SHSCT_CAWT PEACEPLUS Early Frailty Iintervention Project Frailty Physiotherapist Band 7

Advertised role location: Lurgan Hosp-Main Building
Official document: Band 7 CAWT PP EFIP Advanced Physiotherapy Practitioner Level 1 (docx)
CAWT PEACEPLUS
Early Frailty Intervention Project
Advanced Physiotherapy Practitioner Level 1

Band 7

CAWT PEACEPLUS
Early Frailty Intervention Project
Advanced Physiotherapy Practitioner Level 1

Band 7

A project supported by PEACEPLUS, a programme managed by the Special EU Programmes Body (SEUPB)

JOB DESCRIPTION

JOB TITLE


CAWT PEACEPLUS Early Frailty Intervention Project Advanced Physiotherapy Practitioner Level 1

BAND

7

DIRECTORATE

Adult Community Services

INITIAL LOCATION

Trustwide service with base in Armagh

REPORTS TO

Early Frailty Intervention Project Manager for operational project delivery and Team Lead Hospital at Home, Older Peoples Ambulatory Services

ACCOUNTABLE TO

Head of Service Hospital at Home, ICS and older peoples ambulatory service and professionally HoS Physiotherapy

Co-operation and Working Together (CAWT) is the cross border health and social care partnership, comprising the Health Service Executive in Ireland and the Southern and Western Health & Social Care Trusts, Strategic Planning and Performance Group and Public Health Agency in Northern Ireland. Formed in 1992, CAWT’s focus is on improving the health and social well-being of the resident population, through strategic cross border collaboration and the development and implementation of innovative and sustainable cross border health and social care services in partnership with the community and voluntary sectors.

CAWT has recently been successful in securing significant funding to lead on the development and implementation of five strategic cross border PEACEPLUS projects in the areas of Addictions, Adult Mental Health, Children’s Mental Health, Geriatric Medicine and Obesity Management.

The Early Frailty Intervention Project establish a new jointly developed Cross Border community-based Early Intervention Frailty infrastructure, to identify people living with/at risk of developing frailty earlier and jointly deliver early/preventative interventions within their local community to help slow down or reverse the process. Statutory partners, working collaboratively, will provide clinical support and episodes of health and social care to older people living with/at risk of developing frailty.

The Early Frailty Intervention Project will provide a programme of care which could include the following areas; assessment, screening, education and community coordination sessions.

We are now recruiting an Advanced Physiotherapy Practitioner to join a new team known as the Early Frailty Intervention Team. This team will comprise a Specialist Nurse, Physiotherapist, an Occupational Therapist and Community Connector. The service will focus on supporting people over the age of 55 living in the community with early signs of Frailty with the key aim of preventing progression of Frailty through early intervention, education, virtual monitoring and onward referral to appropriate services as necessary. Working closely with the specialist nurse, the occupational therapist and the community connector, the team will devise a bespoke programme of care for each individual based on their needs.

The addition of the Early Frailty Intervention team will support the end to end pathway by identifying frailty at an early stage and working as part of a team to prevent progression, provide virtual monitoring where appropriate, education and appropriate interventions. The addition of a community connector will assist those who are isolated or have disengaged from local services to become connected again and support their wellbeing.

JOB SUMMARY:

The Early Frailty Intervention team’s primary focus is to support older people to live well in their community and contribute to the improvement of healthcare experience by focusing on early intervention and education to prevent the progression of Frailty.

The Advanced Physiotherapy Practitioner will focus on assessing and promoting the health and function of older people living with early frailty, cognitive changes or falls risk by assisting them using virtual monitoring, education and bespoke programmes to support their wellbeing. The Advanced Physiotherapy Practitioner will link with other practitioner’s and services for onward referral of more complex cases which require a longer period of intervention and support due to complexity

Clinical caseload will be for a short period of time extending from their well-being health needs through to the acute and chronic illnesses as they are manifested in later life.

The Advanced Physiotherapy Practitioner will work as part of the Early Frailty Intervention Team to enhance the current model of care in the community ensuring older persons are supported to live well and age well with the appropriate supports and onward referrals.

To facilitate patients and families understanding their care and to work in partnership with the community and hospital MDTs and wider communities to ensure a home first approach.

To provide a seamless integrated service with multidimensional and multidisciplinary input for older persons as they transition through the continuum of care.

To provide support in to community frailty services within the Trust to enhance focus and development of treatment of frailty
KEY DUTIES / RESPONSIBILITIES

Clinical

To be professionally and legally responsible and accountable for all aspects of your own work.

To undertake specialist therapeutic assessment using advanced clinical reasoning, investigative and analytical skills to make an independent clinical diagnosis, in patients presenting with multi-pathology, recommending the best course of intervention and formulate individualised holistic management and treatment plans.

To work as an expert practitioner and utilize specialist theoretical knowledge with cases of diverse presentations and those referred from other health care professionals for a second opinion/advice on further management

To provide a high standard of care using safe effective, evidence-based interventions in accordance with current research and professional standards.

To take a lead role in decisions re patient management, facilitating and planning appropriate onward referral, liaising with core community staff and specialist community teams.

To provide highly specialist advice and education to colleagues, and a range of other Health and Social Care professionals, working across clinical areas.

To maintain effective communication ensuring that information regarding assessment, prognosis, diagnosis etc is understood by the patient and their family for their long-term management.

To ensure assessment of patient’s understanding of treatment proposals, goal setting. Gain valid informed consent and have the capacity to work within a legal framework with patients that lack capacity to consent to treatment

To develop appropriate extended clinical practice skills.

To represent physiotherapy, the service and /or individual patients at multidisciplinary meetings, locally and regionally to ensure the delivery of a co-coordinated MD service.


To develop Multi-disciplinary working to facilitate partnership care with Medics, Nursing, Occupational Therapy, Social Work and other agencies.


To undertake evidence-based audit and research projects making recommendations which may lead to the implementation of changes to practice or contribute to policy development, protocols/guidance.


To be an active member of the emergency out of hour’s rota as required.


To plan, implement, monitor and evaluate person centred interventions using individual and group techniques as appropriate in order to ensure effective outcomes.

To advise and instruct patients, carers and family on safe use of equipment and implementation of rehabilitation programmes for their relative/client.


To work with inter-disciplinary colleagues to ensure the patient receives timely, appropriate and effective co-ordinated management and treatment, in line with the operational procedures for the Service, to impact in the long term on their lifestyle. Provide training and advice on changes and adaptations to their social and physical environment.


To give relevant advice and support to the patient/carer/family and a range of staff and partners on home management, liaising with the multidisciplinary/Integrated team.

To manage clinical risk including own patient caseload and ensure safeguards are in place for other staff under your line management.


To be involved in the assessment and provision of a range of mobility aids and equipment, making appropriate recommendations for purchase or onward referral to other specialist services.

PROFESSIONAL

Comply with the Physiotherapy Code of Professional Conduct and national and local policies and procedures.

Maintain own clinical professional development (CPD) by ensuring compliance with own PDP to meet set objectives and competencies.

Comply with the codes of practice and registration guidance for Physiotherapy according to the regulatory body HCPC.

To be an active contributor to the Team/Professional/ Trust in-service training programmes by delivering presentations and training sessions at staff meetings, tutorials and case discussions.

Work within CSP clinical guidelines, monitoring own and evaluate others quality of practice through the use of evidence based practice, national guidance/frameworks and using validated outcome measures.

Be actively involved in professional clinical groups such as Trust Journal club, CSP clinical interest groups, peer review groups.

As an active member of the Physiotherapy Practice Development Forum (PPDF) input to the development/ review and potential change, of relevant protocols and policies.

To make recommendations for change in practice to the Operational Manager and the Head of Physiotherapy Services.

The post holder will have opportunities to engage with openly available resources from the National Frailty Education Programme (Republic of Ireland) and the Northern Ireland Frailty Network educational resources to enhance frailty-specific knowledge and support a consistent cross-border approach.

ORGANISATIONAL


To take part in own supervision and to be responsible for the supervision and training of lower banded staff, students and support staff.


To be responsible for organising and planning own and others caseloads to meet service and patient priorities. Adjusting plans as situations change/arise to make best use of available resources under your control.

To maintain accurate and comprehensive patient records in line with the CSP/Trust standards. To ensure other physiotherapy staff, colleagues and students also comply with these standards.

