Physiotherapist - Primary Care First Contact - Home Visiting
| Posting date: | 17 April 2024 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | Negotiable |
| Hours: | Full time |
| Closing date: | 06 May 2024 |
| Location: | Bristol, BS5 7PD |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | A0104-24-1704 |
Summary
Job Overview To work closely with the GPs and the wider multidisciplinary team, particularly the Urgent Care/ Home Visiting Nurse- working mainly in urgent home visits, care home visits and some surgery based work. You will also be involved in developing care plans for patients and MDT working. Be the first point of clinical contact for patients presenting with MSK conditions or symptoms. Responsible for assessing, diagnosing and treating patients presenting with undifferentiated illness, and patients with complex needs. Use effective clinical reasoning skills to triage, assess, differentiate and diagnose simple and complex musculoskeletal issues. Seeking professional advice and referring to other Healthcare professionals when required, Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan. Demonstrate with GP support, safe, clinical decision-making and expert care for patients. Manage a substantial caseload of patients with acute and chronic musculoskeletal issues. Scope of the Role 1. Be the first point of clinical contact for patients presenting with MSK conditions or symptoms, providing the patient with the primary assessment, diagnosis and management options for their condition. 2. Use advanced clinical practice skills and clinical reasoning to provide comprehensive diagnostic and treatment support to patients who present with complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs. 3. Be the link between primary, community and acute services, when the patient is managed via primary care ensuring an integrated care pathway for individual patients that meets their needs. This will include provision of triage to other services and/or directly providing management and advice. 4. Lead on and develop effective communication between primary care services/GP practices and other relevant care providers. 5. Initiate, develop, and maintain relationships with MDTs, orthopaedic and physiotherapy consultant teams in the community and acute settings. 6. Where appropriate, develop relationships with wider health and social care agencies, for example mental health teams, local authorities, third sector providers and patient groups. 7. Provide highly specialist advice on issues ranging from the provision of expert opinion on individual patient treatment options to be a primary contributor to MSK services and related pathway development. 8. Work independently, without day to day supervision, to assess, diagnose, triage, and manage patients, taking responsibility for prioritising and managing a caseload of the practices registered patients. 9. Work as part of an MDT 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. 10. Develop integrated and tailored care programmes in partnership with patients, providing a range of first line treatment options including self-management, referral to rehabilitation focussed services and social prescribing. 11. Make use of their full scope of practice, developing skills relating to independent prescribing, injection therapy and investigation to make professional judgements and decisions in unpredictable situations, including when provided with incomplete or contradictory information. Take responsibility for making and justifying these decisions. 12. Manage complex interactions, including working with patients with psychosocial and mental health needs, referring onwards as required and including social prescribing when appropriate. 13. Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training. 14. Develop integrated and tailored care programmes in partnership with patients through: a. effective shared decision-making with a range of first line management options (appropriate for a patients level of activation) b. assessing levels of Patient Activation to support a patients own level of knowledge, skills and confidence to self-manage their conditions, ensuring they are able to evaluate and improve the effectiveness of self-management interventions,particularly for those at low levels of activation c. agreeing with patients appropriate support forself-management through referral to rehabilitation focussed services and wider social prescribing as appropriate 15. Designing and implementing plans that facilitate behavioural change, optimise patients physical activity and mobility, support fulfilment of personal goals and independence, and reduce the need for pharmacological interventions. Clinical 16. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs. 17. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly. 18. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care 19. 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, interpret and act on results and feedback to aid patients diagnoses and management plans. 20. Carry own caseload as an autonomous practitioner, providing direct clinical/ physiotherapeutic care for patients with a range of complex musculo-skeletal conditions and who may have significant other primary or secondary conditions/multi-pathologies. 21. Make clinical decisions when appropriate to use advanced clinical practice skills that may include: a. joint/soft tissue injection therapy, including administration of prescription only medication [POM] to aid treatment. b. joint aspirations c. non-medical prescribing 22. Use professional judgement and advanced clinical reasoning skills to make decisions about safe and effective patient care in unpredictable situations, including when there is incomplete/contradictory information. 23. Be able to demonstrate understanding of the impact of physiotherapeutic interventions on existing conditions and treatment programmes e.g. podiatric treatment, drug therapies, etc. 24. Ensure physiotherapy interventions are integrated and supportive of the whole treatment aims promoting a holistic approach to condition management. 25. Be able to clinically justify referral onto appropriate MSK pathways within the community or wider healthcare services. Including referral to the appropriate stage of the pathway and the use of social prescribing. 26. For patients that remain the responsibility of primary care services, take the lead for the management of the patients journey on their care pathway, acting as the link for the patient between primary care and other services/ professionals. 27. Be able to justify clinically referrals to other specialist services. This will include referral to acute and specialist services such as surgical orthopaedics, rheumatology and neurology, other AHP services, nursing services and to the primary care medical teams 28. Recognise RED flags, serious pathology and potential underlying non-MSK related disease, that may present as MSK symptoms and to refer appropriately. When needed accelerate the patients referral to other health professionals/services 29. Work in partnership with the patient at all times to attain maximum participation in treatment programmes. This will include working with patients from diverse social background and cultures and understanding how this will affect treatment proposals and models. 30. Provide expert advice and act as source of expertise in the management of musculoskeletal conditions and provide a specialist advisory service to patients, specialist physiotherapists other specialist healthcare professionals and members of the primary care team, including advising GPs on management of MSK conditions. 31. Provide clear advice, instruction and teaching on aspects of management of a condition to patients, relatives, carers and other health professionals. 32. Continually review and develop specialist clinical and diagnostic skills in response to service need. 33. Communicate effectively and appropriately with patients and their carers. This will include explaining the diagnosis, prognosis and treatment choices available to manage multi-pathology and complex conditions. It will also involve communicating limitations on treatment outcomes and managing expectations of patients with chronic or life limiting conditions. Please see attached Job Description for full details.