team lead orthopaedic physiotherapist

Version 2 ndash Reviewed December 2018 Christina Maclean

Team Lead Orthopaedic Physiotherapist

1 JOB IDENTIFICATION

Job Title Accountable to

Clinical Physiotherapy Lead in Elective Orthopaedics Head of Rehabilitation

Department(s)

Rehabilitation

Job Reference number (coded)

2 JOB PURPOSE

To provide an effective physiotherapy service across elective orthopaedics within National Waiting Times Centre including primary lower limb joint replacement complex revisions complex foot surgery and minor day cases To provide day to day management of and responsibility for the physiotherapy team working within elective Orthopaedics To carry out any other duties as required to manage the day to day function of the specialty service and the Rehabilitation department As the clinical lead has responsibility for planning co-ordinating delivering and evaluation of physiotherapy service provided to the specialty areas As a highly specialist practitioner takes responsibility for own highly complex caseload incorporating patient assessment diagnosis treatment and discharge from care


3 ORGANISATIONAL POSITION (current structure under review with potential to change)

4 SCOPE AND RANGE

Permanently working as a Highly Specialist Physiotherapy Practitioner and Team Lead in the area of Elective Orthopaedics supporting 11 Orthopaedic Consultants and 70 surgical beds and day case unit Out patient Orthopaedic Clinic Has responsibility for prioritising own and department caseload to ensure effective caseload management of the service within the specialty through deployment and delegation

Continually monitors and evaluates the service provision within the unit in conjunction with Head of Rehabilitation and clinical specialist and takes full responsibility for service development Deals with complaints and disputes within physiotherapy team

5 MAIN DUTIESRESPONSIBILITIES CLINICAL

To be accountable and responsible for all professional and legal aspects of work including direct and indirect patient care within scope of practice To carry out highly specialist physiotherapy manual techniques and assessment of patients as an autonomous practitioner including those with highly complex presentations Use highly developed specialist knowledge and clinical skills based on evidence based

Head of Operations RNM

Head of Rehabilitation

Team Lead PT (1)

THIS POST Clinical Specialist PT (1)

Band 6 PT (44wte)

Band 5 (3)

Band 4 (54)

Band 3 (1)


practice to determine a comprehensive clinical diagnosis and determine appropriate physiotherapy treatment from a range of options Act independently to evaluate effectiveness of treatment plan and changes in patient condition and modify package of care accordingly This is done on an ongoing basis throughout the patientrsquos episode of care

To use counselling and motivational skills to support patients to accept changes in their post operative period To liase directly with members of the multi-professional team (MPT) and other health care professionals regarding patient assessment treatment and progress both within and out with the hospital To be responsible for maintenance of accurate and up to date written records and supervision of record keeping to include comprehensive progress and rehabilitation referrals to appropriate hospitals accurate mandatory statistical information to reflect care provided and meet professional local and national standards Provide patient education risk factor and lifestyle relating to their condition in groups including partners and carers To keep abreast of developments in Physiotherapy and other related professional practice by personal study in-service training and external courses Adhere to CSP Codes of Professional Conduct and guidelines relevant to clinical area eg BOA BHSBASK To participate in 7 day working

MANAGERIAL

Continually monitor and evaluate standards of care and clinical outcomes ie national clinical guidelines Provide professional and clinical leadership within the Region communicating expert physiotherapy advice to staff within the multi-professional team Is responsible for identifying opportunities and managing developments and constraints within the service

Manage and populate the rota for evening cover and 7 day working PlanningOperational Responsibilities

Take responsibility for day to day management and delivery of services by the Orthopaedic Team Delegate appropriate tasks to all staff and ensure supervision of more junior staff to maximise


efficiency and achieve desired quality of care Ensure Physiotherapy and Organisational Standards of Practice are understood and integrated into the work of the team Ensure compliance of the service with Professional Organisational and National guidelines procedures and policies Develop and implement clinical policies procedures and guidelines within the specialty Monthly collation and analysis of activity and monitoring KPIrsquos Participate in recruitment process for staff within the service Has responsibility for the process of PDP planning mandatory training and integration of KSF within the specialist team Complies with HR policies for managing sickness absence conduct and capability

Educational Responsibilities

Teaching

Provides expert teaching and clinical supervision to the Physiotherapy team which may include clinical education of physiotherapy students on placement and may involve formal assessment of their clinical competence Promotes the principles of clinical effectiveness across the service

Provides both spontaneous and planned highly specialist advice teaching and training to other members of the multi professional team educational staff and others