To be actively involved in the collection of statistics for evaluation and monitoring of services and onward reporting to the Heads of Service/Profession.

To be aware of Health & Safety of self, other staff and patients implementing Trust policies, including the prompt recording and reporting of accidents/incidents.

To participate in the operational planning/delivery, the creation and implementation of new policies and procedures and service development both within the Team and its interfaces with core Trust services.

To influence policy development impacting on strategic and professional direction and service delivery locally and regionally to meet the changing needs of the population/organisation.

To apply/implement regional/national guidelines/legislation relating to health and social care in physiotherapy provision within team.

To perform any other duties as may be requested by the Operational Head of the Hospital at Home Service and the Head of Physiotherapy.

HUMAN RESOURCE MANAGEMENT RESPONSIBILTIES


Review individually, at least annually, the performance of immediately subordinate staff, provides guidance on personal development requirements and advises on and initiates, where appropriate, further training.


Maintain staff relationships and morale amongst the staff reporting to him/her.


Review the organisation plan and establishment level of the service for which he/she is responsible to ensure that each is consistent with achieving objectives, and recommend change where appropriate.


Delegate appropriate responsibility and authority to the level of staff within his/her control consistent with effective decision making, while retaining overall responsibility and accountability for results.


Participate, as required, in the selection and appointment of staff reporting to him/her in accordance with procedures laid down by the Trust.


Take such action as may be necessary in disciplinary matters in accordance with procedures laid down by the Trust.


GENERAL REQUIREMENTS


The post holder will be required to:


Ensure the Trust’s policy on equality of opportunity is promoted through his/her own actions and those of any staff for whom he/she has responsibility.


Co-operate fully with the implementation of the Trust's Health and Safety arrangements, reporting any accidents/incidents/equipment defects to his/her manager, and maintaining a clean, uncluttered and safe environment for patients/clients, members of the public and staff.


Adhere at all times to all Trust policies/codes of conduct, including for example:
Smoke Free policy
IT Security Policy and Code of Conduct
standards of attendance, appearance and behaviour


Contribute to ensuring the highest standards of environmental cleanliness within your designated area of work.


Co-operate fully with regard to Trust policies and procedures relating to infection prevention and control.


All employees of the trust are legally responsible for all records held, created or used as part of their business within the Trust including patients/clients, corporate and administrative records whether paper-based or electronic and also including emails. All such records are public records and are accessible to the general public, with limited exception, under the Freedom of Information act 2000 the Environmental Information Regulations 2004 and the Data Protection Acts 1998. Employees are required to be conversant with the Trusts policy and procedures on records management and to seek advice if in doubt.


Take responsibility for his/her own ongoing learning and development, including full participation in KSF Development Reviews/appraisals, in order to maximise his/her potential and continue to meet the demands of the post.


Represent the Trust’s commitment to providing the highest possible standard of service to patients/clients and members of the public, by treating all those with whom he/she comes into contact in the course of work, in a pleasant, courteous and respectful manner.


Available / able to work any 5 days out of 7 over the 24 hour period, which may include on-call / stand-by / sleep-in duties, shifts, night duty, weekends and Public Holidays if required immediately on appointment or at a later stage following commencement in response to changing demands of the service.


Understand that this post may evolve over time, and that this Job Description will therefore be subject to review in the light of changing circumstances. Other duties of a similar nature and appropriate to the grade may be assigned from time to time.


This Job Description will be subject to review in the light of changing circumstances and is not intended to be rigid and inflexible but should be regarded as providing guidelines within which the individual works. Other duties of a similar nature and appropriate to the grade may be assigned from time to time.


It is a standard condition that all Trust staff may be required to serve at any location within the Trust's area, as needs of the service demand.

PERSONNEL SPECIFICATION


JOB TITLE AND BAND
CAWT PEACEPLUS Early Frailty Intervention Project Advanced Physiotherapy Practitioner Level 1

DEPARTMENT / DIRECTORATE
Community and Older People’s Service

BAND
7

LOCATION
Trust wide service with base in Armagh

HOURS
37.5

ESSENTIAL CRITERIA

SECTION 1: The following are ESSENTIAL criteria which will be measured at shortlisting stage and may be further explored at the interview / selection stage. You should therefore make it clear on your application form how meet the following criteria. Failure to do so may result in you not being shortlisted.

