Extended Scope Practitioner Musculoskeletal

JOB SUMMARY This job description is an outline of the main duties of the post. The post holder will be required to undertake other duties commensurate with the grade as directed. The content of this post will be reviewed in consultation with the post holder when necessary and in line with service developments.

KEY RESULT AREAS JOB PURPOSE

To provide a screening, assessment, referral & treatment service for patients with a variety of complex musculoskeletal problems, referring on to the most appropriate service where necessary including secondary care. To triage referrals through highly advanced & specialist assessment, using investigations & diagnostics to enable the provision of a clinical opinion/diagnosis in order to advise referrers & patients regarding further management of their condition. To provide a district wide service acting as a lead in the management of musculoskeletal problems and facilitating rapid referral to the most appropriate service for the management of patients with complex musculoskeletal problem. To take a lead role for the professional development & the facilitation of best practice in the clinical area of musculoskeletal outpatients for all health care professionals including being involved in the Continuing Professional Development of Medical Practitioners.

JOB DIMENSIONS

Supervision of more junior staff and students if necessary Advise Manager on budgetary issues related to musculoskeletal services

CORE DUTIES AND RESPONSIBILITIES

CLINICAL

To screen musculoskeletal referrals to the Referral Management Centre and to make decisions on their further management, ensuring all health and safety issues are adhered to. To use highly advanced clinical reasoning skills to undertake advanced specialist assessment of patients, and formulate an accurate diagnosis & prognosis discussing treatment options & referring on when necessary or agreeing an individual treatment program with the patients consent. To gather, interpret & analyse highly complex clinical and non clinical information and undertake highly skilled and clinically advanced procedures and interventions within the scope of the Extended Scope Practitioner. This includes selecting and using appropriate assessment techniques and requesting diagnostic investigations (x-rays, blood tests, MRI/ultrasound scans as identified within the protocols set by the Trust). To accept referrals from GPs, Physiotherapists & Podiatrists and provide a specialist opinion on patients with complex musculoskeletal problems, using & supporting physiotherapists, medical colleagues & other professions where necessary in the management of musculoskeletal conditions To monitor and progress patients using appropriate outcome measures and discharge planning, providing detailed reports and letters to referrers and referring onto other services where necessary. To use excellent communication skills to deliver highly complex, sensitive and contentious information to patients and carers. To deliver injection therapy &/or prescribing of medication under guidance of patient group directive where necessary To be responsible for risk assessing all aspects of own work in line with Trust procedures and Professional standards & be professionally & legally accountable for own practice as an autonomous practitioner. To write medico-legal reports for patients within own specialist clinical caseload where necessary.

PROFESSIONAL

To maintain patient treatment records in line with Trust and Professional standards To be responsible for maintenance of own extensive CPD and show evidence through professional portfolio. To lead on aspects of change in the working and clinical practice of the musculoskeletal/physiotherapy team and to ensure that where they impact on other health professionals or services they are informed and assisted with managing the changes to their organisation or service To use Evidence Based Practice to inform decision making regarding the best management of musculoskeletal problems. To participate in multi-disciplinary debate advising on policy and procedural decisions on musculoskeletal clinical matters Organisational To take a lead when necessary on clinical networking, co-ordinating, integrating and improving musculoskeletal care pathways and processes across teams, professions and Trusts. To design and undertake audit programs to develop the musculoskeletal service. To lead on relevant aspects of research using audit and evidence based practice results to set standards within the musculoskeletal services. To complete work within agreed time scales and alert manager where logistics problems threaten to disrupt working practices. To support Managers with the maintenance & development of a high quality, efficient & effective musculoskeletal service To ensure equality, privacy & dignity is shown to all patients & carers who attend the service. For full details of the role please see the supporting documents attached. We are aware that an increasing number of applicants are using AI technology to generate responses on NHS Job application forms. We strongly discourage this and will conduct a thorough screening process before selecting candidates to progress to the next stage. If you are using AI to enhance your application, please disclose this in your NHS Jobs application form.