Job Description
We are looking for Occupational therapists with excellent communication skills to join our expanding Lewisham Adult Therapy Team at Lewisham and Greenwich NHS Trust.
You will be based at a community site within Lewisham. You will have an excellent opportunity to develop your knowledge and skills and to further your career in a Band 6 post.
The post is for qualified Occupational Therapist with experience at Band 5 or Band 6 level.
A professional attitude is essential along with the skills to work in a busy setting.
The Team
We can offer you:
- An excellent working environment.
- A supportive management structure
- A positive and well-established appraisal and development system
- Encouragement to develop clinical skills
Clinical leadership is provided through an established structure of professional lead occupational therapist and senior OT team leads, regular in-service training, clinical supervision and good peer group support.
Candidates
Essential experience required:
- Post-graduate clinical experience working as a Band 5 Occupational Therapist
- Evidence of participation in In-service training and Personal CPD
- HCPC registration and RCOT/BAOT membership
Candidates must have a professional, enthusiastic, friendly and flexible approach
Working days and or shift patterns will be agreed by the line manager to meet the needs of the service
For further information please contact Lynda Rayner, lyndarayner@nhs.net
Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
As an organisation, we’ve made significant improvements for patients and staff in the last two and-a-half years. This is reflected in our most recent Care Quality Commission (CQC) inspection (from February 2020), which found improvements across the organisation and gave us an improved rating of “Good” in the Well-Led and Effective domains, in addition to the rating of “Good” that we had already achieved in the Caring domain. Our staff culture change programme has been key to the Trust’s improvement journey, as we’ve stabilised our workforce by reducing vacancy rates and improving staff retention. We’ve also significantly increased the representation of minority ethnic leaders across our clinical and corporate teams.
JOB TITLE: Specialist Occupational Therapist (Rotational)
GRADE: Band 6
RESPONSIBLE TO: Lead Occupational Therapist
ACCOUNTABLE TO: Therapy Manager
LOCATION: Community Based
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 community rotational scheme which includes neuro, orthopaedic, supported discharge, Urgent Care Response Therapy Team, stroke, frailty and bed-based rehab pathways.
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 andconduct 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 appropriateaids andadaptations to the patient’s 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 placementspost 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 theLead O.T.
3 Documentation
3.1 To maintain up to date activity data and activity records in accordance with Professional and 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 relevantpolicies and procedures. These include maintaining confidentiality and respecting thepatient’s 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 andperformance.
5.3 To undertake the supervision and appraisal of junior/support staff as delegated by asenior 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 on practice 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 maintainedand stock monitored.
7.2 To manage the caseload efficiently in order to achieve timely and safe discharges of patients from hospital.
7.3 To assist senior staff and theLead O.T. / Inpatient Therapy Manager in implementing new policies within the department.
7.4 To undertake specific departmental duties as requested by Senior staff or Lead O.T / Inpatient Therapy Manager
7.5 To work constructively with other senior OTs / Inpatient Therapy Manager on service development issues, adapting practice and/or making recommendations for change as indicated.
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 establish competence 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 InfectionControl), 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 to respond 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 protocols within the clinical area as required.
9.8 To demonstrate knowledge and application of national guidelines and legislation relating to health care.
10 Research & Practice Development
10.1 To demonstrate the ability to critically evaluate current research, apply to practice and disseminate 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.
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