Band 5 Rotational Physiotherapist- Royal Brompton Hospital

The successful physiotherapist will join our multi-professional therapy teams, rotating every 6 months across:
Cystic Fibrosis, Respiratory Medicine, Intensive Care and Cardiothoracics and Paediatrics (including PICU) treating a variety of cardio-respiratory patients in critical care, ward, outpatient and virtual settings.
The post holder will be assessing and treating citizens acutely in ICUs, post-operatively as well as those with long term conditions.
You will need good organisational and communication skills, and the ability to work as a member of a team. There is regular supervision, training and support from highly skilled senior physiotherapists and a fantastic wider MDT. There are excellent opportunities for CPD and team members are encouraged to attend and present at national and international conferences. This is a great opportunity for a physiotherapist who is enthusiastic and interested in developing their expertise in cardiorespiratory care., To participate in the Band 5 rotational scheme which involves working across the Trust in a range of critical care, ward settings and out-patient clinics.
To provide a specialist physiotherapy service in respiratory medicine, cardiothoracic surgery/cardiology services, paediatric respiratory and surgical services.
To independently perform physiotherapeutic assessment of patients with diverse presentations to provide a diagnosis and deliver an individualised treatment programme.
To manage own patient caseload and be responsible for a defined area of service or a particular patient type, working with direct supervision.
Supervise, educate and assess the performance of physiotherapy students; this would be to a graduate standard and involve working with Universities to ensure standard of practice and teaching meets the standards set by degree level qualification.
Supervise, educate and assess the performance of therapy assistants.
Undertake evidence-based audit, formulate guidelines and research projects under the supervision of direct line manager to further own and department clinical practice within each rotation.
To use evidence based principles/current best practice to assess, plan, implement and evaluate interventions.
To consolidate and develop knowledge and skills through participation in continuous professional development (CPD)

Working for our organisation
On 1st February 2021 the Royal Brompton and Harefield Hospitals became part of Guy's and St Thomas' NHS Foundation Trust - a truly once-in a generation development. Together, we are taking our first steps towards our vision of creating a brand-new centre of excellence, which will be the global leader in the research into and treatment of heart and lung disease in patients from pre-birth to old age. We are developing some exciting plans and we want you to join us - so come and help to change the shape of healthcare for our heart and lung patients world-wide., + To be professionally and legally responsible for all aspects of your work, including the management of patients in your care.
+ To be able to carry out and prioritise daily your own designated clinical caseload, working as an autonomous practitioner, with regular supervision from your supervisor.
+ Using clinical reasoning skills be able to undertake competent physiotherapy assessments of your patients in line with department and professional standards to form diagnoses and/ or establish impairments or disabilities.
+ To use a range of appropriate and effective assessment and manual treatment techniques including subjective and observational analysis and therapeutic handling skills.
+ To use problem orientated medical records (POMR) to aid the clinical reasoning process in the assessment and treatment of patients
+ To use good communication skills to identify physiotherapy goals with individual patients.
+ To use clinical reasoning, understanding of the medical diagnosis and knowledge of treatment options to plan and implement individual physiotherapy programs.
+ To make competent use of treatment options such as advice, exercise prescription, respiratory retraining techniques, manual techniques and provision of appropriate therapeutic adjuncts, aids and equipment.
+ To monitor and evaluate treatment to measure progress and to ensure the effectiveness of the intervention.
+ To be able to identify problems and modify treatments in routine cases but with support of senior in more complex cases.
+ To assist in the treatment of critically ill and high dependency patients with the supervision of senior staff, in intensive care, recovery and high dependency wards until able to take autonomous responsibility for patients in these areas, except for the complex cases. This may involve stressful or upsetting circumstances.
+ To determine the patients understanding of the physiotherapy intervention in order to gain valid, informed consent and to be able to work within a legal framework with patients who lack capacity to consent to treatment.
+ To be an active member of the evening, weekend and on call rota undertaking assessment and treatment of acutely ill respiratory patients who have complex medical problems. To be able to provide advice regarding the patient's condition to other members of the MDT involved in their care. To work without supervision and support when on call except for a senior member of the physiotherapy team within telephone contact.
+ To provide informal support and counselling to patients and their families following guidelines from senior staff
+ To provide comprehensive written/computer records of assessment and treatment according to department standards.
+ To receive training in hoisting and other manual handling techniques to allow the transfer of patients from bed to chair.
Service / Policy development
2.0 To undertake an evidence-based project within each rotation and propose improvements to service delivery and clinical practice within that area.
2.1 To assist in updating department guidelines in conjunction with senior colleagues.
2.2 To comply with Trust clinical guidelines and the Chartered Society of Physiotherapy (CSP) codes of professional conduct at all times.
2.3 To be responsible for personal Continued Professional Development (CPD) by the use of self education, reflective practice and active participation in the in-service training programme and to maintain a CPD portfolio in accordance with Health Professions Council (HPC) standards.
2.4 To be involved in the education of therapy assistants and peers with the support of a senior physiotherapist.
2.5 To participate in the appraisal system as appraisee during each rotation and be responsible for fulfilling agreed objectives and personal development plan.
2.6 To attend mandatory training, manual handling, health and safety, basic life support, infection control as specified in Trust and departmental policies.
2.7 To abide by the Trust's core behaviours for staff and all other Trust policies including standing financial instructions, research governance, clinical governance, patient and public involvement, codes and practices, and health and safety policies
People management
3.0 Be an active member of the physiotherapy department
3.1 Be an active member of the Rehabilitation and Therapies Directorate
3.2 To supervise the physiotherapy assistant and assist student physiotherapists where appropriate.
3.3 To make appropriate referrals to other physiotherapists and other members of the multidisciplinary team when required.
Communication
4.0 To use a range of verbal and non-verbal communication tools when communicating with patients/carers to make the most of the patient's rehabilitation potential. This will include communication with people with complex communication difficulties such as dysphasia, deafness or speak English as a second language or who have difficulty accepting their diagnosis.
4.1 To attend multidisciplinary meetings such as case conferences, ward rounds and discharge planning meetings to communicate information about individual patient progress and to assist the multidisciplinary decision making, e.g. regarding discharge plans.
4.2 To maintain a close liaison with the superintendent physiotherapist and senior staff on all matters and to maintain close working relationships with other disciplines within the hospital.
4.3 To talk to relevant medical staff, nursing, staff, social workers and other health care professionals who may be in direct contact with the post holder with regard to patient care.
+ To meet with other physiotherapists as necessary to discuss patient care.
4.5 To attend physiotherapy/Rehabilitation & Therapy meetings as
required
4.6 To contact physiotherapists outside the Trust to ensure a smooth discharge plan where appropriate
4.7 To report all complaints and adverse clinical incidents to the immediate senior member of staff as soon as possible and document accordingly. This should help the development of clinical reasoning and coping strategies for different clinical situations
4.8 Participate in regular supervision sessions.
Resource management
5.0 To be responsible for equipment used in carrying out physiotherapy duties, and to adhere to departmental equipment policy, including competence to use equipment.
Information management
6.0 To provide comprehensive written/computer records of assessment and treatment according to department standards.
6.1 To maintain an accurate and evaluative record keeping system using a POMR format according to departmental standards.
6.2 To keep up to date with, and provide accurate data required for collection of performance indicators and other statistical information as required, in consultation with senior staff
Guy's and St Thomas' celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study's at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual's personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
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NHS AfC: Band 5
Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy's is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary's Hospital in Sidcup. St Thomas' has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children's Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King's Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King's College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of 'good'. Our adult community services achieved a rating of 'outstanding'.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.