Highly Specialist Occupational Therapist

Guy's and St Thomas' NHS Foundation Trust

Information:

This job is now closed

Job summary

To provide a high quality, expert occupational therapy interventions to a specialist caseload of in and outpatients including, high dependency environments, inpatient wards (cardiac and respiratory) and outpatient services including Pulmonary Rehab (PR) at the Royal Brompton Hospital.

To provide highly specialist Occupational Therapy interventions using advanced clinical reasoning, critical thinking, reflection and analysis to support assessments using a client centred approach to adult patients within the service. To be a key senior member of the Adult Heart and Adult Lung Therapy Teams at RBH. To assist junior staff in the management of complex cases requiring advanced clinical reasoning.

Main duties of the job

Our services provide world class treatment to patients with cardio-respiratory disease. This role is pivotal in management of acute and chronic presentations related to cardio-respiratory disease.

The post holder will complete comprehensive assessments and play a vital part in the MDT prior to, during and after admission to optimise functional well-being and treatment outcomes. It includes a combination of working within multi therapy teams across the critical care/ surgery and respiratory medicine in in- and outpatient settings, providing individual 1:1 contacts as well as group interventions.

About us

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Weprovide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.

We are working in partnership with King's Health Partners, to deliver our vision of creating a new centre of excellence, which will be the global leader in the research into and treatment of heart and lung disease, in patients from pre-birth to old age.

We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.

Date posted

15 August 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,154 to £52,936 a year per annum Inc. HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

196-RBH-0038

Job locations

Royal Brompton Hospital

London

SW3 6NP


Job description

Job responsibilities

  • Communication

To articulate and work to the value base and principles which underpin Occupational Therapy practice representing the unique role of Occupational Therapy in relation to interdisciplinary working.

To use effective interpersonal skills to communicate complex and frequently unwelcome news regarding prognosis where agreement and cooperation is required and where there are barriers to understanding such as vulnerable and at risk patients.

Utilise formal and informal reporting mechanisms including electronic reporting to ensure effective communication across health and social care.

Use effective interpersonal skills to encourage patients and carers active participation in the Occupational Therapy process.

Use verbal and non-verbal communication to receive and disseminate complex clinical information in all therapeutic, educational programmes and professional contexts acknowledging sensitivity and utilising approaches appropriate to the complexity of the context or culture.

Maintain confidentiality consistent with Trust and Service policies.

Act as an advocate on behalf of patients and carers by adopting a client centred approach to support meaningful participation in life roles.

To maintain and develop professional communication links across health and social care including representation at multidisciplinary collaborative forums and networks.

To utilise advanced communication skills acting as a prime educator of other professionals including Doctors, nurses, qualified and unqualified AHPs and students on own area of clinical expertise and on the role and scope of Occupational Therapy.

  • Patient/customer care (both direct and indirect)

To lead and advise on clinical Occupational Therapy developments within the service.

To manage a caseload of patients with highly complex needs, using evidence-based and client-centred principles to assess, plan and implement interventions demonstrating high-level problem solving and clinical reasoning skills.

To be responsible for the maintenance and development of own Continuing Professional Development and identifying and contributing to the evidence base of Occupational Therapy.

This post may require you to act as the professional lead for the Occupational Therapy service at the Royal Brompton Hospital. With the support of the Therapy Leads and trust head of Occupational therapy, to ensure the continuing professional development and overall performance of all Occupational Therapy staff in the surgical, cardiology and respiratory teams at the Royal Brompton Hospital.

To provide leadership for staff, through regular supervision and annual appraisal. To assist junior staff in the management of complex cases requiring advanced clinical reasoning.

Contribute to the maintenance and development of the Occupational Therapy Service at the Royal Brompton Hospital in conjunction with the Therapy Leads.

To play a major role in the continuous development of the service as a member of the Occupational Therapy team and as a potential member of a range of Trust quality/process improvement project groups.

