Msk First Contact Practitioner Physiotherapists in Ledston

Job summary

Leeds GP Confederation invite applications for qualified MSK First Contact Practitioner Physiotherapists to work on a self-employed basis, the opportunity is to work face to face within multiple PCNs within Leeds, West Yorkshire. The role is only open to experienced MSK clinicians with FCP sign off, who maintain a high level of CPD and knowledge of current MSK practice, to join our experienced and dynamic clinicians supported by a devoted MSK Professional Lead. Key responsibilities include first contact assessment of undifferentiated MSK conditions within primary care settings, face to face to provide differential diagnosis, first line management and initiate investigations and onward referrals as clinically reasoned.

Main duties of the job

• Be the first point of contact for expert clinical assessment and diagnosis of patients presenting with MSK conditions in primary care/GP practices using the EA service. This will include patients who present with a range of complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs and underlying pathologies/other primary conditions and maybe via remote access (telephone) or face to face service provision.
• Receive patients who self-refer (where systems permit) or from a member of reception team or clinical professional within the Leeds GP Confed EA service, and where required refer to other health professionals within the EA service, PCNs or other providers.
• Use advance clinical practice skills and clinical reasoning to provide comprehensive treatment support to patients who present with complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs
• Work independently, without in-person day to day supervision, to assess, diagnose, triage, and manage patients, taking responsibility for prioritising and managing a caseload of the PCNs Registered Patients whilst liaising with the EA MSK Professional Lead where appropriate

About us

The Leeds GP Confederation has two purposes: To be a voice for and represent General Practice in the Leeds Health and Care System: A collective voice for General Practice that will be heard throughout the health and care system Through representation and active participation in the health & care system to contribute to the setting of strategy and decision making To hold contracts to enhance access to healthcare across Leeds and to provide a range of services to General Practices: By providing services and holding contracts that directly support General practice By having an infrastructure that enables, where appropriate, at scale working for the benefit of general practice and populations Inclusive transparent governance Not-for-profit

Job responsibilities

Scope of the Clinical Role

• Be the first point of contact for expert clinical assessment and diagnosis of patients presenting with MSK conditions in primary care/GP practices using the EA service. This will include patients who present with a range of complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs and underlying pathologies/other primary conditions and maybe via remote access (telephone) or face to face service provision.
• Receive patients who self-refer (where systems permit) or from a member of reception team or clinical professional within the Leeds GP Confed EA service, and where required refer to other health professionals within the EA service, PCNs or other providers.
• Use advance clinical practice skills and clinical reasoning to provide comprehensive treatment support to patients who present with complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs
• Work independently, without in-person day to day supervision, to assess, diagnose, triage, and manage patients, taking responsibility for prioritising and managing a caseload of the PCNs Registered Patients whilst liaising with the EA MSK Professional Lead where appropriate

Service/Professional Leadership/Consultancy

• Integrate the FCP role into the wider primary care team, proactively working with the primary care team to build robust relationships and practices where practicable by providing expert advice and source of expertise in the management of musculoskeletal conditions to specialist healthcare professionals and members of the primary care team, including advising GPs on management of MSK conditions
• Contribute to the development of referral guidelines for MSK and MSK related conditions from primary care to other NHS services that will direct referrals to other primary care services, community, secondary and tertiary [specialist] services through feedback to the MSK Professional Lead
• Work with the PCN team to support preventative strategies for local populations, patient groups and individuals
• Active engagement in annual development review processes and peer review, embracing evidence-based practice
• Contribute to monitoring and review of service standards for MSK primary care services through feedback back on EA service of peers to MSK professional Lead if best practice has not been followed
• Participate in/support investigations into complaints and clinical errors/incidents when appropriate

Education/Workforce & Self Development

• Participate in developing education and training of specialist physiotherapists up-to post-graduate level to support the development of advanced clinical practice skills and knowledge within the wider physiotherapy workforce if mutually agreeable
• Provide ad hoc training and supervision, some of which maybe to postgraduate level, for specialist primary care professionals, including GPs in order for them to develop specialist MSK patient referral and management skills
• Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and mandatory training
• Provide and receive clinical supervision through supportive WhatsApp groups for the EA service
• Maintain a professional portfolio of advanced clinical practice knowledge and skills through participation in internal and external development opportunities

Research and Evaluation

• Promote and lead the integration of evidence-based practice and national guidelines into own and local FCP MSK service practice
• Use expert knowledge of evidence-based guidelines and national frameworks to influence the development of FCP services within the primary care team
• Lead or participate in research and MDT research projects as appropriate. This may include participation in cross organisational research and audit programmes.
• Present and disseminate research and clinical audit findings to the primary care team as required.
• Use audit and research to develop and improve service guidelines, care protocols, delivery of triage services and referral pathways

Communication/Building Networks

• When opportunities present, take the lead in communicating and influencing across the PCN the benefits of the FCP role in primary care
• Promote and explain the FCP role and what it can deliver to a range of audiences including patient groups, individual patients and other primary care team members, including GPs
• Communicate effectively and appropriately with patients and their carers. This will include explaining the diagnosis, prognosis and treatment choices available to manage multi-pathology and complex conditions. It will also involve communicating limitations on treatment outcomes and managing expectations of patients with chronic or life limiting conditions

This job description is not meant to be exhaustive. It describes the main duties and responsibilities of the post. It may be subject to change in the light of developing organisational and service needs and wherever possible change will follow consultation with the post holder.

Person Specification

Qualifications

Essential

• BSc degree in Physiotherapy or MSc Pre reg degree in Physiotherapy
• Health & Care Professions Council (HCPC) registration
• Can demonstrate working at Level 7 [within the ACP framework] capability in MSK related areas of practice or equivalent (such as advanced assessment diagnosis and treatment)
• FCP Roadmap qualified / signed off - either via taught or portfolio route

Desirable

• MSc degree in Physiotherapy related area

Analytical skills

Essential

• Independent thinker with demonstrated good judgement, problem-solving and analytical skills
• Able to understand and analyse complex issues and balance competing priorities in order to make difficult clinical decisions.
• Support individual patient care by an ability to analyse and interpret complex clinical/ often incomplete information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues

Desirable

• Evidence of working across organisational boundaries within health and social care

Experience

Essential

• Experience of unsupervised independent diagnosis and management of varied MSK conditions in primary care
• Experience in applying the FCP physiotherapy process to include MSK assessment, interpretation, individual care planning, motivation, monitoring and evaluation of highly specialized MSK treatment
• Working knowledge of Microsoft and GPIT systems, alongside prescribing data monitoring systems
• Experience of contributing to and service delivery/evolving evidence led practice and delivery in a changing environment

Desirable

• Working towards advanced clinical practitioner status
• Previous supervisory experience
• Experience of working with a diverse range of stakeholders
• Cognitive behavioural and motivational interviewing approaches / skills
• Ability to demonstrate leadership when introducing change

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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