Job Description

PREVIOUS APPLICANTS NEED NOT APPLY



Band 5 Rotational Occupational Therapist



An opportunity has arisen for a Band 5 Occupational Therapist to join our rotation at Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust. The rotations include:



Acute Medical Unit supporting the frailty pathway



Acute Medicine (Respiratory, Cardiology, Gastroenterology)



General Surgery



Older People



Acute Stroke (based at UHL)



Trauma and Orthopaedics



We have Specialist Occupational Therapists who provide support and teaching as part of the preceptorship programmes for newly graduated and existing Band 5s.

PLEASE NOTE:

We may not be able to offer sponsorship for this post



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, ensuring a responsive service supporting the Trust's objectives.



Maintain records which fulfil legal requirements.



To regularly provide clinical and non clinical supervision to team members and the wider OT team.



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 lead on service development in specialist area.



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



PREVIOUS APPLICANTS NEED NOT APPLY



"This is what a therapist looks like" (youtube.com)



We are TeamLGT (youtube.com)



Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:



Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development



Widening access (anchor institution) and employability



Improving the experience of staff with disability



Improving the EDI literacy and confidence of trust staff through training and development



Making equalities mainstream



JOB PURPOSE



The Postholder rotates through speciality pathways on a 6-monthly basis and works under supervision of an allocated Specialist Occupational Therapist or Team Lead.

Occupational Therapy rotations include:

Acute Medicine



Medicine



Older People



Stroke (based at UHL site)



Trauma & Orthopaedics



Community Neuro based in Bromley



Clinical Governance and clinical support will be provided to rotational staff by the Team Leads and Occupational Therapy Site Lead for QEH.



The postholder is a clinician who independently manages a full clinical caseload working as part of a specialist pathway team in each rotational area.



The postholder participates in a rolling programme of education, clinical evaluation, audit and research across the speciality.



The postholder may be required to work at any of the sites within the Trust.



7-day working for Therapies is under development within the Trust and the postholder may be required to work at weekends on a roster basis during some of the above rotations.



KEY RELATIONSHIPS



Specialist Occupational Therapists, Team Lead Occupational Therapists, Occupational Therapy Site Lead, Heads of Therapies, Therapy Support Workers, Medical Consultants, Physiotherapists / Speech and Language Therapists / Dietitians, All Occupational Therapy Staff Trustwide, Nursing Staff, Referring Hospitals, Social Services, Community Services, GPs, Voluntary Services, Academic Institutions, Specialists external to L&G.



DUTIES AND RESPONSIBILITIES



Clinical



To undertake all aspects of clinical duties and to carry a full caseload of patients as an autonomous practitioner.



To be professionally and legally accountable for a patient caseload and to decide priorities for own work area, balancing other patient related and professional demands



To be professionally and legally responsible and accountable for all aspects of own work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist.



To assess patients' capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient



To undertake the comprehensive assessment and accurate diagnosis of patients, using investigative, palpatory, analytical and clinical reasoning skills



To undertake physical treatment techniques utilising developed manual skills



To formulate individualised clinical management programmes, utilising a wide range of treatment skills and options to plan a suitable programme of care



To use recognised outcome measures to evaluate the effect of Occupational Therapy interventions and ensure that treatment programmes are progressing appropriately.



To provide advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of Occupational Therapy and to ensure continuation of the treatment programme.



To participate in and where indicated, initiate multidisciplinary/multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning



To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria



To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services e.g. interpreters, SALT



To ensure that individual practice and that of the local pathway team is user focused and patient views are incorporated into treatment planning



To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment programme



To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome



To receive complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management



To communicate and advise regarding complex patient related information effectively to ensure collaborative working within the Occupational Therapy service and with other professionals across health and other agencies to ensure the delivery of a co-ordinated multidisciplinary service



To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge reports



To produce comprehensive patient related reports for other disciplines or agencies relating to assessment findings and/or treatment outcomes



To undertake the measurement and evaluation of own work through audit, outcome measurement, the application of evidence based practice and research where appropriate.



To facilitate the implementation and evaluation of Occupational Therapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards



To work to Trust and College of Occupational Therapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored



To follow service policy regarding current clinical and service developments



To be accessible and provide clinical advice to colleagues



Once considered competent, to participate in the on-call, week-end, bank holiday and extended working rotas where clinically appropriate



To fully participate in whatever pattern of working is required by the service in the future



All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies.