Senior Physiotherapist - CICC

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Please be aware that, due to current allocation constraints, Certificates of Sponsorship (CoS) are being prioritised for registered roles at this time.

Our Trust cares for more than 100,000 patients at any one time across our community health, mental health and learning disability services across Essex and parts of Bedfordshire and Suffolk.

We want you to be part of our journey of transformation, where our patients and their families are at the heart of everything we do and to achieve our vision to be the leading health and wellbeing service in the provision of mental health and community care.

You'll be part of a Trust where you will be supported to be your authentic self and be the best you can be, where we will help you to grow, develop and thrive.

The Trust is recognised by the University of Essex and is a top provider of apprenticeships for people looking to be an assistant practitioner, senior health care support worker (CAP). Our trailblazing CAP apprenticeship won a national HSJ Award.

We are also recognised as a Veteran Aware Trust and holder of gold accreditation from the Ministry of Defence Employment Recognition Scheme. Our services are highlighted as an exemplar of good practice, producing the best care for more than 3.500 armed forces veterans in the past seven years.

We have been shortlisted and won national awards. We are an inclusive organisation and Level 3 Disability Confident Leader Trust.

We are constantly innovating and looking for new ways to deliver care, such as using technology to enhance patient care and working with partners to launch new services such as the Basildon Mental Health Urgent Care Department, virtual hospitals and falls response cars.

Join us and you'll do the best work of your life - and make a difference to other people's lives. What we do together, matters.

Job overview

An exciting opportunity has arisen to join our Community Intermediate Care Team in South East Essex. The current vacancy is within the Cumberlege Intermediate Care Centre (CICC).

CICC is a 22 bedded Intermediate Care Unit which currently provides stroke rehabilitation. We therefore require a skilled and experienced staff member in physical rehabilitation including assessing and treating patients with stroke/neurological diagnoses.

The successful candidate will work as part of a large and dynamic MDT, comprising of Physiotherapist, Occupational Therapists, Speech and Language Therapists, Nurses, Healthcare Assistants and Therapy Assistants.

Applicants who wish to work part time will be considered.

In this team, you will have the time and opportunity to make a real difference to a patient's functional abilities, level of independence and quality of life.

There are opportunities to develop your clinical skills, as well as developing leadership skills to support the development of existing and new and exciting services.

Intermediate care covers the following areas:
• Inpatient Stroke rehabilitation
• Early support stroke rehabilitation
• Frailty virtual ward
• Admission avoidance
• Re-ablement and unstable fracture management

Main duties of the job

ROLE SUMMARY

• The post holder is responsible for provision of Physiotherapy assessment, treatment and evaluation of stroke/neurological patients and frailty patients in a community rehabilitation setting.
• To participate in multidisciplinary rehabilitation services within a defined area of our Intermediate Care Service. The multidisciplinary team includes Rehabilitation Assistants, Therapy Assistants, Physiotherapists, Occupational Therapists, Speech and Language Therapists and Nursing colleagues
• To work autonomously to provide evidence based, high quality patient care and rehabilitation which is personalised to the individual's goals and needs.
• Deliver a compassionate, dignified and respectful service to patients at all times and ensuring that the values outlined in the NHS constitution are adhered to daily and any matters of concern are raised with the relevant Line Manager or through the necessary processes within the Trust.
• To work alongside colleagues in the wider Intermediate Care Service, which covers areas including:

• Cumberlege Intermediate Care Centre (Stroke Inpatient Rehab Unit)
• Early support stroke rehabilitation
• Frailty virtual ward
• Admission avoidance
• Re-ablement and unstable fracture management.

Working for our organisation

Valuing you. Recognising your dedication. At EPUT, we look after you.

• Receive supervision and support to help you fulfil your potential.
• Join an inclusive EPUT community and connect with others through engagement events and equality or champion networks.
• If you need help, we provide mental health and wellbeing services, occupational health advice and counselling.
• We run recognition awards to recognise staff's hard work and dedication.

Benefits

• 27 days holiday, plus bank holidays, rising to 33 days after 10 years' service.
• Excellent pension of up to14.5% of your pensionable pay.
• Staff discounts include Blue Light Card, NHS discount offers, and staff benefits.
• £8K relocation package if you move to Essex to join us
• Season ticket loans are interest-free to cover the cost of travelling to and from work via tram, rail, or bus.

Work that wraps around your needs

• Flexible working: available from day one for most roles.
• Job share: Applications for job shares are welcomed.

