Contents

Section

Section 1: Introduction to Appointment

Section 2: Person Specification

Section 3: Job Description

Section 4: NHS Lothian Values

Section 5: General Information for Candidates

Section 6: Working in Edinburgh and the Lothians

Section 7: Workplace Equality Monitoring

Section 8: Equal Opportunities Policy Statement

Section 9: Code of Conduct for Healthcare Support Workers

Section 1: Introduction to Appointment

Reference Number: AHP/PTA/AMED/1819/06

Job Title: Physiotherapy Clinical Support Worker: Higher Level

Grade: Band 3

Location: The Royal Infirmary, Edinburgh

Contract Duration: 12 Month Fixed Term Contract

Hours: 26 per week

Closing Date: 30th January, 2019

Salary Scale: £18,292 - £21,349 (pro rata) per annum

Apply on-line www.jobs.scot.nhs.uk Please note – the e-mail address you provide on the application form will be used as the primary route of communication for any further correspondence relating to this vacancy so please check your TRASH and SPAM folders. By providing your email address, you are consenting to receive correspondence relating to the recruitment process by email. Furthermore, during the course of the whole recruitment process from application to final offer NHS Lothian may need to contact you using the phone number (land or mobile) you have provided. Below are some examples:

by text message prior to a scheduled interview date if no confirmation of attendance has been received by email

if an invalid email address has been provided

in relation to finalising any offer, if an email has been unsuccessful.

This post requires the post holder to have a PVG Scheme membership/ record. If the post holder is not a current PVG member for the required regulatory group (i.e. child and/or adult) then an application will need to be made to Disclosure Scotland and deemed satisfactory before they can begin in post.

**Please note: we anticipate a high level of interest in this position and may close the vacancy early once a sufficient amount of applications are received. Therefore, please make sure you complete and submit your application at an early stage.**

NHS LOTHIAN

Post: Physiotherapy Clinical Support Worker Higher Level (Band 3) Orthopaedics RIE

In order to be short listed you must demonstrate you meet all the essential criteria and as much of the desirable as possible. When a large volume of applications are received for a vacancy and most applicants meet the essential criteria then the desirable criteria is used to produce the shortlist.

Criteria

Essential

Desirable

How assessed

Personal Traits

Good interpersonal skills.

Problem solving approach to tasks.

Ability to work independently and

collaboratively within teams.

Ability to manage time effectively.

Ability to work effectively under pressure.

A,P,I.T.R.

Qualifications and Training

Previous NHS or Carer experience SVQ III or HNC (e.g. SCQF level 7) in health Previous experience in Acute Care

C

Experience and Knowledge

Evidence of skills to manage a delegated caseload.

Experience of implementing programmes of care as prescribed by qualified practitioner and working within agreed scope of practice Evidence of careworker in a healthcare/social care setting

Adult experience A.P.I.TR

Skills and/or Abilities

Ability to organise and prioritise workload.

Competent IT skills

Knowledge of a range of appropriate therapy interventions

A.P.I.T.R.

Specific Job Requirements

Ability to participate in 5/7 working rosters

Knowledge of clinical area/patient group pathology

A.P.I.T.R

Key – how assessed

A = Application form I = Interview

C = Copies of certificates T= Test or exercise

P = Presentation R = References

Section 2: Person Specification

1. JOB IDENTIFICATION

Job Title: Physiotherapy Clinical Support Worker Higher Level (Band 3) Responsible to: Physiotherapy Head of Service Department: Therapy Services Job Reference: AHP/PTA/AMED/1819/06

2. JOB PURPOSE

As part of a dedicated Therapy team the post holder will be allocated a delegated patient caseload by the qualified AHP and implement and modify existing treatment plans within scope of practise. Deliver this care with supervision available.

Support qualified AHP staff, by taking an active clinical role within the specialist clinical area as guided by evidence based protocols produced by the registered practitioner. To support efficient service delivery, the practitioner will be involved in the supervision/support of lower grade staff.

3. DIMENSIONS

The post holder will have a designated base but could work in any of the following service areas – In patients, Outpatients, Domiciliary, Community, Paediatrics/Adults/Older People. The post holder will work within a variety of designated NHS and non NHS sites including Hospitals, Care Homes, Health Centres, schools and nurseries, Family/Older Peoples Centres. Population and demographic indicators of the area are: Medicine of the Elderly Staffing responsibilities: Supervision of PT Clinical support workers as required Financial/Budgetary Responsibilities: ordering supplies, stock control The post is employed within NHS Lothian and there may be a requirement to work flexibly across Lothian to meet service demands

Section 3: Job Description

4. ORGANISATIONAL POSITION

5. ROLE OF DEPARTMENT

AHP Services provide diverse and specialist clinical services to a diverse range of patients and clinical conditions across a wide variety of settings in acute and community and partner organisations. These include patients referred to National and tertiary services as well as local services for Lothian residents. AHP services manage a wide age range from neonates to frail elderly through anticipatory care, community care, acute interventions and palliative care. Services are delivered flexibly to meet the differing needs of the population. Allied Health Professionals are autonomous practitioners specifically qualified to comprehensively assess a patient’s capacity and to manage impairment to maximise potential. They enable children and adults to make the most of their skills and abilities, to develop and maintain healthy lifestyles by providing specialist diagnostic assessment and treatment services. Allied Health Professionals (AHPs) are critical to people’s ongoing assessment, treatment and rehabilitation throughout their illness episodes.

Assistant Practitioner

Clinical Support Worker

Reports to

May work with

Clinical Support Worker Higher level (This Post)

Registered PT

Specialist PT

Team Leader

6. KEY RESULT AREAS

Clinical 1. To work with minimal supervision to implement agreed programmes of care prescribed by the

qualified therapist, including ongoing assessment, evaluation, and management of patients. Identify the need for changes in discussion with the qualified therapist or practitioner.

2. To undertake a range of procedures within level of competency, as described in the care pathway using acquired skills and techniques with individuals and groups.

3. The post holder will plan and organise delivery of therapy for designated clinical caseload and completion of administrative tasks related to the role.

4. To observe the patient and report any changes in the patients presentation or response to treatment reporting this to the qualified therapist, practitioner or other relevant professional to enable the appropriate care to be given.

5. To communicate effectively with patients and carers to engage them in treatment and motivate them to progress.

6. Under supervision from the qualified therapist, manage an agreed designated caseload of patients effectively and efficiently.

7. To contribute to development and design of resources which may include patient literature, training programmes, handouts and evaluation forms.

8. To work within all local policies, procedures and protocols and in compliance with NHS Scotland Mandatory Induction Standards and Code of Conduct for Healthcare Support Workers (2010). Patients may include vulnerable adults and young people under the age of 18 therefore must have an understanding and work within the legal frameworks, ie Adults of Incapacity Act, Child Protection, Additional Support for Learning Act.

Leadership 9. To provide support and supervision to less experienced staff of routine clinical tasks and delegate

appropriately where required. 10. To help the registered practitioner to deliver training and induction programmes in partnership with

other members of staff and organisations. 11. To assist in research, or audit to support service development and evidence based practice 12. To participate in the departmental Personal Development and Performance Review (PDP) system

to promote personal and service developments including reflecting on own practice to maintain standards, identify learning and development needs and identify areas for potential service improvements.

Admin/Maintenance 13. Undertake responsibility for the dismantling, cleaning and re-assembling of equipment for the use of

the therapy staff, following departmental guidelines for maintenance of equipment, to ensure all items are fit for purposes and replacement needs are identified.

14. To undertake some housekeeping duties. 15. To maintain professional standard of record keeping which is accurate and current, in line with

professional codes, service standards and organisational requirements. 16. Check and order department stock to ensure supplies are available for staff. 17. To support NHS Lothian’s values of quality, teamwork, care and compassion, dignity and respect,

and openness, honesty and responsibility through the application of appropriate behaviours and attitudes.

7a. EQUIPMENT AND MACHINERY

Be competent in the use of a wide range of equipment. Ensure that equipment in use is clean and safe, and regularly monitored for safety as per professional and organisational standards of practice. Must ensure that all equipment issued by them is safe to use and be responsible for the safe and competent use of equipment they issue to patients. The following are examples of equipment which may be used when undertaking the role: IT Equipment –Personal Computer, phones, mobile phone, telehealth units, teleconference, videoconference. Manual Handling equipment - Mechanical Hoists, Samhall turner, Sliding boards, Rope Ladders – to facilitate patient transfers. Detail of equipment will be held locally and will depend on the work area. Note: New equipment may be introduced as the organisation and technology develops, however training will be provided.

7b. SYSTEMS

The following are examples of systems which may be used when undertaking the role: Maintaining patient records– documenting all patient interventions and non-direct contacts e.g. TRAK, MIM system, Picture Archiving Communication Systems (PACS), PIMs. Internet based clinical information sources e.g. E-Library Use of intranet to access information within NHS Lothian Daily use of e-mail for communication Microsoft Office Health & Safety, Datix and COSHH Systems Note: New systems may be introduced as the organisation and technology develops, however training will be provided

8. ASSIGNMENT AND REVIEW OF WORK

The Clinical caseload is generated by the specific service needs of the clinical area. Further tasks may be delegated on a daily/weekly basis. Access to advice and support from the Service Lead / senior staff will be available as required, and may be indirect. Range of responsibilities will be clearly defined in the care pathway.

The post holder may work independently on a day-to-day basis, being accountable for own actions and working within the relevant AHP related codes of practice and professional guidelines with input/supervision on a regular basis. The range of responsibilities will be specified in clearly defined in care pathways.

The post holder will plan and organise delivery of therapy for designated clinical caseload and completion of administrative tasks related to the role.

Formal and/or informal meetings/support with senior staff for purposes of clinical discussion will be regularly available and form part of routine practice.

Local induction and annual eKSF PDPR to be facilitated via team lead with individual responsibility for continuing professional development.

9. DECISIONS AND JUDGEMENTS

Clinical Support Workers Higher Level are responsible for carrying out their own patient interventions in a safe and effective manner. Decisions may include:

Inform the qualified therapist, practitioner or other relevant professional of any changes in the patient’s presentation or response to treatment to enable the appropriate care to be given.

Prioritising own delegated caseload.

Judgements regarding the current condition and status of patients receiving treatment and adapting treatment within the scope of the post holders skills and training including whether it is appropriate for a patient to continue treatment e.g. deterioration of patient.

When to seek support or guidance from a qualified member of staff.

The post holder is expected to recognise and escalate clinical concerns to the qualified AHP as appropriate.

When delegation of tasks is appropriate to lower grade Clinical Support Workers.

Participate in service/team discussion to inform and advise on decision-making processes e.g. use of resources, service developments, and patient pathways.

10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

Managing conflicting priorities on time, including managing the requirements of different clinicians, patients and carers whilst achieving administrative /housekeeping tasks

Utilisation of time management skills to allow effective management of designated caseload and support to other staff.

Ongoing patient monitoring and evaluation of outcomes to ensure appropriate caseload management, maintain patient safety and working within scope of practice.

Dealing with emotional and/or distressing situations including patients with co-morbidities that require the motivational, negotiating and persuasion skills to support behaviour and lifestyle change.

11. COMMUNICATIONS AND RELATIONSHIPS

Patients Provides routine advice, education and encouragement in an individual and/or group setting. Apply knowledge of clinical conditions to facilitate effective communications with patients and others involved in their care. Dealing with patients who have communication/language difficulties. Liaise with the senior clinicians regarding the management of patients, communicating routine information and discussing these as appropriate. Relatives / Carers Receive information directly relevant to patient care and deliver a range of patient management strategies. Deal with verbal complaints and challenging behaviour, including aggression either in person or via telephone and refer up to senior staff.

Service Management Regular meetings, email and telephone conversations ensuring a two-way flow of information. Disseminate service information as appropriate. Promote and share ideas. Multidisciplinary team Liaise with other members of the team, other AHP’s and medical staff for purposes of receiving guidance and advice for the exchange of routine information to ensure clinically effective care. Feedback patient information regarding treatment, progress, presentation and response to intervention. Share practice skills with other staff, students and contribute to clinical education as possible within area of expertise and as required. Utilise team support for emotional and challenging patients/situations. Other Agencies Liaise with a number of local and Lothian wide agencies including Local Authority.

Engage with the general public and service users in consultation as required.

12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB

Physical skills

Accurate IT skills – daily use of computer e.g. communicate with other colleagues, complete data input. Knowledge of how to use specialist equipment – required for day to day use with specific patients e.g. communication aids, special seating, standing frames etc.

Physical effort

Direct manual handling of patients with due regard for own safety, including lifting, carrying, pushing wheelchairs, arranging seating and feeding required on a daily basis.

Lifting, carrying and transferring a range of equipment to and from locations.

Skills required in assisting with therapeutic handling dependent on clinical area.

Mental demands

Reacting flexibly to constantly changing situations and prioritising the workload as possible within existing resources. Throughout the day concentration required when undertaking the treatment of patients. Constant need to be flexible to the demands of the environment including unpredictable work patterns, deadlines and frequent interruptions.

Emotional demands

Communicating frequently with distressed/anxious/worried and emotionally demanding patients/relatives. On a daily basis, dealing with patients who have communication/ Language difficulties.

Assisting in the treatment of patients who have deteriorating conditions or may be terminally ill.

Providing emotional support peers.

Working Conditions

Working within infection control and Health and Safety guidelines in order to deal appropriately with unpleasant conditions related to client contact as they arise; including exposure to body fluids, odours and head lice.

Potential exposure to unsafe situations e.g. aggressive behaviour and verbal abuse from patients and relatives, lone working.

May be a requirement to travel between locations and across Lothian in course of duties.

13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

Essential SCQF level 7 / SVQ III or HNC in health related subject plus evidence of experience working within health and/or social care. Evidence of skills to manage a delegated caseload. Evidence of knowledge of relevant to specific client group and their overall management Experience of working within relevant clinical area. Experience of implementing programmes of care as prescribed by qualified practitioner and working within agreed scope of practice. Multidisciplinary team working. Basic IT skills.

14. JOB DESCRIPTION AGREEMENT

A separate job description will need to be signed off by each jobholder to whom

the job description applies.

Job Holder’s Signature: Head of Department Signature:

Date: Date:

Section 4: NHS Lothian Values into Action

NHS Lothian is determined to improve the way their staff works so they have developed a set of common values and ways of working which they now need to turn into everyday reality - to the benefit of everyone working in the organisation and, most importantly, to the benefit of their patients. Our Values are:

Quality

Dignity and Respect

Care and Compassion

Openness, Honesty and Responsibility

Teamwork Throughout the recruitment process candidates will need to demonstrate they meet all of Our Values. More information on Our Values can be found by clicking on the link at the bottom of our Careers website front page: www.careers.nhslothian.scot.nhs.uk

Section 5: General Information for Candidates

Data Protection Act During the course of our activities we will collect, store and process personal information about our prospective, current and former staff. The law determines how organisations can use personal information. For further information on the type of data that is handled, what the purpose is of processing the data and where and why we share data, please see the NHS Lothian Staff Privacy Notice, found at https://www.nhslothian.scot.nhs.uk/YourRights/DataProtection/Pages/StaffPrivacyNotice.aspx. For the purposes of this privacy notice, 'staff' includes applicants, employees, workers (including agency, casual and contracted staff), volunteers, trainees and those carrying out work experience. Counter Fraud NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the information you have provided on your application form for the prevention and detection of fraud. It will also share this information with other bodies responsible for auditing or administering public funds for these purposes. More detail on this responsibility is on NHS Lothian’s intranet (Counter-Fraud and Theft page) and further information is available on the Audit Scotland website: www.audit-scotland.gov.uk/ References All jobs are only offered following receipt of two satisfactory written references. At least one reference must be from your current/most recent employer, or your course tutor if you are currently a student. If you have not been employed or have been out of employment for a considerable period of time, you may give the name of someone who knows you well enough to confirm information given and to comment on your ability to do the job. Changes to Disclosure and Rehabilitation Regime In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. The rules are complicated, so it is important you read the guidance below as part of making your application.

NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment candidates will be subject to one of the following:

For posts in regulated work – Protection of Vulnerable Groups Scheme membership

For all other posts which are subject to a criminal conviction record check – A Police Act check

For posts not subject to a criminal conviction record check – A self-declaration For further information please visit our careers site: http://careers.nhslothian.scot.nhs.uk/HelpAndAdvice/Recruitmentofpeoplewithconvictions/FAQsdisclosurescotlandandselfassessmentform/Pages/default.aspx

Disclosure Scotland Where a Police Act Disclosure or Protection of Vulnerable Groups Check is deemed necessary for a post, the successful candidate will be required to undergo an appropriate check. Further details on the Recruitment of Ex-Offenders are available on our careers webpage: http://careers.nhslothian.scot.nhs.uk/HelpAndAdvice/Recruitmentofpeoplewithconvictions/Pages/default.aspx

