If you were to listen in our mentorship sessions and do an audit of our email queries, you'll find that there are a few questions that come up quite frequently. The step up from Band 6 to 7 is a recurrent theme, especially for our MSK crowd. We've caught up with our Highly Specialist MSK Physiotherapist and QP Mentor Jonny Sumner so he can summarise some his answers taken from our brand new B7 MSK Preparation Pack.
When will I know I’m ready?
This will come down to clinical mileage with complex patients. In a lot of NHS departments, the buck stops with you as a Band 7. Most of the pathways will indicate the ESP or APP as the person to talk to in case of any problem; however due to ESP availability, the Band 7s will often be more approachable. You will therefore need to be highly confident with departmental red flag and urgent problem pathways and likely have managed a few of these patients too.. It will be that previous experience and exposure to complex / red flags patients that will separate you from a Band 6 physio and give you the confidence to answers those complex questions and patients you will get passed on. A B7 job involves a higher level of responsibility, including leadership, research, audit and quality improvement. Some people are more ready than others, but your confidence with interviews shouldn’t stand in the way of you applying for the job.
Do I need postgraduate qualifications?
As far as job descriptions go, yes, to a certain degree. But that doesn’t necessarily mean you need to have a Master’s degree, it could be that you’ve started a Master’s module or have been working at MSc level by completing other high level validated courses. Having that extra layer of learning, and being able to use clinical reasoning models, will give you clearer thinking and will increase your chances of presenting as a highly qualified, specialised healthcare professional. Especially in such a competitive environment, funding for Band 7 positions are reducing and more candidates are applying for the same job.
What kind of CPD or experience can help me get my first Band 7 job?
It will depend on the job. For instance, in a post-orthopaedic environment, additional training in image recognition and how to order imaging will be useful. For a first contact practitioner (FCP) post, you may benefit from more triage training, or medical training in red flag recognition. A Band 7 job or equivalent in the private sector may require you to have skills such as being trained in providing shockwave therapy, acupuncture or joining a network of consultants you have previously worked with.
In less clinical roles, such as more managerial Band 7 positions, some in-depth experience in service development (not just a couple of random audits!), and training in leadership / managerial skills will be useful. There are many relevant models available, including project management training, but LEAN and SCRUM are the most popular in the UK. Training in quality improvement and research methodology can also be useful.
Sometimes you may find it hard to get band 7 experience, without being a band 7 (I know, right?). The classic interview catch22, some interviewers will ask for more Band 7 experience to give you the job, but not offer it in the first place. Try and seek it elsewhere: seek out additional roles, such as the Health & Safety rep of your department. Get involved early! The earlier the better.
Will I sacrifice patient-facing time for managerial duties?
Not necessarily. You are given safeguarded time to do your managerial duties, but you will need to sharpen your organisational and planning skills.. There will be a lot of extra-clinical pressures that will be new to you, and like anything new – they will take more time to complete at first. Make sure you discuss this with supervisor, so you get enough support.
What are the key differences between a band 6 and 7 job?
You are a team leader, so there will be a lot more of people management and responsibilities that come with that. You still answer to someone else, but ultimately it will come back on to you. You will have to engage discussions and build relationships with people that would previously be a bit daunting (outpatient managers, orthopaedic leads / consultants…). The amount of support provided reduced, but your presence within the department will be much increased! Much like a student vs band 5, or band 5 vs band 6, the primary difference is scope of practice – but it is useful to mention these more specific responsibilities; leadership, research, audit, quality improvement, financial support, specialised assessment and treatment skills, imaging recognition and post graduate training.
Do I see mainly complex patients?
A Band 7 clinical caseload can be very similar to a Band 6 one. It may differ in other roles such as FCP, where you are the first person to see the patient, as opposed to a standard OPD where the patient would have been vetted by one or two other people already (i.e. GP + screening PT). In some other roles your patient caseload may be more specific, for example if you are leading a clinic (ortho clinic, pain clinic) with a consultant. When this happens, your caseload becomes a bit more streamlined.
Supervision (received / given)
Most departments have a supervision tree that is fairly similar. You will be supervised by an ESP / APP, and you will still need to set goals with them, but they will often be more flexible, and direct supervision is not as frequent. You will be supervising a Band 6. You will be more of a mentor for your Band 6 than you may have been for your Band 5 when the supervision process may have felt more like ticking boxes at times.
Involvement within service development and quality improvement
You will be very much involved within the service development of the department, often through “senior meetings”, where you would discuss implementation of new services, audits, team performance, CQC reviews, complaints, datix reports etc. Even though you will be allocated non-clinical duties, you will still be answering to someone else, so make sure to use those senior meetings to get as much guidance as possible from the other seniors. These meetings often serve as a way to brainstorm ideas, don’t think that because you are a Band 7 you need to do all by yourself.
Find out a lot more in our brand new Band 7 MSK Preparation pack. Loads of specialist content, from COVID-19 to the NHS funding, business cases and quality improvement, as well as clinical, managerial and specialist questions with their answers explained. If you're aiming to get into a Band 7 MSK role or have an interview lined up, this is the perfect resource for you.
Bespoke guidance when you need it the most. If you feel like you need to talk face-to-face to one of our staff about your career plans, interviews, or anything else physio-related, we offer personalised skype calls and appointments with our Specialist Physios. This can take the format of mock interviews to help you prepare for your upcoming interview.