REFERENCE NUMBER: AHP/WINT/PT/1112/03
JOB TITLE: THERAPY SUPPORT WORKER
GRADE: BAND 3
LOCATION: ROYAL INFIRMARY OF EDINBURGH
HOURS: 34 PER WEEK
CONTRACT DURATION: 3 MONTHS
CLOSING DATE: 30 November 2011
SALARY SCALE: £15,860 - £18,827 per annum
There are three ways to make your application, which are:
1) Apply on-line www.jobs.scot.nhs.uk
2) Download the application form, complete this, the attached working time form, save and e-
mail to firstname.lastname@example.org
3) Print the application form, the working time form, complete both and mail these to
RECRUITMENT CENTRE, ST JOHN’S HOSPITAL, LIVINGSTON, EH54 6PP
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.
GENERAL INFORMATION FOR CANDIDATES
This information package has been compiled to provide prospective candidates with details of the post
The contents of this package are as follows:
Person Specification and Job Description
Working Time Regulations Form (please complete and return with application form)
Guidance on completion of Application Form
Agenda for Change Terms & Conditions
Equal Opportunities Policy Statement
Please note that any personal information obtained from you throughout the recruitment process will be
collected, stored and used in line with the Data Protection Act 1998. Information will be available to the
recruiting manager and to the Human Resource staff.
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 at http://www.audit-scotland.gov.uk/work/nfi.php.
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.
Where a 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 is available from the Recruitment Centre.
If you require a Work Permit, please seek further guidance on current immigration rules which can be found
on the Home Office website www.ind.homeoffice.gov.uk
When returning your completed application and any associated enclosures by Royal Mail, please ensure that
the correct postage is paid. Underpaid mail will be retained by the Post Office which will result in applications
not being returned until after the closing date and not being included for shortlisting.
I would ask you to note that if you do not hear from us within six weeks of the closing date, I regret to say that
you will have been unsuccessful on this occasion.
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.
Please send your completed application to:-
The Recruitment Centre
St. John’s Hospital at Howden
Howden Road West
1. JOB IDENTIFICATION
Job Title: Technical Instructor 3
Responsible to: Designated Physiotherapist
Department: Therapy Services
Directorate: Therapy and Rehabilitation
Job Reference: U-MD-THR-THS-TECH3
No of Job Holders: 16
Last Update (insert date): 07.03.05
2. JOB PURPOSE
Support qualified physiotherapy staff by implementing prescribed care programmes with minimal direct
supervision and assisting in a range of patient care, administrative and housekeeping duties
Staff Range of Clinical Areas – Acute Medicine/Infectious Diseases; Acute Medical Wards; Clinical
Neurosciences, Clinical Oncology; Hydrotherapy; Medicine Of The Elderly, Medicine Of The Elderly
Day Hospital, Musculoskeletal; Out Patients, Orthopaedics, Respiratory Medicine; Rheumatology;
Gastrointestinal Surgery, Renal/Gastrointestinal Medicine, Vascular Surgery.
4. ORGANISATIONAL POSITION
Lead Therapist/ Site Lead
(not always a Physiotherapist)
Senior I Physiotherapist
Basic Grade Senior II PTA TI III
5. ROLE OF DEPARTMENT
The Physiotherapy Service to Adults sits within the Therapy and Rehabilitation Directorate in the
Division. The Directorate includes Dietetics; Occupational Therapy;
Physiotherapy and Speech and Language Therapy.
Key responsibilities of the service are: -
1. Provision of physiotherapy care to a diverse range of clinical conditions e.g. orthopaedic,
surgery, stroke and patient types in a variety of environments e.g. inpatients, outpatients
2. Service management, planning and development within a defined budget and a
3. Development, implementation and management of a Clinical Governance Strategy
4. Provision of Clinical Education to students from Queen Margaret University College and
other national and international Higher Education Institutions.
5. To develop and support relevant audit and research within the Service and across the Division
and in collaboration with academic institutions.
6. To provide a flexible service to meet the demands of all clinical areas
7. All staff to comply with Divisional and Departmental Policies in addition to complying with
the Chartered Society of Physiotherapy Professional Standards and rules of Professional
6. KEY RESULT AREAS
6. Key Result Areas
1. With minimal supervision, implement programmes of care prescribed by a qualified
physiotherapist to maximise patients’ rehabilitation potential.
2. Awareness of the legal framework of the adults of incapacity act (200)
3. Awareness of the child protection act
4. Undertake a range of procedures, as instructed by the Physiotherapist, to support the
Physiotherapy Service. E.g. monitor patient exercises, mobilise the patient as directed by the
therapist, make changes to exercises within agreed scope of practise, cutting sticks.
5. Assist in patient treatment when the Physiotherapist requests support. Inform the Physiotherapist,
or other relevant professional; of any changes in the patients’ presentation or response to
treatment to enable change in care management and the appropriate care to be given.
6. Communicate effectively with patients and carers to engage them in treatment and motivate them
7. Organise an agreed caseload of patients effectively and efficiently referring back appropriately
with the designated physiotherapist.
8. Contribute to the maintenance of patient documentation records and statistical information to
reflect care provided and meet agreed Physiotherapy standards.
9. Work as part of a team to ensure effective communication and delivery of care.
10. Lead group activities within scope of practise.
1. Follow departmental guidelines for maintenance of equipment, to ensure all items are fit for
purpose and replacements needs are identified. Follows departmental Health & Safety/COSHH
and other departmental procedures
2. Perform housekeeping duties in designated clinical areas to ensure that the environment is suitable
for Physiotherapy Team to work effectively.
3. Undertake responsibility for the dismantling, cleaning and re-assembling equipment for the use of
the entire physiotherapy staff.
4. Check and order departmental stock to ensure supplies available for staff.
1. Consult the relevant Physiotherapists for clarity, advice and / or assistance in any aspect of
2. Participate in the departmental Personal Development and Performance Review (PDP) system to
promote personal and service developments.
3. Effectively manage your work time to ensure that clinical responsibilities and its documentation
are undertaken in a timely manner
4. Delegated Administration and Clerical Duties
1. Participate in Physiotherapy Technical Instructor / Assistant in-service training to promote
personal development and maintain CDP portfolio.
2. Support newly appointed assistant staff
7a. EQUIPMENT AND MACHINERY
Equipment Frequency (dependent upon
Walking aids Arjo Walker, Gutter Frame, Mobilators, Zimmers, Daily
Elbow Crutches, Quadrpods, Sticks, Crutches,
Specialist Walking Frames
Manual Handling Mechanical Hoists, Samhall Turner, Sliding Boards Daily
Electrical Requires knowledge in the use of this equipment in Weekly
Equipment order to assist the Therapist and in some instances
within scope of practise supply
Tens Units, Ultra-Sound, Continuous Passive
Movement Machine, pulse oximeter, blood pressure
monitor, tilt table
Knowledge of equipment required for assembly and
Respiratory disassembling of the apparatus to allow cleaning, Daily
Equipment maintenance of the machinery and within scope of
Ultrasonic Nebuliser, Intermittent Positive Pressure
Ventilation, Suction Units.
Supports Simple Orthoses Daily
Rehabilitation Treadmill, Exercise Bicycles, Steppers, Isokinetics, Daily
Equipment Standing Frame (Some Specialist), Multigym, Weights,
PPam Aid, Vari-Table, Plinths, Parallel Bars, Balance
Boards, Gymnastic Balls, Blocks, Stairs, Suspension
Therapy, Full Range Of Small Exercise Equipment
Hydrotherapy Range Of Associated Equipment e.g. Hoists and Weekly
Positioning Wheelchair Cushions, T-Rolls, Matchet Bags Daily
Thermal Hot Packs, Ice As required
IT Equipment Personal Computer Daily
1. Maintain patient records to meet legal and departmental standards
2. Participate in the collection and collation of qualitative and quantitative service specific data
using appropriate formats e.g. paper/spreadsheets.
3. Physio Tools-This is a software package comprising diagrams and details of specific exercises.
This assists a Therapist to develop a specific individualised exercise programme for the patient
4. Where appropriate maintains a diary of patient appointments
5. Email to ensure efficient and timeous communication
6. PC for Intranet and Internet access to maintain knowledge base
8.ASSIGNMENT AND REVIEW OF WORK
Assignment of Work The qualified Physiotherapists will delegate all tasks on a daily basis. Support
will be available at all times however this may be indirect (i.e. by telephone / bleep)
The Senior Physiotherapist will provide induction and undertake annual performance reviews.
