Specialist Occupational Therapist
This job is now closed
Job summary
An exciting opportunity has arisen for aforward thinking, enthusiastic, and motivatedSpecialist Occupational Therapist to join the Stroke therapy team in Bolton.
The post works within the stroke pathway rotating between the Stroke Unit at Royal Bolton Hospital and the Community Stroke team based at Breightmet Health Centre. The post holder will be part of a friendly and dynamic MDT working closely to provide collaborative care and specialist Occupational Therapy treatment, intervention and advice.
The service actively encourages training and staff development supported by experienced senior staff. The post is full time but part time hours would be considered
Main duties of the job
- To work as an autonomous practitioner within the stroke service supported by highly specialist therapists.
- To perform therapeutic assessment of patients within stroke with diverse presentations and complex physical and psychological conditions, to provide a diagnosis and develop and deliver individualised treatment programmes.
- To manage a defined caseload, using evidence based, client centred principles to assess, plan, implement and evaluate interventions.
- To provide clinical education, advice and support for junior therapy staff and support staff.
- To provide highly specialist knowledge, skills and advice to clients, and be a source of expertise for therapy staff, other members of the MDT and other agencies.
- To supervise, educate and assess the performance of therapy students.
- To contribute to service research and audit activities.
- To propose any service changes within own professional speciality area.
About us
The aims of this Trust are to improve the health of and provide the best possible care to the population in which we serve and ensure that our staff have joy and pride in their work. We are striving to recruit a workforce that reflects the communities in which we serve. We value our staff and can offer excellent opportunities for further training and development. We are keen to reflect our local population and therefore applications from all sectors of the community are welcomed
You will be required to be able to work flexibly to meet the needs of the service and its users which could includesparticipation in a weekend rota and may cross cover otherservicesincludingthe Neuro LTtherapyteam if required
You are encouraged to maintain your Covid vaccination status unless medically exempt and will be supported to access information and guidance, to inform decisions that supports vaccine confidence, protects yourself and patients.
Details
Date posted
09 June 2023
Pay scheme
Agenda for change
Band
Band 6
Salary
£35,392 to £42,618 a year pa pro rata
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
241-424-IC-23
Job locations
Breightmet Health Centre / Stroke Unit Royal Bolton Hospital
Breightmet Fold Lane
Bolton
BL2 6NT
Job description
Job responsibilities
ClinicalTo be professionally and legally accountable for all aspects of own work, including the management of patients.To undertake a comprehensive assessment of stroke patients including those with diverse or complex presentations/multi-pathologies; use advanced clinical reasoning and problem solving skills to provide an accurate prognosis of their condition.To participate in holistic multi-disciplinary assessments in order to determine client needs.To assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.To evaluate the effectiveness of treatments and modify accordingly.To follow clinical risk management processes within own patient caseload.To represent the team and patients at multi-disciplinary team meetings and case conferences in order to ensure the delivery of a co-ordinated multi-disciplinary service and to integrate therapy intervention into the treatment programme. This will include discussion of patient care, patient progress and involvement in discharge planning.To give advice and training on intervention programmes on a one-to-one basis, including advice to carers.To formulate and deliver individual treatment programmes based on a sound knowledge of evidence based practice and treatment options using clinical assessment, reasoning skills and highly specialised knowledge of intervention techniquesTo support the Team Leader and other Highly Specialist / Specialist therapist as required.To work with the patients, carers and colleagues to identify goals as part of intervention plansTo support / rotate with community Neuro rehab therapy /be part of a seven day service team if required
CommunicationTo use a range of verbal and non-verbal communication tools to communicate complex information effectively with patients, carers, colleagues, team members and other agencies to progress rehabilitation and treatment/intervention programmes. This will include patients who may have difficulties in understanding or communicating. For example, patients may be dysphasic, depressed, hard of hearing, visually impaired, or they may be unable to accept the diagnosis.To liaise with other professional agencies to ensure the correct and safe transfer and service provision for clients.To represent the service at case conferences, clinics, etc., when deemed appropriate to ensure best possible clinical care.To prepare and submit timely and accurate reports to referring clinicians and/or other relevant parties either verbally or in writing.To provide support and empathy to clients and carers in dealing with grief, distressing situations, changing roles and abilities.
DocumentationTo be responsible for maintaining accurate and comprehensive treatment records in line with Professional Standards and Trust standards of practice.To ensure information is accurate and up to date for future reference and complies with the Data Protection Act.To ensure risk assessments are completed as per trust Policy.To produce medico legal information as required.
Professional EthicsTo ensure that your own practice and that of staff under your supervision meet the required professional standards of therapy practice, complying with the Health Professional Councils code of ethics and professional conduct and local/national policies and procedures.To respect the individuality, values, cultural and religious diversity of patients and contribute to the provision of a service sensitive to those needs.To respect peoples choice, privacy, dignity and individuality.
