JOB DESCRIPTION

1. JOB DETAILS

Job Title: Rotational Physiotherapist

Band: Band 6

Department: Community Rehabilitation Service/Manchester Community

response
Division: Community Services
Base: Community venues

2. ORGANISATIONAL ARRANGEMENTS

Accountable to: Service Manager/Service leader

Responsible to: Band 3/4/5 staff

3. JOB SUMMARY:
The post holder will be responsible for providing specialist complex multi-
factorial clinical assessments, treatment and advice to patients in the
community who have a variety of general presentations such as orthopaedic,
musculoskeletal, respiratory, falls, amputee as part of a newly established
community rehabilitation rotation. The 6 monthly rotations will include:
 Community Rehabilitation Team: delivered over 5 days, Monday to
Friday
 Manchester Community Response(MCR) –North delivered over 7 days,
Monday to Friday 8:00-20:00.

The individual will manage a clinical caseload of clients, including those with
complex and highly complex needs with support from the band 7 therapists for
highly complex patients and supervise the band 4/3 support staff with
caseload management.
 The post holder will work without direct supervision as a lone worker in the
community assessing, planning, implementing, evaluating and modifying
individualised treatment programmes in a variety of care settings e.g. patients
home, clinic setting, residential homes and intermediate care setting for
patients with low to highly complex needs.

The post holder will work as a team member collaborating with colleagues to
ensure patient needs and goals are met using approaches which promote
choice, participation and quality of life.

The post holder will ensure patients are triaged and managed on appropriate
and timely pathways of care by liaising closely, and working in partnership with
other health and social care professionals including GPs, Consultants,
Specialist equipment agencies, Social Service partners and Voluntary
agencies and support the timely discharge of patients from the acute setting.

The post holder will provide complex professional and clinical advice to clients,
family members, carers and health and social care professionals including
GPs, therapy colleagues and care managers.

4. ROLES AND RESPONSIBILITIES

Responsibilities for patient care

1. To work as an autonomous practitioner, to be professionally and legally
responsible and accountable for all aspects of work including the management
of a varied caseload aiming to prevent admission and support discharge as
well as maximising potential.

2. To organise this caseload effectively. To determine clinical priority and where

necessary manage a waiting list with regard to clinical risk.

3. To evaluate and interpret clinical and non-clinical facts using highly developed
clinical reasoning and problem solving skills to clinically diagnose, formulate
and implement treatment programmes and pathways of care. Intervention will
be delivered in a manner that reflects choice, privacy, dignity and individuality
choosing from an extensive range of treatment modalities and disease
management options.

4. To use clinical knowledge, expertise and highly developed communication

skills to reassure, persuade, motivate and empower patients and to provide
support to families and carers. There will frequently be complex physical,
emotional and psychological challenges to overcome e.g. language barriers,
loss of hearing, anxiety or fear related to outcomes and behavioural or
cognitive disorders.
5. To gain informed consent and undertake specialist multi-factorial and
physiotherapy specific assessments.

6. To implement patient centred treatment/management plans using highly

developed clinical reasoning skills and choosing from an extensive range of
treatment modalities, manual therapy techniques and disease management
options.

7. To be responsible for empowering and enabling patients in the community to

manage their condition and develop and meet their goals.

8. To provide spontaneous and /or planned advice, teaching and instruction to

family members and carers to promote understanding of condition and healthy
lifestyle and any secondary prevention.

9. To participate in unidisciplinary and contribute to joint goal setting within the

multidisciplinary team as appropriate.

10. To evaluate the effectiveness of treatments in relation to rehabilitation goals

and modify this accordingly as treatment progresses.

11. To be responsible for referral to other health care professions, social services
and voluntary organisations.

12. To participate in the triaging process, in reaching and providing assessments

and recommendations to the acute staff on appropriate patient pathway based
on risk assessments.

13. To attend and contribute to daily huddle, team meetings, MDT, Case
Conferences.

14. To liaise closely and work in partnership with other health and social care
professionals including general practitioner, specialist nurses, social services
partners and consultants to maximise clients care. Including referral on to
other agencies as appropriate.

15. To assess for and request provision of highly specialist equipment and
recommend its purchase. Including specification requests for wheelchairs and
seating.

16. To delegate clinical tasks and supervise the clinical practice of rehabilitation
assistants and occupational therapy students. To be a source of clinical
expertise for peers and less experienced colleagues within the team.