Participate in the physiotherapy department and specialty team in-service training programme to promote own personal development and that of staff Ensure senior staff are competent and comfortable with the clinical assessment and training of undergraduate and post graduate Physiotherapy students Coach and develop staff within own team to promote professional development and specialist clinical care Develop and update knowledge and highly specialist skills in field to ensure delivery of evidence based care

Research


Promotes an environment of Research within the Orthopaedic Specialty and encourage staff to take on research projects within the department to raise the Physiotherapy profile

6 SYSTEMS AND EQUIPMENT

Responsible for the regular testing maintenance and repair of physiotherapy equipment within own specialty To understand appropriately select and monitor safe use of physiotherapy equipment and additional patient care equipment by self and other members of own team Equipment may include (but not exhaustive)

Specialist Orthopaedic Equipment ndash Continuous Passive Movement (CPM) machines orthopaedic splints and braces cryocuff equipment Rehabilitation Equipment ndash walking aids tilt table etc SystemsSoftware Packages Physio Tools PACS Clinical Portal Opera Excel PowerPoint Excelicare

Patient Records Medical Notes

To be competent in the use of current documentation systems eg integrated care pathways patient orientated medical records and develop new systems as required

7 DECISIONS AND JUDGEMENTS

Assess service demands and priorities against staffing resources available and delegate to staff accordingly within the unit To continually balance clinical managerial and professional demands to ensure quality of care in a specialist area Frequently deals with adverse staff situations or unexpected situations that arise on a daily basis such as staff sickness grievance To effectively manage clinical risk within caseload to ensure patient and staff safety Assist and advise physiotherapy staff regarding clinical decision-making and organisational issues Take responsibility for problem solving eg time keeping performance and clinical competence To seek further clinical opinion as required eg x-ray further investigations where


appropriate

8 COMMUNICATIONS AND RELATIONSHIPS

To provide advice and professional guidance regarding additional patient care to appropriate members of the MDT Demonstrate an expert ability to communicate highly complex clinical and sensitive information effectively and appropriately to patients carers and other staff using a range of verbal non-verbal written and presentation skills Conveys highly complex terminology into lay terms and where there may be barriers to communication eg non-English speaking patients use of interpreters excess noise or lack of privacy Provides support reassurance and encouragement to patients and their carers as part of the rehabilitation process

Encourage and motivate patients to maximise outcomes recognising those who are in pain afraid or reluctant and require reassuring motivating and persuading to comply with treatment Use highly skilled communication to convey potentially unpleasant and sensitive information to individuals regarding their condition physical and functional limitations This may be contradictory to patient and carer expectations and desires or express a poor prognosis Utilise appropriate methods and aids eg audio visual aids or music when working with patients in groups for either education or exercise purposes

Physiotherapy Staff (internalexternal to Division)

Regularly communicates effectively with rehabilitation manager regarding service and staffing issues Provide appropriate details for transfer of patients for on going care elsewhere

Continually delegates tasks clearly to physiotherapy staff and assistants

Provides formal and informal feedback to staff regarding clinical and professional

performance

Multi Professional Team

To work as part of a multi-professional team (including doctors nurses radiographers

dieticians and pharmacists) communicating making recommendations and referring to all

relevant disciplines of staff to maximise patient care and promote effectively coordinated

multidisciplinary working


9 PHYSICAL DEMANDS OF THE JOB (20 Management 80 Clinical)

Manual handling of patients on a daily basis This may include very immobile obese unwilling patients for lengthy periods ndash often from lying to sitting position sitting to standing and transfer onto chair and back in one session Regular assessment of patients post operatively following spinal anaesthetic in standing and crouched in an often confined space - this may include sudden and unpredictable changes in movement or faintsfalls which require physical support andor lowering to the floor ensuring patient and staff safety Repetitive lifting of heavy limbs onoff bed or whilst facilitating rehabilitation Frequently assisting patients with walking and stair practice ndash this may include sudden and unpredictable changes in movement or faintsfalls which require physical support andor lowering to the floor ensuring patient and staff safety Frequent set up and use of CPM hoists and on occasion tilt tables which requires manipulation dexterity and strength often having to manoeuvre in confined spaces Significant element of walking climbing stairs standing and working within confined and awkward spaces on a daily basis Supporting patients while walking Assisting patients up from chair bed and supporting limbs during treatment May adopt static postures for lengthy periods whilst assessing dependent patients to regain movement patterns including prolonged periods of weight bearing without a seat for more than half the shift

MENTAL DEMANDS

Prolonged periods of intense concentration and proactive engagement with patients especially new patients complex patients and those with communication difficulties Responding to frequent and unpredictable changes in patientsrsquo condition ndash this requires being alert in order to undertake a high standard of clinical reasoning involving constant reassessment regarding clinical management