9. DECISIONS AND JUDGEMENTS
1. Decide if patient is well enough to participate in the therapy programme
2. Make decision when to refer/report back to designated Physiotherapist members of the multi
3. Prioritise workload seeking support of designated Physiotherapist where appropriate
4. Give advice to patients/carers within scope of practise
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
1. Adhering to a set timetable when working across several clinical areas and balancing the
competing demands of a variety of physiotherapy staff.
2. Working with constantly changing staff with varying degrees of experience and providing
support to new staff to clinical rotation.
3. Undertake a physically demanding job, whilst at the same time taking care to safeguard their
own health and safety as well as that of colleagues and patients.
4. Balancing the clinical, administrative and housekeeping duties required within the post.
11. COMMUNICATIONS AND RELATIONSHIPS
WHO FREQUENCY METHOD PURPOSE
Patients Daily Face to face Advice, treatment plans
within scope of
Relatives As required Face to face, telephone Advice, giving /
within scope of practice
Physiotherapy Team Daily Face to face Work allocation,
Assistant Staff As per local As per local Information
arrangement arrangement development
Therapy Dept Staff As per local Meeting Information, in-service
arrangement training development
Senior Physio Weekly Appraisal / review Supervision
Dept A&C Staff Ad hoc Face to face / written Admin requirements
Colleagues Ad hoc Telephone / fax / letter Patient referral,
within/outwith our equipment ordering,
Medical /Nursing Daily / As required Face to face Baseline medical status
Multi-disciplinary team As required Face to face Ensure efficient
12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
Frequency (dependent upon
Physical Skills: Skills to assist in a wide range of Daily
physiotherapeutic manual techniques and
perform a limited range of techniques
dependent upon scope of practise
Physical Demands: Therapeutic Handling-assist with the Daily up to 1 hour per day /
facilitation of movement during patient
treatment sessions of highly dependent /
physically impaired patients without
mechanical aid. All other staff would be
recommended to move these patients by
mechanical aid Daily 15 mins per patient
Patient stair assessment requiring
assistant to walk backwards downstairs Daily
Patient movement with use of
mechanical aides Daily
Manoeuvre patients in wheelchairs Through out day
Assist Patient mobility with walking
aids/assistant required to move aid Through out day
Work in cramped awkward positions for
sustained periods of time Daily
Stand/walking for the majority of shift Daily
Manoeuvre awkward equipment
Mental Demands: Concentration required when Daily
undertaking limited assessment and
assisting in the treatment of patients
through out day. Daily
Workload priorities vary to meet service
Clinical risk assessment sometimes
within areas where reducing risks to a
desired level is difficult Frequently
Dealing with patients who have
Emotional Demands: Communicating with Daily
distressed/anxious/worried and angry
patients and their families and/or friends
Assisting in the treatment of terminally Frequently
ill patients or patients with deteriorating
Dealing with patients who have unsightly Frequently
wounds and/or disfigurement
Working Conditions Daily exposure to body fluids (sputum, Daily
sweat), odours, urine and faeces
Some exposure to a degree of verbal or Daily
physical abuse from patients and their
family or friends
Exposure to bacterial and viral infections Frequently
Varied Temperatures Daily
13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
Minimum required to undertake the role.
SVQ III-Therapy support worker
Verbal and written communication skills
Experience of interacting effectively with general public
Basic IT Skills
Health / Care / Voluntary Experience
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: Date:
Head of Department Signature: Date:
Working in Edinburgh and the Lothians
NHS Lothian offers excellent career prospects and a wide range of job opportunities for potential
employees. It employs approximately 28,000 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
NHS Lothian serves a population of approximately 800,000 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 useful guidance on relocating to Scotland visit: www.scotlandistheplace.com
For a comprehensive list of services to help moving to the City of Edinburgh, please visit the City of
Edinburgh Council Website at: www.edinburgh.gov.uk
WORKING TIME REGULATIONS
In accordance with Working Time Regulations, no individual should knowingly be
contracted to work for more than an average of 48 hours per week.
