Manual Handling equipment - Mechanical Hoists, Samhall turner, Sliding boards, Rope Ladders to facilitate patient transfers. Electrical Equipment - Tens units, Muscle stimulators, EMG biofeedback units, Ultra-sound, Interferential, Curapulse /Short wave diathermy, Ultraviolet, Continuous Passive Movement Machine to assist rehabilitation of patients. Respiratory Equipment - IPPV (Bird), IPPB, Ultrasonic nebuliser, Ventilators, Suction units to assist rehabilitation of patients. Diagnostic Equipment Stethoscopes, respiradyne, peak flow meter, blood pressure cuffs to assist diagnosis and management of patients. Supports Full range of appliances and orthoses - to assist functional independence.

8 Rehabilitation Equipment Treadmill, Exercise bicycles, Steppers, Isokinetics, Standing frame (some specialist), Multigym, Weights, Traction beds. PPAM aid, Vari-table, Plinths, Parallel bars, Balance boards, Gymnastic balls, Wobble cushions, Blocks, Stairs, Full range of small exercise equipment, Specialist seating, Bodyweight supported treadmill to assist rehabilitation of patients. Thermal Equipment - Hot packs, Ice to assist pain relief of patients. Other Equipment Acupuncture needles to assist pain relief of patients. IT Equipment Personal Computer, Printers to assist inputting of patient data. Office Equipment Dictaphone- to assist provision of patient reports. Must ensure that all physiotherapy equipment is safe to use and be responsible for the safe and competent use of all physiotherapy equipment. 7b. SYSTEMS Patient Information Systems (CIS) to ensure accurate data collection. TRAK Picture Archiving Communication System (PACS) to examine patient data. MIM System to examine patient photographic records. Microsoft Office to compile patient information, advice sheets and to produce presentations and reports. to ensure efficient timeous communication with colleagues. Internet to access national and international databases thus enhancing knowledge base of clinically effective care. Intranet to access information within NHS Lothian Patient Records / Medical Notes to input/ departmental patient records and patients case notes. Guardian 24 when off site if available. 8. ASSIGNMENT AND REVIEW OF WORK Clinical caseload will be generated by the specific service needs of each clinical area. Physiotherapy Team Leader will also delegate other non-clinical tasks. Work independently on a day-to-day basis with available Senior Physiotherapist support as required. The Physiotherapy Team Leader on a six monthly basis will undertake performance reviews.

9 9. DECISIONS AND JUDGEMENTS Make decisions on diagnosis, treatment and ongoing management/discharge analysing information using highly developed analytical skills and available options to ensure an appropriate outcome for patients. Decide when to refer to senior physiotherapists to ensure patients receive optimal clinical care Prioritise caseload taking into account competing clinical priorities to ensure effective use of time. May decide on allocation of tasks / patients to Physiotherapists and Support Workers to ensure effective utilisation of skill mix. Deal with staff performance issues and refer onto senior staff as appropriate. In the absence of Physiotherapy Team Leader manage the clinical workload of the specialist clinical area. 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Develop knowledge, skills and evaluation processes in a wide variety of conditions and patient groups acting as a specialist within particular area of work with involvement in teaching. Exercise management and specialist clinical skills in the absence of a Physiotherapy Team Leader. Take responsibility for management and development of more junior staff and service. Undertake a mentally and physically demanding job, whilst at the same time taking care to safeguard own health and safety as well as that of colleagues and patients. If on-call, work independently with acutely ill patients with no direct professional support. 11. COMMUNICATIONS AND RELATIONSHIPS Patients 1. Provide and receive information regarding assessment, diagnosis, prognosis and treatment to encourage acceptance and compliance. 2. Patients will have a range of medical and psychosocial problems that require the physiotherapist to utilise motivational and persuasive skills to facilitate rehabilitation both in an individual and group setting. Relatives / Carers 1. Provide and receive information. 2. Teach a range of patient management strategies. Physiotherapy Staff (internal / external) 1. Consult senior staff for advice. 2. Delegate tasks to Physiotherapists and Support Workers. 3. Deal with relevant performance issues with more junior physiotherapy staff. 4. Impart information relating to patient transfer to both internal and external colleagues.

10 Multidisciplinary team within the speciality 1. Relay on patient assessment findings, patient progress with treatment and suggest other professional input requirements. 2. Teach physiotherapy strategies to optimise patient care. Other Agencies (Local Authority, voluntary sector, etc) Identify and establish contact with appropriate agencies for future patient support e.g. leisure centre, ethnic minority groups, physical abuse groups. Negotiate and liaise with all appropriate agencies to optimise patient care and ensure efficient service delivery e.g. social work, insurance companies, housing services, employers etc. 12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB FREQUENCY Physical Skills: Skills to perform a wide range of physiotherapeutic manual techniques. Numerous occasions daily Physical Demands: Therapeutic and Manual Handling. Patient movement with use of mechanical aides, manoeuvre/transfer of patients for treatment purposes. Patient therapeutic manual transfers to facilitate rehabilitation process. Push trolleys, wheelchairs. Stand/walking. Numerous occasions daily Numerous occasions daily Daily Numerous occasions daily For the majority of shift. Mental Demands: Sustained concentration required when assessing and treating patients to meeting changing patient therapeutic needs. Prioritising workload to meet service requirements. Numerous occasions daily Daily Numerous occasions daily

11 Emotional Demands: Communicating with distressed/anxious/worried patients/relatives. Impart unwelcome news regarding patients rehabilitation prospects. Treating terminally ill patients. Working with patients with cognitive impairment/disorientation Daily Occasional Variable Working Conditions: Exposure to body fluids (sputum, sweat), odours. Exposure to a degree of verbal abuse from patients and relatives. Numerous occasions daily Monthly 13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Essential Diploma / Degree in Physiotherapy or Chartered Society of Physiotherapy accredited Masters Registration with Health Professions Council Wide clinical experience in core clinical settings Previous experience in specialist area Relevant Post Graduate Courses. Minimally 2 specific courses related to area of specialism. e.g. Respiratory Course e.g. Alexandra Hough Neurology Course e.g. Introductory Bobath or Carr and Shepherd Musculoskeltal Course e.g. NAGS and SNAGS, Rehab, McKenzie, Cyriax Full Current UK Driving License if required for area. Good communicator Competent IT skills Team worker Ability to work independently Swimmer if required

12 14. JOB DESCRIPTION AGREEMENT 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 Legislation Please note that any personal information obtained from you throughout the recruitment process will be collected, stored and used in line with Data Protection Legislation. 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. Changes to Disclosure and Rehabilitation Regime In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. The rules are complicated, so it is important you read the guidance below as part of making your application. NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order As part of any offer of employment candidates will be subject to one of the following: For posts in regulated work Protection of Vulnerable Groups Scheme membership For all other posts which are subject to a criminal conviction record check A Police Act check For posts not subject to a criminal conviction record check A self-declaration

14 For further information please visit our careers site: /HelpAndAdvice/Recruitmentofexoffenders/FAQsdisclosurescotlan dandselfassessmentform/pages/default.aspx Disclosure Scotland Where a Police Act 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 on our careers webpage: /HelpAndAdvice/Recruitmentofexoffenders/Pages/default.aspx 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: 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.

15 For general help and advice on how to complete an application form please visit our careers website: 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.

16 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 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:

Ophthalmic Imaging Technician 1

Ophthalmic Imaging Technician 1 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