Specialist Physiotherapist | Guy's and St Thomas' NHS Foundation Trust

A fantastic opportunity has opened for a dynamic and enthusiastic rotational physiotherapist to join a multidisciplinary therapy service at Royal Brompton Hospital on a 9 month fixed term contract. This individual will work with adults and children with complex chronic heart and lung disease in a world-renowned trust. The post holder will work alongside and be supported by a friendly therapies directorate across multiple hospital sites. If you are keen to develop your cardiorespiratory skills in a centre of excellence, then please apply. To participate in the Band 6 rotational scheme which involves working across the Trust on different hospital sites 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 advanced physiotherapeutic assessment of patients with diverse presentations and complex physical and psychological conditions to provide a diagnosis and deliver an individualised and specialised treatment programme of care. To manage own patient caseload and be responsible for a defined area of service or a particular patient type, working without direct supervision. Supervision takes the form of regular formal training, clinical reasoning sessions and peer review. 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 junior physiotherapy staff to ensure theoretical and clinical knowledge meets departmental standards. Undertake evidence-based audit, formulate guidelines and research projects to further own and department clinical practice within each rotation.,

• To ensure a patients' understanding of their physiotherapy intervention in order to gain valid, informed consent and to be able to work within a legal framework with patients who lack the ability to consent to treatment.
• To use a range of verbal and non-verbal communication tools when communicating with patients /carers. This will include communication with people with complex communication difficulties such as deafness, dysphasia, dementia, mental health problems, speak English as a second language or who have difficulty accepting their diagnosis/prognosis.
• To deal sensitively with patients who have high levels of anxiety and aggression caused by pain, dementia or limited mobility.
• To communicate sensitive personal information to patients regarding their treatment progression where motivation and reassurance are required to gain co-operation with programmes of care
• To provide and receive sensitive and/or complex information to individual members of staff and in multidisciplinary group meetings and ward rounds
• When working on the emergency duty on-call rota, provide specialist advice to medical and nursing staff and other members of the multi-disciplinary team regarding patients' respiratory condition.
Patient/customer care (both direct and indirect)
• To be professionally and legally accountable for all aspects of own work and those being supervised by you, including the management of patients in your care.
• Analyse multiple sources of information to undertake a comprehensive assessment of patients including those with diverse or complex presentations/pathologies.
• To use advanced clinical reasoning skills and manual assessment skills to provide an accurate diagnosis and/or establish impairments and disabilities of patients
• To use clinical reasoning, understanding of medical diagnosis and knowledge of treatment options to plan and implement individual physiotherapy treatment programmes.
• To have a comprehensive working knowledge of physiotherapy adjuncts such as IPPB, oscillating PEP, PEP, etc. and indications / contraindications for use across a range of respiratory conditions
• To use and have a comprehensive working knowledge of manual physiotherapy techniques
• To deliver individual and group patient education and exercise classes and be responsible for the safety of patients during these classes
• To take partial responsibility in organising and delivering specialised group and individual exercise programmes, including pulmonary rehabilitation and cardiac education classes
• To continually evaluate the effectiveness of treatment interventions e.g. exercise programmes using clinical reasoning and outcome measures. To progress patient management/intervention accordingly.
• Co-ordinate, organise and participate in assessment of patients and holistic treatment programmes with other multi-disciplinary team members
• To independently evaluate progress for patients with complex pathologies, reassess, modify and progress or discontinue individual treatment programmes as required
• To manage clinical risk within own patient caseload to self, patient and environment.
• To use clinical reasoning, understanding of medical diagnosis and knowledge of treatment options to plan and implement the use of Non-Invasive Ventilation (NIV)
• To be responsible for the selection and set up of NIV. To independently select model and mode of ventilation, and appropriate interface according to individual need
• Physiotherapy staff may co-ordinate transfers between sites/other Trusts of critically ill patients on non-invasive ventilation through the competent use of the machine and battery pack when appropriate.
• Analyse and interpret complex situations to formulate accurate prognoses and recommend best course of intervention, developing comprehensive discharge plans
• To analyse and review patient progress on NIV, to independently modify ventilation settings, interface selection. To take the clinical lead in the weaning from NIV, liaising with the MDT as appropriate
• To participate in active management of long-term patients with a tracheostomy and be responsible for their physical rehabilitation and ventilation progression.
• To be responsible for patient and family/carer education of NIV including use of and maintenance of equipment.
• To be responsible for carrying and responding to a bleep. As required to immediately change planned activity without prior knowledge. To give specialist advice to junior staff or MDT members over the telephone.
• To be an active member of the respiratory overnight and weekend on-call rota. To act as clinical lead for the working weekend team and, when necessary, provide support and advice for junior staff and peers whilst they are on call.
• Whilst on call to work without supervision and support, maintaining associated records as an autonomous practitioner.
• When working on the on-call and weekend rota, undertake the assessment and treatment of acutely ill patients with respiratory problems who may have a highly complex presentation. Maintain associated records as an autonomous practitioner.
• Act sensitively to the needs of patient and family in highly distressing and emotional circumstances including care of the terminally ill/ dying and bereavement.
  
  Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities. Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.