Highly Specialised Community PhysiotherapistNHS

Job summary

This is a full time fixed term post until 30.9.2027 and is part of the Haringey Integrated Neighbourhood Team (INT) test bed exploring how proactive, preventive and outreach work can reduce demand and keep people healthier for longer in the community as well as reducing demand and acute services. This will involve using initiative to develop creative solutions to identifying and engaging 'at risk' patients and working collaboratively with wider community services, including care homes.

To provide specialist Community Physiotherapy assessments and creative personalised treatment programmes co-produced alongside client's strengths and support network to support them to manage with complex health conditions.

You will be aware of physical and psychological factors for those living with long term health conditions and frailty and will support the stabilisation of their social situations with the view to improve quality of life and wellbeing.

To promote excellent collaborative working links with partnership agencies across the health, social and voluntary sectors to ensure the clients have the best possible support network to utilise the most appropriate health and social care services with the view to reduce and prevent unplanned hospital admissions.

To be an active and motivated member of the MDT and participate in projects and service developments including audits, quality improvement projects and the promotion of an integrated personalised care strengths based approach.

Main duties of the job

Please see the Job Description and the Persons Specification for further details about the job role. If you are unable to access the PDF, the details of the job description can also be found in the 'Detailed Job Description and Main responsibilities' section.

Job description

Communication & Relationship Skills

Provide and receive complex information; persuasive, motivational, negotiating, training skills required.

Explains complicated issues relating to long term health conditions, legal and health and social care systems.

Works with clients and carers to support self-management, engagement in interventions and manages sensitive interactions when discussing treatment plans, interventions and topics such as advanced care planning.

Able to adapt communication style to match the clients understanding and communication

Clinical

Highly developed specialist knowledge across range of procedures underpinned by theory and experience.

Specialist knowledge of the full range of client groups plus further theoretical study

and in depth experience of legislation and policy appropriate to the setting.

Advanced skills relating to community practice supporting clients to maintain and improve functioning and management of long term health conditions.

Skills acquired through degree or equivalent plus clinical experience working with clients with complex care needs in the community or skills that can be transferred into the community setting.

Working with client groups plus further theoretical study and experience within a community environment to masters level equivalent (desirable).

Responsible for chairing regular scheduled MDT teleconferences, managing structured case discussions and keeping clear and accurate documentation.

Responsible for participating in scheduled referral triage sessions, reviewing incoming referrals, determining urgency, and allocating cases to the appropriate clinician or service.

To produce accurate and detailed reports, therapy programmes, care plans, advice and information as necessary in a timely manner, reflecting clinical expertise.

To provide specialist Moving and handling assessments for complex patients, recommending appropriate equipment in line with national and local guidelines.

Analytical & Judgemental Skills

Complex facts or situations requiring analysis, interpretation and comparison of a range of options.

Initial and ongoing assessment of service user needs taking into account a range of physiological, psychological and environmental factors.

Ability to assess urgency of clinical need and ensure client receives high quality care within appropriate time limits (urgent, standard and ongoing complex case coordination).

Plan and organise and prioritise complex activities.

Initiates and co-ordinates e.g. case conferences with multidisciplinary and agencies.

Able to chair and contribute to MDT teleconferences, MDT meetings, best interest meetings and other clinical activities (safeguarding, Datix)

Physical Skills Physical skills obtained through practice/ developed physical skills, manipulation of objects, people; narrow margins for error

Ability to move around the borough and access clients properties.

Driving (desirable)

keyboard skills

manipulation of patients clients during assessments requiring

advanced moving and handling training.

Responsibility for Patient/Client Care

Develop specialised programmes of care; provide highly specialist advice concerning care at the right time and right place by the right professional.

Ability to provide a variety of profession specific and role blurred interventions with support of MDT members; provides advice to clients, carers, and other departments/agencies departments regarding ongoing care.

Ability to co-produce client centred goals and interventions. Ability to determine when interventions have been achieved, requirement for review and ability to close cases when client stable and linked in with appropriate ongoing support. Ability to develop effective and compassionate relationships with clients and their support network, to be able to case-manage and coordinate care on behalf of the client when under the care of MACCT.

Ability to provide clinical decision making and reasoning when completing triage of referrals to the MACCT service.

Responsibility for Policy/Service Development

Propose policy or service changes, impact beyond own area.

Implements legislation and suggests changes to policies and protocols relating to which impact on working practices for staff within the MACCT service and the clients the team serves.

To act as a role model for integrated working and collaboration between professions, services and organisations to ensure the best care is provided to the client.

To actively participate in team reviews and service development projects through team meetings, Quality Improvement projects and audits.

Responsibility for Financial & Physical Resources

Responsible for authorising recommendations for equipment orders.

Supporting service managers with requesting and maintaining adequate stock levels of equipment and resources required to provide safe and effective care.

Leadership

Day to day supervision; clinical supervision; training in own discipline

Allocates work to other MDT staff through agreed pathways/processes.

Provides regular clinical supervision to one or more junior service members.

Engages and actively participates in reflection and continuing professional development in professional and operational supervision.

Provides practical training to other MDT staff and ensures annual student placement support.

Maintains clinical portfolio professional registration and professional body membership.

Responsibility for Information Resources Record personally generated information

Maintains client records and statistics as necessary and expected with the service.

Adheres to all information governance policies and mandatory training.

About us

Whittington Health and the Haringey GP Federation have a strong and established history of working together to improve health outcomes for Haringey's diverse communities. We draw on complementary strengths, deep local insight and a shared commitment to delivering high-quality, equitable care.

As two of Haringey's integrators, we work in partnership with the London Borough of Haringey to lead the development and delivery of the borough's neighbourhood health model, recognised for its collaborative and innovative approach. As integrators, we act as enabling organisations responsible for supporting and scaling integrated, place-based delivery of neighbourhood services. This role is central to the national ambition to shift care from acute settings to community, with a strong emphasis on prevention, early intervention and reducing long-term inequalities.

A leading example of this integrated approach is the Multi-Agency Care and Coordination Team (MACCT). Bringing together professionals from health, social care and the voluntary sector to support adults with frailty or complex needs, MACCT is widely recognised as the model on which the Integrated Neighbourhood Team (INT) can be built, demonstrating what truly joined-up, preventative and person-centred neighbourhood care can achieve.

Colleagues appointed will join an ambitious and inclusive partnership shaping the future of integrated care in Haringey. These posts are funded for one year through neighbourhood test-bed funding.