Job description

Job responsibilities

JOB SUMMARY

• To manage a designated case load with complex needs using evidence based/client centred principles to assess, plan, implement and evaluate interventions.

• To lead and manage the O.T. team in Medicine, ensuring a responsive service supporting the Trusts values

• Maintain records which fulfil legal requirements.

• To regularly supervise O.T. students on practice placements.

• To provide leadership for junior staff, through supervision and appraisal

• To participate in the planning, development and evaluation of O.T. services within a designated clinical area.

• To contribute to the maintenance and development of the Trust O.T. Service

KEY RESULT AREAS

AREA DUTIES / RESPONSIBILITIES

1 Clinical

1.1 To assess and treat a specific caseload of patients with complex needs, prioritising efficiently to help prevent re-admissions.

1.2 To apply a high level of knowledge and understanding of the particular clinical area.

1.3 To undertake individual initial screens to identify patient need including areas affecting functional ability, followed by agreed assessment plans.

1.4 To design / plan individual patient programmes to implement oneself or to delegate as appropriate

1.5 To assess and treat the patients personal and domestic daily living functional activity level to maximise independence

1.6 To select and conduct standardised cognitive and perceptual testing to identify areas affecting functional ability and indicate need for further assessment / treatment.

1.7 To carry out an initial risk assessment where necessary and monitor ongoing risk

1.8 To assess need and risk factors for hoist and wheelchair provision

1.9 To carry out home visits with or without the patient to assess environmental risks and functional ability at home

1.10 To advise on, recommend, make provision for the installation of appropriate aids and adaptations to the patients social and physical environment.

1.11 To monitor and evaluate treatment, including using outcome measures, in order to measure progress and ensure effectiveness of the intervention

1.12 To undertake discharge planning and co-ordination of complex patients

1.13 To take a lead in the decisions regarding placement after discharge

1.14 To refer onto appropriate agencies for :- the continuation of treatment, reassessment, monitoring and provision of further adaptations.

1.15 To carry out joint working with others from the Trust and across other agencies.

1.16 To participate in the weekend Occupational Therapy service.

2 Communication

2.1 To communicate effectively with patients and carers, O.T colleagues, multidisciplinary team members and other agencies

2.2 To participate (and take a lead as needed) in the multidisciplinary team meetings and case conferences, with regard to patient care programmes.

2.3 To advise and educate patients and carers regarding aids and equipment in the home and outside community

2.4 To participate in staff meetings and other meetings (taking a lead as needed) as directed by the Lead OT.

2.5 To promote the OT role within the Trust and to other agencies.

3 Documentation

3.1 To maintain up to date activity data and activity records in accordance with Professional andTrust standards.

3.2 To provide reports on home visits

3.3 To provide specific reports to other agencies as appropriate.

4 Professional Ethics

4.1 To adhere to the COT Code of Ethics and Professional Conduct, and all other relevant policies and procedures. These include maintaining confidentiality and respecting the patients dignity,privacy culture and wishes

4.2 To provide guidance to junior / support staff on ethical issues.

5 Leadership, Supervision and Appraisal

5.1 To lead and manage the OT team in the specialist area

5.2 To undertake the supervision and appraisal (IPR / KSF) of junior / support staff as delegated by the Lead OT.

5.3 To provide specialist training on an individual basis

5.4 To provide advice to junior/support staff and students on a day to day basis as required

5.5 To deputise for the Lead OT in an absence.

6 Training Staff and Students

6.1 To participate in the planning and implementing (taking a lead as needed) of the induction, training and education of students and other staff in this setting.

6.2 To be responsible for the supervision and written assessment of OT students on practice placement on a regular basis

6.3 To give presentations / training on specialist topics

6.4 To organise and implement training programmes in specialist area.

6.5 To participate in the organisation and implementation of the basic grade development programme.

7 Service Development and Delivery

7.1 To work with other staff within the department to ensure that equipment is maintained and stock monitored.

7.2 To manage own caseload efficiently, including methods of prioritisation in order to achieve timely and safe discharges of patients from hospital and to help prevent admissions / readmissions.

7.3 To facilitate, co-ordinate and monitor the workloads of the OT team members.

7.4 To participate in the operational planning and implementation of policies within the department

7.5 To participate in the delivery of the OT strategy.

7.6 Assist with the recruitment and appointment of O.T. staff

7.7 To represent OT on Trust wide (and linked agencies) working parties and groups as delegated by the Lead OT.

7.8 To take a lead on specific projects as delegated by the Lead OT.

8 Personal / Professional Development

8.1 To participate in internal and external training opportunities including mandatory and statutory training to meet identified objectives and demonstrate ongoing development.

8.2 To apply specialist skills and knowledge in order to maintain professional competence and fitness to practise as a senior OT.

8.3 To maintain a professional portfolio for CPD

9 Clinical Governance

9.1 To comply with all Trust Policies and Procedures, (including Infection Control), the Health & Safety at Work Act and the Data Protection Act.

9.2 To report on complaints, accidents and any deficits in equipment to the Lead OT as soon as possible.

9.3 To be familiar with and comply with local fire procedures

9.4 To be familiar with all Trust and Therapy emergency procedures, on and off site and to respond as necessary eg. emergency resuscitation, hydrotherapy etc.

9.5 To assess for and advise on risk factors in given situations.

9.6 To contribute to the Trust and Therapies clinical governance and quality agenda including the setting and monitoring of practice standards

9.7 To participate in the evaluation and audit of practice, clinical pathways and protocols within the clinical area.

9.8 To apply national guidelines/legislation relating to health care e.g. NSF for Older People

10 Research & Practice Development

10.1 To undertake audit projects relevant to the OT service needs and disseminate findings at local level.

10.2 To broaden research and development skills through participation in local audit and research projects

_________________________________________

• The postholder may be required to undertake other duties which fall within the grade of the job, in discussion with the Lead OT / Inpatient Therapy Manager

• This job description will be reviewed in the light of changing service requirements. Any such changes will be discussed with the post holder.

Person Specification

Qualifications

Essential

• Diploma / Degree in Occupational Therapy.
• HCPC registration
• Working at M level (e.g. module) or equivalent experience/qualification
• Undertaken a range of relevant postgraduate courses
• Undertaken clinical educators training

Desirable

• BAOT
• Member of Special interest Group
• MSC in related subject
• Undertaken appropriate managerial training

Experience

Essential

• Wide ranging post graduate Occupational Therapy experience including having held senior position in relevant speciality
• Significant experience of relevant specialist pathway
• Experience of working autonomously and unsupervised
• Experience in managing limited resources and high workloads
• Experience in leading and completing audit and evidence based projects.
• Experience of supervision and appraisal of Occupational Therapy staff and students with ability to give constructive feedback and performance management when necessary
• Evidence of actively participating in in-service training and presenting to large MDT groups, undergraduate and postgraduate staff and evaluating effectiveness of training
• Experience and ability to work collaboratively within MPT
• Evidence of leading change management and innovation in clinical practice

Desirable

• Previous experience at band 7 Level
• Research experience including publication in recognised journal.
• Presented at national level or external courses relevant to subject area
• Actively involved in developing research links with other academic institutions
• Evidence of presenting to MDT groups, undergraduate and postgraduate staff

Knowledge

Essential

• Extensive specialist knowledge of evidenced based Occupational Therapy for designated specialist pathway
• In depth knowledge of national guidelines and standards pertaining to specialist pathway and Occupational Therapy
• Robust understanding of clinical governance and its implication for Occupational Therapy
• Awareness and understanding of NHS structure, current issues and developments
• Understanding of the legal responsibilities of the profession

Skills

Essential

• The ability to discuss advanced clinical reasoning in the management of highly complex cases
• The ability to identify and act upon adverse clinical signs
• Able to communicate at advanced level including complex information to patients, Carers, team and other health professionals.

Desirable

• IT skills - Ability to create and/or format data and/or complex spreadsheets using computerised systems

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants .

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website .

Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH

---