Prioritising workload daily to skillfully and flexibly plan and manage on time and organise orthopaedic physiotherapy staff to include patient care training supervision increased number of meetings including management and meetings with other health professionals Balancing clinical and managerial duties by using excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service To be able to diffuse potentially hostile and antagonistic situations with staff patients and relatives using highly developed negotiation and interpersonal skills Very frequent interruptions ndash answering pager supporting more junior staff and students


Ongoing service development eg 7 day working and Enhanced recovery

EMOTIONAL DEMANDS

Frequent

Dealing with acutely complex patients who are relatively unstable and require constant monitoring throughout treatment eg Immediate post operatively haemodynamically unstable Dealing with patients who have long-term chronic illness or progressive conditions Dealing with patients who are in pain anxious distressed and emotionally labile Dealing with patients who may have severe injury limb loss Undertaking treatment modalities which increase pain levels eg Post operative exercises Managing staff and students eg managing poor performance short notice absences and emotionally dealing with members of the team who may be distressed at facing disciplinary actioncomplaints

WORKING CONDITIONS

Frequent exposure to bodily fluids (urine faeces blood vomit saliva sputum) eg post-surgical wounds Frequent contact with abusive and aggressive patientscarers or members of the public Frequent exposure to body odours and infrequent exposure to fleas lice and potential infectious diseases eg shingles scabies Exposure to transmittable diseases and infections

10 MOST CHALLENGINGDIFFICULT PARTS OF THE JOB Ensure all patients within the orthopaedic departments receive the highest standard of appropriate care in accordance with recognised best practice guidelines Undertaking a physically and mentally demanding job whilst taking care to safeguard own health and safety as well as that of patients and colleagues Continually measure monitor and manage clinical performance of all physiotherapy staff within the speciality and operational management of the unit Undertaking formal and informal assessments and appraisals of students and staff in particular those where poor performance is identified or conflict management or mediation skills are required


Balancing competing demands of staff students and own caseload Regular changes in personnel- rotational junior staff Dealing with the frequent pressure of reducing length of stay as a National Waiting Times Centre highlighted by geographical area covered Managing unrealistic -patient expectations with frequent high turnover of patients on the ward Co-ordinating the Orthopaedic physiotherapy service while ensuring the learning support needs of Junior staff and Assistants are met Managing 7day working rota to ensure sufficient cover annual leave and unexpected sickness

11 KNOWLEDGE TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

Degree or diploma in physiotherapy leading to Physiotherapy HPC registration Current HPC registration Training and experience of staff management supervision and team leadership Relevant post graduate experience in Physiotherapy Advanced knowledge and experience of a wide range of medical conditions and expert knowledge of orthopaedic surgical conditions requiring continual up dating of knowledge Advanced observation and clinical assessment skills Advanced knowledge of orthopaedic conditions including complex revisions primary joints Experience in rotas for irregular work patterns Relevant postgraduate training ndash regular in-service training and post graduate courses both clinical and management as evidenced by CPD portfolio

Working knowledge of basic IT ndash eg word processing use of internet data base management

Working knowledge and awareness of Health amp Safety issues within the workplace eg Work activity risk assessment and datix

Complete and maintain mandatory training eg learn pro BLS


12 JOB DESCRIPTION AGREEMENT A separate job description will need to be signed off by each jobholder to

whom the job description applies

Job Holderrsquos Signature Head of Department Signature

Date Date


JOB DESCRIPTION APPENDIX ndash ADDITIONAL ROLES AND RESPONSIBILITIES Please use this form to describe any additional roles or responsibilities currently fulfilled by a jobholder that are not an integral part of the personrsquos substantive job (eg Radiation Protection Supervisor ldquoLink Practitionerrdquo etc)

1 TITLE OF JOBHOLDERrsquoS SUBSTANTIVE POST

2 DEPARTMENT

3 DESCRIPTION OF ADDITIONAL ROLERESPONSIBILITY

4 AGREEMENT OF ABOVE DESCRIPTION Job Holderrsquos Signature Head of Department Signature

Date Date

Person Specification


Essential Desirable

Qualifications amp Training

Diploma Degree in Physiotherapy HPC Registration Evidence of relevant post graduate clinical courses CPD portfolio

Post grad management leadership training including conflict management Clinical educators course

Experience

Evidence of extensive post graduate experience including working within Elective Orthopaedics Evidence of development of clinical expertise leadership and management skills

