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Job description

Do you want to be part of a new organisation that is developing pathways and services to transform the way that care is delivered locally?

Are you interested in improving the health of our local population?

If your answer is yes to any of these questions, then we are looking for you

An exciting opportunity has arisen for a dynamic and committed First Contact Physiotherapist to deliver high quality care in a patient facing environment. We are looking for exceptional individuals with the drive and enthusiasm to change how healthcare is delivered and make a real difference to the people we serve.

About us

The Brackley and Towcester PCN network was formed in 2019 and consists of the 2 practices in Brackley (Brackley Medical Centre and Springfield Surgery) and the 2 surgeries in Towcester (Towcester Medical Centre and Brook Medical Centre). The network employs health care professionals to support primary care in our area.

The PCN provides support for the general practice surgeries at a time when primary care services are under a huge strain. As well as providing additional staff to help general practice continue the excellent work that it does, we also look at new ways of working to improve patient's health and wellbeing.

We are expanding the range of healthcare professionals working in general practice to allow doctors to focus their efforts where they are most needed. It also allows for a greater expertise in helping patients with one of these roles being the addition of Musculoskeletal practitioners as First Contact Physiotherapists. We have already seen the significant improvement for our patients with an established team and we would now like to expand this service even further

The benefits:

Working as part of a Primary Care MDT including other FCP clinicians, GPs, Nurses, Paramedics, Pharmacists, Social Prescribers and more.

Support provided to complete the HEE Roadmap to Practice including protected CPD and supervision time, nominated Roadmap Supervisor with regular one to one sessions alongside an established GP trainer mentor.

Peer support from a network of FCP clinicians.

Quarterly Clinical Forums within the PCN to discuss the roles, strengths and barriers to enhancing the service

Funded training and development opportunities such as MSc level modules, external courses and Advanced Practice pathways.

Access to mentorship and career development opportunities to Band 8a level through completion of competencies.

Opportunities for involvement in service improvement projects, research and supervision.

Flexible hours and working arrangements available.

NHS Pension

Annual Leave days alongside normal Bank Holidays

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 support on MSK clinical and service development across the PCN, alongside learning opportunities for the whole multi-disciplinary team (MDT) within primary care

8. 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.

9. encourage collaborative working across the health economy and be a key contributor to the primary care networks providing leadership and support on MSK clinical and service development across the network

10. 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

11. receive patients who self-refer (where systems permit) or from a clinical professional within the PCN, and where required refer to other health professionals within the PCN

12. 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

13. 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

14. 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

15. manage complex interactions, including working with patients with psychosocial and mental health needs, referring onwards as required and including social prescribing when appropriate

16. implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training

17. 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 patient’s level of activation)

b. assessing levels of Patient Activation to support a patient’s 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 patient’s appropriate support for self-management through referral to rehabilitation focussed services and wider social prescribing as appropriate

18. 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

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 and

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. be able to decide 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. Ensuring 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 patient’s 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 patient’s 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. be accountable for own decisions and actions via HCPC registration and professional standards

Service/Professional Leadership/Consultancy

34. integrate the FCP role into the wider primary care team, proactively working with the primary care team to build robust relationships and integrate working practices.

35. attending primary care strategic and practice level meetings to represent FCP/physiotherapy when appropriate.

36. work collaboratively with the primary care team, including working across the Primary Care Network [PCN] and also in partnership with business managers, professional managers and lead clinicians of secondary, community and other care providers to improve service delivery and meet the identified needs of the local patient population

37. Contribute to the PCN to promote the contribution of FCPs to MSK services in primary care and to the wider related services in the health economy

38. work with the primary care team, public health professionals and other agencies to introduce a strand of service provision that highlights preventative strategies for local populations, patient groups and individuals

39. participate in ensuring a professional culture of peer networking and support underpinned by active engagement in peer review and embracing evidence-based practice

40. demonstrate a detailed knowledge of wider health, healthcare and social care agencies related to MSK conditions and physiotherapy

41. review and develop organisational and service policies that support the maintenance of good clinical governance, manage risk and ensure patient safety is paramount

42. be aware of and able to demonstrate of how the FCP role contributes to the achievement of key performance indicators [KPIs] for MSK primary care services

43. where service improvement is required in order to achieve standards and KPIs be a lead contributor to identifying where services need to be changed

44. take forward operational change within primary care MSK services to deliver improvements in service standards.

45. when introducing change, be aware of and responsible for identifying and managing alternative/contradictory views expressed by services and specialist clinicians. For example, when negotiating and explaining proposals to change to service design, organisation and skill mix in primary care and related MSK services

46. participate in the investigation into complaints and clinical errors/incidents when appropriate.