Policy & Service development

To operationally lead and manage designated Occupational Therapy Staff, providing effective guidance, supervision and performance management including the education and management of students on practice placements.

To comply with relevant legislation such as Health and Safety, Medical Devices and Data Protection Act in particular relation to provision of hoists, related accessories and manual handling equipment.

To comply with recording and reporting in accordance with departmental and service standards ensuing that all staff complete risk assessment documentation for assessment and prescription of hoists including recommendations and re-assessment as indicated.

To contribute to the Directorates and Teams Clinical Governance and Quality assurance programmes, setting and monitoring practice standards within the Occupational Therapy Service and in liaison with interdisciplinary colleagues.

To inform the Occupational Therapy Service of changes in Clinical practice which may influence Occupational Therapy Service delivery, business planning and strategic reviews to support the delivery of the annual Occupational Therapy plan, meeting agreed objectives.

To ensure accurate and up to date records of all professional judgements, decisions taken, related statistical information are kept and reported in accordance with Occupational Therapy policies.

To participate as required in the recruitment selection and induction of Junior Occupational Therapy staff and therapy assistants.

To participate in the operational planning and implementation of policy and service development within Occupational Therapy, leading on delegated projects.

Assist in writing new departmental guidelines under the supervision of the Therapy Leads. Update the departmental guidelines for Occupational Therapy as necessary.

To participate in and represent the occupational therapy service at meetings as required e.g. staff meeting, interdisciplinary meetings, special interest groups, national and international meetings relating to intervention and treatment of heart and lung disease.

To be responsible for expanding, promoting and evaluating new and innovative therapy approaches in the areas of inpatient and outpatients services within OT.

  • Resource management

To be responsible for identifying and researching independence equipment requirements and ensuring that all equipment prescribed or used is optimal for the individual patients clinical need.

In liaison with the support staff, maintain an adequate stock of independence equipment for all the wards.

Advise the wards on the equipment needed for patients safety within the ward environment.

  • People management

To mentor, clinically supervise and appraise therapy assistants and occupational therapists regularly, ensuring that their yearly appraisals are conducted and reviewed 6 monthly in accordance with Trust policy.

To be responsible for development and co-ordination of training for all Occupational Therapy staff. This will include keeping up to date records of staff competency.

To supervise at least 2 fieldwork placements for Occupational Therapy students each year.

Undertake an educational role by providing teaching to occupational therapists and other relevant disciplines about occupational therapy core skills, techniques and roles.

Facilitate team education and development to encourage team members to participate actively in education and training for personal, professional and managerial development

  • Information management

To maintain daily statistical records in the computer statistics package RATAR, and assist in formulating statistical reports.

Complete departmental records for all patients, collating demographic information from the PAS system.

To produce reports and letters using electronic patient record systems.

  • Research and development

To commit to evidence-based practice by leading and contributing to audit projects and research opportunities relevant to Occupational Therapy.

To participate in research forums within the heart, lung and critical care clinical group and activities to develop research knowledge and skills base.

To lead and develop designated Occupational Therapy Service audits reporting findings and actions at local and directorate levels.

Other duties

  • To abide by the Trusts Core behaviours for staff and all other Trust policies, codes and practices including standing financial instructions, research governance, clinical governance, patient and public involvement, codes and practices, and health and safety.
  • To undertake any other duties commensurate with the grade as requested.

Job description

Job responsibilities

  • Communication

To articulate and work to the value base and principles which underpin Occupational Therapy practice representing the unique role of Occupational Therapy in relation to interdisciplinary working.

To use effective interpersonal skills to communicate complex and frequently unwelcome news regarding prognosis where agreement and cooperation is required and where there are barriers to understanding such as vulnerable and at risk patients.

Utilise formal and informal reporting mechanisms including electronic reporting to ensure effective communication across health and social care.

Use effective interpersonal skills to encourage patients and carers active participation in the Occupational Therapy process.