For Completion by Applicant (to be submitted along with application form)
- Do you intend on holding any other employment (either NHS or non-NHS)
YES / NO
If yes please complete the details below:
Name and address of additional employer(s)
Average number of hours worked for this employer per week
For Completion by Appointment Panel
- Would the offer of this post put the applicant in a position whereby they would
exceed the 48-hour working limit? YES/NO
Please Note - It is the responsibility of the appointment panel to ascertain whether the
prospective employee intends to retain any other post held in addition to the one for
which they are applying.
Refer to the Recruitment Guidance Pack for further information regarding working
Guidance on how to complete the NHS Scotland application form
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.
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.
There are currently three ways of applying for vacancies within NHS Lothian:
- On-Line – www.jobs.scot.nhs.uk
- Telephone (hard copy) – 0845 60 33 444
- Email – email@example.com
If you are applying by ‘hard copy’ please use black ink and write clearly in block capitals.
The vacancy reference number, job title and location can be obtained from the job advert.
The candidate number will be populated by Recruitment Admin once the application has been returned.
This is to ensure each application remains anonymous.
Only part C of the application form will be sent for short listing. The application form will be identified by
the candidate number only to ensure that no applicant will be unfairly discriminated against.
Please complete all sections of the application form. Those sections that are not relevant please indicate
‘not applicable’, do not leave blank.
Please feel free to use additional paper if required. Please do not add your name to any additional
information provided; secure it to the relevant section and Recruitment Admin will add a candidate
For general help and advise on how to complete an application form visit www.careersscotland.gov.uk (click
on how to apply > how to complete an application form.
The application form
In this section you are required to provide your contact details including telephone number and email
address if applicable. Please note it is essential that this section is completed as fully as possible to
ensure you can be contacted if required.
Work Permit / Working in the UK
NHS Lothian must ensure that all potential employees are legally entitled to work in the UK therefore it is
essential that this section is completed.
For further information visit: www.ukba.homeoffice.gov.uk
All convictions and cautions regardless of how long ago the offence may have occurred must be
disclosed. Convictions from other countries must also be notified.
Declaring a conviction will not automatically disqualify you from being considered for the post. Careful
consideration will be given to the relevance of the offence to the particular post in question. However, if
you are appointed, and it is found that you did not disclose a previous conviction your employment may
Please provide all qualifications gained.
Remember to write down any ‘non formal’ qualifications or certificates that you think are relevant to the
job you are applying for.
Membership of Professional or Regulatory Bodies
All professional staff employed by NHS Lothian requiring registration must be registered with the
appropriate body. Those that fail to register with the relevant body will not be employed by the
organisation to practise their profession.
Present (or most recent) Post
Please provide details of your present or most recent post.
Please write your start date in month/year format MM/YYYY.
Role Purpose / Summary of Responsibilities
Tell us briefly about your duties (what you do or did in your job). You could tell us your role, the main
tasks, and any responsibilities.
Please state all the jobs you have done previously in this section writing your start date in month/year
Please give the full names and addresses of 2 referees, one of whom must be your present or most
recent employer and can confirm your job details. Please note your reference history must date back at
least 3 years.
Referees will be taken up after interview for the successful candidate only.
NHS Lothian is “Positive about Disabled People” and as part of our continued commitment to extend job
opportunities for people with disabilities we operate a Job Interview Guarantee Scheme (JIG). This
means that all candidates that indicate that they have a disability and meet the minimum criteria of the
job description are guaranteed an interview.
You only need to complete this section if the job requires you to drive. Please check the job description
or person specification.
Statement in Support of your Application
This is the most important part of the application form. In this section you must say why it is you want this
job describing your skills and abilities that you think help to match you against the job description / person
Where did you see the advert?
Please try to remember where you heard about this job, and tick the relevant box. The information you
give will help us find out how effective our advertising is.
Equal Opportunities Monitoring
Please note that all details on this section (Part D) will remain totally anonymous. It will be detached from
the rest of the form as soon as it is received and will remain anonymous.
As a major employer, NHS Lothian is committed to the promotion of equal opportunities and the
elimination of discrimination.
Please return completed application forms to:
The Recruitment Centre
St John’s Hospital
Howden Road West
Please note that if you do not hear from us within six weeks of the closing date, I regret to say that you will
have been unsuccessful on this occasion.
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.
