Highly Specialist Physiotherapist

Job summary

Plymouth home mechanical ventilation team provide a serviceacross theSouth WestPeninsula.Itcurrently provides a home ventilation service for over500 patients living in Devon and Cornwall.The service alsoprovides aspecialistservice to patients with long term tracheostomyboth at home and within the hospital environment. Inadditionitprovidesan oxygen assessment and review service to patients within the Derriford Footprint.

As a senior and highly specialist practitionerwithin thisteamthe post holderwillprovideexpert leadership and clinical advice to staffof all grades and professions,patientsand theircarers.

Inaddition the post holder will lead the weak cough service provided by the team.

***Preference will be given to internal Trust staff, as well as 'Priority' and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***

Main duties of the job

• Within the context of a multidisciplinary team, using higher levels of decision making and clinical judgementtobe anautonomousexpert practitioner for adults and transitioning young people withchronic ventilatory, oxygen or cough failure or those likely to develop these conditions.

• To support and adviseother subspecialist services within respiratory medicine whereadults and transitioning young people require home mechanical ventilation, coughaugmentationor home oxygen therapy.

• To act as an expertclinical resource, and facilitator to educate andtrainmedical,nursingand allied health professionals asrequired.

• To support the development of thelongtermdomiciliaryventilationservice according to need,undertakingauditandresearchprojects and develop policies and procedures asrequired.

• To leadthe weak cough service provided by the home ventilation team.

About us

We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment manager for this post who will put you in touch with the recruitment team. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.

Job description

Job responsibilities

• Work autonomously to manage own patient caseload, this includesundertaking non-medical clinics,domiciliaryvisitsand outreachinginto other hospitals.

• Autonomously undertakes comprehensive assessments of respiratory needs of new and established patients with ventilatory, oxygen andcoughfailureincluding the need for airway clearance techniques.

• Communicate highlysensitive,complexand emotive information to patients and relatives independently, without a doctor present, with empathy and reassurance. This willincludingissues such as diagnosis, diseaseprogressionand end of life, or explaining treatment options and aiding decision making.

• Completion of treatment escalation plansand allow a natural deathforms.

• Autonomouslyorder,undertakeand interpretinpatient and outpatient investigations including those specific to patients accessing this service. These includephlebotomy, X-rays,radialartery puncture andblood gas analysis,capnographyandoximetry. Change managementautonomouslydepending on results.This will include prescribing medicines.

• Initiate drug therapy/medication and other changes in patient management including commencing anddiscontinuinglong term ventilation andin accordance withpresent legislation supply and prescribe medicines independently as a non-medical prescriber.

• Autonomouslyinitiatenon-invasive ventilation. augmented cough techniques and oxygentherapy forpatients who need these treatments as inpatients, outpatients or in thedomiciliarysettings.

• Autonomously develop andimplement managementand treatment plans for patientsthroughouttheir disease trajectory wherever they maybe: inpatient,outpatient, at home, whilst outreaching into other hospitals.

• Develop specialised programmes of care andprovidehighly specialised advice including written and oral information to other professionals including senior medical staff, patients, theirrelativesand cares.

• Management of withdrawal of ventilation including end of life care.

For further information please see attached job description

Person Specification

Essential and Desirable

Essential

• Appropriate demonstrable experience within a home ventilation team
• Knowledge of neuromuscular disease and other respiratory conditions which can cause respiratory or cough failure.
• Proven ability to manage own patient caseload
• Proven ability to apply specialist knowledge within a variety of healthcare settings
• Advanced communication skills
• Established Teaching skills Research and audit skills and an understanding of their application to improve quality of services
• Counselling skills
• Innovator with proven ability to problem solve
• Demonstrable experience in applying research findings to practice
• Palliative and bereavement care education/training
• Management and leadership

Desirable

• Budget management
• Demonstrable experience of line management

Questions

Essential

• Appropriate Batchelor Degree and Registration with HCPC.
• Level 7 module(s) in a relevant area
• Non-Medical Prescriber (if profession legal able to prescribe)

Desirable

• Post Registration teaching/mentorship
• Post Registration home ventilation or other relevant course
• MSc

Presentation

Essential

• Committed to service development

Desirable

• Post Registration teaching/mentorship

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

Derriford Hospital Plymouth

Plymouth

PL68DH

United Kingdom

Employer's website

https://www.plymouthhospitals.nhs.uk/ (Opens in a new tab)

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