Experience working within an ERAS environment

Knowledge Skills amp Abilities

Extensive knowledge and experience of physiotherapy practice Evidence of effective communication interpersonal and leadership skills Evidence of experience in staff managerial and organisational skills and working knowledge and application of HR policies and procedures of division Competent teaching and lecturing skills - ability to pass on knowledge skills Working knowledge of basic IT skills Audit experience Presentation skills

Experience in research or quality improvement

Personal Qualities

Clear vision of role commitment to speciality Ability to work well within multi professional teams Demonstrates flexibility and ability to adapt to changing needs of the service Committed to personal and team development


Delivering care through collaboration NHS Golden Jubilee Beardmore Street Clydebank G81 4HX Telephone 0141 951 5000

wwwnhsgoldenjubileecouk

Chair Susan Douglas-Scott CBE

Chief Executive Jann Gardner

Recruitment line 0800 0283 666 Dear Candidate POST Team Lead Orthopaedic Physiotherapist HOURS 375 per week CLOSING DATE 5 January 2021

The Golden Jubilee Foundation welcomes your enquiry in connection with the above post Please find enclosed an information pack Should you wish to submit an application for the above post please ensure you do so in advance of the closing date Late applications will not be forwarded for short listing When providing referees on the application form please be aware that we require a minimum of two references to cover at least two years of previous employmenttraining history If there is insufficient space on the application form to list all of your referees please provide on an additional page Where possible please provide us with e-mail addresses for contact Additionally you should note that as part of the pre-employment checks a PVG or Disclosure Scotland check will be completed It is an offence for barred individuals to apply for regulated work Should you contact the recruitment team to discuss any queries regarding your application it is advisable that you retain the job reference number as you will be asked to quote this when you call In the meantime I wish you success with your application and should you require any further information please do not hesitate to contact the recruitment team on the contact telephone number shown above Yours sincerely Recruitment Assistant


Golden Jubilee Foundation

General Information for Candidates

This information package has been compiled to provide prospective candidates with details of the post and background information about the Golden Jubilee Foundation (GJF)

The contents of this package are as follows- o Job Descriptionperson specification o Terms and Conditions of Service o Application Form o Equal Opportunities Monitoring Form o Information on Agenda for Change

The Equal Opportunities Monitoring form is required for monitoring purposes only and will not be made available to the interview panel during any part of the recruitment process

Please note to ensure that we adhere to our current policy on Equal Opportunities CVrsquos received with Application Forms will be destroyed prior to Application forms being passed for Short listing

GJF operates a No Smoking Policy on all Premises and Grounds and in shared vehicles

All offers of employment will be subject to the receipt of two yearrsquos satisfactory References Occupational Health screening and Disclosure Scotland clearance Please note that it is an offence under the act for barred individuals to apply for regulated work

Please submit your completed application through the Jobtrain Recruitment System to-

recruitmentgjnhscotnhsuk

The short listing process will take place shortly after the closing date

As a Disability Confident Leader we recognise the contribution that all individuals can make to the organisation regardless of their abilities As part of our ongoing commitment to extending employment opportunities all applicants who are disabled and who meet the minimum criteria expressed in the person specification will be guaranteed an interview

The organisation has introduced a set of shared values These values will be measured during our Values Based Competency Interview Our values are

o Valuing dignity and respect o A ldquocan dordquo attitude o Leading commitment to quality o Understanding our responsibilities o Effectively working together



Terms and Conditions of Service

The terms and conditions applicable to this post are those of all NHS Scotland Employees 1 Superannuation You have the option to join the NHS Superannuation Scheme to participate in the State Earnings Related Pension Scheme or to take out a Personal Pension Employees contributions to the NHS Scheme range from to 52 to 147 of salary (depending on rate of Pensionable Pay) and the employersrsquo contribution equates to 135 of salary Employees in the NHS Scheme are ldquoContracted-outrdquo of the State Earnings Related Pension Scheme and pay a lower rate of National Insurance contributions Employees who choose to participate in the State Earnings Related Pension Scheme pay the higher rate of National Insurance contribution A Stakeholder Pension is also available 2 Salary pound39300 to pound46006 per annum 3 Grade This post is offered at Band 7 4 Annual Leave The annual leave entitlement in a full year commencing 1st April to 31st March is 27 days rising to 29 days after 5 yearsrsquo service and 33 days after 10 yearsrsquo service There are 8 Statutory and Public Holidays in each leave year (Pro rata where applicable) 5 Hours of Duty 375 Hours per week 6 Tenure of Employment This post is offered on a permanent basis 7 Asylum and Immigration Act 1996 Under the Asylum and Immigration Act 1996 we are required to carry out checks to ensure that all prospective employees are entitled to live and work in the United Kingdom You will therefore be asked to provide appropriate documentation prior to any appointment being made



