Job summary
This is an exciting opportunity to work within a specialist multi-disciplinary stroke rehabilitation team in Lambeth and Southwark. If you have experience working in a healthcare setting either with stroke patients or adults with disabilities and have excellent observational and communication skills, then we have the perfect job for you!
You need to be a highly motivated, enthusiastic and an autonomous practitioner with flexible problem solving skills, a holistic approach to care and be efficient in your time management. The team provides a service in patient's own homes, care homes and local community healthcare sites with opportunities for agile working. Experience of working with stroke patients would be an advantage but is not essential.
The Band 4 Stroke Reviewer, will work under the direction of the Band 5 Senior Stroke Reviewer, Deputy Clinical Lead for Community Stroke Team and other health professional colleagues, including Occupational Therapists, Speech & Language Therapists, Physiotherapists, Neuro Psychology, Nursing and Stroke Care Advisor as part of a busy community Stroke rehabilitation multi-disciplinary team.
Main duties of the job
To work across multiple community sites within the boroughs of Lambeth and Southwark, including GSTT designated community sites for example Pulross Centre, Tessa Jowell Health Centre, and Bermondsey Health Centre and service users place of residence.
The post holder will carry out comprehensive stroke review assessments to our service users approximately 6 months post stroke using a validated and standardised tool.
The role involves analysing the needs of the service user from information on electronic health records, collateral history from the service user, their relatives and/or carers and from the Stroke review.
To then identify new or unmet needs relating to the service user's Stroke and determine appropriate actions to address these needs.
The post holder will work autonomously and be responsible for their own busy caseload in order to meet the individual needs of adults living with physical and/or cognitive and communication disabilities following Stroke.
The Stroke Reviewer will also support service users' carers in finding suitable ways of conducting their role and identifying areas in which they might need support.
Following assessment, a summary of the review will be sent to the service user's GP, inclusive of concerns and/or recommendations.
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.
We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research'sbiomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.
We have around 25,000 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, and neighbouring NHS organisations, local authorities and charitable bodies and GPs.
We strive to recruit and retain the best staff as the dedication and skills of our employees lie at the heart of our organisation.
Job description
Job responsibilities
Clinical Duties
To be responsible for contacting service users eligible for a Stroke six month review and to offer an appointment either by phone/virtually, in their home or at clinic.
Without direct supervision to independently carry out an assessment for Stroke survivors using a validated and standardised tool, developing a particular focus on new needs the service user may have developed since their discharge.
To provide Stroke prevention education, advice and guidance to improve self-management and encourage meaningful engagement within their local community.
To liaise with service users carers where applicable to explore any needs that they have which should be addressed. Clinically reasoning to determine appropriate onward referrals / care pathways to assist the service users carer/s.
To sensitively deal with distressing or emotional circumstances, that may include resolution of conflict regarding patient care and to provide an empathetic approach utilising counselling skills.
Communicate sensitive and complex information regarding rehabilitation to service users, carers, family and other health and social care professionals and organisations.
To screen a service users or carers psychological state using validated mood screens and to offer advice for onward support where needed. To also complete the GSTT suicidal risk assessment when indicated and notify service users GP and/or the Community Stroke Team Clinical Psychologist for urgent mood review when indicated.
To complete medication reconciliation to ensure service users are taking the recommended prescription as stated on their hospital discharge report. This includes identifying secondary Stroke prevention medications and notifying the GP or Community Pharmacist of any concerns identified.
To review walking aids and equipment that has been prescribed previously by clinicians to ensure that they continue to meet the patients moving and handling needs in facilitation function. If not, to determine appropriate onward referral that is required to review or address unmet equipment needs.
To write a report to the service users GP highlighting any concerns identified and rationale for actions that need to be completed by the GP i.e. medication or blood pressure review etc.
Using analytical and clinical reasoning skills make referrals to other services within the community as per the service users needs. This may involve extensive liaison with the multi-disciplinary team, GSTT and / or Local Authority Safeguarding Teams, as well as external organisations i.e. social services and the charity sector for advice on onward referrals.
