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Band 6 Therapist Enhanced Supportive Care (Palliative Care)


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Band 6 Therapist Enhanced Supportive Care (Palliative Care)
8 months (Fixed term contract until the end of March 2023)
Full time - 37.5 hours per week
Job ref
£32,306 - £39,027 per annum
Salary period
17/08/2022 23:59

Join us at an exciting time for Gloucestershire Hospitals NHS Foundation Trust! We have recently been awarded an improved CQC rating of Good and are proud of what we’ve achieved. We have an ambitious plan for our journey to Outstanding and are looking for aspirational, committed individuals to join us, making a real difference to both staff and patients.

As a former winner of England for excellence award: Tourism destination of the year, the beautiful city of Gloucester and the scenic regency spa town of Cheltenham are fantastic places to work and live.

As a hospital Trust we are currently involved in over 100 clinical trials and studies, whilst also providing acute elective and specialist services to a population of over 620,000.

By joining Gloucestershire Hospitals NHS Foundation Trust new colleagues can look forward to a warm welcome and a future full of opportunities and support.


Job overview

An exciting opportunity has arisen for a dynamic, motivated therapist with relevant, skills and experience to work as a Senior Therapist within the Palliative Care/ESC Team at Cheltenham General Hospital.

ESC is a new service that forms part of the Specialist Palliative Care team. This service provides early palliative care support for individuals with a newly diagnosed incurable cancer by delivering ongoing holistic interventions during and after cancer treatment.  

The post will provide a variety of experiences of working as an Enhanced Supportive Care Therapist working directly with patients in close collaboration with other professionals.  This role requires significant lone working and assessing patients within an outpatient setting, their home environment or virtually.  The post holder must have the ability to drive and have access to their own vehicle.

Main duties of the job

We are looking to recruit a Physiotherapist/Occupational Therapist with appropriate experience working with patients with palliative diagnoses. The post holder will be required to provide integrated Therapy skills as part of their assessments.  

The post holder will work as part of a multi-disciplinary team providing therapeutic interventions including assessment, rehabilitation and palliative care to Gloucestershire ESC patients. This is a new service that forms part of the Specialist Palliative Care team.  The post holder will be involved in audit and evaluation of the service in a role that supports the integration of therapies into the ESC cancer patient pathway.  

The post holder will be expected to work within any shift or on-call rotas in operation across both Cheltenham General Hospital and Gloucestershire Royal Hospital, which includes weekends and public holidays.

Working for our organisation

The Therapy service provides Physiotherapy and Occupational Therapy to inpatients and outpatients at Gloucestershire Royal and Cheltenham General Hospitals.
We are an integrated service providing patient centred care. Our mission is to ‘enable people to maximise their potential to live well’.  
The Enhanced Supportive Care (ESC) team consists of a Palliative Care consultant, doctors and nurses. The post holder will be provided clinical supervision by the Clinical Lead Therapist for Oncology.  

Detailed job description and main responsibilities

Job purpose

Provision of therapeutic interventions including assessment and regular reviews and treatment interventions including but not exclusive to cognition, fatigue, personal identity, activities of daily living, reduced physical function, managing a deteriorating condition and palliation. The post will require a therapist with oncological and palliative care experience.

The post holder must also demonstrate competence in office skills, data management, preparing and delivering educational material, liaison and skilled communication with a wide range of healthcare staff and patients.

 Clinical interventions will be in the form of individual contacts with patients and joint assessment in collaboration with community services. The post holder will also be accessible to the wider oncology service for advice and guidance for oncology patients with an incurable cancer diagnosis.  

The post holder will work under guidance of the Deputy Head of Inpatient Therapies (Scheduled Care), the band 7 Clinical Lead for Oncology and the Enhanced Supportive Care Team.  

Knowledge, skills and experience

The post holder must have a degree/diploma in Occupational Therapy/Physiotherapy.

Be registered with the Health and Care Professions Council.