17. To provide specialist advice and education on patient care to other health and
social care professionals. This may include identifying and managing risk e.g.
providing advice regarding moving and handling environmental factors.

18. To initiate, attend and contribute to patient case conferences with health and
social care colleagues.
 19. To minimise inappropriate re-admissions to hospital by maximising health and
wellbeing and encouraging independence of clients in their own homes and
the community.

20. To contribute to cross organisational communication regarding patients.

21. To clinically reason the request, provision and use of appropriate orthoses and
other patient appliances.

22. To work in a variety of satellite areas within locality as agreed with team
manager e.g. clients home, social services establishments and clinics.

Communication

1. To use clinical knowledge, expertise and highly developed communication

skills to reassure, persuade, motivate and empower patients and to provide
support to families and carers.

2. To share complex, highly sensitive or emotive information with patients and

carers. There will frequently be physical, emotional or psychological
challenges to overcome in establishing understanding e.g. loss of hearing,
dysphasia, anxiety or fear related to outcomes as in terminal illness;
behavioural or cognitive disorders.

3. To frequently communicate complex information to people for whom English is

not a first language.

4. To communicate effectively with colleagues in primary, secondary and tertiary

health and social care sectors to ensure delivery of a co-ordinated
multidisciplinary service.

5. To use high level of communication skills when challenging or requesting

changes to treatment programmes and care packages.

6. To maintain accurate, comprehensive and up to date documentation in line

with legal, trust and departmental requirements. To provide written reports
regarding patient care and service to relevant health and social care providers.

7. To lead on and participate in in-service training alongside other MDT

members.

8. The post holder will support the education and training of other healthcare and
multi agency partners across the community setting supporting the up skilling
of staff across community in the field of community rehabilitation.

9. The post holder will supervise more junior staff eg. Band 3 or 4 rehabilitation
support staff

10. To use IT and presentation skills to educate other members of the primary
health care team and multi-agency partners.

Professional
 1. To maintain own clinical professional development (CPD) by keeping abreast
of any trends and developments, incorporating this as necessary into your
work. Undertake own CPD, participate in peer review, maintain up to date
knowledge of speciality through research, IST and work of clinical interest
groups.

2. To demonstrate a sound understanding of clinical governance and risk

management and apply to work situation ensuring others do likewise.

3. The post holder will work autonomously within trust policy and professional
practice and maintain accurate and up to date clinical records.

Human Resources

1. To assist in the induction and supervision of band 3 and 4 rehabilitation

assistants.

2. To assist in the induction and supervision of physiotherapy students.

3. To demonstrate own knowledge and skills to new or less experienced staff.

4. To carry out appraisals of rehabilitation support workers

5. To prepare own personal development plan and prepare others in conjunction

with Rehabilitation Service Manager

Responsibilities for physical and financial resources

1. To be responsible for equipment used in carrying out occupational therapy

duties to adhere to departmental equipment policy, including competence to
use equipment, to ensure safe us of equipment by others through teaching,
training and supervision of practice.

2. To be responsible for the loan and return of departmental equipment.

3. To identify the need for and recommend the purchase for new items of
physiotherapy equipment or educational material for therapist and patient use
or patient loan.

Planning and organising

1. To plan and organise and prioritise own clinical workload in conjunction with
other team members.

2. To supervise rehabilitation support workers in planning and prioritising their

delegated caseload.
 3. To prioritise referrals to the service and manage the in reach process when
delegated.

4. To balance patient related and professional demands in own work area.

Partnership working

1. To actively promote partnership working with multidisciplinary team and

multiagency and social services partners and attend relevant profession or
community rehabilitation meetings across GM as delegated by the team
leader.

2. To generate initiatives to ensure that community rehabilitation Team

contributes to the public and patient involvement process.

Analysis and data management

1. To be responsible for maintaining accurate and comprehensive patient

treatment records.

2. To be involved in the collection of clinical activity data and statistics for

departmental use and support with report development

3. To use IT skills to prepare teaching materials and presentations.

Research, development and audit

1. To audit own practice and participate in departmental audits.

2. To use audit result, current research and government guidelines to

recommend changes to service delivery and clinical practice.

3. To keep up to date with research and developments within field of own

practice, disseminate information and ensure evidence based practice.

Service Development/Managerial

1. The post holder will lead on service developments relating to relevant

professional areas for development and support with other team initiatives.

2. To contribute to the evaluation and development of service through

information sharing, review of relevant guidance, data collection, audit, service
user satisfaction surveys, using outcome measures and engaging in relevant
local projects, and where appropriate implementing service
change/development with supervision from service lead.
 3. To participate in the generation of initiatives within physiotherapy and wider
primary health and community services to further the Trust`s Strategic Service
Development Plan.

Freedom to Act

1. To be professionally and legally responsible and accountable for all aspects of

own work including the management of patients.

2. To work autonomously using clinical judgement and analytical skills based on

experience and knowledge, guided by professional standards and CSP Codes
of Practice. To seek and contribute to peer review.

The above indicates the main duties of the post, which may be reviewed in the light
of experience and developments within the service. Any review will be undertaken in
conjunction with the post holder

5. RISK MANAGEMENT
It is a standard element of the role and responsibility of all staff of the Trust that they fulfil a
proactive role towards the management of risk in all of their actions. This entails the risk
assessment of all situations, the taking of appropriate actions and reporting of all incidents,
near misses and hazards.

6. RECORDS MANAGEMENT / DATA PROTECTION ACT

As an employee of the Trust, you have a legal responsibility for all records (including patient
health, financial, personal and administrative) that you gather or use as part of your work
within the Trust. The records may be paper, electronic, microfiche, audio or videotapes, x-ray
images. You must consult your manager if you have any doubt as to the correct
management of the records with which you work. Misuse of or failure to properly safeguard
confidential data will be regarded as a disciplinary offence.

7. HEALTH AND SAFETY REQUIREMENTS

All employees of the Trust have a statutory duty of care for their own personal safety and that
of others who may be affected by their acts or omissions. Employees are required to co-
operate with management to enable the Trust to meet its own legal duties and to report any
circumstances that may compromise the health, safety and welfare of those affected by the
Trust undertakings.

8. CONFIDENTIALITY AND INFORMATION SECURITY

As a Trust employee you are required to uphold the confidentiality of all records held
by the Trust, whether patient records or trust information. This duty lasts indefinitely
and will continue after you leave the trust employment.
All information which identifies individuals in whatever form (paper/pictures,
electronic data/images or voice) is covered by the 1998 Data Protection Act and
should be managed in accordance with this legislation.
9. EQUAL OPPORTUNTIES
The Trust provides a range of services and employment opportunities for a diverse
population. As a Trust employee you are expected to treat all patients/customers
and work colleagues with dignity and respect, irrespective of their background.
10. TRUST POLICIES/TRUST VALUES

The Trust operates a range of policies, e.g. Human Resources, Clinical Practice (available
on the Trust intranet). All Trust employees must observe and adhere to the provisions
outlined in these policies.

As a trust employee you are expected to work in accordance with the Trust’s values.

11. RESEARCH

The Trust managers all research in accordance with the requirements of the Research
Governance Framework. As an employee of the Trust, you must comply with all reporting
requirements, systems and duties of action put in place by the Trust to deliver research
governance.

12. SAFEGUARDING VULNERABLE PEOPLE (CHILDREN/ADULTS)

All employees have a responsibility to protect and safeguard vulnerable people
(children and adults). They must be aware of child and adult protection procedures
and who to contact within the Trust for further guidance. All employees are required
to attend safeguarding awareness training and to undertake additional training
appropriate to their role.
13. PROTECTION OF VULNERABLE ADULTS/CHILDREN (CRB)

CRB Disclosure checks are carried out for all new appointments who have access to children
or vulnerable adults or other positions of trust which are exempt from the Rehabilitation of
Offenders Act 1974. Disclosures are also requested for existing staff who voluntarily apply
for a different job within the Trust, which is subject to CRB checks, and are successful.

14. INFECTION PREVENTION

Protection of patients from healthcare associated infection (such as MRSA and Clostridium
Difficile) is everyone’s business. All healthcare workers have a duty to provide clean, safe
care by observing basic hygiene i.e. washing hands (soap & water; alcohol gel) before and
after contact with the patient and the clinical environment. Clinical staff additionally must
practice Aseptic No Touch Techniques for invasive procedures and aftercare.

15. COMPLAINTS

Manchester University NHS Foundation Trust offers an accessible and impartial complaints
service, which is accountable, confidential and effective. The service will be responsive,
simple and speedy, whilst remaining thorough. All staff should regard complaints as natural,
positive suggestions on services that the Trust provides. Staff should be sensitive to the
wishes, hopes and anxieties of patients, relatives, friends and the community generally.
Where staff find it is not possible to provide the required information, explanation or
reassurance, then the issue may be passed to the Patient Advice and Liaison (PALS) Officer.

16. CODE OF PROFESSIONAL CONDUCT

 Those staff who are in professions where registration with one of the regulatory bodies is
mandatory in order to practice, have a responsibility to abide by their professional code of
conduct. Failure to do so may result in disciplinary action being taken which may result in
the termination of your contract of employment.

17. SUSTAINABLE DEVELOPMENT

As an employee of Manchester University NHS Foundation Trust, you are part of our pledge
committed to the reduction of the Trust’s carbon footprint. Every employee can play a vital
part and contribute to our social responsibility to use resources in a more sustainable way.
You have a duty to ensure you participate in the Trust’s recycling programmes, energy
saving plans, travel reduction strategies and new green initiatives that will be introduced to
work towards a sustainable future.

18. GENERAL COMPETENCY ON DATA QUALITY

All staff are personally responsible for the quality of data entered by themselves, or on their
behalf, on the Trust’s computerised systems or manual records (paper records) and must
ensure that such data is entered accurately to NHS data standards, in a timely manner to
ensure high standards of data quality in accordance with the Trust’s Information Quality and
Clinical Record Keeping policies.

Manchester University NHS Foundation Trust

PERSON SPECIFICATION

The person specification should set out the qualifications, experience, skills, knowledge,
personal attributes, interests, and other requirements, which the post holder requires to
perform the job to a satisfactory level.

Job Title: Community Physiotherapist– Band 6

ESSENTIAL DESIRABLE METHOD OF

ASSESSMENT
  Registration with Health Application
REGISTRATION Professions Council Form
Certificates
 Honours degree in  PSI course
QUALIFICATIONS physiotherapy/physiother  Membership of Application
py Diploma relevant special Form
 Evidence of continuing interest groups
professional development  IT skills – European Certificates
including relevant Computer Driving Interview
attendance at Licence or equivalent
postgraduate courses  Further health related
and conferences within qualification
the clinical speciality.

 Evidence of experience  Previous experience

EXPERIENCE with a broad range of at band 6 level
Application
general rehabilitation  Previous Community Form
conditions experience
 Significant broad band 5 Interview
rotational experience References

 Ability to manage  Knowledge of

complex caseload research and audit
Application
 Ability to work  Awareness of Form
autonomously and as relevant National
SKILLS/ part of an MDT guidance Interview
 Well developed  Experience of References
KNOWLEDGE
communication skills with supervision of
the ability to physiotherapy or Presentation
communicate and extract rehabilitation
complex information. assistants
 Ability to produce clear  Experience in service
concise written development
information.
 Time management skills
 Ability to demonstrate a
sound understanding of
clinical governance and
risk
 Commitment to engage in
CPD
 Ability to appraise own
performance
 Basic computer skills
 PHYSICAL &
MENTAL Physical Effort Application
REQUIREMENT
 Frequent therapeutic handling Form
S
 Ability to work alone in wide variety of different and Certificates
unpredictable environments Interview
 Self motivated
 Required to adopt sustained postures within therapeutic References
treatment sessions.
 Ability to carry awkward loads and equipment.

Mental/Emotional Effort
 Prolonged periods of high level concentration
throughout the day.
 Ability to manage crisis and reorganise workload at
short notice
 Responsibility for the care of patients with chronic,
progressive and terminal disease
 Working with patients, families and carers who may be
distressed, depressed, aggressive

Working Conditions
OTHER  Unpredictable environment in patients homes
 Potential Exposure to dirt/smoke/animals/cold
sputum/bodily fluids
 Potential hazards whilst travelling
 Hold a UK driving licence and have access to own
vehicle

Date Prepared: 24/06/2019

Prepared By: Jennifer Dunn/ Tracy Walker

Agreed By:

Employee’s Name and Signature: Date:

Manager’s Name and Signature: Date:

Date Reviewed:

Reviewed By: