JOB TITLE:†Neuro Physiotherapist
REPORTS TO: Head Of physiotherapy
HOURS: Full Time (Up to 37.5 Hours)
LOCATION: Hildenborough, Tonbridge, Kent
SALARY: Band 6
To manage and provide physiotherapy input at a high standard within an interdisciplinary setting, to adult service users with acquired brain injuries.
1. To work as an autonomous clinician taking responsibility for the delivery of a Physiotherapy service to service users with acquired brain injury.
2. To undertake comprehensive assessments of service users with acquired brain injury and other complex neurological conditions in order to formulate a specialised, individual physiotherapy treatment programme based on well developed knowledge of evidence based practise and treatment options using specialised assessment, clinical reasoning skills and knowledge of treatment.
3. To evaluate service user progress, re-assess and alter treatment programmes if required. To gather, collate and analyse information needed to solve a variety of clinical and professional problems.
4. To develop specialised programmes of care, monitor, evaluate and modify treatment in order to measure progress and ensure effectiveness of intervention.
5. To manage a caseload of service users with highly complex needs, which may include physical disabilities, mental health, emotional developmental, relationship, behavioural and social care needs.
6. To work as a member of the interdisciplinary team contributing to overall treatment objectives agreed in the rehabilitation plan.
7. To work with individuals, groups and parents/carers providing assessment and treatment in the most appropriate environment including hospital, community unit, service users home, local community.
8. To carry out and actively engage the service user in complex risk assessments relating to their treatment, the environment, and any possible risk to others, in relation to their physical presentation.
9. To act as keyworker and/or lead clinician when appropriate.
10. To produce clinical rehabilitation care plans of relevance following the neurobehavioural model.
11. To provide training and advice on changes and adaptations to the service userís life style considering the environmental, emotional, physical, spiritual and social needs.
12. To work collaboratively with the service user and relevant others to establish agreed therapeutic goals for intervention.
13. To act as a resource for the team/and service user in providing information on local statutory and non statutory services in the community, signposting staff/service user to other resources.
14. To produce and verbally present reports, which reflect specialist knowledge, regarding service userís needs, and summarising findings.
15. To adapt practice to meet individual service userís circumstances, including due regard for cultural differences.
16. To assess service user understanding of treatment proposals, gain valid informed service user consent and work within a legal framework with service users who lack capacity to consent to treatment.
17. To develop negotiation skills in the management of conflict across a range of situations.
18. To act in ways which acknowledge peopleís rights and choices to make their own decisions and recognise their responsibilities in intervention plans.
19. To have due regard for you own personal safety and that of service users/carers, in particular to have regard to moving and handling regulations, restraining policies and ensure the safe positioning of self and others.
20. To work within infection control and health and safety guidelines in order to deal appropriately with unpleasant conditions related to service user contact as they arise: for example exposure to body fluids, infectious conditions, encountered on a regular basis.
21. To refer on to other professionals or direct towards other agencies as appropriate.
22. To respect service user confidentiality at all times and not divulge service user information unless sanctioned by the requirements of the role.
23. To contribute to clinical teams, interdisciplinary and interagency by discussing own and others input around service usersí needs, ensuring a well-coordinated rehabilitation plan.
24. To communicate in a sensitive manner, complex condition related information from assessment to service users, carers, families and members of the multidisciplinary and interagency teams/other professions.
25. To overcome barriers to communication using a range of verbal, non-verbal and listening skills. This will include service users with dysphasia, hearing difficulties, partially sighted memory loss and confusion, behavioural problems, limited English and those unable to accept diagnosis.
26. To safely deal with verbal/physical aggression as required within guidelines and with support as needed.
27. To effectively manage time and caseload, prioritising workload within a potentially pressurised and restrictive environment
28. To motivate service users and/or carers to engage in the therapeutic process.
Leadership, Supervision and Appraisal
1. To provide leadership and effective guidance, supervision and appraisal to junior members of staff e.g. Basic Grade Physiotherapists, Fitness Instructors, Physiotherapy and Therapy Assistants, including the completion of personal development plans.
a. To be responsible for the supervision and written assessment of Physiotherapy students on placement.
2. To encourage staff development through the provision of in-service training.
3. To apply specialist skills and knowledge in order to establish professional competence and fitness to practice as a senior Physiotherapist.
4. To demonstrate ongoing personal development through participation in internal and external development opportunities, recording learning outcomes in a portfolio.
5. To participate in the design and implementation of core Physiotherapy training to other professionals.
6. To participate in the induction of junior members of staff and other Physiotherapists.
7. To ensure appropriate liaison with relevant clinical teams, departments, support networks and special interest groups.
Service Development and Organisation
1. To participate in the implementation of policy and service development within the team.
2. To participate in the implementation of clinical recommendation based on government policies and guidelines.
3. To participate in the planning, evaluation and audit of practice, clinical pathways and protocols within your area.
Financial and Physical Resource
1. To maintain the equipment and inventory within the area of work.
2. To be responsible for the security, care and maintenance of equipment, ensuring standards of infection control and safety are maintained Ė including equipment loaned to service users.
3. To act responsibly in the monitoring and maintenance of stock levels in relation to therapeutic activities and the prescribing of equipment informing management of any replacement needs.
1. Maintain your registration with the Health Care Professional Council and comply with their requirements in compiling your portfolio.
2. To adhere to the Chartered Society of Physiotherapists Code of Ethics and Professional Conduct and national and local policy and procedures.
3. To implement the Chartered Society of Physiotherapists Clinical Guidelines and practice and any other evidence based research.
4. To be aware of and adhere to the Brain Injury Rehabilitation Trust, the Disabilities Trust and other local policies and procedures, including the Health and Safety Policies, current legislation, ensuring local implementation to maintain safe environments and working practices.
5. To attend mandatory training and maintain regular updates as required.
6. To contribute to the Physiotherapy and clinical specialityís clinical governance arrangements and quality agenda.
7. To liaise with other Physiotherapists within the organisation.
8. To apply guidelines/legislation relating to clinical practice.
9. To participate in research and/or audit projects relevant to Physiotherapy and/or service area, disseminating findings at local level.
10. To be committed to a non-discriminatory approach to service delivery. Co-workers, service users, relatives, carers and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.
11. To be aware of current critically appraised research for the promotion and maintenance of good practice.
12. To take on other tasks/projects appropriate to the grade, as requested by your manager/team lead and reviewed through the supervision/PDR process.
13. Contribute to and implement local policies and guidelines i.e. risk assessment and therapeutic handling protocols.
Respect and dignity: