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

• Maintain records which fulfil legal requirements

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

• To provide leadership for junior/support staff, through supervision and appraisal as delegated by a senior member of staff

• Participate in rotational scheme : Elderly , General Medicine, Stroke Unit, Surgery, Orthopaedics, Complex Neurological conditions (including major trauma) and Community Rehabilitation

SPECIFIC DUTIES AND RESPONSIBILITIES

1 Clinical

1.1 To assess and treat a specific caseload of patients

1.2 To demonstrate a broad level of knowledge and understanding of clinical conditions.

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

1.4 To design / plan individual patient treatment programmes to implement oneself, or todelegate as appropriate

1.5 To assess and provide treatment for the functional level of patients with regard topersonal and domestic activities of daily living, to maximise independence.

1.6 To select and conduct standardised cognitive and perceptual testing with furtherassessment when needed.

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

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

1.9 To advise, recommend, make provision for the installation of appropriate aids andadaptations to the patients social and physical environment.

1.10 To carry out home visits, with or without the patient, to assess environmental risks andfunctional ability at home.

1.11 To carry out community visits to assess for and practise daily living skills as needed.

1.12 To identify and set client centred goals

1.13 To monitor and evaluate treatment, including the use of outcome measures, in order tomeasure progress and ensure effectiveness of the intervention

1.14 To participate in decisions regarding placements post discharge.

1.15 To undertake discharge planning / co-ordination of complex patients.

1.16 When working in the community and domiciliary settings, to work as a lone practitioner with telephone support from a senior Occupational Therapist, if required.

1.17 To refer on to appropriate agencies for the continuation of treatment, reassessment, monitoring and provision of further adaptations.

1.18 To participate in the weekend 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 in the multidisciplinary team meetings and case conferences.

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

2.4 To participate in staff meetings and other meetings as directed by senior staff and the Lead O.T.

3 Documentation

3.1 To maintain up to date activity data and activity records in accordance with Professionaland Trust standards.

3.2 To promptly 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.

5 Leadership, Supervision and Appraisal

5.1 To participate in the individual performance review programme

5.2 To effectively use supervision and appraisal to reflect on own practice and performance.

5.3 To undertake the supervision and appraisal of junior/support staff as delegated by a senior member of staff

5.4 To delegate tasks to support staff as appropriate

5.5 To provide advice to junior/support staff on a day to day basis as required.

5.6 To deputise for the Senior I in his/her absence, taking responsibility for operational management of the team, allocating and organising the work of junior and assistant staff to meet service priorities on a daily basis.

6 Training Staff and Students

6.1 To participate in the planning and implementing 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 O.T. students onpractice placement on a regular basis

6.3 To give presentations on specific chosen topics.

6.4 Responsibility for organising specific aspects of training within the department.

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 the caseload efficiently in order to achieve timely and safe discharges ofpatients from hospital.

7.3 To assist senior staff and the Lead O.T. / Inpatient Therapy Manager in implementingnew policies within the department.

7.4 To undertake specific departmental duties as requested by Senior staff orLead O.T / Inpatient Therapy Manager

7.5 To work constructively with other senior OTs / Inpatient Therapy Manager on servicedevelopment issues, adapting practice and/or making recommendations for change asindicated.

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 demonstrate an increasingly complex skills and knowledge base to establishcompetence and fitness to practise as a senior O.T.

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 be familiar with and comply with local fire procedures

9.3 To be familiar with all Trust and Therapy emergency procedures on and off site and torespond as necessary eg emergency resuscitation, hydrotherapy.

9.4 To report on complaints, accidents and any deficits in equipment as soon as possible.

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

9.6 To contribute to the Therapy clinical governance and quality agenda.

9.7 To participate in the evaluation and audit of practice, clinical pathways and protocolswithin the clinical area as required.

9.8 To demonstrate knowledge and application of national guidelines and legislation relatingto health care.

10 Research & Practice Development

10.1 To demonstrate the ability to critically evaluate current research, apply to practice anddisseminate findings at local level.

10.2 To develop research and audit skills through participation in local projects.

10.3 To participate in groups facilitating good practice.

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• The post holder may be required to undertake other duties which fall with the grade of the job, in discussion with the Lead O.T. / 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 & Training

Essential

• oDiploma / Degree in Occupational Therapy
• oHCPC Registration
• oEvidence including attendance at recent post graduate courses/training relevant to rotational clinical specialties
• oMember of British Association of Occupational Therapists
• oSupervision/Experience Training
• oPractice Placement Training

Desirable

• oEvidence of attendance at relevant post-registration courses
• oCar driver
• oMember of COT special clinical interest
• oExperience in having students

Experience

Essential

• oAt least 18 months post qualification experience
• oBroad based experience of Occupational Therapy treatment including work as a qualified OT in an NHS acute hospital
• oKnowledge and experience of equipment provision and prescription.
• oBroad experience of treatment options and approached
• oAdvanced clinical reasoning skills.
• oExperience in complex moving and handling.
• oExperience in assessment and discharge planning within a fast paced environment.
• oBroad experience in standardised assessment.
• oBroad experience in assessment of and treatment of cognitive deficits.
• oKnowledge of wheelchair assessment and provision
• oExperience of supervising / teaching other staff

Desirable

• oAudit experience
• oExperience in working in rehabilitation, stroke and community teams.

Knowledge & Skills

Essential

• oGood verbal communication skills in the English language
• oAbility to communicate clearly with other disciplines
• oAbility to keep clear, precise records in the English language, which meet legal requirements
• oClear, concise report writing
• oA clear understanding of clinical governance and its implications on OT
• oAbility to plan, prioritise and manage a caseload
• oAble to work autonomously and to manage time effectively
• oBroad understanding of current issues surrounding healthcare provision in London
• oKnowledge of Support services in community

Desirable

• oPresentation Skills

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

University Hospital Lewisham

London

SE13 6LH