Service Development and DeliveryTo undertake as directed the collection of data for use in service audit and research projects.To practice Trust values and contribute to departmental objectives.To comply with and contribute to the development of protocols, procedures and guidelines both clinical and departmental.To undertake the measurement and evaluation of your work and current practices through the use of evidence based practice projects, audit and outcome measures, either individually or with other therapists.To take a lead in an area of service if required by the team leader or highly specialist therapist.
Personnel & Service ResourcesTo induct, appraise and train therapy staff within clinical area as required to ensure quality service provision.To supervise and monitor clinical performance of therapy staff to ensure they are safe and effective to practice.To identify deficits and defects in resources, materials and equipment required to carry out the job and action changes needed to ensure safe and effective practice.To understand and implement procedures in relation to security and safety of working environment to ensure safe working practice.To exercise good personal time management, punctuality and consistently reliable attendance to develop good and effective working practice.To contribute to effective use of resources by following stock control systems and other relevant department policies and guidelines regarding stationery, petty cash etc.To deliver on request the induction and training of multi-disciplinary staff and outside agencies to enable a multi-professional approach to staff training.To be responsible for the induction, supervision, training and evaluation of therapy student to graduate level on fieldwork placements to contribute to the education of future therapists.To participate in the recruitment and selection process of potential therapy staff to maintain and/or develop existing workforce.To actively participate in clinical supervision sessions and provide clinical support to other members of the therapy team.To take a lead in an area of service if required by the team leader / highly specialist therapist
Professional DevelopmentTo be responsible for maintaining own competency to practice through CPD activities, and for maintaining a portfolio which reflects personal development, experimental learning, reflective practice and any relevant training or experience.To maintain and develop current knowledge, developing a specialist knowledge of particular conditions and patient types.To be an active member of the in-service training programme by attendance at and delivery of inservice training programmes, tutorials, clinical reasoning forums, complex case meetings, individual training sessions and peer review.To attend relevant training courses as identified through yearly appraisals and personal development plans and disseminate information as required. Incorporate acquired knowledge into working practice as appropriate following discussion with senior colleagues.To apply complex skills and knowledge in order to maintain professional competence and fitness to practice as a Specialist therapist .To work with the Trust, HPC, National and Local guidelines to monitor own and other practice.To participate in clinical reasoning forums, complex case meetings and utilise appropriate clinical pathways within the service area.Research and DevelopmentTo demonstrate the ability to critically evaluate current research and apply them to practice.To assist in research, audit and other projects as determined by the clinical leader.
GeneralHealth, Safety and Security:All employees have a duty to report any accidents, complaints, defects in equipment, near misses and untoward incidents, following Trust procedure.To ensure that Health and Safety legislation is complied with at all times, including COSHH, Workplace Risk Assessment and Control of Infection.Maintain Covid 19 vaccination status in accordance with relevant legislation, unless medically exempt - Health and Social Act 2008 (amendment Coronavirus) regulations 2021
Confidentiality:Working within the trust you may gain knowledge of confidential matters which may include personal and medical information about patients and staff.
Such information must be consideredstrictly confidential and must not be discussed or disclosed. Failure to observe this confidentialitycould lead to disciplinary action being taken against you.
Data QualityAll employees are reminded about the importance of Data Quality and staff should make themselves aware of both departmental and corporate objectives for Data Quality.Data Quality forms part of the appraisal and objective setting process for staff responsible for data entry and data production; staff should ensure that they adhere to policies and procedures at all times. Failure to do so may result in disciplinary action being taken.
Codes of Conduct and Accountability:You are expected to comply with relevant Bolton NHS Foundation Trust codes of conduct and accountability.
Infection Prevention and Control:You must comply with all relevant policies, procedures and training on infection prevention and control.
Safeguarding Children and Vulnerable Adults:You must comply with all relevant policies, procedures and training on safeguarding and promoting the welfare of children and vulnerable adults.
Valuing Diversity and Promoting Equality:You must comply with all relevant policies, procedures and training on valuing diversity and promoting equality.
Training:Managers are required to take responsibility for their own and their staffs development.All employees have a duty to attend all mandatory training sessions as required by the Trust.
Any other general requirements as appropriate to the post and location.The range of duties and responsibilities outlined above are indicative only and are intended to give a broad flavour of the range and type of duties that will be allocated. They are subject to modification in the light of changing service demands and the development requirements of the postholder.
