Contribution

to the NHS: My Reflective Piece By: Tendayi Mutsopotsi BSc. HPT (Hons) MSc. ORTHO-MED MCSP November 2009
Reflective piece on my contribution to the NHS Tendayi Mutsopotsi November 2009

 Reflective Piece NHS Breaking Through Programme for Men

The NHS has benefitted from my personal skills that have provided leadership, organizational, communication and ability to apply ethical principles My clinical skills: by achieving advanced clinical skills I have contributed to improved outcomes and patient experience of demonstrable high quality. My practice reflects dedication and commitment to providing patient centered evidence based quality service to patients at point of need. Patients are now better informed. My role as an Extended Scope Practitioner has allowed me to be at the forefront of government healthcare strategies. I have therefore contributed to innovative and new ways of practice and service delivery. I have been involved in development of interface triaging musculoskeletal services, winning tender for PCT physiotherapy services under practice based commissioning, contributing to payment by results by setting up physiotherapy service tariffs, GP based physiotherapy services (bringing services to the community) and development of clinical practice outside traditional boundaries. This has effectively contributed to organizational goals of providing quality, equity and access to appropriate services and promoting choice. The benefits of extended roles is well documented in literature and well reflected in the audits I have conducted. Patients are receiving timely interventions, appropriately investigated improved streamlined patient care pathways that have reduced waiting times, increased community treatment, improved cost efficiency savings, and allowed Consultants to spend more time doing surgery by increasing listing rates. I have therefore embraced innovation, modernization and pioneering new ways of delivering faster and cost effective services. This role has allowed me to participate and contribute to delivering governments health Agenda detailed in these big policy shifts: Reflective piece on my contribution to the NHS Tendayi Mutsopotsi November 2009

1. The NHS Plan 2000 Chapter 6 & 9 2. Meeting the Challenge: A Challenge for AHPs 2000 3. 10 Key Roles for AHPs 2003 4. Practitioners with Special Interest 2003 5. DOH shifting the balance of power (central to local power) 2002 6. Supporting people with long term conditions January 2005 7. Commissioning a Patient led NHS July 2005 8. Our health, our care, our say secondary to primary/community care January 2006. I have therefore been instrumental in meeting national priorities: Achieving financial health; Implementing reform- PBC, Choice, PbR, more service delivered in the community and service priorities e.g. health inequalities, 18 week wait My role involves working alongside Orthopaedic, Rheumatology, Radiology and Pain Consultants, psychologists and specialists nurses. This collaborative working between historically separate professions has transformed service delivery by reduced professional demarcations to better meet the needs of the patients and supporting the GPs in the management of musculoskeletal problems. I have promoted staff to take the opportunities that have been created by these policies besides taking on the other implications and challenges as some of them may eventually amount to loss of services in some areas as well as jobs. I contribute and participate in organizing regional study days again contributing to collaborative working across the board by sharing ideas and learning from each others experiences besides developing our clinical skills and research interests. I have been an exemplary role model that has improved recruitment and retention of highly skilled staff as the extended scope practitioner posts are subject to management level pay and conditions. I have inspired other staff members and in particular assisted other BME members to Band 8 clinical positions and other opportunities, which is a testament to diversity improving at senior level. Some students I have supervised have gone on to follow a similar route I undertook and are moving into senior positions. Involvement in staff recruitment has also ensured that the appropriately qualified staff from differing backgrounds and schools of though is recruited and offer the right skill mixes necessary to deliver organizational goals and the standards of practice. I am constantly involved with staff development and training through supervision, appraisals, teaching, promoting evidence based practice and clinical governance, service development, ensuring high standards and quality of care for our patients. In many ways by valuing and acknowledging their contribution, encouraging them and opening horizons and opportunities builds a motivated staff. My role has been central in promoting evidence-based practice both internally and externally. I participate fully in clinical governance and carry out research and audits ensuring local services reflect best practices. This also translates to Reflective piece on my contribution to the NHS Tendayi Mutsopotsi November 2009

minimizing risk to patient and services by monitoring and promoting safe practices complying health and safety policies. I regularly teach and train our staff and also present at external meetings. Continuous professional development is a key part of developing staff skills and I have contributed immensely in ensuring skill development is maintained. I also provide leadership as the clinical lead practitioner coordinating and supporting the department profile within the trust thereby contributing to a multiprofessional service development and new ways of managing patient care. I further contribute service evolvement in an ever-changing environment by keeping abreast of contemporary health policies. This course will enable me to attain skills and the opportunity to progress to senior management and leadership role that I so aspire to achieve having succeeded as a clinical leader and expert. This is set out in my 4-year development plan, which also encompasses undertaking n doctorate in public health. I see this course as a development opportunity to be a transformational leader and a successful one. I would like to be achievement and people focused, take on risk, and gain effective skills, strategies, knowledge and organizational awareness. Therefore this course will support me to reach my potential, aspiration, and overcome organizational barriers apparent or not gain the competencies outlined in the Leadership Qualities Framework (LQF), promote leadership diversity in the NHS. I want to enhance characteristics for vision, delivering results and making change happen. This course promotes and develops good quality leadership that is important for the NHS to achieve health equality across populations, supporting individual well being, reducing infections, waiting times, proving care in the right setting, appropriate access and choice for all, effective and efficient responsive services, financial health, optimized work force capacity, high quality outcomes. These necessary skills are set out in the leadership qualities framework.

Reflective piece on my contribution to the NHS Tendayi Mutsopotsi November 2009