Advanced Physiotherapist Practitioner (APP) in Billingham

Clinical Practice

• Assess, diagnose, triage, and manage patients, taking responsibility for the management of a complex caseload.
• Progress and request investigations when trained to do so (such as x-rays and blood tests) and referrals to facilitate diagnosis and choice of treatment.
• Develop and make use of your full scope of clinical practice, including skills relating to independent prescribing, injection therapy and investigation when trained to do so.
• Manage complex interactions, including working with patients with psychosocial and mental health needs, referring to social prescribing when appropriate.
• Deliver programmes of supported patient self-management, facilitating behavioural change, optimising individuals' physical activity, mobility, fulfilment of personal goals and independence, minimising the need for pharmacological interventions.
• Provide care that is tailored to the individual needs, appraising the impact of individuals' clinical status on their general health, well-being, employment status, function, physical activity, mobility and independence.
• Support patients to set their own goals and be confident in their approach to self-management.

Evidence, Research, and Development

• Collect, analyse and present data on patient case mix, produce information on patients needing specialist care, metrics of interventions such as auditing injection therapy, use of prescribing, conversion of secondary care referrals.
• Auditing on complex drug management including prescribing, de-prescribing in chronic widespread musculoskeletal pains coupled with mental health and other co-morbidities.
• Critical analysis of data to draw meaningful recommendations to the Primary Care Network to inform best practice, influence good clinical practice in primary care.
• Support the development and implementation of a training strategy for area of responsibility in collaboration with team leads/clinical academics, and clinical specialists internally and outside the organisations.
• Participate in ongoing service improvement, evaluation and audit of interventions, outcomes as appropriate to context and management.
• Develop relationships and a collaborative working approach across the PCN supporting the integration of pathways in primary care.
• Work as part of an MDT in a patient facing role, using your expert knowledge of MSK issues, to create stronger links for wider MSK services through clinical leadership, teaching and evaluation skills.
• Support research and audit programmes to evaluate and improve the effectiveness of our FCP service.
• Streamline the pathway of care by providing a responsive service so that patients receive timely access to care.
• Develop Standard Operating Procedures appropriate for onward referral pathways.

Leadership

• Lead, manage and contribute to service delivery.
• Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training.
• Communicate effectively and appropriately, with patients and carers, complex and sensitive information regarding diagnosis, pathology, prognosis and treatment choices supporting personalised care.

Facilitating Learning

• Provide feedback and support to other PCN clinical team members on appropriate referral criteria.
• Critically reflect on own practice, and continue to develop your skills.
• Support FCP colleagues in line with Health Education England's First Contact Practitioners and Advanced Practitioners in Primary Care: (Musculoskeletal). A Roadmap to Practice.
• Be a point of contact for your FCP colleagues to answer clinical queries as and when they present.
• Deliver in-house in service training to your regional FCP team.