Use verbal and non-verbal communication to receive and disseminate complex clinical information in all therapeutic, educational programmes and professional contexts acknowledging sensitivity and utilising approaches appropriate to the complexity of the context or culture.

Maintain confidentiality consistent with Trust and Service policies.

Act as an advocate on behalf of patients and carers by adopting a client centred approach to support meaningful participation in life roles.

To maintain and develop professional communication links across health and social care including representation at multidisciplinary collaborative forums and networks.

To utilise advanced communication skills acting as a prime educator of other professionals including Doctors, nurses, qualified and unqualified AHPs and students on own area of clinical expertise and on the role and scope of Occupational Therapy.

  • Patient/customer care (both direct and indirect)

To lead and advise on clinical Occupational Therapy developments within the service.

To manage a caseload of patients with highly complex needs, using evidence-based and client-centred principles to assess, plan and implement interventions demonstrating high-level problem solving and clinical reasoning skills.

To be responsible for the maintenance and development of own Continuing Professional Development and identifying and contributing to the evidence base of Occupational Therapy.

This post may require you to act as the professional lead for the Occupational Therapy service at the Royal Brompton Hospital. With the support of the Therapy Leads and trust head of Occupational therapy, to ensure the continuing professional development and overall performance of all Occupational Therapy staff in the surgical, cardiology and respiratory teams at the Royal Brompton Hospital.

To provide leadership for staff, through regular supervision and annual appraisal. To assist junior staff in the management of complex cases requiring advanced clinical reasoning.

Contribute to the maintenance and development of the Occupational Therapy Service at the Royal Brompton Hospital in conjunction with the Therapy Leads.

To play a major role in the continuous development of the service as a member of the Occupational Therapy team and as a potential member of a range of Trust quality/process improvement project groups.

Policy & Service development

To operationally lead and manage designated Occupational Therapy Staff, providing effective guidance, supervision and performance management including the education and management of students on practice placements.

To comply with relevant legislation such as Health and Safety, Medical Devices and Data Protection Act in particular relation to provision of hoists, related accessories and manual handling equipment.

To comply with recording and reporting in accordance with departmental and service standards ensuing that all staff complete risk assessment documentation for assessment and prescription of hoists including recommendations and re-assessment as indicated.

To contribute to the Directorates and Teams Clinical Governance and Quality assurance programmes, setting and monitoring practice standards within the Occupational Therapy Service and in liaison with interdisciplinary colleagues.

To inform the Occupational Therapy Service of changes in Clinical practice which may influence Occupational Therapy Service delivery, business planning and strategic reviews to support the delivery of the annual Occupational Therapy plan, meeting agreed objectives.

To ensure accurate and up to date records of all professional judgements, decisions taken, related statistical information are kept and reported in accordance with Occupational Therapy policies.

To participate as required in the recruitment selection and induction of Junior Occupational Therapy staff and therapy assistants.

To participate in the operational planning and implementation of policy and service development within Occupational Therapy, leading on delegated projects.

Assist in writing new departmental guidelines under the supervision of the Therapy Leads. Update the departmental guidelines for Occupational Therapy as necessary.

To participate in and represent the occupational therapy service at meetings as required e.g. staff meeting, interdisciplinary meetings, special interest groups, national and international meetings relating to intervention and treatment of heart and lung disease.

To be responsible for expanding, promoting and evaluating new and innovative therapy approaches in the areas of inpatient and outpatients services within OT.

  • Resource management

To be responsible for identifying and researching independence equipment requirements and ensuring that all equipment prescribed or used is optimal for the individual patients clinical need.

In liaison with the support staff, maintain an adequate stock of independence equipment for all the wards.

Advise the wards on the equipment needed for patients safety within the ward environment.

  • People management

To mentor, clinically supervise and appraise therapy assistants and occupational therapists regularly, ensuring that their yearly appraisals are conducted and reviewed 6 monthly in accordance with Trust policy.

