Job description

Job responsibilities

• Support patients to improve and maintain their mental, physical, behavioural health and well-being.

• Promote comfort and well-being by ensuring that patients’ personal and social needs are met and be able to care for a patient’s nursing needs.

• To safely undertake the following procedures to meet the patient’s nursing needs to include; undertaking routine procedures including venepuncture, ECG recording, measuring and interpreting blood glucose levels, recording and interpreting vital signs, continence care, bladder and bowel care, pressure area care, wound care, nutrition, hydration, foot care, skin integrity, mood identification (as outlined in the NMC Nursing Associate Skills Annex). Identify and report changes in a patient’s condition to a registered nurse or other professional.

• Prioritise and manage own workload, recognising where elements of care can safely be delegated to other colleagues, carers and family members.

• Provide and receive sensitive information concerning a patient’s medical condition.

• Work with registered nurses and other professionals and engage with other agencies and community teams to ensure a safe, individualised approach to the admission and discharge of patients.

• Maintain accurate, contemporaneous patient records in line with [PCN/practice] policy and the NMC Code.

• Provide effective evidence based care for service users under the supervision of registered nurses and other professionals in order to perform non-complex activities, in line with clinical governance and professional standards.

Person Specification

Qualifications

Essential

• Registered NursingAssociate on the NMC register
• Nursing Associate foundation degree qualification
• GCSE Grade A-C in Maths & English or skills level 2 Maths & English or
• equivalent

Experience

Essential

• Experience of working in teams under appropriate supervision as part of amulti-disciplinary team
• Insight into how to evaluate own strengths and development needs, seeking advice where appropriate
• Experience of providing andreceiving complex, sensitiveinformation

Desirable

• Experience working in a primary care setting

Skills & Knowledge

Essential

• Understanding of the scope of the role of the Nursing Associate in context of the nursing and interdisciplinary team and the organisation,
• and how the role may contribute to service development
• Understands and acts in line with NMC professional standards for practice contained within The Code.
• Knowledge of when to seek advice and escalate to the appropriate professional for expert help and advice
• Understand requirements for NMC professional Revalidation
• Understanding of the importance of following procedures and treatment plans
• Ability to take part in reflective practice and clinical supervision activities
• Ability to organise andprioritise own delegated workload
• Ability to deal with non-routine and unpredictable nature of workload andindividual patient contact
• Ability to communicateeffectively (written, verbaland non verbal
• communication) with patients/relatives and carers and all members of themulti-disciplinary team.
• Ability to develop effectiveand appropriate relationships with people,
• their families, carers and colleagues
• Ability to support, supervise, assess and act as a rolemodel to nursing associatestudents, other learners andhealth care support workers
• as required within theclinical setting.

Desirable

• Knowledge of community based primary care issues
• Knowledge of primary care networks and collaborative ways of working

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.

UK Registration

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

Job description

Job responsibilities

• Use advanced clinical practice skills and clinical reasoning to provide comprehensive diagnostic and treatment support patients who present with complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs
• Request and progress investigations (such as x-rays and blood tests) and referrals to facilitate the diagnosis and choice of treatment regimes , considering the limitations of these investigations, interpret and act on results and feedback to aid patients diagnoses and management plans

• 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
• Be able to decide when appropriate to use advanced clinical practice clinical skills that may include:
  • Joint/soft tissue injection therapy, including administration of prescription only medication [POM] to aid treatment.
  • Non-medical prescribing
  • 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
  • Demonstrate understanding of the impact of physiotherapeutic interventions on existing conditions and treatment programmes e.g. podiatric treatment, drug therapies, etc.
  • Ensure physiotherapy interventions are integrated and supportive of the whole treatment aims promoting a holistic approach to condition management
  • 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
  • For patients managed as part of own caseload, take the lead for the management of the patients journey on their care pathway, acting as the link for the patient between primary care and other services/professionals
  • 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. This requires advanced knowledge of the role of other specialist health professionals
  • Recognise Red flags, serious pathology and potential underlying non- MSK related disease, that may present as MSK symptoms and refer appropriately.
  • When needed, accelerate the patients referral to other health professionals/ services
  • 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
  • Develop integrated and tailored care programmes in partnership with patients
  • Use effective shared decision making with a range of first line management options (appropriate for the persons level of activation)
  • Assess levels of Patient Activation to confirm levels of knowledge, skills and confidence to self-manage
  • Agree appropriate support for self-management through referral to rehabilitation focussed services and social prescribing provision
  • 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
  • Provide advice, instruction and teaching on aspects of management of a condition to patients, relatives, carers and other health professionals
  • Continually review and develop specialist clinical and diagnostic skills in response to service need
  • Be accountable for decisions and actions via Health and Care Professions Council (HCPC) registration, supported by a professional culture of peer networking/review and engagement in evidence-based practice

Person Specification

Qualifications

Essential

• BSc degree in Physiotherapy
• Health & Care Professions Council (HCPC) registration
• HEE FC Primary care roadmap training completed and working at advanced level 7 Practice [within the ACP framework]

Desirable

• Completed or working towards a Supplementary Prescribing qualification/
• Non-medical prescribing qualification
• MSc Degree in Physiotherapy

Skills

Essential

• Able to understand and analyse complex issues and balance competing priorities in order to make difficult clinical decisions.
• Ability to analyse and interpret complex/ often incomplete information, pre-empt and evaluate issues and recommend an appropriate course of action to address the issues.
• 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
• Strong and inspirational leadership
• Flexible skill set to adapt to and meet needs of the PCN Population and support public health

Desirable

• 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
• Evidence of inspiring and motivating teams with the ability to communicate passionately, effectively.
• Ability to negotiate effectively within the MDT or across a range of services/providers

Experience

Essential

• Working at advanced clinical practitioner status
• Significant leadership and experience in applying the physiotherapy process to include MSK assessment, interpretation, individual care planning, motivation, monitoring and evaluation of highly specialized MSK treatment
• Strong knowledge of Microsoft and GPIT systems, alongside prescribing data monitoring systems
• Experience of senior level decision making and delivery in a changing environment
• Experience of supervision of specialist staff/ line management
• Experience of working with a diverse range of stakeholders/ providing leadership within the MSK pathway
• Ability to demonstrate leadership when introducing change.
• Ability to integrate latest evidence based practice into services and ability to use to lead change across a pathway/ range of providers

Desirable

• Working towards Advanced clinical practitioner status
• Strong knowledge of cognitive behavioural and motivational interviewing approaches / skills

Other

Essential

• 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

Desirable

• High degree of personal credibility, emotional intelligence, patience and flexibility
• Ability to cope with unpredictable situations
• Confident in facilitating and challenging others

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.

UK Registration

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