Nightingale House Hospice
Nightingale House Hospice
Full-time
Job Title
Line Manager
Responsibility within
Job Purpose

Job Description:

Senior Physiotherapist
 Rehabilitation Team Leader
 Clinical Services – all departments

•  To provide specialist physiotherapy/hydrotherapy to patients, including those with
complex needs, referred to Nightingale House Hospice; working within the multi-
disciplinary team as an autonomous practitioner, ensuring high standards of patient care
are maintained in accordance with all Nightingale House Hospice aims, policies, procedures
and guidelines.

•  To provide assessment and evaluation of individual patients’ needs and implement plans in

collaboration with the multi-disciplinary team.

•  To act as a resource and support for hospice staff and other health professionals by

offering specialist knowledge and skills.

•  To deputise for the Rehabilitation Team Leader in operational management of the

department.

•  To assist in the development, co-ordination and delivery of a comprehensive physiotherapy

service in close co-operation with the Rehabilitation Team Leader.

•  To supervise and mentor the Technical Instructor, Physiotherapy Assistant, Volunteers and

Students.

•  To act at all times within own limitations of knowledge, expertise and competence.
•  Participate in department and hospice research and audit.
•

Lead, with a core hospice team, the manual handling training and updates for clinical staff
at NHH.

Key Responsibilities

Clinical

•  To receive referrals for physiotherapy and hydrotherapy services from within the

hospice departments and for patients with specialist palliative care needs from the
community and to prioritise case load appropriately.

•  To undertake specialist physiotherapy assessments of patients with complex care needs

referred for physiotherapy services and identify and document appropriate
interventions and care plans based on assessed need.

•  To be responsible for maintaining accurate and comprehensive patient treatment

records in line with professional and local guidelines.

•  To ensure informed/written consent is obtained and documented for treatments as

appropriate.

•  To maintain a clinical caseload for physiotherapy, hydrotherapy and related specialist

treatments.

•  To ensure holistic needs of patients are assessed to an appropriate level within the

requirements of the role and responsibilities

Reviewed September 2025 Rehabilitation Lead

•  To act as a role model for clinical teams, demonstrating evidence based practice within
daily clinical activity and promoting discussion regarding the benefits and/or limitations
of clinical interventions.

•  To participate in multi-disciplinary team meetings as appropriate and necessary to

maintain continuity of patient care across all departments of the hospice.

•  To provide advice to members of the multi-disciplinary team on suitable
interventions/care of patients in relation to complexity of patient needs.

•  To maintain and develop a broad knowledge of treatment modalities.
•  To maintain knowledge and skills in communication/breaking bad news appropriate to
the role and responsibilities being aware of personal and organisational limitations of
data protection and safety of patient information

•  To maintain appropriate knowledge and skills of the safe use of all specialist equipment
used in the provision of patient care and to disseminate that knowledge as required to
other staff or patients and families if necessary.
In the process of clinical care to assess patient and family and their appropriateness to
participate in clinical audit initiatives and obtain necessary consent if required.
•  To act as a specialist resource and provide specialist advice on patient care to other

•

health, social, educational and voluntary services.

•  To provide moving and handling assessments for patients with complex

mobility/immobility needs and advise carers accordingly, assisting in developing care
plans appropriate to patient’s and carers needs for safe moving and handling.
•  Access support and supervision from Rehabilitation Team Leader or other relevant

health professional as required.

•  To maintain and record own Continuing Professional Development as required by the

regulating body.

Management
•  To ensure the safe operation and management of the hydrotherapy pool in line with the

hydrotherapy policy.

•  To prioritise and allocate daily workload within the department, working in conjunction

with or deputising for the team leader.

•  To delegate appropriate patients to technical instructor, assistant and volunteers and

supervise their clinical work and management of that patient.

•  To deputise for the team leader in managing levels of sickness/absence within the

department in accordance with hospice policy, reporting any areas of concern to senior
managers/human resources department.

•  To facilitate effective communication between the physiotherapy team and other staff

groups within the hospice and the wider specialist palliative care team.

•  To ensure collaborative working with medical, nursing and therapy colleagues; patients,
families and carers for optimal patient care and promotion of the physiotherapy service.

•  To initiate and maintain contact with local and national clinical special interest groups

relevant to clinical field.

•  To participate in the development and review of clinical guidelines, policies and

procedures applicable to the provision of physiotherapy.

•  To collect appropriate data and statistics relating to patient care to comply with regional

and national statistical requirements.

Reviewed September 2025 Rehabilitation Lead

Clinical Governance

▪  Risk Management – To manage clinical risk within the workplace, undertake risk
assessments regarding patient condition and environment to ensure safety of self
and others.
 Ensure the equality, diversity and rights of patients are promoted and maintained in
all areas of clinical governance and clinical care.