Detailed job description and main responsibilities

KEY RESPONSIBILITIES

General responsibilities

• To provide expert knowledge and skills to support the multi-disciplinary team and facilitate effective assessment and rehabilitation of intermediate care patients (Stroke/Frailty/IMC) encouraging independence and recovery.
• To facilitate effective prevention of admission to hospital or residential care and facilitation of discharge from hospital to the Intermediate Care Services.
• Manage and co-ordinate a caseload of patients with complex conditions including unstable fractures, complex neurological, frailty and stroke conditions.
• To oversee physiotherapy provision and ensure that accurate records and risk assessment are maintained and regularly reviewed.
• To provide expert leadership to junior staff through support, supervision and appraisal.
• Work in close liaison with other professionals within Reablement, Social Services, Acute Hospitals and Integrated Discharge Teams to achieve and maintain smooth care pathways for patients.
• Work in conjunction with the Therapy Lead for Intermediate Care, Intermediate Care Matrons and Head of Intermediate Care on strategic development of services in line with future service demands.
• Assist in the collection of information to support the evaluation of services once commissioned.

Service Provision

• Work collaboratively with all members of the team to ensure that an appropriate therapeutic environment is maintained that will support active rehabilitation programs for individual patients.
• Organise and maintain own diary and manage time effectively in order to meet the demands of the Intermediate Care Services, clinical caseload and supervision/support for other physiotherapy staff within your area.
• Participate in weekly MDT meetings and daily board rounds to review individual patient progress and organise onward referral to external services as required.

• Contribute to service development to enhance decision making through offering operational advice.
• Take responsible care for the health and safety of self and others, ensuring policies and procedures for maintaining the provision of a safe environment are adhered to.
• Identify and report on practices and areas of work that may have risk management implications to ensure the safety of patients and colleagues, and ensure that all risk events are reported promptly and in co-ordination with the Service Manager.

Clinical Responsibilities

• To work as a specialised and autonomous practitioner and be professionally and legally responsible for all aspects of physiotherapy work, including the clinical management of patients.
• To provide high quality assessment and treatment for a wide variety of medical diagnoses including use of standardised assessments/outcome measures, within the Intermediate care setting.

• To use expert knowledge to analyse and interpret data from multiple sources, including standardised tests to inform clinical diagnosis.
• To use this assessment information to work with clients to identify client centred therapy goals as part of the overall multi-disciplinary care plan.
• Assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.
• Use a range of verbal and non-verbal communication tools to communicate effectively with patients to progress rehabilitation and treatment programmes, this will include patients who may have difficulties in understanding or communicating
• To use knowledge and experience of clinical conditions, together with clinical judgment and reasoning skills, to determine a client's fitness for rehabilitation at the time of assessment.
• To implement, monitor, evaluate treatment plans and modify interventions in order to measure progress and outcomes to ensure effectiveness of intervention.
• Communicate with patients, relatives, carers and members of the multidisciplinary team - by telephone, face to face, in writing or electronically to ensure that discharge takes place in a timely fashion.
• Use excellent interpersonal skill to effectively communicate discharge information to patients/relatives who may sometimes be hostile and emotional regarding the options available.
• Ensure appropriate information is available to patients, relatives and carers in order for them to understand the discharge process and make informed decisions.
• Ensure accurate records are maintained to allow for the effective auditing and evaluate the effectiveness of interventions.
• Contribute towards development of specialist policies and procedures, to ensure the effective delivery of care for patients with Intermediate Care as necessary.
• Participate in research audit programs as appropriate, being aware of relevant research finding and there implications that relate directly to the service.
• Be a credible role model, able to demonstrate good practice to junior staff to maintain local, national and professional standards.

• Participate in training and education programmes as required.
• Participate in the supervision and written assessment of Physiotherapy students on practise placement with the organisation.
• Comply with the Chartered Society of Physiotherapy (CSP) Code of Ethics and Professional Conduct and local policies and procedures.