When relevant complete follow-up actions by contacting the service user with leaflets and information and to provide advice when needed for secondary stroke prevention.
To maintain adequate electronic health records including clinical notes as per service standard operating procedures.
To seek timely advice and support as appropriate from the Senior 6 month Stroke Reviewer.
To participate in the triage of referrals, using appropriate rationale to prioritise accordingly.
To effectively manage own varied caseload, using prioritisation and time management skills in a variety of community settings and often without direct supervision. To ensure clinics are appropriately booked in order to maximise delivery of appropriate and effective care, liaising closely with senior staff to achieve this where required
To demonstrate therapeutic handling of patients, for example positioning during assessment of relevant clinical observations complying with the Trusts Manual Handling Policy and local therapeutic handling guidelines.
To carry out risk assessments (including manual handling) and ensure actions are taken for safe intervention as appropriate, complying at all times with requirements of health and safety regulations.
To complete blood pressure monitoring and pulse oximeter to measure the percentage of the service users oxygen saturation levels. To also recognise the appropriate cuff size needed to measure blood pressure and report any abnormal readings to the service users GP.
To communicate either verbally or written to a high standard and share information effectively with all members of the multidisciplinary health and social care team, referrers and external agencies regarding information related to their work with the service user whilst observing data protection and confidentiality guidelines.
To represent the department in internal and external meetings as appropriate and to take part in training and mentoring as and when required.
To respond to crisis and safeguarding incidents effectively, seeking advice from the Senior Stroke Reviewer or Community Stroke Team Deputy Clinical Lead as required, and escalating concerns where appropriate.
Be proactive in developing strong partnerships with local agencies and community groups to create a network of resources where appropriate. To also participate in ensuring an up-to date information resource on services is available to the wider team that can support service users to access mainstream activities and social groups.
To support the Lambeth Stroke Care Advisor by delivering peer support groups for our service users by recruiting participants as well as sourcing speakers.
Assess a service users understanding of proposed rehabilitation and seek informed consent from service users before commencing interventions. Work within a legal framework for service users who lack the mental capacity to provide informed consent.
Non Clinical
To organise and prioritise own non-clinical activity in additional to clinical activities to ensuring clinics are appropriately booked in order to maximise delivery of appropriate and effective care, liaising closely with senior staff to achieve this where required. In this way the post holder will support the organisation in delivering value for money.
Contribute to the Stroke Sentinel National Audit Programme (SSNAP) and other quality improvement activities to ensure compliance with 6 month Stroke review National Stroke Guidelines. This includes inputting data onto the Stroke national audit database to meet regular clinical audit deadlines.
To share in the responsibility for the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained. Undertaking routine and general light cleaning / tidying tasks within department clinical areas.
To have specific responsibility for keeping communication aids in working order and ready for use. This includes a work mobile, tablet/laptop and a SkyGuard device. To wear a name badge at all times.
To gather and update activity data accurately and regularly, ensuring the provision of such information promptly within local Trust guidelines.
To support other Band 4 colleagues (Rehabilitation Assistants) in the wider neuro-rehabilitation service with maintaining appropriate stock levels of equipment, therapeutic adjuncts and PPE etc. and be responsible for re-ordering through NHS Supply Chain as required.
Job description
Job responsibilities
Clinical Duties
To be responsible for contacting service users eligible for a Stroke six month review and to offer an appointment either by phone/virtually, in their home or at clinic.
Without direct supervision to independently carry out an assessment for Stroke survivors using a validated and standardised tool, developing a particular focus on new needs the service user may have developed since their discharge.
To provide Stroke prevention education, advice and guidance to improve self-management and encourage meaningful engagement within their local community.
To liaise with service users carers where applicable to explore any needs that they have which should be addressed. Clinically reasoning to determine appropriate onward referrals / care pathways to assist the service users carer/s.
To sensitively deal with distressing or emotional circumstances, that may include resolution of conflict regarding patient care and to provide an empathetic approach utilising counselling skills.
