Physiotherapist, Band 5, Perth and Kinross Physiotherapy Service, rotation currently North Perth

Information Pack

Job Reference: CH/81b/18

Closing date: 23 January 2019

NHS TAYSIDE VISION, AIM AND VALUE

Our Vision

Our Aim and Values

To find out more about NHS Tayside visit our website at:

http://www.nhstayside.scot.nhs.uk/index.htm

About NHS Tayside

NHS Tayside is responsible for delivering healthcare to more than 400,000 people

living in Tayside. We employ around 14,000 staff and provide a comprehensive

range of primary, community-based and acute hospital services for the populations

of Dundee City, Angus and Perth & Kinross. Our annual budget is now circa £825

million of public money which works out at around £2.3 million spent by NHS Tayside

for every day of the year.

Tayside area

Within NHS Tayside and based on the western edge of Dundee, Ninewells Hospital

is one of the largest teaching hospitals in Europe. It is internationally renowned for

introducing laparoscopic surgery to the UK as well as being a leading centre in

developing fields such as the management of cancer, medical genetics,

cardiovascular disease, diabetes, informatics, neuroscience and imaging.

Our hospital sites across Tayside also have nursing and research links with the

University of Dundee and University of Abertay, Dundee.

In Tayside, we have 80,000 admissions every year and there are another 17,000

'same' day procedures. We also run 280,000 outpatient clinic sessions annually.

In addition, at the heart of health services in our communities are our GP and

primary care services which are there supporting our patients and their families

where they live and work.

The science of improvement

NHS Tayside has been at the forefront of patient safety and the science of

improvement. Our aim is to be the best at getting better. We were the first site in

Scotland, and one of only four in the UK, to be a pilot site for The Health

Foundation's Safer Patient Initiative. The significant successes of this project have

embedded a pioneering Tayside-wide approach to patient safety and improvement.

Academic Health Science Partnership in Tayside (AHSP)

NHS Tayside has embarked on a major collaborative initiative, Academic Health

Science Partnership in Tayside (AHSP). It is the first Academic Health Science

Network in Scotland with an ambition to transform healthcare locally and globally at

the time when it faces many difficult challenges.

Building upon the success of previous University of Dundee and NHS Tayside

collaborations, AHSP is bringing together the delivery of healthcare services,

education, quality improvement and research with the purpose of improving the

health of patients through more effective integration of these functions in routine

practice.

LIVING IN TAYSIDE

Discover award-winning towns and cities, breathtaking beaches and alluring countryside. Historically rich and home to Scotland’s longest river, Tayside is an innovative and exciting place to begin or expand your career.

Dundee, Angus and Perth and Kinross make up this vibrant region - between them offering the perfect blend of city, country and coastline. In fact, you can easily enjoy the tranquility and scenery of neighbouring towns and villages within reach of the region’s cities of Dundee and Perth.

Find out more about living and working in Tayside at:

www.dundeecity.gov.uk

www.angus.gov.uk

www.pkc.gov.uk

Education in Tayside

In Tayside there are a host of schools, both public and private and excellent colleges and universities making Tayside a family friendly location.

Housing in Tayside

Whether you want to live in the rural countryside or one of Tayside’s vibrant cities or towns, you’ll have a variety of housing choices, many below the national average house price. For more information about housing in Tayside, visit the Tayside Solicitors Property Centre and/or Perthshire Solicitors Property Centre websites: http://www.tspc.co.uk/ http://www.pspc.co.uk/ Getting around There are excellent connections to and within the region. It only takes approximately 30 minutes to drive between Dundee and Perth and just over an hour between Dundee and Edinburgh, Aberdeen and Glasgow. Travelling and commuting within Tayside is easy by road, bus or train. Dundee’s regional airport offers daily flights to London Stansted in addition to private and leisure flights. The international airports at Edinburgh, Glasgow and Aberdeen will ensure you are connected from Scotland to the rest of the world.

