Advanced Pelvic Health Physiotherapist

The postholder will work as an autonomous specialist practitioner, managing a highly complex pelvic health caseload, including joint work with consultants, group and individual programmes, and requesting investigations and referring on to the MDT.

They will lead clinical delivery and oversight of the community pelvic health single point of access (SPA), including triage, prioritisation and streamlined referral pathways, and play a key role in developing the new women's health SPA across City and Hackney.

They will lead audit, research and outcome measurement, write SOPs, local guidelines and governance processes, and support business cases. They will supervise and develop Band 5-7 staff and students, take part in recruitment, and deputise for managers.

They will also lead pelvic health training for physiotherapy, maternity and medical staff, and contribute to research, publication and Trust-wide clinical leadership, while upholding HCPC and CSP standards.

4.1 Clinical As a highly specialist autonomous practitioner, to be professionally and legally accountable for all aspects of own work including management of patients in your care, and support more junior staff to do likewise.

Lead the clinical delivery and oversight of the Single Point of Access (SPA) for pelvic health across the community.

Ensure timely triage, clinical prioritisation, and streamlined referral pathways for all pelvic health presentations entering the SPA.

Undertake a full and comprehensive assessment of a range of complex Pelvic Health therapy patients using highly advanced clinical reasoning skills and assessment techniques.

Assess and treat patients alongside consultants in inpatient and outpatient clinic settings where appropriate.

Use advanced investigative and analytical skills to assess and develop diagnoses, using clinical and non-clinical information from the patient,carers, hospital notes, physical assessment techniques and visual analysis, including identifying and interpreting conflicting elements from different sources.

Effectively use a wide range of verbal and non-verbal communication tools to negotiate and engage with patients and the MDT across a diverse multicultural and intellectual spectrum, including patients who may have difficulties with understanding or communicating.

Assess patient understanding of treatment proposals and gain valid informed consent, and work within a legal framework with patients who are unable to give informed consent.

Use specialist knowledge of evidence-based practice and treatment options to formulate, deliver and initiate a specialised individual or group Pelvic Health therapy treatment programme, including problem list and goal setting, leading to an agreed comprehensive self-management discharge.

Use highly advanced clinical reasoning skills to evaluate patient progress, reassess and adapt treatment as required.

Prioritise, plan and manage own and team clinical caseload and risk, and supervise more junior staff, along with agreed additional responsibilities within the work area.

Prioritise new patient referrals to ensure response targets are met.

Provide highly specialist advice, teaching and training to patients and referring Consultants within the scope of ones own practice, including individuals or groups.

Maintain accurate records of assessment, treatment and progress, and any additional patient contact, in line with Chartered Society of Physiotherapy (CSP) practice, including writing reports and letters which may be used in a legal capacity.

Supervise and support the clinical work and record keeping of designated junior staff and students, encouraging development of their skills, knowledge, caseload and time management.

Work within the Trusts and CSP clinical guidelines and adhere to the professional code of conduct.

Be safe and competent in the use of all relevant equipment, such as ultrasonography and patient appliances/aids, and competent in teaching the safe use of such equipment to patients and other staff as appropriate.

Use highly specialist clinical reasoning skills and experience to identify and diagnose actual and potential physical and psychological factors that could lead to patient deterioration, and act accordingly.

Independently request investigations, blood tests etc. to aid diagnosis of Pelvic Health conditions and refer patients as appropriate to other members of the MDT.

4.2 Leadership & Service Development Play a key role in the development of a new Single Point of Access for womens health across City and Hackney, implementing local clinical and practice guidelines in line with quality care.

Take a lead role in identifying areas for audit and research, initiate the collection and collation of relevant data, make recommendations for change in your service area, and take a lead role in implementation.

Undertake the measurement and evaluation of own work using evidence-based outcome measures, audit and reflection to ensure practice is of a high standard and techniques are current.

Participate in and facilitate the team development and performance appraisal scheme as an appraisee and comply with agreed Personal Development Programmes (PDP) to meet set knowledge and competency levels.

Provide specialist support and guidance to other therapists and MDT members within the Trust as required.

Maintain own competency to practise through Continuous Professional Development (CPD) activities, following Therapy Department guidelines, and maintain an accurate portfolio reflecting personal development.

Act as a lead member of the womens and therapy departments in-service training programmes by coordinating and leading presentations and tutorials.

Teach Student therapists to a graduate level whilst on placement in the clinical environment and support team members to do likewise.

Attend and participate in all mandatory training relating to Trust and departmental policies, procedures and guidelines.

Adhere to all Trust and departmental policies, procedures and guidelines.

Act as one of the clinical leads within the wider Outpatient therapy team, supporting the Outpatient Therapy Lead as required.

Homerton Healthcare NHS Foundation Trust is a high performing and flourishing organisation serving the population of Hackney, East London, The City and beyond.

We are extremely proud of the fact that Homerton Hospital has recently attained the highest possible rating of "Outstanding" from the Care Quality Commission (CQC).

Our integrated Trust provides comprehensive hospital and community health services for its local population and a range of specialist services for a wider group of patients. In addition, the Trust manages services out of St Leonard's Hospital and the Mary Seacole Nursing Home.

Homerton aims to ensure equality and value diversity, and we are committed to inclusion for all of our staff. This is reflected in our policies, procedures and People Plan. All of our staff are expected to embody our Trust values at all times.

We are also committed, through our Fair Recruitment Standards, to ensuring all applicants are treated fairly.

Homerton has a proud tradition of supporting and developing its staff, including its well-regarded and valued nursing community, and all staff are able to take advantage of a great range of benefits.

Homerton is proud to have been included on the HSJ & Nursing Times Best Places to Work list.

Education / Qualifications

Desirable: - Member of Special Interest Group; - Evidence of ability to continue post-graduate training and development to MSc level; - Leadership training

Skills / Ability

Desirable: - Experience of specialist clinics; - Evidence of Advanced practice skills

Experience

Desirable: - Experience of leading service change/development/quality improvement; - Experience with joint clinics / MDT working; - Experience with Men's Pelvic Health

Knowledge

Desirable: - Knowledge of regional and ICS pelvic health networks

Trust Values, Equal Opportunities & Other Requirements