Work Visa If you require a Work Visa, please seek further guidance on current immigration rules which can be found on the Home Office website: www.gov.uk/government/organisations/uk-visas-and-immigration or visit our Careers website: www.careers.nhslothian.scot.nhs.uk/pathwaysintoemployment/OverseasWorkers/Pages/default.aspx Overseas Registration and Qualifications NHS Lothian will check you have the necessary professional registration, where appropriate. If you require a qualification for this role but are not regulated by a professional body (e.g. NMC, GMC, HCPC etc), you will need to provide an official translation, notarised by a solicitor, of your overseas qualifications to be checked by the recruiting manager. Please ensure that this is available before applying for this post. Job Interview Guarantee Scheme As a Disability Symbol user we recognise the contribution that all individuals can make to the organisation regardless of their abilities. As part of our ongoing commitment to extending employment opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview. Terms and Conditions For an overview of our Agenda for Change terms and conditions please click on this link: www.msg.scot.nhs.uk/pay/agenda-for-change

Travel Expenses Travel expenses are not normally reimbursed for interviews, if you are selected for interview and wish to enquire about the possibility of being reimbursed then the request should be directed to the recruiting manager or interview panel chair. Application Form Completion The purpose of an application form is to help evidence that the applicant has all the requirements applicable to carry out the job applied for. (7500 is the character limit for statement in support of application.)

Once in receipt of the application pack it is essential to read both the job description and person specification to gain a full understanding of what the job entails and the minimum criteria required. Please note for equal opportunity purposes NHS Lothian do not accept CV’s as a form of application. For general help and advice on how to complete an application form please visit our careers website: www.careers.nhslothian.scot.nhs.uk/HelpAndAdvice/ApplyingForPosts/Pages/default.aspx

NHS Staff Benefits As a staff member in NHS Lothian, you will have access to a wide variety of offers and discounts from local and national businesses. For more information and to view these discounts, visit www.nhsstaffbenefits.co.uk - new offers are added on a weekly basis.

NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential employees. It employs approximately 24,000 staff and offers training and development opportunities as well as excellent staff benefits. The information provided below aims to help support and guide both prospective applicants and new employees unfamiliar with Edinburgh and the Lothians. Edinburgh and the Lothians Edinburgh and the Lothians are on the eastern side of Scotland’s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothians – Edinburgh, East, Mid and West Lothian. NHS Lothian serves a population of approximately 850,000 people living in and around Edinburgh, Scotland’s historic capital city. The geographical area known as Lothian region covers 700 square miles, comprising the City of Edinburgh, Midlothian, East Lothian and West Lothian. It is a region of exceptional beauty and contrast, from the splendour of Edinburgh to the beauty and variety of the hills, countryside and coastline. The nearest major town outside of Edinburgh is Livingston, a thriving location in the heart of West Lothian. As well as many sites of historic interest, the region boasts a host of recreational activities for all ages. For further information on relocating to Edinburgh please visit our careers website: www.careers.nhslothian.scot.nhs.uk/AboutNHSLothian/Location/RelocatingToLothian/Pages/default.aspx

Section 7: Workplace Equality Monitoring

NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working environment. We believe that all staff should be able to fulfil their potential in a workplace free from discrimination and harassment where diverse skills, perspectives and backgrounds are valued. In order to measure and monitor our performance as an equal opportunities employer, it is important that we collect, store and analyse data about staff. Personal, confidential information will be collected

Section 6: Working in Edinburgh and the Lothians

and used to help us to understand the make-up of our workforce which will enable us to make comparisons locally, regionally and nationally.

NHS Lothian considers that it has an important role to play as a major employer and provider of services in Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal opportunities and elimination of discrimination. The objectives of its policy are that no person or employee receives less favourable treatment on the grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable. Our Equal Opportunities in Employment policy can be viewed on our careers website: www.careers.nhslothian.scot.nhs.uk/AboutNHSLothian/EqualOpportunities/Pages/default.aspx

If this post is a healthcare support worker position the post holder will need to follow the Code of Conduct for Healthcare Support Workers. A Healthcare Support Worker is defined as any healthcare worker working within NHS Scotland who is not currently statutorily regulated or in a role that has been recommended for statutory regulation by the Government. The Code of Conduct sets the standard of conduct expected of healthcare support workers and adult social care workers. It outlines the behaviour and attitudes that you should expect to experience from those workers signed up to the code. It helps them to provide safe, compassionate care and support. For more information on the Code of Conduct for Healthcare Support Workers please read the guidance: www.gov.scot/resource/doc/288853/0088360.pdf

Section 8: Equal Opportunities Policy Statement

Section 9: Code of Conduct for Healthcare Support Workers