Community Physiotherapist-Surrey Downs H&C | Surrey Downs Health and Care

Team Overview

The Surrey Downs Health and Care Community Therapy Team works across organisational boundaries within the Primary Care Networks, and is responsible for providing therapeutic/MDT intervention for those who would otherwise need emergency hospital admission, as well for those medically stable to return home from an acute hospital but requiring enhanced short term support as one stage in their ongoing rehabilitation pathway. The Surrey Downs Health and Care Community Therapy Service provides innovative rehabilitation for adults, offering joined up, coordinated care to local citizens with health and rehabilitation needs. The service aims to support people living as independently as possible by offering multidisciplinary assessment and further rehabilitation. The Primary care network provides a multidisciplinary approach to support the individual and facilitates a holistic assessment within the framework of the MDT and treatment response, with the purpose of reducing risk admission to the acute system and providing individualized, targeted rehabilitation.

Partnership Partners

• The three GP federations GP Health Partners, Dorking Health Care and Surrey Medical Network representing practices that operate in the Surrey Downs area
• Epsom and St Helier's University Hospitals NHS Trust
• Surrey County Council

Responsibilities

• Perform advanced physiotherapeutic assessment of patients with complex presentations using advanced clinical reasoning skills to create targeted treatment plans using SMART goals specific to the patient's condition.
• Formulate and deliver an individual or group physiotherapy treatment programme in line with best practice guidelines.
• Coordinate and ensure effective delivery of therapy services by liaising and cooperating with colleagues across other PCN's and Adult social care teams to provide equitable services.
• Evaluate patient progress, reassess and alter treatment programmes as required and advise and support more junior colleagues.
• Handover treatment plans to the rehabilitation assistant to support patient centred goals.
• Be aware of local community services and refer to these appropriately and in a timely manner.
• Understand and manage clinical risk within own patient caseload and within the service and advise more junior staff, seeking guidance from Band 7s/Clinical Lead as required.
• Keep accurate and complete records of work undertaken in line with CSP, Community Therapy Team, Surrey Downs Health and Care standards, maintaining confidentiality and information governance standards at all times.
• Teach, assess and contribute to the performance assessment of Band 5 staff and Rehabilitation Assistants.
• Work as a key member of the multidisciplinary team in the assessment (including Comprehensive Geriatric Assessment) and management of a caseload of clients whose needs are best met in their own home or community setting.
• Plan, deliver and evaluate the treatment needs of clients with a variety of complex social and health care needs, supporting less experienced members of the team.
• Participate as an active member of the multidisciplinary team in developing and delivering high quality and innovative services to the local population.
• Promote effective teamwork by delegating activities appropriately to the benefit of the patient and service delivery.
• Be responsible for the provision of Physiotherapy service for Surrey Downs Health and Care.
• Liaise closely with other health and social care professionals.
• Supervise and teach less experienced Physiotherapy staff, Rehabilitation Assistants and students within this speciality.
• Contribute to audit, implementation of best practice guidelines and participate in in-service training.