Communicate sensitive and complex information regarding rehabilitation to service users, carers, family and other health and social care professionals and organisations.
To screen a service users or carers psychological state using validated mood screens and to offer advice for onward support where needed. To also complete the GSTT suicidal risk assessment when indicated and notify service users GP and/or the Community Stroke Team Clinical Psychologist for urgent mood review when indicated.
To complete medication reconciliation to ensure service users are taking the recommended prescription as stated on their hospital discharge report. This includes identifying secondary Stroke prevention medications and notifying the GP or Community Pharmacist of any concerns identified.
To review walking aids and equipment that has been prescribed previously by clinicians to ensure that they continue to meet the patients moving and handling needs in facilitation function. If not, to determine appropriate onward referral that is required to review or address unmet equipment needs.
To write a report to the service users GP highlighting any concerns identified and rationale for actions that need to be completed by the GP i.e. medication or blood pressure review etc.
Using analytical and clinical reasoning skills make referrals to other services within the community as per the service users needs. This may involve extensive liaison with the multi-disciplinary team, GSTT and / or Local Authority Safeguarding Teams, as well as external organisations i.e. social services and the charity sector for advice on onward referrals.
When relevant complete follow-up actions by contacting the service user with leaflets and information and to provide advice when needed for secondary stroke prevention.
To maintain adequate electronic health records including clinical notes as per service standard operating procedures.
To seek timely advice and support as appropriate from the Senior 6 month Stroke Reviewer.
To participate in the triage of referrals, using appropriate rationale to prioritise accordingly.
To effectively manage own varied caseload, using prioritisation and time management skills in a variety of community settings and often without direct supervision. To ensure clinics are appropriately booked in order to maximise delivery of appropriate and effective care, liaising closely with senior staff to achieve this where required
To demonstrate therapeutic handling of patients, for example positioning during assessment of relevant clinical observations complying with the Trusts Manual Handling Policy and local therapeutic handling guidelines.
To carry out risk assessments (including manual handling) and ensure actions are taken for safe intervention as appropriate, complying at all times with requirements of health and safety regulations.
To complete blood pressure monitoring and pulse oximeter to measure the percentage of the service users oxygen saturation levels. To also recognise the appropriate cuff size needed to measure blood pressure and report any abnormal readings to the service users GP.
To communicate either verbally or written to a high standard and share information effectively with all members of the multidisciplinary health and social care team, referrers and external agencies regarding information related to their work with the service user whilst observing data protection and confidentiality guidelines.
To represent the department in internal and external meetings as appropriate and to take part in training and mentoring as and when required.
To respond to crisis and safeguarding incidents effectively, seeking advice from the Senior Stroke Reviewer or Community Stroke Team Deputy Clinical Lead as required, and escalating concerns where appropriate.
Be proactive in developing strong partnerships with local agencies and community groups to create a network of resources where appropriate. To also participate in ensuring an up-to date information resource on services is available to the wider team that can support service users to access mainstream activities and social groups.
To support the Lambeth Stroke Care Advisor by delivering peer support groups for our service users by recruiting participants as well as sourcing speakers.
Assess a service users understanding of proposed rehabilitation and seek informed consent from service users before commencing interventions. Work within a legal framework for service users who lack the mental capacity to provide informed consent.
Non Clinical
To organise and prioritise own non-clinical activity in additional to clinical activities to ensuring clinics are appropriately booked in order to maximise delivery of appropriate and effective care, liaising closely with senior staff to achieve this where required. In this way the post holder will support the organisation in delivering value for money.
Contribute to the Stroke Sentinel National Audit Programme (SSNAP) and other quality improvement activities to ensure compliance with 6 month Stroke review National Stroke Guidelines. This includes inputting data onto the Stroke national audit database to meet regular clinical audit deadlines.
To share in the responsibility for the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained. Undertaking routine and general light cleaning / tidying tasks within department clinical areas.
To have specific responsibility for keeping communication aids in working order and ready for use. This includes a work mobile, tablet/laptop and a SkyGuard device. To wear a name badge at all times.