To be responsible for development and co-ordination of training for all Occupational Therapy staff. This will include keeping up to date records of staff competency.

To supervise at least 2 fieldwork placements for Occupational Therapy students each year.

Undertake an educational role by providing teaching to occupational therapists and other relevant disciplines about occupational therapy core skills, techniques and roles.

Facilitate team education and development to encourage team members to participate actively in education and training for personal, professional and managerial development

  • Information management

To maintain daily statistical records in the computer statistics package RATAR, and assist in formulating statistical reports.

Complete departmental records for all patients, collating demographic information from the PAS system.

To produce reports and letters using electronic patient record systems.

  • Research and development

To commit to evidence-based practice by leading and contributing to audit projects and research opportunities relevant to Occupational Therapy.

To participate in research forums within the heart, lung and critical care clinical group and activities to develop research knowledge and skills base.

To lead and develop designated Occupational Therapy Service audits reporting findings and actions at local and directorate levels.

Other duties

  • To abide by the Trusts Core behaviours for staff and all other Trust policies, codes and practices including standing financial instructions, research governance, clinical governance, patient and public involvement, codes and practices, and health and safety.
  • To undertake any other duties commensurate with the grade as requested.

Person Specification

Experience

Essential

  • Significant post-qualification experience with a minimum of one year in acute medicine/cardio-respiratory/critical care.
  • Objective reporting and recording of intervention and maintenance of activity data
  • supervision of junior/ assistant staff and students
  • Team work

Desirable

  • Min. 6 months clinical experience in neurology/ care of elderly
  • Evidence of service development/ QI/ research
  • Experience in running patient groups inc. PR
  • Clinical experience in management of chronic disease - inc. resp.

Qualifications

Essential

  • Degree or equivalent in Occupational Therapy
  • HCPC registration
  • Field work educators course

Desirable

  • BAOT member
  • Post graduate qualifications, MSc programme/ research

Skills

Essential

  • Varied caseload management
  • standardized assessment skills inc. use of outcome measures
  • IT skills - MS word, excel
  • manage complex and sensitive situations/ communication
  • advanced clinical reasoning skills
  • Leadership

Desirable

  • splinting
  • seating assessment/ use of specialist chairs
  • client centered therapy approach
  • supervisory/ appraisal of others
Person Specification

Experience

Essential

  • Significant post-qualification experience with a minimum of one year in acute medicine/cardio-respiratory/critical care.
  • Objective reporting and recording of intervention and maintenance of activity data
  • supervision of junior/ assistant staff and students
  • Team work

Desirable

  • Min. 6 months clinical experience in neurology/ care of elderly
  • Evidence of service development/ QI/ research
  • Experience in running patient groups inc. PR
  • Clinical experience in management of chronic disease - inc. resp.

Qualifications

Essential

  • Degree or equivalent in Occupational Therapy
  • HCPC registration
  • Field work educators course

Desirable

  • BAOT member
  • Post graduate qualifications, MSc programme/ research

Skills

Essential

  • Varied caseload management
  • standardized assessment skills inc. use of outcome measures
  • IT skills - MS word, excel
  • manage complex and sensitive situations/ communication
  • advanced clinical reasoning skills
  • Leadership

Desirable

  • splinting
  • seating assessment/ use of specialist chairs
  • client centered therapy approach
  • supervisory/ appraisal of others

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 (Opens in a new tab).

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 (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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 (Opens in a new tab).

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 (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Royal Brompton Hospital

London

SW3 6NP


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Royal Brompton Hospital

London

SW3 6NP


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


For questions about the job, contact:

Therapy Lead - Adult Lung Team

Gemma Korff

g.korff@rbht.nhs.uk

02073518088

Date posted

15 August 2022

Pay scheme

Agenda for change

Band

Band 7

Salary

£47,154 to £52,936 a year per annum Inc. HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

196-RBH-0038

Job locations

Royal Brompton Hospital

London

SW3 6NP


Supporting documents

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