Education/Workforce Development

47. provide and receive clinical supervision and be an active provider of mentoring and coaching of specialist clinicians from a range of disciplines

48. maintain a professional portfolio of knowledge and skills, at advanced clinical practice level, through participation in internal and external development opportunities

49. actively work across the Primary Care Network to identify skill and workforce gaps in MSK and FCP services and contribute to local workforce plans

Research and Evaluation

50. promote the integration of evidence-based practice and national guidelines into own and local FCP MSK service practice. Use expert knowledge of evidence-based guidelines and national frameworks to influence the development of FCP services across the PCN

51. lead or participate in research and MDT research projects as appropriate. This may include participation in cross organisational research and audit programmes

52. present and disseminate research and clinical audit findings across the PCN and wider service providers as required. Provide analysis of local and national data sets to illustrate service improvements and to promote service change

53. promote the inclusion of FCPs in regional, multi-disciplinary and/or local cross organisational research projects

54. maintain and up-date audit and data derived from a range of data sets in order provide statistical reports on outcome measures and achievement of KPIs for a range of audiences

55. use audit and research to develop and improve service guidelines, care protocols, delivery of triage services and referral pathways

Communication/Building Networks

56. Communicating and influence the benefits of the FCP role in primary care across the PCN

57. promote and explain the FCP role and what it can deliver to a range of audiences including patient groups, patient population, individual patients and other primary care providers and linked services

58. communicate effectively and appropriately with patients and carers, including:

a. explaining the diagnosis, prognosis and treatment choices available to manage multi-pathology and complex conditions

b. communicating limitations on treatment outcomes and managing expectations of patients with chronic or life limiting conditions

Qualifications

• BSc/Pre-reg MSc degree in Physiotherapy

• Health & Care Professions Council (HCPC) registration

• CSP member

• Minimum of 3 years experience in an Musculoskeletal role (Minimum NHS Grade Band 6)

• Completion of MSK Primary care and Personalised Care modules on Health Education England E-Learning platform as per MSK Roadmap Stage 1

• Completion of MSc or MSc modules in this specific field

• Non-medical prescribing qualification

• Completion of Injection Therapy course.

• Evidence of verification against the MSK primary care roadmap

• Member of Specialist Clinical Interest group e.g. APPN, MACP, SOMM

Knowledge

• Significant experience in applying the physiotherapy process to include MSK assessment, interpretation, individual care planning, motivation, monitoring and evaluation of highly specialised MSK treatment

• Experience of working with a diverse range of stakeholders/providing leadership within the MSK pathway

• Ability to lead and manage change across own service and wider MDT team/services.

• Ability to integrate latest evidence-based practice into services and ability to use to lead change across a pathway/range of providers

• Working towards advanced clinical practitioner status

• Experience of supervision/ line management

• Experience of working with a diverse range of stakeholders

• Strong knowledge of cognitive behavioural and motivational interviewing approaches / skills

Analytical skills

• Able to understand and analyse complex issues and balance competing priorities in order to make difficult decisions

• Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues

• Experience of working within a primary care setting

• Evidence of working across organisational boundaries within health and social care

• Independent thinker with demonstrated good judgement, problem-solving and analytical skills

Communication skills

• Excellent interpersonal and organisational skills

• Ability to evidence a sound understanding of the NHS principles and values

• Excellent interpersonal and communication skills, able to influence and persuade others articulating a balanced view and able to constructively question information

• Ability to negotiate effectively

• Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively and persuasively across a diverse set of stakeholders

• Build effective relationships with a range of stakeholders which are based on openness, honesty trust and confidence

Personal attributes & abilities

• Strong and inspirational leadership

• Ability to co-ordinate and prioritise workloads – able to multi-task as well as be self-disciplined and highly motivated

• Demonstrates a flexible approach in order to ensure patient care is delivered

• High degree of personal credibility, emotional intelligence, patience and flexibility

• Ability to cope with unpredictable situations

• Confident in facilitating and challenging others

Others

• Car driver, ability to move across sites if required

Job Types: Full-time, Part-time

Salary: £44,500.00 per year

Benefits:

• Company pension
• Free parking
• On-site parking
• Sick pay
• Store discount

Schedule:

• Monday to Friday

COVID-19 considerations:
Face masks are to be worn in all patient areas.

Ability to commute/relocate:

• Brackley: reliably commute or plan to relocate before starting work (required)

Licence/Certification:

• Driving Licence (required)

Work authorisation:

• United Kingdom (required)

Work Location: One location

Reference ID: BTPCN - FCP01