Enter job description here.

NHS TAYSIDE – AGENDA FOR CHANGE JOB DESCRIPTION

1. JOB IDENTIFICATION

Job Title Rotational Physiotherapist

Department(s)/Location Physiotherapy departments within localities in Perth & Kinross

Number of job holders 9

2. JOB PURPOSE

1. Provide physiotherapy assessment, diagnosis, treatment, discharge and onward referral of own patient workload as an autonomous practitioner.

2. Rotational post through medical, surgical, outpatients, neurology/stroke, orthopaedics, intensive care and high dependency, medicine for the elderly, community.

3. Supervise/teach non-qualified physiotherapy staff and other personnel, acting as a source of physiotherapy advice.

4. Shared responsibility for education of physiotherapy students.

3. ORGANISATIONAL POSITION

Senior Qualified Physiotherapist

Postholder

Equivalent Grades x 8

Non qualified staff and students (variable depending on rotation but no more than 3)

4. SCOPE AND RANGE

With access to advice and support from senior physiotherapy staff the post holder delivers outpatient, inpatient, day patient and domiciliary physiotherapy within: Perth Royal Infirmary (300 beds general hospital), Crieff Community Hospital (39 beds), Blairgowrie Community Hospital, educational establishments and patients own home and accepts referrals from Hospital Consultants, General Practitioners and other agencies.

1. Perform physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions.

2. Provide a diagnosis/clinical impression, develop and deliver an individualised treatment programme for own caseload.

3. Be responsible for discharge and/or onward referral of caseload. 4. Train, supervise, advise and support non-qualified physiotherapy staff and students. 5. Undertake all clinical duties as an autonomous practitioner. 6. Provide advice and guidance on health promotion, health management and prevention strategies to

patients, carers and multi-agency staff. 7. Participate in the emergency on-call service, after a period of training.

5. MAIN DUTIES/RESPONSIBILITIES

Clinical 1. Professional and legal accountability for all aspects of work as an independent physiotherapy practitioner. 2. Undertake clinical assessment of patients including those with diverse or complex presentations/multiple

pathologies; interpret and analyse clinical and non-clinical data, use clinical reasoning skills and manual assessment techniques.

3. Act independently to formulate, implement, evaluate and deliver an individual physiotherapy treatment plan based upon evidence based practice and treatment options eg manual physiotherapy/respiratory/neurological techniques, patient education, exercise classes, electrotherapy, acupuncture.

4. Use specialist clinical skills necessary for the assessment and manual treatment of patients. 5. Evaluate patient progress, reassess and adapt treatment programmes as required. 6. Maintain patient documentation, records and accurate mandatory statistical information to meet

professional and local standards. 7. Identify and manage clinical risk within own patient caseload. 8. Work inter-professionally with multi-agency staff to optimize patient care eg one-to-one discussions, case

conferences. 9. Delegate and supervise an identified caseload for non-qualified physiotherapy staff. 10. Work independently to provide physiotherapy on-call care to support delivery of the 24-hour service to

acutely ill patients, eg removal of chest secretions using nasopharyngeal suction. 11. When working in the community and domiciliary settings, work as a lone practitioner with planned support. 12. Understand and interpret complex medical information and investigations and alter treatment programme

accordingly eg measure and monitor blood pressure, x-ray and blood gases. 13. Work flexibly to provide assistance when required to cover other areas of physiotherapy service. 14. Undertake any other duties of a similar nature delegated by senior staff or the Service Manager.