Completed or working towards completion of relevant post-graduate study in this specialist area with experience of working at a senior level in this specialty.

Specialist clinical reasoning, critical thinking, reflection and analytical skills, to be able to work independently.

Specialist assessment and rehabilitation skills, particularly in relation to managing an incurable cancer and palliative care.

Skills in training others including therapy staff and other professionals in the hospital and community.

Experience of providing education and supervision to students in this specialist area.

Advanced communication skills or willingness to complete a relevant course

An understanding of a range qualitative and quantitative research methodologies

The post holder must be computer literate and be able to use data management systems (including SPSS, Access and Excel) and word processing.

The job requires a high level of organisational skills and flexibility to respond to the multiple and wide ranging demands.

An ability to prioritise, time manage and work to deadlines is crucial.
Ability and willingness to travel to other sites, including patient’s homes as required.

The job requires excellent communication skills and a high level of professionalism, in particular where there are barriers to understanding.
Excellent social skills are essential.

The post holder must be able to work autonomously, show initiative and work equally effectively in a team.

The post holder should have sound judgement, good analytical skills, and be proactive in seeking clarification on tasks when required.

The post holder must be able to disseminate information to a wide range of audiences (including both lay and professional) and assist in the teaching and training of others.

Main Duties of Post


To provide specialist therapy interventions for enhanced supportive care patients, acting as a resource for therapists, other allied health professionals (AHP’s) and healthcare professionals.

To work as an autonomous specialist practitioner, working with the responsibility for assessing and directing the management of patients diagnosed with an incurable cancer. 

To deliver therapeutic intervention, acting as a specialist clinician in enhanced supportive care by using the principles of Occupational Therapy/Physiotherapy in an integrated and client-centred way, supported by the Therapy Competency Framework.

To ensure an effective and evidence based service through assessing, planning and implementing treatment programmes. 

To work as a specialist practitioner in enhanced supportive care and utilise specialist theoretical knowledge, clinical experience and advanced clinical reasoning to provide comprehensive patient management. This will include patients with diverse or complex presentations/multi-pathologies undergoing a range of different cancer treatments and long term case management/palliation.

To respond empathically and sensitively to patients or family members in emotionally distressing circumstances. Working with patients receiving life limiting diagnosis.

To regularly deal sensitively with patients who have high levels of anxiety and distress caused by pain, fear or limited mobility and when they are unable to accept a diagnosis/prognosis.  

To communicate effectively with patients and carers potentially complex, sensitive or distressing information; in order to provide patient centred care, to encourage self-management, maximise therapeutic intervention  and rehabilitation potential and to ensure understanding of the condition.  

To regularly make decisions regarding complex case management
To maintain clear, accurate and concise patient records in line with departmental and professional standards and include relevant outcome measures. 

To liaise closely with wider therapy team members, and work collaboratively with Cancer MDTs, medical, nursing, cancer support staff and other colleagues to ensure delivery of a co-ordinated multidisciplinary service.

To exercise a high degree of professional autonomy.  
To provide education, support and guidance for therapy staff, undergraduate students, clinical nurse specialists and cancer support workers in order to develop clinical skills and to promote consistency of practice trust wide. 

To participate in the out of hours service at Gloucestershire Hospitals NHS Foundation Trust after appropriate induction and training. 

To comply with Trust and Departmental policies and procedures e.g.  Health and Safety at Work Act (1974), Manual Handling, clinical equipment competency, risk management, Data Protection Acts and patient confidentiality at all times. This will include demonstrating compliance with the terms of all safeguarding policies and processes relevant to the safeguarding of adults and children in the care of GHNHSFT and to undergo regular mandatory training concerned with safeguarding matters. 

Service Development 
To lead evaluation and service development in the clinical area of enhanced supportive care in line with national and local drivers. 

To assist in the design and implementation of the therapeutic enhanced supportive care service and associated developments. 

