“1) To lead, support and co-ordinate the ongoing development of Physiotherapy Direct Service utilising highly specialised skills and knowledge within the post holder’s area of expertise. 2) To assist, diagnose, problem solve review and discharge patients using highly specialised clinical expertise. This post includes a minimum of 80% highly skilled and specialist clinical and requires post holder to adapt to unpredictable changes and demands on the service.”
“1) In conjunction with the Superintendent Physiotherapist, provide strong, visible professional and clinical leadership to the Physiotherapy team managed by the post holder within the community Physiotherapy Service of Stoke on Trent PCT. 2) Operationally responsible as the clinic and professional lead for the provision of Physiotherapy within the post holders team. This post includes a minimum of 85% highly skilled clinical work and requires post holder to adapt to unpredictable changes and demands on the service. Specialising in domiciliary work and musculoskeletal outpatients in the primary care settings, the post holder may also be required to work on the Physiotherapy Direct Service.”
“We considered this submission with care. There is a good deal of support for it in the evidence. However, Ms Bird strenuously denied it, and we did not feel able to make it as a finding of fact. However, we concluded that her approach to the process of consultation with [the Trust] was much affected by her knowledge that such a large sum might be available to her.”
“Under ‘suitability’ you must consider the nature of the employment offered. It is for the tribunal to make an objective assessment of the job offered ( Carron Co v Robertson (1967) 2 ITR 484, Ct of Sess). It is not, however, an entirely objective test, in that the question is not whether the employment is suitable in relation to that sort of employee, but whether it is suitable in relation to that particular employee. It comes really to asking whether the job matches the person: does it suit his skills, aptitudes and experience? The whole of the job must be considered, not only the tasks to be performed, but the terms of employment, especially wages and hours, and the responsibility and status involved. The location may also be relevant, because ‘commuting is not generally regarded as a joy’ ( Laing v Thistle Hotels Plc[2003] SLT 37 , Ct of Sess, per Lord Ordinary Eassie). No single factor is decisive; all must be considered as a package. Was it, in all the circumstances, a reasonable offer for that employer to suggest that job to that employee? And the sole criterion by which that is to be judged is ‘suitability’.”
“The question is not whether a reasonable employee would have accepted the employer’s offer, but whether that particular employee, taking into account his personal circumstances, was being reasonable in refusing the offer: did he have sound and justifiable reasons for turning down the offer?”
“Key elements of it were to provide visible professional leadership to the physiotherapy team; to be operationally responsible as clinical and professional lead for provision of physiotherapy, specialising in domiciliary and musculoskeletal out-patients; to assist if required with the Physio Direct and to assist if required with recruitment and retention of staff.”
“Key elements of it were to lead, support and co-ordinate ongoing development of the Physio Direct Service; to assist, diagnose, problem-solve and discharge patients; to be clinical community specialist providing written and verbal support to staff; to provide one-to-one and group teaching; to carry out personal reviews of staff and to assist in business planning and service delivery.”
“Mr McGrath did not refer to the issue of status in connection with suitability …”
“If she had any perception of loss of status it was, as we have explained above, a quite irrational one, and we consider that there is an important distinction between a perception which is personal, and might not be shared with others, and one which in fact lacks any sensible basis.”