To gather and update activity data accurately and regularly, ensuring the provision of such information promptly within local Trust guidelines.
To support other Band 4 colleagues (Rehabilitation Assistants) in the wider neuro-rehabilitation service with maintaining appropriate stock levels of equipment, therapeutic adjuncts and PPE etc. and be responsible for re-ordering through NHS Supply Chain as required.
Person Specification
Qualifications / Education
Essential
- English Language and Maths GCSE grade C and above
- Formal qualification in relevant subjects: NVQ Level 3 (equivalent to x2 A Levels) or NVQ Level 4 (equivalent to Higher Education Certificate/BTEC)
- Excellent computer skills - ECDL or equivalent experience including familiarity with Microsoft Office Programmes
Desirable
- Relevant in-service training/education in a healthcare setting
Previous Experience
Essential
- Experience of working for at least 1 year with adults with disability and/or older people in healthcare or related settings
- Experience of working as part of a multidisciplinary team other health and care professionals
- Experience of direct patient care, in a health or social care setting
Desirable
- Experience of working in a rehabilitation
- Experience of working in a community setting
- Experience of working with Stroke survivors and people with communication difficulties
Skills / Knowledge / Ability
Essential
- Ability to communicate and present information, orally and in writing, in a clear and logical manner
- Excellent communication, analytical and interpersonal skills
- Ability to work autonomously, recognising one's own limitations of knowledge and seeking clinical advice as required
- The ability to recognise potential breakdown and conflict when it occurs and generate potential solutions, seeking advice where necessary
- The ability to develop practice to meet individual patients' circumstances, including due regard for cultural and linguistic differences
- Able to demonstrate an understanding of the implications of disability on peoples' lives
- The ability to manage and prioritise own work
- Ability to work collaboratively with clients, families, carers colleagues and external services
Desirable
- Ability to compose a concise healthcare report i.e. discharge letter to GP and/or referral to other services
Personal & People Development
Essential
- Ability to treat people with respect, irrespective of age, gender, culture, religion & sexuality
- Proactive, self-directed with innovative approach
- To demonstrate the ability to reflect on own strengths and development needs
- Able and willing to be flexible in approach to work and responsive to changing demands of the service
Person Specification
Qualifications / Education
Essential
- English Language and Maths GCSE grade C and above
- Formal qualification in relevant subjects: NVQ Level 3 (equivalent to x2 A Levels) or NVQ Level 4 (equivalent to Higher Education Certificate/BTEC)
- Excellent computer skills - ECDL or equivalent experience including familiarity with Microsoft Office Programmes
Desirable
- Relevant in-service training/education in a healthcare setting
Previous Experience
Essential
- Experience of working for at least 1 year with adults with disability and/or older people in healthcare or related settings
- Experience of working as part of a multidisciplinary team other health and care professionals
- Experience of direct patient care, in a health or social care setting
Desirable
- Experience of working in a rehabilitation
- Experience of working in a community setting
- Experience of working with Stroke survivors and people with communication difficulties
Skills / Knowledge / Ability
Essential
- Ability to communicate and present information, orally and in writing, in a clear and logical manner
- Excellent communication, analytical and interpersonal skills
- Ability to work autonomously, recognising one's own limitations of knowledge and seeking clinical advice as required
- The ability to recognise potential breakdown and conflict when it occurs and generate potential solutions, seeking advice where necessary
- The ability to develop practice to meet individual patients' circumstances, including due regard for cultural and linguistic differences
- Able to demonstrate an understanding of the implications of disability on peoples' lives
- The ability to manage and prioritise own work
- Ability to work collaboratively with clients, families, carers colleagues and external services
Desirable
- Ability to compose a concise healthcare report i.e. discharge letter to GP and/or referral to other services
Personal & People Development
Essential
- Ability to treat people with respect, irrespective of age, gender, culture, religion & sexuality
- Proactive, self-directed with innovative approach
- To demonstrate the ability to reflect on own strengths and development needs
- Able and willing to be flexible in approach to work and responsive to changing demands of the service
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.
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).
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.
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).
