Rotational Physiotherapist - Band 5

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

Band 5 Physiotherapist

**PLEASE NOTE THIS MAY CLOSE EARLY ONCE SUFFICIENT APPLICATIONS RECEIVED**

A vacancy has arisen for an enthusiastic and flexible band 5 Physiotherapist to join an established, friendly and dynamic service, at Lewisham and Greenwich NHS Trust. The rotations span the acute, out-patient and community setting.

Please not this may close early should a sufficient number of applications be submitted

The rotations available include:

• Acute Medicine
• A+E
• Respiratory Medicine (including ICU and Surgery)
• Trauma and Orthopaedics (including amputee rehabilitation)
• Medical Rehabilitation
• Elderly Care/Frailty
• Musculoskeletal Outpatients
• Neuro In-Patients and Neuro Out-Patients
• Paediatrics
• Pulmonary Rehabilitation
• Community- Discharge to Assess Team and Inpatient Rehabilitation Unit
• Stroke

Main duties of the job

Therapies are considered an integral part of the multi-disciplinary team at Lewisham and Greenwich Trust and enjoy close MDT working. You will play a key role in the clinical provision of services to a varied patient caseload.

Continued professional development is encouraged and viewed as integral to providing a quality service for patients. We offer regular supervision, in-service training and actively promote the personal development of all our therapists.

If you are a motivated Physiotherapist do not miss this opportunity to work within a progressive, friendly department with all the benefits of being a large London Trust.

Working for our organisation

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
2. Widening access (anchor institution) and employability
3. Improving the experience of staff with disability
4. Improving the EDI literacy and confidence of trust staff through training and development
5. Making equalities mainstream

Detailed job description and main responsibilities

Job Summary:

To undertake all aspects of clinical duties as an autonomous practitioner.

To perform physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions - to provide a provisional diagnosis, develop and deliver an individualised treatment programme.

When working as part of the emergency duty rota no supervision is available.

1. day working for Therapies is under development within the Trust and it is anticipated that the postholder will be required to work at weekends on a roster basis during some of the above rotations.

To provide a physiotherapy service - including assessment, diagnosis, treatment and management of patients in the Lewisham & Greenwich NHS Trust.

To participate in the rotation scheme, which involves working across the Trust in a range of clinical areas including ward and outpatient settings.

Key Result Areas & Performance:

1. CLINICAL
2. 1 To be professionally and legally accountable for all aspects of your own work, including the management of patients in your care.
3. 2 To undertake a comprehensive, and holistic, assessment of patients including those with complex presentations / multi-pathologies (e.g. acutely ill, paediatric, elderly, orthopaedic and neurological patients).
4. 3 To use manual and other assessment techniques and clinical reasoning skills to provide an accurate diagnosis of patients' conditions and identify their problems.
5. 4 To assess patients' understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack the capacity to consent to treatment.
6. 5 To use clinical assessment and reasoning skills combined with a knowledge of patho-physiology, evidence-based practice and treatment strategies (e.g. breathing exercises, suction, respiratory treatment modalities (NIV, IPPB and CPAP), positioning, manual and neurological techniques, exercise, patient education, care pathways, electrotherapy, hydrotherapy, group work etc.) to provide an appropriate and effective treatment plan and agreed goals.
7. 6 To evaluate patients' progress, re-assess and alter treatment programmes as required.
8. 7 To formulate accurate prognoses and liaise with the multi-disciplinary team as appropriate regarding discharge planning to ensure safe, timely and effective discharge from hospital, or following an outpatient episode of care.
9. 8 To be responsible for the safe and competent use of gym, electrotherapy and respiratory equipment, as well as the use of other aids and appliances by patients in your working area, ensuring that any Assistants also attain competency prior to use.
10. 9 To take responsibility from the Senior Physiotherapists for managing patients with particular conditions, and be responsible for providing physiotherapy assessment and treatment plans for patients with these conditions within each rotation.
11. 10 To use a range of verbal and non-verbal communication skills to communicate effectively with patients during assessment and treatment. This will include patients who have difficulties in communicating e.g. patients who are depressed, deaf, blind, have cognitive and/or communication impairments, require interpreters or those who are unable to accept their diagnoses.
12. 11 To use active listening and optimum communication skills to discuss patients’ concerns, worries and prognoses with them and their families, for example patients who have progressive, degenerative or terminal illness and those with newly acquired disabilities.
13. 12 To communicate appropriately at all times with all individuals in a respectful manner, eg people who are confused, aggressive or who hold different cultural beliefs.
14. 13 To be an active member of the on-call & weekend rota.
15. 14 To be confident and competent to undertake the assessment and treatment of acutely ill patients with respiratory problems who may have a complex presentation, and maintain associated records, when working on the emergency duty rota and inpatient rotations.
16. 15 To provide advice to medical and nursing staff and other members of the multi-disciplinary team regarding patients' respiratory conditions, when working on the emergency duty rota and inpatient rotations.
17. 16 To supervise and delegate to Assistants and provide training when appropriate.
18. 18 To work within Trust, departmental and CSP guidelines, ensuring a good working knowledge of national and local standards.
19. 19 To ensure your practice meets the required high professional standard of physiotherapy practice.
20. MANAGEMENT
21. 1 To maintain an accurate and evaluative record keeping system in accordance with the Trust and departmental policies, and which can be used for audit and legal purposes.
22. 2 To be responsible for organising, prioritising and planning your own caseload to meet service needs and patient priorities, adjusting plans as situations arise.
23. 3 To identify and manage clinical risk within your own patient caseload and clinical area.
24. 4 To comply with all Trust policies and procedures, and the Health & Safety at Work Act, and the Data Protection Act. To report on complaints, accidents and clinical incidents to the immediate senior as soon as possible.
25. 5 To be familiar with and comply with local fire procedures.
26. 6 To be familiar with all Trust and Therapy emergency and precautionary procedures, and to respond as necessary, e.g. hydrotherapy, emergency resuscitation, infection control etc.
27. 7 To ensure that all equipment defects are reported to the Senior Physiotherapist / Therapy Manager immediately, and that appropriate action is then taken.
28. 8 To advise and demonstrate to carers, nursing and other staff safe manual handling, positioning and moving of patients.
29. 9 To provide training on use of equipment and management of conditions for carers, nursing and other staff when necessary.
30. 10 To participate in the induction programme for new Band 5 and Band 6 staff where appropriate.
31. 11 To make appropriate referrals to other health professionals following assessment / identification of need.
32. 12 To undertake additional duties as may be deemed necessary, as requested by the Senior Physiotherapist in the specific rotation (e.g. covering additional meetings, classes and clinics when necessary).
33. EDUCATION AND TRAINING

• To comply with the requirements of the Band 5 Knowledge and Skills Framework outline.

1. 2 To participate in the individual performance review (appraisal) scheme and to be responsible for complying with your agreed personal development plan to meet set goals.
2. 3 To be responsible for maintaining your competence to practise and Health Professions Council Registration, through C.P.D. activities and maintaining a portfolio which reflects personal development.
3. 4 To participate in and contribute to the in-service education programmes of the specific rotation and of the department.
4. 5 To participate in mandatory and statutory training, having an awareness of and complying with Trust and departmental procedures e.g. emergency resuscitation, hydrotherapy resuscitation, fire evacuation and manual handling procedures.
5. 6 To attend Trust in-house training sessions / programmes and external courses as appropriate.
6. 7 To contribute to the education of Therapy Assistants when necessary.
7. 8 To contribute to the clinical education of physiotherapy students by participating in observational visits, and supporting senior physiotherapists in their role as clinical educators.

Person specification

Qualifications & Training

• Degree in Physiotherapy (or equivalent if not a degree)
• • HCPC Registration

• MCSP (Member of Chartered Society of Physiotherapy)

Experience

• Wide range of clinical placements as a student, and preferably in several locations
• Working as a member of a team
• Responsibility for own caseload
• Flexibility to work all rotations on the scheme

• Previous Band 5 physiotherapy experience
• Experience of working in the NHS at graduate or undergraduate level

Knowledge & Skills

• Knowledge of quality issues, clinical governance and outcome measures
• Problem solving approach
• Ability to keep clear, precise records, which meet legal requirements and in the English language

• Awareness of issues relating to healthcare in London

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note, not all roles will meet the criteria for a skilled worker visa.