Terms & Conditions
The NHS has recently undergone one of the most significant changes in relation to staff grading, pay
and terms and conditions of service, known as Agenda for Change (AFC). Agenda for Change
introduces harmonised NHS Terms and Conditions of Service based on the principle of equal pay for
work of equal value, to ensure a fair system of pay for all NHS employees whilst supporting modernised
For further information visit - www.paymodernisation.scot.nhs.uk
It is important to note that some contractual conditions of service remain under review and may change
subject to final agreement.
Pay / Policies
Pay progression through AFC salary band is by annual increment subject to performance review.
Within each pay band there are 2 gateways: the foundation gateway and the second gateway. The
foundation gateway is applicable to new or promoted staff and applies no later than twelve months after
appointment to the pay band regardless of the pay point to which the person is appointed. The second
gateway follows the foundation gateway and the point at which it applies will vary between pay bands.
Annual Leave & Public Holiday Entitlement
All NHS Lothian employees receive an entitlement to annual leave and public holidays, combined this
gives a total leave entitlement. An employee’s leave is based on their length of service and hours
worked per week.
Annual Leave + Public Holidays = Total Leave Entitlement
On Appointment – 27 days per annum plus 8 public holidays (pro rata)
After 5 Years Service – 29 days per annum plus 8 public holidays (pro rata)
After 10 Years Service – 33 days per annum plus 8 public holidays (pro rata)
NB: previous NHS service will count towards entitlement.
NHS Pension Scheme
The NHS provides an occupational pension scheme, membership of which is optional.
The Scheme is currently under review however key provisions include the Scheme being contributory
by the employee and employer and in addition to retrial benefits the Scheme also provides for ill health
retrial, death gratuity, and widow’s/widower’s benefits.
Workforce 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 and used to
help us to understand the make-up of our workforce which will enable us to make comparisons locally,
regionally and nationally.
Equal Opportunities Policy Statement
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.
Provision of Services
The organisational objective is to provide equality of access to provision of services through:
consultation over services to ensure that groups concerned are consulted over existing services and
epidemiological studies, patient satisfaction surveys and qualitative research to ensure that specific
reference is made to the needs of the groups covered by the policy.
Equal Opportunities in Employment
2.1 Recruitment and Selection
The organisation aims to ensure that:
all sections of the community know about job opportunities within NHS Lothian
where possible, under statutory rules, members of groups who are under-represented in the workforce
will be encouraged to apply for jobs through positive action programmes;
everyone who applies or a job or promotion within the organisation will receive fair treatment and will be
considered solely on ability to do the job against justifiable selection criteria and unbiased personnel
records are kept so that the organisation can monitor how the policy is working. To do this, applicants
and employees will be asked to provide information for their records. All information will be confidential;
all procedures and practices used in recruitment and selection are reviewed, to ensure that there is no
The organisation intends that:
all its employees, including part time staff, will be advised at induction and regular in-service training that
they have equal access to training and are encouraged to take advantage of such training;
all managers and those responsible for appointing staff receive training in the organisational Equal
in-service staff are trained as trainers and external expertise identified in sufficient quantity, quality and
range to support induction, on-going and update training in Equal Opportunities for all staff;
the organisation will also work with medical schools and other training agencies to ensure that Equal
Opportunities training is integrated into courses for health workers.
The organisation intends that:
all staff will be protected from discrimination or harassment because of their 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 or HIV/AIDS status;
staff who discriminate or harass employees on the grounds of any of those factors will face disciplinary
staff who, in good faith, have raised or intend to raise a grievance against alleged discrimination or who
give/intend to give evidence/information in connection with such grievance; must not be treated less
favourably than other employees;
all grievances and complaints will be recorded, information on investigations and outcomes to
The organisation will require contractors to comply with its Equal Opportunities Policy and this will be a
condition of contract.
It should be noted that the organisation’s Equal Employment Opportunities Policy extends to groups which
are not specifically covered by anti-discrimination legislation. The policy intends that the elimination of
discrimination in the employment field be related to discriminatory actions or omissions which are unlawful,
unfair or inappropriate.
Guidance on unlawful discrimination or unfair discrimination for appointment panels is available from HR
The organisational policy does not detract from individual rights.
This policy does not prevent an individual from pursuing contractual rights through the Grievance Procedure
or from pursuing statutory rights through any body which deals with the enforcement of the particular