Professional 1. Maintain and develop competency through Continuing Professional Development, training, maintenance of

portfolio and reflective practice. 2. Adhere to the national, professional and local policies and guidelines as directed by Health Professions

Council, Chartered Society of Physiotherapy and NHS Tayside. 3. Be an active participant in in-service training programme which may include individualized training,

tutorials, journal club and presentation of case studies. 4. Participate in appraisal programme as an appraisee, contributing to Professional Development Planning. 5. Undertake evaluation of own work through the use of outcome measures, evidence-based practice and

departmental audit programmes. 6. With supervision may be required to write legal reports providing accurate and detailed information

regarding patient’s diagnosis, treatment and expected outcome. 7. Demonstrate understanding and participation in all aspects of Clinical Governance. 8. Assess patient understanding of treatment proposals, ensure consent has been given and to have an

understanding of the legal framework eg for patients who lack capacity to consent to treatment.

Managerial 1. Responsible for organizing, planning and prioritizing own and others caseload (including students) to meet

service and patient needs, readjusting plans as situations change or arise. 2. Participate in ongoing service review. 3. Keep work area tidy, clean physiotherapy equipment on a daily basis and ensure faulty equipment is

withdrawn from use and reported. 4. Deal with complaints and take appropriate level of action ie investigate and report to Line Manager and/or

respond to complainant.

6. COMMUNICATIONS AND RELATIONSHIPS

1. Communicate effectively with patients, families and carers some of whom may have barriers to understanding (eg sensory impairment, learning difficulties, language barriers and confusion), using verbal/non-verbal, written and presentation skills as required.

2. Convey comprehensive detail of care/physiotherapy treatment in a manner appropriate for every individual, emphasizing and reiterating points to ensure a full understanding. This information may be sensitive or contradictory to patient and carer expectations.

3. Instruct, reassure, encourage and guide patients, carers and multi-agency staff throughout the treatment programme.

4. Represent physiotherapy team and/or individual patients at multi-agency team meetings eg reporting on patient progress.

5. Explain the role of physiotherapy to a range of professionals and the public; clarify appropriateness of referral, interventions and continuation/discontinuation of treatment.

6. Communicate assessment and treatment results to the appropriate disciplines verbally and/or in the form of reports and letters.

7. Give presentations to small audiences using audiovisual and multi-media equipment. 8. Develop a rapport with patients and carers to encourage their interest and engagement in an activity

therefore maximizing its therapeutic benefits. 9. Diffuse potentially hostile and antagonistic situations with staff, patients and carers, using negotiation and

interpersonal skills.

7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

1. Honours degree level or equivalent in physiotherapy 2. Current Health Professions Council registration

ESSENTIAL ADDITIONAL INFORMATION

8. SYSTEMS AND EQUIPMENT

1. Responsible for safe and competent use of equipment, patient appliances, electrotherapy equipment, hydrotherapy pool etc. in accordance with departmental guidelines.

2. Assess for specialist equipment eg manual handling, orthoses, standing frames, TENS units. 3. Understand, apply and teach safe use and care of specialist equipment to patients, carers and multi-agency

staff. 4. Have a working knowledge of relevant IT systems and software packages eg Physio tools (exercise

programme), electronic IR1s. 5. Use Problem Orientated Medical Records and contribute to the development of multi-agency care plans. 6. Contribute to Single Shared Assessment process and communicate with appropriate member(s) of the multi-

agency team. 7. Responsible for Records Management. All records created in the course of the business of NHS Tayside are

corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage these records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.

9. PHYSICAL DEMANDS OF THE JOB

Physical demands – repeated regularly on a daily basis 1. Manual handling of patients with or without handling equipment for purposes of rehabilitation and therapeutic

positioning. This may include assisting the very immobile, obese, unwilling and challenging patients from lying to sitting, sitting to standing and back in one treatment session (approximately half an hour per patient), repeated passive lifting of lower limb for assessment purposes.

2. Requirement to maintain static postures for therapeutic purposes during treatment sessions ie kneeling and standing.

3. Use of manual physiotherapy techniques including facilitation of movement and mobilization techniques. A skilled level of dexterity, sensory, co-ordination skills and precision are essential in treatment techniques eg suctioning of secretions from chest, manual therapy, acupuncture needling.