Factor
Criteria


Method of Assessment

Qualifications/ Registration
Hold BSc/BSc Hons or Dip COT in Physiotherapy AND be Registered with the Health and Care Professional Council (HCPC).

Shortlisting by Application Form

Experience


A minimum of Five years post registration experience including 3 years’ experience as Band 6 or above assessing and treating patients in the specialty of Elderly or Neurological Rehabilitation or clients with a Physical Disability.

Evidence of completion of a minimum of 2 postgraduate courses focusing on the assessment and treatment of patients experiencing a range of neurological, ortho-geriatric conditions and rehabilitation needs.

Completion of relevant MSc module e.g. Musculoskeletal, neurological, or willing to complete.

Experience in delivering objectives which have led to a significant Improvement in Service.

Experience in working with a diverse range of internal and external stakeholders in a role which has contributed to the successful implementation of a significant change initiative.

Experience in the use of Microsoft office products including at least one of the core packages i.e. Outlook (Email) Word, Excel, and Powerpoint.

Shortlisting by Application Form

Other
Hold a current full driving licence which is valid for use in the UK and have access to a car on appointment. This criteria will be waived in the case of applicants whose disability prohibits driving but who have access to a form of transport approved by the Trust which will permit them to carry out the duties of the post.


Shortlisting by Application Form

SECTION 2: The following are ESSENTIAL criteria which will be measured during the interview/ selection stage:

Skills / Abilities/ Knowledge
Have an excellent understanding of Elderly and Neurological Rehabilitation, Respiratory conditions and clients with a Physical Disability.

Effective Planning & Organisational skills with an ability to prioritise own workload.

Effective Communications skills to meet the needs of the post in full.

Ability to effectively manage and provide effective leadership to a team.

Ability to identify solutions to problems and implement them effectively.

Ability to work to tight timescales whilst meeting targets.

Be willing to work flexibly to meet the needs of the service or willingness to work flexibly to include evenings, weekends, bank holidays as required to meet the needs of the service.

Interview / Test

DESIRABLE CRITERIA

SECTION 3: these will ONLY be used where it is necessary to introduce additional job related criteria to ensure files are manageable. You should therefore make it clear on your application form how you meet these criteria. Failure to do so may result in you not being shortlisted

Factor
Criteria
Method of Assessment

Experience


Experience working in a community setting.
Shortlisting by Application Form

‘Significant’ is defined as contributing directly to key Directorate objectives








Notes to applicants:
You must clearly demonstrate on your application form under each question, how you meet the required criteria as failure to do so may result in you not being shortlisted. You should clearly demonstrate this for both the essential and desirable criteria.
Shortlisting will be carried out on the basis of the essential criteria set out in Section 1 below, using the information provided by you on your application form. Please note the Trust reserves the right to use any desirable criteria outlined in Section 3 at shortlisting. You must clearly demonstrate on your application form how you meet the desirable criteria.
Proof of qualifications and/or professional registration will be required if an offer of employment is made – if you are unable to provide this, the offer may be withdrawn.

If this post is being sought on secondment then the individual MUST have the permission of their line manager IN ADVANCE of making application.

As part of the Recruitment & Selection process it may be necessary for the Trust to carry out an Enhanced Disclosure Check through Access NI before any appointment to this post can be confirmed.

THE TRUST IS AN EQUAL OPPORTUNITIES EMPLOYER

Successful applicants:
may be required to attend for a Health Assessment
can expect to be placed at the minimum point of the pay scale, although a higher starting salary, within the range of the pay band may be available if the person appointed has experience relevant & equivalent to the post. If the successful candidate is an existing HSC employee moving to a higher band, AfC Pay on Promotion will apply.
are able to request Flexible Working from the 1st day of their employment. A number of flexible working provisions are offered by all HSC Organisations including Full-time working, Fixed working patterns, Part-time working, Flexi-time, Compressed/elongated hours, Average hours working patterns, Term-time working, Job-share or Homeworking for some or all of the working pattern, depending on the role being undertaken. Successful applicants are encouraged to discuss with their manager what Flexible Working provisions may be available in the role they are taking up, prior to commencing employment, to help them achieve a positive Work/Life Balance.

All staff are expected to display the HSC Values at all times

All staff are expected to display the HSC Values at all times