Benefits NHS Superannuation scheme

New entrants to the Golden Jubilee Foundation who are aged sixteen but under seventy-five will be enrolled automatically into membership of the NHS Pension Scheme Employee contributions vary from 52 to 147 depending on annual pensionable pay Benefits include a lump sum and pension when you retire life assurance of 2 yearsrsquo pay - while you are working pension and allowances for your spouse and children in the event of your death and benefits for ill-health retirement

Our pension scheme is provided by Scottish Public Pensions Agency This scheme is a qualifying pension scheme which means it meets or exceeds the governmentrsquos new standards All benefits including life insurance and family benefits are explained on the SPPA website httpwwwsppagovuk Annual leave entitlement (including public holidays) 35 daysrsquo annual leave on appointment 37 daysrsquo annual leave after 5 years 41 daysrsquo annual leave after 10 years Free car parking Continuing professional development opportunities Discounts at the Golden Jubilee Conference Hotel

Leisure Club membership ndash Get fit and healthy at the Centre for Health and Wellbeing with a discounted membership rate of pound25 per month Discounted Room Rates - Rooms rates discounted subject to specific conditions Discounted Dining - 20 off food and beverage when dining in the hotel

Golden Bistro (Hospital Restaurant) - Discounted food in our award winning hospital restaurant NHS Staff Benefits As a staff member in the Golden Jubilee Foundation you will have access to a wide variety of offers and discounts from local and national businesses using your NHS ID badge For more information and to view these discounts visit wwwnhsstaffbenefitscouk - new offers are added on a weekly basis


3 ORGANISATIONAL POSITION (current structure under review with potential to change)

4 SCOPE AND RANGE

Permanently working as a Highly Specialist Physiotherapy Practitioner and Team Lead in the area of Elective Orthopaedics supporting 11 Orthopaedic Consultants and 70 surgical beds and day case unit Out patient Orthopaedic Clinic Has responsibility for prioritising own and department caseload to ensure effective caseload management of the service within the specialty through deployment and delegation

Continually monitors and evaluates the service provision within the unit in conjunction with Head of Rehabilitation and clinical specialist and takes full responsibility for service development Deals with complaints and disputes within physiotherapy team

5 MAIN DUTIESRESPONSIBILITIES CLINICAL

To be accountable and responsible for all professional and legal aspects of work including direct and indirect patient care within scope of practice To carry out highly specialist physiotherapy manual techniques and assessment of patients as an autonomous practitioner including those with highly complex presentations Use highly developed specialist knowledge and clinical skills based on evidence based

Head of Operations RNM

Head of Rehabilitation

Team Lead PT (1)

THIS POST Clinical Specialist PT (1)

Band 6 PT (44wte)

Band 5 (3)

Band 4 (54)

Band 3 (1)




MANAGERIAL







Teaching




Research











appropriate








performance









MENTAL DEMANDS





EMOTIONAL DEMANDS

Frequent


WORKING CONDITIONS














Date Date




2 DEPARTMENT



Date Date



Essential Desirable




Experience






Personal Qualities






































MANAGERIAL







Teaching




Research











appropriate








performance









MENTAL DEMANDS





EMOTIONAL DEMANDS

Frequent


WORKING CONDITIONS














Date Date




2 DEPARTMENT



Date Date



Essential Desirable




Experience






Personal Qualities






































Teaching




Research











appropriate








performance









MENTAL DEMANDS





EMOTIONAL DEMANDS

Frequent


WORKING CONDITIONS














Date Date




2 DEPARTMENT



Date Date



Essential Desirable




Experience






Personal Qualities













































appropriate








performance









MENTAL DEMANDS





EMOTIONAL DEMANDS

Frequent


WORKING CONDITIONS














Date Date




2 DEPARTMENT



Date Date



Essential Desirable




Experience






Personal Qualities






































MENTAL DEMANDS





EMOTIONAL DEMANDS

Frequent


WORKING CONDITIONS














Date Date




2 DEPARTMENT



Date Date



Essential Desirable




Experience






Personal Qualities





































EMOTIONAL DEMANDS

Frequent


WORKING CONDITIONS














Date Date




2 DEPARTMENT



Date Date



Essential Desirable




Experience






Personal Qualities














































Date Date




2 DEPARTMENT



Date Date



Essential Desirable




Experience






Personal Qualities






































2 DEPARTMENT



Date Date



Essential Desirable




Experience






Personal Qualities




































Essential Desirable




Experience






Personal Qualities



































team lead orthopaedic physiotherapist

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