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Physiotherapist Job Description
To provide a clinical specialist role in the Chronic Pain Management Programme. Responsible for delivery of the Low Back Pain (LBP) Programme within the Chronic Pain Service.
To perform telephone triage, physiotherapeutic assessments of patients with diverse presentations, complex physical and psychosocial elements of chronic pain conditions. To diagnose then formulate and deliver specific treatment programmes within the service pathways .
To hold responsibility for own caseload and be responsible for patients presenting within the Chronic Pain Management LBP Programme , working without direct supervision. Access to advice and support from colleagues (Clinical Lead Physiotherapist and Consultant) is available. Clinical work will evaluated through appraisal, clinical supervision and PDP.
To undertake all aspects of clinical duties as an autonomous practitioner.
To take a clinical specialist role and act as an expert source of knowledge to support and advise colleagues.
To undertake evidence-based audit to further own and team’s clinical practice. Undertake a lead role in changes to clinical practice including protocols / care pathways and service delivery.
To undertake regular supervision and training of team members.
SCOPE AND RANGE
• Responsible for providing complex physiotherapy assessments, care and telephone triaging.
• Professionally and legally accountable for all aspects of own work, including the management of patients in your care.
• Responsible for the supervision of other physiotherapists and support workers as necessary.
• Act as an expert source of advice for colleagues.
• Work and communicate with local GP’s regarding service delivery and best practice. To have an educational role to GP’s and other healthcare professionals.
• Act as a source of information/advice for the public, including patients and carers, and other healthcare professionals.
MAIN DUTIES AND RESPONSIBILITIES
• Assess patients presenting to the Chronic Pain Management Programme and refer for appropriate management.
• Undertake comprehensive assessments of patients, including those with diverse and/or complex presentations/multi pathologies/psychosocial issues, using clinical reasoning skills and manual assessment techniques and relevant investigation results to provide an accurate diagnosis of their condition.
• Formulate and deliver an individual specialised physiotherapy treatment programme based on clinical assessment, reasoning and treatment skills e.g. manual physiotherapy techniques, patient education, exercise classes, electrotherapy techniques and other alternative options.
• Provide highly specialised advice to facilitate the treatment of patients.
• Convey expected prognosis and recommend best course of intervention.
s, as required.
Education Diploma or BSc in Physiotherapy
Relevant postgraduate courses.
Masters level modules or working towards in Pain Management.
Post graduate training in differential diagnosis and clinical decision making.
Range of relevant post graduate education and training e.g. McKenzie credentialed, Diploma of Orthopaedic Medicine, Kinetic control modules,
AACP approved acupuncture course
Knowledge General experience across wide range of physiotherapy care groups.
In depth knowledge of musculoskeletal conditions particularly Low back pain conditions and their management.
Experience Extensive post graduation experience, including a broad range of rotational experience at junior level.
Experience as a senior practitioner in a relevant area of physiotherapy assessing, diagnosing and treating a wide variety of complex presentations and musculoskeletal disorders.
Working in multidisciplinary team
Leading and delegating to other staff.
Assisting in the development and implementation of clinical pathways, including protocols, guidelines etc.
• Assess patient understanding of treatment proposals, gain valid consent and have the capacity to work within a legal framework with patients who lack the ability to consent.
• Develop and participate in the provision of a Back School for low back pain patients referred to the service.
• Use a range of verbal and non-verbal communication tools to communicate effectively with patients to progress rehabilitation and treatment programmes.
• Responsible for maintaining accurate and comprehensive patient treatment records in line with Chartered Society of Physiotherapy (CSP) standards of practice. Monitor, as required, team members adherence to these standards.
• Evaluate patient progress, reassess and alter treatment, and discharge as required.
• Manage clinical risk within own patient caseload.
• Maintain state registration with the Health Professions Council (HPC) and work within HPC codes of conduct.
• Ensure that your quality of practice, and that of the staff you supervise, is within professional (CSP) guidelines and the Organisation clinical guidelines.
• Comply with all governmental, Organisation and departmental policies of Health & Safety, Fire Precautions, COSHH and Confidentiality.
• Maintain an up to date awareness of the infection control precautions relevant to your area of work and implement these in practice. As a minimum, this must include hand hygiene, the use of personal protective equipment, the use and disposal of sharps and communicating the importance to patients, relatives and other health care staff you are working with. Details of the precautions and sources of advice and support to assess and manage infection control risks are provided through mandatory training which all staff must attend at intervals defined in the Organisation policy on mandatory training and can be found in the Organisation’s infection control policies and national guidance.
• All PCT employees are required to act in such a way that at all times safeguards the health and well being of children and vulnerable adults. Familiarisation with and adherence to PCT Safeguarding policies is an essential requirement of all employees as is participation in related mandatory/statutory training.
• Comply with the Organisation arrangements for Continuing Professional Development (CPD) by participating in the staff appraisal scheme and being responsible for complying with agreed development programmes to meet set knowledge and competencies.
