First Contact Physiotherapist - Bristol, United Kingdom - Tyntesfield Medical Group

    Tyntesfield Medical Group
    Tyntesfield Medical Group Bristol, United Kingdom

    2 weeks ago

    Default job background
    Fixed-Term
    Description

    Job summary

    We are looking for an enthusiastic and motivated individual to provide clinical expertise, acting as a First Contact Physiotherapist and making decisions about the best course of action for patients' care. You must be approachable, have good problem-solving skills and have experience in a similar role. The successful candidate must be willing to work occasional Saturdays as overtime.

    Main duties of the job

    The purpose of the role is to:

  • Provide clinical expertise, acting as a First Contact Physiotherapist and making decisions about the best course of action for patients' care (including in relation to undifferentiated conditions). This will involve seeing patients without prior contact with their GP to establish a rapid and accurate diagnosis and management plan.
  • Progress and request investigations to facilitate diagnosis and choice of treatment regime, understanding the information limitations derived from these and the relative sensitivity and specificity of tests diagnostic services such as x-ray and blood tests, and interpreting and acting on results to aid patients' diagnosis and management plans.
  • Deliver programmes of supported patient self-management to facilitate behavioural changes, optimise individuals' physical activity and mobility, fulfil personal goals and independence, and minimise the need for pharmacological interventions.

    • About us

    Tyntesfield Medical Group in North Somerset is a 13 Partner General Practice with a patient list size currently of around 33,000 split across four sites: Tower House Medical Centre, Brockway Medical Centre, Backwell Medical Centre and Long Ashton Surgery.

    We are a friendly and accessible team providing excellent healthcare in our community. We provide a professional, safe, supportive, and efficient working environment for everyone in the practice. We are a forward-thinking organisation with a strong emphasis on teamwork and patient-centred care.

