MSK First Contact Practitioner Physiotherapists

1.

the first point of contact for expert clinical assessment and diagnosis of

patients presenting with MSK conditions in primary care/GP practices using the

EA service. This will include patients who present with a range of complex

musculoskeletal conditions and/or multiple pathologies and/or mental health

and/or pain management needs and underlying pathologies/other primary

conditions and maybe via remote access (telephone) or face to face service

provision.

2.

patients who self-refer (where systems permit) or from a member of reception

team or clinical professional within the Leeds GP Confed EA service, and where

required refer to other health professionals within the EA service, PCNs or

other providers.

3.

advance clinical practice skills and clinical reasoning to provide

comprehensive treatment support to patients who present with complex

musculoskeletal conditions and/or multiple pathologies and/or mental health

and/or pain management needs

4.

independently, without in-person day to day supervision, to assess, diagnose,

triage, and manage patients, taking responsibility for prioritising and

managing a caseload of the PCNs Registered Patients whilst liaising with the

Scope of the Clinical Role

1.

the first point of contact for expert clinical assessment and diagnosis of

patients presenting with MSK conditions in primary care/GP practices using the

EA service. This will include patients who present with a range of complex

musculoskeletal conditions and/or multiple pathologies and/or mental health

and/or pain management needs and underlying pathologies/other primary

conditions and maybe via remote access (telephone) or face to face service

provision.

2.

patients who self-refer (where systems permit) or from a member of reception

team or clinical professional within the Leeds GP Confed EA service, and where

required refer to other health professionals within the EA service, PCNs or

other providers.

3.

advance clinical practice skills and clinical reasoning to provide

comprehensive treatment support to patients who present with complex

musculoskeletal conditions and/or multiple pathologies and/or mental health

and/or pain management needs

4.

independently, without in-person day to day supervision, to assess, diagnose,

triage, and manage patients, taking responsibility for prioritising and

managing a caseload of the PCNs Registered Patients whilst liaising with the

5. 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 patients level of activation)

b.

assessing

levels of Patient Activation to support a patients 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 patients appropriate support for self-management through referral to

rehabilitation focussed services and wider social prescribing as appropriate

d.

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

e.

utilisation

of physiotec exercise program platform for patients treatment programs with

supportive SMS.

f.

book

patients into follow-up or face to face appointments with yourself or another

clinician as clinically justified utilising SMS services to communicate these

appointments

6.

independently recognise where diagnostic tests including

routine and specialist x-rays, MRI imaging, ultrasound scans and blood and

other pathology tests are required. Interpret the results alongside traditional

physiotherapeutic assessment techniques and non-clinical information to aid

clinical diagnosis and decisions on potential treatment options/clinical

interventions

7.

be

able to clinically justify referral onto appropriate MSK pathways (e.g. joint

injections) or community care spinal treatment service, rehabilitation services

or secondary care services such as rheumatology, orthopaedic and neurology.

8.

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

9.

demonstrate

understanding of the impact of physiotherapeutic interventions on existing

conditions and treatment programmes e.g. podiatric treatment, drug therapies,

etc. ensuring that physiotherapy interventions are integrated and supportive of

the whole treatment aims promoting a holistic approach to condition management

10.

recognise

potential underlying non-MSK related disease and conditions that present as MSK

symptoms and to refer appropriately.

11.

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

12.

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

Leadership/Consultancy

13.

the FCP role into the wider primary care team, proactively working with the

primary care team to build robust relationships and practices where practicable

by providing expert advice and source of expertise in the management of

musculoskeletal conditions to specialist healthcare professionals and members

of the primary care team, including advising GPs on management of MSK

conditions

14.

to the development of referral guidelines for MSK and MSK related conditions

from primary care to other NHS services that will direct referrals to other

primary care services, community, secondary and tertiary [specialist] services

through feedback to the MSK Professional Lead

15.

Work

with the PCN team to support preventative strategies for local populations,

patient groups and individuals

16.

Active

engagement in annual development review processes and peer review, embracing

evidence-based practice

17.

Contribute

to monitoring and review of service standards for MSK primary care services

through feedback back on EA service of peers to MSK professional Lead if best

practice has not been followed

18.

Participate

in/support investigations into complaints and clinical errors/incidents when

appropriate

Education/Workforce & Self Development

19.

in developing education and training of specialist physiotherapists up-to post-graduate

level to support the development of advanced clinical practice skills and

knowledge within the wider physiotherapy workforce if mutually agreeable

20.

ad hoc training and supervision, some of which maybe to postgraduate level, for

specialist primary care professionals, including GPs in order for them to

develop specialist MSK patient referral and management skills

21. Implement all aspects of effective clinical governance

for own practice, including undertaking regular audit and evaluation,

supervision and mandatory training 22.

and receive clinical supervision through supportive WhatsApp groups for the EA

service

23.

Maintain

a professional portfolio of advanced clinical practice knowledge and skills

through participation in internal and external development opportunities

Research and Evaluation

24.

Promote

and lead the integration of evidence-based practice and national guidelines

into own and local FCP MSK service practice

25.

Use

expert knowledge of evidence-based guidelines and national frameworks to

influence the development of FCP services within the primary care team

26.

Lead

or participate in research and MDT research projects as appropriate. This may

include participation in cross organisational research and audit programmes.

27.

Present

and disseminate research and clinical audit findings to the primary care team

as required.

28.

Use

audit and research to develop and improve service guidelines, care protocols,

delivery of triage services and referral pathways

Networks

29.

When

opportunities present, take the lead in communicating and influencing across

the PCN the benefits of the FCP role in primary care

30.

Promote

and explain the FCP role and what it can deliver to a range of audiences

including patient groups, individual patients and other primary care team

members, including GPs

31.

effectively and appropriately with patients and their carers. This will include

explaining the diagnosis, prognosis and treatment choices available to manage

multi-pathology and complex conditions. It will also involve communicating

limitations on treatment outcomes and managing expectations of patients with

chronic or life limiting conditions

This job description is not meant to be exhaustive. It

describes the main duties and responsibilities of the post. It may be subject

to change in the light of developing organisational and service needs and

wherever possible change will follow consultation with the post holder.

To

be a voice for and represent General Practice in the Leeds Health and Care

System

A

collective voice for General Practice that will be heard throughout the health

and care system

Through

representation and active participation in the health & care system to

contribute to the setting of strategy and decision making

To

hold contracts to enhance access to healthcare across Leeds and to provide a

providing services and holding contracts that directly support General practice

having an infrastructure that enables, where appropriate, at scale working for

the benefit of general practice and populations

Inclusive

transparent governance

Qualifications

Desirable: - MSc degree in Physiotherapy related area

Analytical skills

Desirable: - Evidence of working across organisational boundaries within health and social care

Experience