4. Work with patients whose medical condition may make manual/therapeutic handling challenging eg dementia, anxiety, pain, limited mobility and patients with alcohol/drug dependency.

5. Significant element of walking, climbing stairs, standing and working within confined and awkward spaces. 6. Move heavy and awkward objects eg gym equipment. 7. Assist patients during treatment eg walking and stair practice. This may include sudden and unpredictable

changes in direction or movement, faints or falls. Occasionally - 8. Work with patients who exhibit physically challenging behaviour.

Mental Demands - repeated regularly on a daily basis 1. Alert to unexpected changes in patient’s condition, respond using initiative and clinical reasoning skills to

adapt patient management. 2. Prioritise workload throughout the day. 3. Motivate, encourage and persuade patients to take an active role in their rehabilitation to facilitate optimal

outcome. 4. Periods of particular concentration especially with new and complex patients who may have communication

difficulties. 5. Interruptions during working day from other staff, patients and carers/relatives eg telephone calls, pagers,

direct contact. Occasionally - 6. Respond to group dynamics during exercises classes or group sessions. 7. Drive in an urban or rural environment including adverse weather conditions. 8. Deal with lone working and sole responsibility for service provision eg emergency service when on-call.

Emotional Demands - repeated regularly on a daily basis 1. Deal with patients (and their families) who have long term chronic illness, debility and pain. 2. Undertake assessment and treatment which may increase pain levels. 3. Convey information of a sensitive and emotive nature when it is contradictory to patient and carer

expectations and desires. Frequently - 4. Undertake distressing treatment modalities eg naso-pharyngeal suction.

Occasionally - 5. Deal with death and bereavement. 6. Deal with patients with terminal or life limiting conditions. 7. Deal with information which may be of an emotional and distressing nature eg domestic abuse history, child

protection issues.

Working conditions Frequently - 1. exposed to bodily fluids (urine, faeces, blood, saliva, vomit, sputum), infections ie MRSA. 2. exposed to body odours, fleas and lice. Occasionally – 3. in domicillary or community settings, exposed to adverse weather, terrain and unknown working environment

eg unhygienic housing environment, animals and tobacco smoke. 4. work as a lone practitioner eg on-call, domicillary setting. Rarely - 5. exposed to verbal and physical aggression.

10. DECISIONS AND JUDGEMENTS

1. Responsible for own caseload including prioritization and balancing other patient related and professional demands.

2. Work autonomously making clinical decisions within scope of practice. 3. May be asked to participate in single shared assessment and refer to appropriate member of the multi-agency

team. 4. Under the guidance of senior staff accept, assess, plan, undertake, complete and/or discontinue

physiotherapy interventions as per presenting clinical condition or refer on to other agencies. 5. Need to recognize own limitations and when to seek guidance from senior staff.

11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

1. On a rotational basis, move into a new clinical area, develop new relationships with a new team, gain understanding of the environment and develop the necessary clinical and organization skills.

2. Undertake a physically and mentally demanding job whilst taking care to safeguard own health and safety as well as that of patients and colleagues.

3. Whilst on-call work independently with acutely ill patients with no on-site professional supervision.

Person Specification POST REF NO: CH/81b/18 JOB TITLE/BAND: PHYSIOTHERAPIST (ROTATIONAL)

BAND 5 LOCATION: P & K – vacancy currently in North Perth HOURS: 37.5 HOURS

CRITERIA

ESSENTIAL

DESIRABLE

METHOD OF EVALUATION

EXPERIENCE:

Good varied student placements including respiratory

Documented evidence of continued professional development

Application Form

QUALIFICATIONS: (Training; Research; Publications)

Diploma/Degree in Physiotherapy

Application Form

KNOWLEDGE & SKILLS:

Ability to work single handed with individuals and groups

Group work skills

Understanding of team dynamics

Effective written and oral communication skills

Basic knowledge of health legislation and current practice including risk assessment and management

