Highly Specialist Pelvic Health Physiotherapist

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Highly Specialist Pelvic Health Physiotherapist

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Highly Specialist Pelvic Health Physiotherapist

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.

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

Outpatient Pelvic Health Physiotherapy Service
An exciting opportunity has arisen for a Senior Physiotherapist to become part of the dynamic and forward thinking Bladder, Bowel and Pelvic Health team within Lewisham and Greenwich NHS Trust. Based at the Queen Elizabeth Hospital, Woolwich, the successful candidate will demonstrate highly developed clinical assessment and treatment skills in pelvic health.

Main duties of the job

Working closely with all team members you will play a key role in the management and clinical provision of services to a varied caseload of patients. Carrying out specialist assessment and treatment to patients within the Pelvic health pathway. You will supervise staff members working within the team and be responsible for continuous development and evaluation of the pelvic health pathway.

Candidates should have previous experience of supervision and of working within pelvic health, showing excellent clinical reasoning, time management, supervisory and communication skills.

Clinical Team Leads, and extended scope Physiotherapists will support your learning and development and you will have regular access to clinical supervision and in house and external training.

Working for our organisation

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

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:

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
Widening access (anchor institution) and employability
Improving the experience of staff with disability
Improving the EDI literacy and confidence of trust staff through training and development
Making equalities mainstream

Detailed job description and main responsibilities

Clinical

To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with complex presentations.
To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands.
To be professionally and legally responsible and accountable for all aspects of own work, and of the local pathway teams’ work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with national and trust clinical guidelines and protocols where they exist.
To assess patients’ capacity, gain valid and informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient.
To undertake the comprehensive assessment and accurate diagnosis of patients including those with complex presentation, using investigative, palpatory, analytical and clinical reasoning skills.
Under supervision of the Physiotherapy Out-Patient Team Lead to request diagnostic procedures that will inform clinical decision making as appropriate to individual competency level and the job role.
To undertake physical treatment techniques utilizing highly developed manual skills.
To formulate individualized clinical management programs, utilizing a wide range of treatment skills and options to plan a highly-specialized program of care.
To use recognised outcome measures to evaluate the effect of physiotherapy interventions and ensure that treatment programs are progressing appropriately
To provide spontaneous and planned expert advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of physiotherapy and to ensure continuation of the treatment program. To be consulted by staff within the local pathway and the trust
To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria
To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services, e.g. interpreters.
To ensure that individual practice and that of the local pathway team is patient focused and patient views are incorporated into treatment planning
To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment program
To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome
To receive complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management
To communicate and advise regarding complex patient related information effectively to ensure collaborative working within the physiotherapy service and with other professionals across health and other agencies to ensure the delivery of a coordinated multidisciplinary service
To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge reports
To produce comprehensive patient related reposts for other disciplines or agencies relating to assessment findings and or treatment outcomes
To undertake an extended scope role as appropriate to the needs of the service and supervised by the team lead (an extended scope practioner undertakes delegated responsibility on behalf of medical practioner(s) including the independent management of complete episodes of care of patients from referral to discharge)
To undertake the measurement and evaluation of work through audit, outcome measurement, the application of evidence based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway
To facilitate the implementation and evaluation of physiotherapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards
To work to Trust and Chartered Society of Physiotherapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored.
To raise physiotherapy staff awareness of current clinical developments and the implication these may have on clinical practice
To be accessible and provide expert clinical advice to colleagues in particular for complex case management
Once considered competent to participate in the orthopedic week-end and bank holiday roster.
To fully participate in whatever pattern of working (including 7-day rosters) is required by the service in the future
All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies.

Education Training and Research

To educate patients/relatives/carers regarding the nature of the condition and the aims of physiotherapy intervention
To be responsible for maintaining own competency to practice through continuing professional development activities including reflective practice, review of current research and relevant literature, maintenance of a personal portfolio and the attendance of specialist training courses as identified within a personal development plan
To participate in peer review as appropriate
To take an active role in appropriate uni professional and multi professional research initiatives
To provide regular training for designated pathway staff in local site
In collaboration with the Physiotherapy Out-Patient Team Lead, to initiate implementation of new working practices on designated site
In collaboration with the Physiotherapy Out-Patient Team Lead, to prepare, co-ordinate, participate and contribute to the delivery if a specific in-service training program for staff in the designated pathway
To train, assess and confirm competency of staff within the pathway on designated site
To undertake the tuition, supervision and performance assessment of undergraduate physiotherapy students. This will include working with universities to ensure the standard of practice and teaching meets the standards set by the degree level qualification
To provide specialist teaching and instruction to other disciplines to ensure a consistent approach to patient care
To assist / support colleagues undertaking higher education, audit and research projects
To participate in mandatory / statutory training as required by the trust and national standards
To maintain state registration with the Heath and Care Professions Council (HCPC) and to provide evidence of that registration annually upon request

Service Management

To manage day to day workload and maintain level of service within the pathway at the local site and assist other members of the team to make appropriate prioritization choices. To ensure the effective exchange of information across the pathway team and co-ordination of service delivery
To use prioritizing and time management skills to meet the unpredictable and conflicting needs of the service
To participate in ensuring clear and open channels of communication exist within the physiotherapy pathway team. To ensure the cascade of received information including corporate, strategic ideas to all pathway staff
To maintain communication links and collaborative working patterns with other recognized experts and networks in the specialty
To participate in, and occasionally lead physiotherapy pathway meetings and to attend staff and managerial meetings as requested by the Physiotherapy Out-Patient Team Lead and Therapy managers
To be responsible for management of informal conflicts, disagreements and complaints in the local site pathway by using highly developed negotiation skills
To ensure all incidents, accidents and complaints within the pathway are reported and documents in the appropriate timeframe and in line with Trust policy. To ensure Therapy managers are made aware of all incidents, accidents and complaints

Person specification

Qualifications & Training

Diploma/Degree in Physiotherapy
HPC registration
Undertaken a range of relevant postgraduate courses
MCSP
Member of Special Interest Group
MSc or working at M level or equivalent experience / qualification

Experience

Comprehensive post graduate physiotherapy experience including experience of relevant specialist pathway
Experience of working autonomously and unsupervised
Experience of having supervised staff who are directly accountable to the post holder
Experience of having supervised staff who are directly accountable to post holder
Experience in completing audit and evidence based projects
Evidence of actively participating in in-service training and evaluation effectiveness of training
Experience and ability to work collaboratively within MPT
Previous experience at band 7 level.
Attended external courses relevant to subject area
Involvement in research in relevant specialist pathway
Evidence of leading change management and innovation in clinical practice
Evidence of presenting to MDT groups, undergraduate and postgraduate staff

Knowledge

Specialist knowledge of evidenced based physiotherapy for designated specialist pathway
Knowledge of national guidelines and standards pertaining to specialist pathway and physiotherapy
Understanding of clinical governance and it’s implication for physiotherapy
Awareness and understanding of NHS structure, current issues and developments
Understanding of the legal responsibilities of the profession

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. 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: Information provided during recruitment and pre‑employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action.

Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.

Use of AI in recruitment: We may use artificial intelligence (AI) tools to support the initial review of applications against the essential criteria for this role. Where AI is used, it will support rather than replace human decision-making, and applications will remain subject to appropriate human review.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

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