• Responsibility for own CPD by attendance at, and participation in, in-service training, tutorials, individual training sessions, external courses and peer review. Maintain a portfolio that reflects this development of specialist knowledge across the range of work procedures and practices.
• To assist with the in-service training for physiotherapy staff.
• Undertake the collection of data for use in service audits.
• Work within the Organisation framework for clinical governance and service modernisation.
• Develop specific programme treatment protocols and patient care pathways.
• Implement evidence-based working practice that will benefit patients e.g. undertake evaluation of current practices with audits and outcome measures, either individually or as a team, and make recommendations for change. May occasionally participate in research and development, clinical trials or equipment testing.
• Provide support, guidance and training to physiotherapists and assistants, and assess/evaluate competencies.
• Ensure that all accommodation, equipment and furnishings are maintained to provide a safe working environment.
• Maintain full clinical records, provide statistical returns and information for activity monitoring, and comply with general administrative procedures.
• Comply with Organisation policy on the Data Protection Act relating to all information held manually or on computerised systems.
• Able to deputise for team leader / clinical lead as required, this may involve dealing with the complaints procedure and the management of staff.
• Responsible for triaging/prioritising the referrals received by the department.
• Responsible for the day-to-day organisation and planning of own caseload to meet service and patient priorities. Readjusting plans as situations change/arise.
SYSTEMS AND EQUIPMENT
• Responsible for the safe and competent use and maintenance of all electrotherapy equipment, gym equipment, patient appliances and aids and ensure that the staff you directly supervise attain competency prior to use.
• Report any defects in equipment, near misses, accidents or untoward incidents following Organisation guidelines and procedures.
• Responsible for inputting personally generated clinical data onto computerised system e.g. clinic, discharge and referral letters, as required.
DECISIONS AND JUDGEMENTS
• Professionally and legally accountable for all aspects of own work, including the management of patients in your care.
• Formulate and deliver specific physiotherapy treatment programmes based on specialist knowledge of evidence-based practice and the treatment options available within the programme.
• Judge when chronic pain management intervention is inappropriate/contraindicated and suggest alternative course of action.
• Responsible for the referral of patients, as the clinical specialist, to other professionals, to secondary care and/or for diagnostic tests, following referral pathways, when appropriate.
COMMUNICATIONS AND RELATIONSHIPS
• Work as a member of a multi-professional team and communicate with other professionals and agencies involved in the delivery of care.
• Communicate directly with consultants/ spinal specialists to discuss complex presentations and seek advice.
• Communicate effectively with patients and carers to obtain diagnostic information and to provide an understanding of the condition.
• Gain consent and cooperation by informing, explaining, persuading and motivating patients, overcoming communication barriers of old age, infirmity, hearing loss, pain, fear and learning or language difficulties.
• Involve patients in the planning and prioritisation of their care plans wherever possible.
• Deal sensitively with patients who have high levels of fear/anxiety/aggression caused by pain, dementia or limited function.
• Maintain sensitivity and show empathy at all times when dealing with the emotional needs of patients and their carers, particularly when imparting potentially distressing information.
• An ability to communicate using counselling and negotiating skills to ensure the needs of all patients are met.
• Maintain accurate records of all patient assessment and treatment.
PHYSICAL DEMANDS OF THE JOB
• Deliver a physiotherapy assessment and treatment programme using a variety of techniques e.g. manual physiotherapy techniques, patient education, exercise classes, electrotherapy techniques and other alternative options. This requires moderate physical effort for up to 20 minutes regularly throughout the day.
• There is a requirement to move inert adult limbs, aid patients whilst walking and facilitate transfers of some patients.
• Manual handling of patients is required with adherence to the Organisation manual handling policy and local therapeutic handling guidance.
• Awkward positions may need to be adopted whilst carrying out assessments and treatments e.g. bending, crouching, kneeling, and the need to undertake frequent repetitive movements.
• Handling/use of equipment frequently e.g. electrotherapy and exercise equipment.
MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
• Responsible for managing the more complex pain patients referred by Gps and other physiotherapy colleagues and deciding appropriate course of action.
• Dealing with distressed patients, carers and family who may be upset, angry or confused.
• Working daily with the possibility of verbal abuse from aggressive or uncooperative patients/carers.
• Working daily with people with chronic disability, and occasionally with people with critical illness.
• Informing some patients/carers of the progressive deterioration of their condition or of their limited treatment outcomes e.g. pain, loss of function/mobility.
• The intense nature of the workload requires frequent concentration with the possibility of interruption e.g. telephone calls from patients and healthcare professionals, colleagues/students seeking advice that may lead to a brief change in the current activity.
• Frequent exposure to unpleasant working conditions e.g. noise, unpleasant smells, skin and wound infections, lice and bodily fluids including blood, perspiration, and vomit.