Professional Responsibilities

• To act as a resource to Intermediate Care staff offering specialist physiotherapy advice and help in all aspects of therapy.
• Attend case conferences as appropriate, giving specialist advice and input as required.
• Attend multidisciplinary meetings with other agencies involved in Intermediate Care including Social Service, housing, the acute Hospital and Long Term Providers, acting as the representative from Intermediate Care ensuring accurate and timely information is available to facilitate patient care.
• Ensure effective partnership working with other services, notably other Intermediate Care Services, Wider Community Health Services, GP's, Acute Hospitals and Social Services

Managerial Responsibilities

• To provide line management to Junior Physiotherapists/therapy assistants within intermediate care services as necessary
• Ensure effective staff management including adherence to policies and procedures to safeguard the well-being of patients and staff, to include staff appraisal and supervision, mandatory training, probationary and sickness policies as necessary.
• To allocate work to junior therapists, therapy assistant or care staff as necessary.
• To assist in the prioritisation and acceptance of referrals to the team in a timely way.
• Identify staff training and development needs in order to ensure the workforce is fit for purpose and appropriately skilled to deliver the contracted activity, ensuring that care and compassion are central to all that we do and patients are treated with respect and dignity at all times.
• Support the directorate in the implementation and achievement of CQUIN and CIP targets where necessary.
• Be responsible for the collection of evidence to support CQC compliance.
• Participate in research and/or audit programmes relevant to IC/Stroke as necessary, disseminating findings at local level.

ADDITIONAL DUTIES

• In addition to the above duties you will also be expected to perform the below key activities in line with your job role:
• Complete mandatory training in line with Trust policy and procedures.
• To participate in the staff appraisal process and to undertake for any staff you manage.
• To keep yourself updated on all matters relating to Trust policy.
• To work collaboratively with key partner organisations, service users, carers, clinicians and other practitioners within the multi-disciplinary team in delivering services; providing a 7-day a week, 24-hours a day service for 365 days a year, working shifts, where appropriate and operationally required.

Person specification

Education /Qualifications

Essential criteria

• BSc or Diploma in Physiotherapy and member of the Chartered Society of Physiotherapists (CSP)
• HCPC Registration

Desirable criteria

• Evidence of Continual Professional Development (CPD)
• Postgraduate study in relevant area e.g. Stroke, Falls, Frailty

Skills & Experience

Essential criteria

• Previous experience as physiotherapist working in NHS or similar UK health systems
• Experience of working in a range of clinical areas e.g. Stroke, orthopaedics, neuro, medical
• Ability to prioritise and delegate workload and own time

Desirable criteria

• Experience working in and leading a multi-disciplinary rehabilitation team
• Experience of working in a community environment
• Experience and knowledge of using SystmOne
• Neurological/ stroke assessment and rehabilitation skills

Qualities

Essential criteria

• Proven decision making ability and problem solving skills
• Enthusiastic and able to work without direction

Please be aware that, due to current allocation constraints, Certificates of Sponsorship (CoS) are being prioritised for registered roles at this time.

Important note: please ensure that as part of your application, you include professional references with business contact information covering your last three years of employment history. We are unable to accept personal or character references.

As a newly appointed employee, you are responsible for incurring the cost of your initial DBS check relevant to your post; the amount will be deducted from your first salary with the Trust.

Our Trust is an Equal Opportunities Employer. We particularly welcome applications from people with experience of using mental health services. We also hold the Disability two tick symbol and have made the pledge to commit to employing more people with learning disabilities, we encourage people with a disability to apply. If you require this application form in another format i.e. Braille or audio tape etc, please contact the Recruitment Department on 01375 364513 or email epunft.recruitment.adverts@nhs.net and we can arrange for this to be dispatched to you.

The Trust has the right to expire vacancies prior to the closing date if they so wish. The Trust makes every attempt to contact all applicants and we strongly advise that you check the email account which is registered with NHS Jobs regularly, we would advise however due to the high number of applications we receive that if you have not heard from us within three weeks of the closing date your application has been unsuccessful on this occasion.

We are committed to safeguarding and promoting the welfare of children, young people and vulnerable adults, and expect all staff to undertake this commitment. Applicants will be subject to robust safer recruitment processes.

Important Notice: Recently the Health and Social Care Act 2008 (Regulated Activities) (Amendment) (Coronavirus) Regulations 2021 (the Regulations) which amended on 22 July 2021 and come into force on 11 November 2021 that anyone directly employed to work in a Care Home or who are required as part of their role to be deployed to a CQC registered care home are required to have had both their COVID vaccinations, unless they are exempt. This is therefore a requirement of this role and will form part of our pre-employment checks.

Please note - staff who are formally at risk within the organisation will be given priority in securing alternative employment. Should it come to light that a post being advertised by the Trust is considered 'suitable alternative employment' to an individual who is at risk, the recruiting manager will be advised and the post will be withdrawn from NHS Jobs.

Use of Artificial Intelligence (AI)

Applications for this role should be written by the applicant. If artificial intelligence (AI) programmes are used then the application may be rejected due to this document being an important part of the assessment process. This does not prevent applicants seeking appropriate support with applications should they need to for the purposes of any declared disability.

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