To make recommendations regarding national guidelines, initiatives and research. Lead best practice by the use of validated assessment tools and review of intervention outcomes, in order to ensure a high quality evidence based service is provided.

To assume responsibility for continued personal development linked to appraisal.

To participate in strategic planning, policy development and implementation in order to maintain and achieve national and local targets. 
To be innovative and proactive in managing change, in order to respond to the demands of the financial situation and the modernisation agenda.

To promote effective communication with palliative care in order to agree an inter-professional approach to patient management and ensure equity of care. 

To participate in the recruitment and selection of new staff, by assisting with the writing of job descriptions, adverts, short listing and interviewing, in order to secure a skilled workforce.

To take the lead on the evaluation of the service using qualitative and quantitative methods and trust-wide practice in enhanced supportive care assessment, rehabilitation and management, evaluating the results and recommending changes in clinical and service developments based on the outcomes.

To attend and contribute at meetings in which service developments are planned and discussed and contribute to progress updates.
To keep information regarding patients and the data to evaluate the project as required.

To liaise with organisations and agencies outside the trust as required.

Research and Service Evaluation

To assist with clinical audit and team governance within the team.
To undertake data collection, analysis, the production of reports and summaries, using IT and statistical programmes.

To undertake searches of evidence-based literature and research to assist qualified staff in evidence-based practice and service development.

To familiarise themselves with, and to comply with, the Trust’s requirements on research governance.

IT Responsibilities
To maintain personal records including clinical observations, information, outcome measures and work records in accordance with trust policies.
To enter undertake data entry and processing as required.

To contribute to the development and maintenance of the highest professional standards of practice, through active participation in training and development programmes, in consultation with the potholder’s professional and team/operational manager(s).

To maintain the highest standards of clinical record keeping and report writing in accordance with professional codes of practice and Trust policies and procedures.

To perform other duties of a similar kind appropriate to the grade, which may be required from time to time.

To attend and contribute to appropriate meetings for oncology, therapy and Cancer MDT meetings where appropriate.

Managing a specialist clinical caseload along with managerial responsibilities, including service improvement, which involves setting time aside from patient care.

Frequent interruption from other staff requesting advice and clinical opinions

The job description is not intended to be exhaustive and it is likely that duties may be altered from time to time in the light of changing circumstances and after consultation with the post holder.

To develop skills and competencies that assist in the delivery of current duties.  


Person specification


Essential criteria
  • Degree/ diploma in Physiotherapy/Occupational Therapy
  • Registered with the Health and Care Professions Council.


Essential criteria
  • Experience of working in the UK, NHS with patients with palliative diagnoses.
  • Experience of supervising, appraising and providing education/training to others.
  • Relevant post-graduate training demonstrated through CPD.
  • Deliver a high level of skill in assessment and management of patients with a palliative diagnosis, from individuals who are newly diagnosed to individuals approaching end of life.
  • Have an understanding of the principles of Occupational Therapy as well as Physiotherapy in order to contribute to the development of an integrated therapy service.

Knowledge and Skills

Essential criteria
  • Demonstrate excellent communication skills, verbal, non-verbal and written when interacting with patients/carers, other team members and the multidisciplinary team (MDT).
  • Knowledge of and ability to apply and utilise evidence based practice, including National guidelines to deliver, evaluate and audit the service.
  • Demonstrate the ability to network with other professionals and set up close working relations.
  • Work flexibly in response to the changing demands of the service and manage changes in service delivery in self and others.
  • Drive a Trust owned or privately owned vehicle

Employer certification / accreditation badges

Armed Forces CovenantApprenticeships logoNo smoking policyPositive about disabled peopleImproving working livesAge positiveDisability confident leaderCare quality commission - GoodWorkplace Wellbeing Charter Logocorporate covenantStep into healthArmed Forces Covenant Gold Award

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Lindsay Vickerstaff
Job title
Clinical Lead Therapist - Oncology
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