▪

▪  To work within Nightingale House and the Chartered Society of Physiotherapy

clinical and professional guidelines.

▪  Service User Participation – To ensure service user views are fed back through the

appropriate channels to team leaders or senior management team.

▪  Audit & Research – To support the work of colleagues in undertaking audit and

research in the department.

▪  To suggest suitable topics for departmental audit to team leader.
▪  To support management team and clinical team leaders to continually monitor

standards of care, using appropriate quality assurance tools.

•  To ensure clinical risk is managed to as low a level as is reasonable practicable.

Education and Development

•  Actively participate in developing and delivering education and training to all
disciplines and grades of staff, internally and externally, regarding the role of
physiotherapy in specialist palliative care.

•  Ensure own compliance and assist in ensuring other staff members comply with the
requirements of mandatory training and continuing professional development.

•  To provide mentorship, supervision and support to physiotherapy students as

necessary and at a level appropriate to their needs.

•  Promote use of evidence based practise.

Audit and Research Activity

•  To undertake surveys or audits as necessary to own work
•  To participate in hospice clinical audit or research work.
•  To present findings of research and audit to a variety of professional groups as
appropriate to maintain the profile of the service within the wider health
community.

General Requirements

This post is subject to the Terms and Conditions of employment of the Hospice as specified
in the staff handbook

Registered Health Professional
You must be registered with the Health professions Council and adhere to their code of
conduct. It is a requirement of the post that you maintain up to date knowledge and skills
and an awareness of professional issues relative to your role and responsibilities. You are
advised to maintain a professional portfolio for the purpose of demonstrating your ongoing
professional knowledge and skills development

Reviewed September 2025 Rehabilitation Lead

Competence You are responsible for limiting your actions to those that you feel competent
to undertake.  If you have any doubts about your competence during the course of your
duties you should immediately speak to your line manager / supervisor.

Risk Management
It  is  a  standard  element  of  the  role  and  responsibility  of  all  staff  of  the  Hospice  that  they
fulfil a proactive role towards the management of risk in all of their actions. This entails the
risk  assessment  of  all  situations,  the  taking  of  appropriate  actions  and  reporting  of  all
incidents, near misses and hazards. It is a requirement that you adhere to Nightingale House
Hospice Policies, Procedures, Protocols and guidelines at all times.

Health and Safety Requirements of the Hospice
All employees of the Hospice have a statutory duty of care for their own personal safety and
that of others who may be affected by their acts or omissions.  Employees are required to
co-operate with management to enable the Hospice to meet its own legal duties and to
report any hazardous situations or defective equipment.

Data Protection and Confidentiality
The post holder must treat all information, whether corporate, staff or patient information,
in a discreet, secure and confidential manner in accordance with the provisions of the
current data protection legislation and organisational policy.  Any breach of such
confidentiality is considered a serious disciplinary offence, which is liable to dismissal and /
or prosecution under statutory legislation and the hospice’s disciplinary policy.  This duty of
confidence continues after the post holder leaves the organisation.

Records Management
As an employee of the hospice, the post holder is legally responsible for all records that they
gather, create or use as part of their work within the organisation (including  patient health,
staff health or injury, financial, personal and administrative), whether paper based or on
computer.  The post holder should consult the IG Lead if they have any doubt as to the
correct management of records with which they work.

Flexibility
This job description is an outline of the role and function. It is not intended to describe all
specific tasks and therefore is subject to change following consultation with the post-holder.

The post is subject to an enhanced disclosure check with the Disclosure and Barring
Services (DBS).

Reviewed September 2025 Rehabilitation Lead

PERSON SPECIFICATION

         ESSENTIAL

      DESIRABLE

QUALIFICATIONS

EXPERIENCE

SKILLS

KNOWLEDGE

Diploma/BSc Physiotherapy
State registered physiotherapist
Current registration with
professional body
3 years post registration experience
in a variety of settings.
Supervisory skills
Palliative care or oncology
experience
Autonomous practitioner
Ability to work in multi-professional
team
Good communication skills
Physically fit
Good organisational skills
Ability to work under pressure
Basic keyboard skills
Knowledge of various types of
disease processes and physiotherapy
modalities.

PERSONAL
QUALITIES
(Demonstrable)

OTHER RELEVANT
REQUIREMENTS

Team worker
Empathetic
Organised
Flexible in approach.
Willingness to attend further training
to improve knowledge and skills.

Specialist qualification in
cancer/palliative care

METHOD OF
ASSESSMENT

Certificates

Experience in hydrotherapy.
Experience of palliative care
Ward Work

Interview
Application form

Ability to evaluate and audit
practise and influence change.

Interview

Attendance at relevant study days
and/or experience of patients with
palliative care needs.
Hydrotherapy/TENS/ Acupuncture
training.

Interview
Professional port
folio evidence

Interview

Interview

Reviewed September 2025 Rehabilitation Lead