    Job description

    Job responsibilities

  • Work independently, without day-to-day supervision, to assess, diagnose, triage, and manage patients, taking responsibility for prioritising and managing a caseload of the PCN's registered patients.
  • Receive patients who self-refer (where systems permit) or from a clinical professional within the PCN and refer the other health professionals within the PCN where required.
  • Work as part of a multi-disciplinary team in a patient-facing role, using their expert knowledge of movement and function issues to create stronger links for wider services through clinical leadership, teaching, and evaluation.
  • Develop integrated and tailored care programmes in partnership with patients, providing a range of first-line treatment options, including self-management, referral to rehabilitation services, and social prescribing.
  • Using their full scope of practice, developing skills relating to independent prescribing, injection therapy, and investigation to make professional judgments and decisions in unpredictable situations, including when provided with incomplete or contradictory information. They will take responsibility for creating and justifying these decisions.
  • Manage undifferentiated, undiagnosed conditions, identify red flags and underlying serious pathology, and take appropriate action.
  • Manage complex interactions, including working with patients with psychosocial and mental health needs, referring onwards as required, and including social prescribing when appropriate.
  • Use complex decision-making to inform the diagnoses, investigation, and complete management of episodes of care within a broad scope of practice.
  • Communicate effectively with patients and their carers where applicable, as well as complex and sensitive information regarding diagnoses, pathology, prognosis, and treatment choices supporting personalised care.
  • Implement all aspects of practical clinical governance for own practice, including undertaking regular audits and evaluations, supervision, and training.
  • Develop integrated and tailored care programmes in partnership with patients through:
  • Effective, shared decision-making with a range of first-line management options (appropriate for a patient's activation level).
  • Assessing levels of patient activation to support a patient's knowledge, skills, and confidence to self-manage their conditions, ensuring they can evaluate and improve the effectiveness of self-management interventions, particularly for those at low activation levels.
  • Agreeing with the patient's appropriate support for self-management through referral to rehabilitation services and wider social prescribing as appropriate.
  • Design and implement plans that facilitate behavioural change, optimise patients' physical activity and mobility, support fulfilling personal goals and independence, and reduce the need for pharmacological interventions.
  • Request and progress investigations (such as x-rays and blood tests) and referrals to facilitate the diagnosis and choice of treatment regime, including considering the limitations of these investigations, interpreting and acting on results and feedback to aid patients' diagnoses and management plans.
  • Be accountable for decisions and actions via Health and Care Professionals Council (HCPC) registration, supported by a professional peer networking/review culture and engagement in evidence-based practice.
  • Liaising with secondary and community care services and secondary and community MSK services where required, using local social and community interventions to support managing patients within the PCN.
  • Take professional responsibility as a first-contact physiotherapist, with high-level decision-making and clinical reasoning skills to assess, diagnose, and triage patients.
  • Manage a complex caseload (including patients with long-term conditions, co-morbidities, and multi-factorial needs).
  • Ensure care is proactive, preventive in focus, and population-based, emphasising early intervention.
  • Support patients in setting their own goals and being confident in their approach to self-management.
  • Demonstrate an understanding of the implications of national priorities for the team and/or service.
  • Demonstrate an understanding of the process for effective resource utilisation.
  • Demonstrate an understanding of and conform to relevant standards of practice.
  • Demonstrate an ability to identify and resolve risk management issues according to policy/protocol.
  • Follow professional and organisational policies/procedures relating to performance management.
  • Demonstrate an understanding of the role of physiotherapy in governance and implement this appropriately in the workplace.
  • Demonstrate an understanding of and contribute to the workplace vision.
  • Demonstrate an ability to improve quality within the limitations of service.
  • Demonstrates ability to motivate self to achieve goals.
  • Excellent teamwork skills.
  • Enthusiasm and commitment to the practice.
  • Demonstrating a professional manner at all times.
  • Excellent customer service skills.
  • Demonstrates general physiotherapy skills and knowledge in core areas.
  • Can plan, manage, advise, and review general physiotherapy care programmes for patients in core areas, including identified disease states/long-term conditions.
  • Demonstrate accountability for delivering professional expertise and direct service provision.
  • Exercise a critical understanding of the personal scope of practice and identify when a patient needs referring.
  • Integrate a broad range of interventions into practice, while promoting non-pharmacological solutions to patient care.
  • Through patient assessment, working in partnership with patients and their careers, make decisions about the best pathway of care, informed by the urgency and severity of patient need, patient acutiy and dependency, and the most appropriate deployment of resources.
  • Manage risk in unpredictable situations to uphold patient safety by referring to other primary care team members and specialist services as needed.
  • Able to follow legal, ethical, professional, and organisational policies/procedures and codes of conduct.
  • Involve patients in decision-making and supporting adherence as per NICE guidelines.
  • Contribute to primary care activity, emphasising prevention and early intervention, including delivering public health advice ( physical activity, weight management and smoking cessation).
  • Contribute to the use of healthcare technologies to optimise the integration of service delivery (across teams, sectors, and settings) and patients' access and continuity of care.
  • Having a working knowledge of all applicable software and hardware.
  • Understand and demonstrate the characteristics of a role model to members of the team and/or service.
  • Deliver self-development through continuous professional development activity.
  • Participate in the delivery of formal education programmes.
  • Demonstrate an understanding of current educational policies relevant to working areas of practice and keep up to date with relevant clinical practice.
  • Demonstrate an ability to evaluate and review literature critically.
  • Demonstrate an ability to identify where there is a gap in the evidence base to support practice.
  • Demonstrate an ability to generate evidence suitable for presentation at a local level.
  • Demonstrate an ability to apply the research evidence base into working practice.
    • Person Specification

    Qualifications

    Essential

  • Diploma/degree/masters degree in Physiotherapy
  • Member of the Chartered Society of Physiotherapy (CSP)
  • Registration with the Heath & Care Professionals Council (HCPC)

    • Desirable

  • Strong evidence of continued professional development
  • May hold or be working towards a prescribing qualification

    • Skills, Abilities and Knowledge

    Essential

  • Ability to work independently
  • Knowledge of treatment options and pathways for neurological conditions
  • A clear understanding of the CSP professional code of conduct and relevant professional guidelines
  • Excellent interpersonal skills
  • Competent IT skills
  • Excellent time management skills
  • Excellent musculoskeletal assessment, diagnosis and management skills (with the understanding of local and national guidelines)

    • Desirable

  • Knowledge of the roles physiotherapists play in private practice
  • Advanced computer skills
  • Ability to work under pressure

    • Experience

    Essential

  • Experience working with a range of clients
  • 2 years of MSK experience
  • Experience working in the NHS and understanding of local pathways
  • Working towards or have completed the FCP roadmap

    • Desirable

  • Experience in inpatient/out-patient/community neurological rehabilitation

    • Qualities & Attributes

    Essential

  • Confident attitude
  • Excellent organisation
  • Willingness to learn new skills and rise to new challenges
  • To persistence to work hard to achieve the best for every patient under difficult circumstances

    • Desirable

  • Display leadership qualities