HealthJobsUK

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Job Purpose
The post-holder will demonstrate a flexible approach, being able to adapt and respond effectively and efficiently in potentially stressful case scenarios. The post holder will use their Physiotherapy diagnostic skills within their assessment to determine need for further investigations, and to support the Urgent Community Response Team with ongoing patient management in order to prevent avoidable admission to hospital and facilitating early supported discharge.

To lead in the delivery of high standards of Physiotherapy interventions to patients within their own place of residence to prevent avoidable admissions to acute care. They will provide short term reablement/ rehabilitation programmes with effective short term goal setting for vulnerable adults with acute health needs. This will involve using health coaching skills to effectively engage with the patient and their family to ensure expectations are appropriately managed.

To show a level of resilience by working with the team to develop competencies in all areas of practice.

It would be an expectation for the post holder to be involved in the training of other team members to maintain competence within some aspects of Physiotherapy, as well as, develop and maintain own competencies in areas of Occupational Therapy and Nursing.

This role will predominantly involve face to face intervention, with an element of Triage for the Urgent Community Response Team and NEAT on a rota basis.

Main Duties & Responsibilities.
As part of the Urgent Community Response (UCR), you will be required:

• To work within the Urgent Community Response Team, to prevent unnecessary admission to hospital.
• To make risk assessments, establishing the safety or otherwise of a patient’s ability to stay at home, or return safely from another care setting, providing and arranging as necessary supportive packages of care.
• To work within the Urgent Community Response Team to assess and prescribe care pathways for patients in a crisis situation with long term conditions, the frail and elderly, palliative and end of life care and/or rehabilitation needs, to achieve quality of life and independence where possible.
• To act as the patients advocate, facilitating choice and patient empowerment.
• To provide evidence based clinical/therapeutic interventions based on ‘best practice’ in order to improve health outcomes and promote choice.
• To provide in-reach to inpatient units and step up beds where required to support early discharge from hospital.
• To work with all health care professionals, and statutory/non statutory agencies to provide a seamless, integrated service to our service users.
• To triage referrals on a rotational basis for the Urgent Community Response Team.

Clinical.
The post holder will:
1. Undertake comprehensive physiotherapy assessments of patients including those with a complex presentation, using investigative, analytical and clinical reasoning skills, and inform the development of a differential diagnosis.
2. Formulate and execute individualised physiotherapy management and treatment plans of patients including those with complex presentation, in collaboration with the Urgent Community Response Team, other agencies and the patient, utilising a range of treatment skills.
3. Be aware of Assistive Technology and make referrals for this as required.
4. Assess patients’ holistic needs, communicating complex and sensitive information to patients and carers as to their assessment, diagnosis, prognosis and treatment plan.
5. Where there are barriers to understanding, such as hearing impairment, mental capacity impairment and other difficulties in comprehension, explanations require adjustments in order to gain understanding, consent and concordance.
6. Establish and maintain therapeutic relationships with patients and carers, incorporating motivation, encouragement and confidence building to enable patients to engage in their treatment/care/management plan.
7. Liaise with GPs, Social Services, inpatient teams, other allied health care professionals and the voluntary sector to ensure identified needs are met and care co-ordinated appropriately.
8. Participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. Gold Standard Framework.
9. Ensure activity data and clinical information is recorded on Systm One and is completed on a daily basis.
10. Plan and organise specialist services within the Urgent Community Response Team.
11. Demonstrate dexterity, co-ordination and palpatory senses for assessment, and manual treatment of patients, including using specialist equipment and fine tools, manual and mobilising skills.
12. Order equipment and contribute to the requisitioning of supplies and equipment through electronic ordering systems.
13. Ensure informed consent is obtained prior to initiating interventions.
14. Be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies.

Professional.
The post holder will:
1. Be responsible for ensuring workload for self and others is planned and prioritised according to the Urgent Community Response service targets and needs.
2. Be accountable for work delegated to others.
3. Ensure own records are maintained and those maintained by the Team.
4. Contribute to the staff rota on a monthly basis as required.
5. Actively contribute to multidisciplinary team meetings and other meetings where appropriate.
6. Support all team members within the Urgent Community Response Team, respecting them, their roles and contributions.
7. Actively participate in and attend in-house training as required to develop current job role.
8. Maintain own continuous professional development.
9. Be able to make own travel arrangements to patients’ homes, clinics, base and meetings etc, as required.
10. Be responsible for safe use and maintenance of equipment and supplies.
11. Remain accountable for own professional actions as determined by the professional bodies.
12. Be required to demonstrate own duties to students, new starters and/or less experienced staff.
13. Provide mentorship for students undertaking pre/post registration courses.
14. Mentor existing staff and provide training in specialist area as appropriate.
15. Provide advice/training to less experienced staff and supervise and support band 3, 4 and 5 staff, and students where appropriate, and contribute to the induction process for new staff/students.
16. Demonstrate leadership skills within own competence.
17. Be aware of budget and ensure all effort is made to work within this.
18. Demonstrate good IT and standard keyboard skills.

Organisational.
The post holder will:
1. Undertake mandatory training as required.
2. Participate in a Personal Development Review process.
3. Undertake Personal Development Plans for more junior staff members.
4. Take part in clinical supervision as per Trust Policy.
5. Follow Trust policies, and local procedures, and use discretion in interpreting them according to the setting and circumstances.
6. Comment on draft policies.
7. Ensure absence reporting is undertaken as determined by Team Leader and Trust Policy.
8. Contribute to clinical audit as required.
9. Complete the staff survey as required.
10. Complete risk assessments and incident forms as required.