Understanding of professional ethics and their application in practice

Ability to work under pressure

Ability to reflect and critically appraise own performance

Application of Health, Safety and Risk Management policies

Training and presentation skills

Computer literacy

Good understanding of Clinical Governance and its application

Interview & Application Form

PERSONAL QUALITIES:

Willingness to work flexibly

Committed to patient centred, non-discriminatory practice

Appreciation of colleagues

Friendly

Clear about personal boundaries with patients

Interview & Application Form

workloads

OTHER: (eg travel across Tayside)

HCPC Registration

Ability to travel throughout the locality

Member of CSP Application Form

General Information

POST REF NO: CH/81b/18

JOB TITLE/GRADE: Physiotherapist, Band 5

LOCATION: Perth and Kinross Physiotherapy Service,

Rotation – currently North Perth

Conditions of Service

The terms and conditions of service for this post are those determined by the NHS Staff Council.

Remuneration The current salary scale for the post is £23,113 to £29,905 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid monthly by Bank Credit Transfer.

Hours of Duty The hours of the post are 37.5 per week. The contracted weekly hours may be worked over any reference period, e.g. 150 hours (pro rata for part time staff) over four weeks or annualised hours, with due regard for compliance with employment legislation, such

as the Working Time Regulations. Start and finish times will be determined by the needs of the service.

Superannuation New employees are automatically enrolled into the NHS (Scotland) Superannuation Scheme, but may opt out later should they choose. The pension scheme is provided by Scottish Public Pensions Agency. All benefits are explained on the SPPA website www.sppa.gov.uk Employee contribution rates with effect from 1 April 2018 are as follows:

Annual Pensionable Pay (Full-time equivalent)

Contribution

Up to £16,928 5.2%

£16,929 to £22,439 5.8%

£22,440 to £27,910 7.3%

£27,911 to £51,481 9.5%

£51,482 to £73,498 12.7%

£73,499 to £114,760 13.7%

£114,761 and above 14.7%

Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay.

Annual Leave On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year.

After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year After 10 years aggregated service = 33 days (pro rata for part-time staff) or 6.6 weeks per year Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year

References All offers of appointment are subject to receipt of two satisfactory references.

Occupational Health Clearance

All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by Occupational Health (OH).

Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003

The Rehabilitation of Offenders Act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as ‘spent’ after the lapse of a specified period of time. The period of time depends upon the sentence imposed. However, some criminal convictions can never be regarded as spent. These convictions are for serious crimes and must always be disclosed. Further guidance on the offences included in the list can be found at: https://www.mygov.scot/offences-always-disclosed/

Any information you do disclose will be treated confidentially and only shared with those who need to know.

Having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. If you are appointed and it is found you did not disclose previous conviction(s), which you were legally obliged to disclose, then disciplinary action up to and including dismissal may be taken.”

Disclosure Scotland

The successful applicant will be required to become a member of the

Protecting Vulnerable Groups Scheme (PVG) in respect of regulated

work with protected adults and regulated work with children. A PVG

certificate contains all unspent and certain spent conviction information. It

also contains any other non-conviction information that the police or other

government bodies think is relevant.

Disclosure Scotland continually monitor PVG scheme members' records

for vetting information including criminal convictions that may affect their

suitability to work with vulnerable groups. Immigration, Asylum and Nationality Act

It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK.

2006 Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents.

Professional Registration/ Induction Standards & Code of Conduct

you should have current and continuing professional registration with HCPC and hold the appropriate qualification(s).

Smoking Policy NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds.

Applications Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or HR & OD Directorate, NHS Tayside, Level 9, Ninewells Hospital, Dundee DD1 9SY By closing date of 23 January 2019

Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage.

All completed applications are held in HR & OD Directorate until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly, including your junk/spam folder. This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from HR & OD Directorate.

Thank you for your interest in working for NHS Tayside.