Job description
Job responsibilities
ClinicalTo be professionally and legally accountable for all aspects of own work, including the management of patients.To undertake a comprehensive assessment of stroke patients including those with diverse or complex presentations/multi-pathologies; use advanced clinical reasoning and problem solving skills to provide an accurate prognosis of their condition.To participate in holistic multi-disciplinary assessments in order to determine client needs.To assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.To evaluate the effectiveness of treatments and modify accordingly.To follow clinical risk management processes within own patient caseload.To represent the team and patients at multi-disciplinary team meetings and case conferences in order to ensure the delivery of a co-ordinated multi-disciplinary service and to integrate therapy intervention into the treatment programme. This will include discussion of patient care, patient progress and involvement in discharge planning.To give advice and training on intervention programmes on a one-to-one basis, including advice to carers.To formulate and deliver individual treatment programmes based on a sound knowledge of evidence based practice and treatment options using clinical assessment, reasoning skills and highly specialised knowledge of intervention techniquesTo support the Team Leader and other Highly Specialist / Specialist therapist as required.To work with the patients, carers and colleagues to identify goals as part of intervention plansTo support / rotate with community Neuro rehab therapy /be part of a seven day service team if required
CommunicationTo use a range of verbal and non-verbal communication tools to communicate complex information effectively with patients, carers, colleagues, team members and other agencies to progress rehabilitation and treatment/intervention programmes. This will include patients who may have difficulties in understanding or communicating. For example, patients may be dysphasic, depressed, hard of hearing, visually impaired, or they may be unable to accept the diagnosis.To liaise with other professional agencies to ensure the correct and safe transfer and service provision for clients.To represent the service at case conferences, clinics, etc., when deemed appropriate to ensure best possible clinical care.To prepare and submit timely and accurate reports to referring clinicians and/or other relevant parties either verbally or in writing.To provide support and empathy to clients and carers in dealing with grief, distressing situations, changing roles and abilities.
DocumentationTo be responsible for maintaining accurate and comprehensive treatment records in line with Professional Standards and Trust standards of practice.To ensure information is accurate and up to date for future reference and complies with the Data Protection Act.To ensure risk assessments are completed as per trust Policy.To produce medico legal information as required.
Professional EthicsTo ensure that your own practice and that of staff under your supervision meet the required professional standards of therapy practice, complying with the Health Professional Councils code of ethics and professional conduct and local/national policies and procedures.To respect the individuality, values, cultural and religious diversity of patients and contribute to the provision of a service sensitive to those needs.To respect peoples choice, privacy, dignity and individuality.
Service Development and DeliveryTo undertake as directed the collection of data for use in service audit and research projects.To practice Trust values and contribute to departmental objectives.To comply with and contribute to the development of protocols, procedures and guidelines both clinical and departmental.To undertake the measurement and evaluation of your work and current practices through the use of evidence based practice projects, audit and outcome measures, either individually or with other therapists.To take a lead in an area of service if required by the team leader or highly specialist therapist.
Personnel & Service ResourcesTo induct, appraise and train therapy staff within clinical area as required to ensure quality service provision.To supervise and monitor clinical performance of therapy staff to ensure they are safe and effective to practice.To identify deficits and defects in resources, materials and equipment required to carry out the job and action changes needed to ensure safe and effective practice.To understand and implement procedures in relation to security and safety of working environment to ensure safe working practice.To exercise good personal time management, punctuality and consistently reliable attendance to develop good and effective working practice.To contribute to effective use of resources by following stock control systems and other relevant department policies and guidelines regarding stationery, petty cash etc.To deliver on request the induction and training of multi-disciplinary staff and outside agencies to enable a multi-professional approach to staff training.To be responsible for the induction, supervision, training and evaluation of therapy student to graduate level on fieldwork placements to contribute to the education of future therapists.To participate in the recruitment and selection process of potential therapy staff to maintain and/or develop existing workforce.To actively participate in clinical supervision sessions and provide clinical support to other members of the therapy team.To take a lead in an area of service if required by the team leader / highly specialist therapist
Professional DevelopmentTo be responsible for maintaining own competency to practice through CPD activities, and for maintaining a portfolio which reflects personal development, experimental learning, reflective practice and any relevant training or experience.To maintain and develop current knowledge, developing a specialist knowledge of particular conditions and patient types.To be an active member of the in-service training programme by attendance at and delivery of inservice training programmes, tutorials, clinical reasoning forums, complex case meetings, individual training sessions and peer review.To attend relevant training courses as identified through yearly appraisals and personal development plans and disseminate information as required. Incorporate acquired knowledge into working practice as appropriate following discussion with senior colleagues.To apply complex skills and knowledge in order to maintain professional competence and fitness to practice as a Specialist therapist .To work with the Trust, HPC, National and Local guidelines to monitor own and other practice.To participate in clinical reasoning forums, complex case meetings and utilise appropriate clinical pathways within the service area.Research and DevelopmentTo demonstrate the ability to critically evaluate current research and apply them to practice.To assist in research, audit and other projects as determined by the clinical leader.
GeneralHealth, Safety and Security:All employees have a duty to report any accidents, complaints, defects in equipment, near misses and untoward incidents, following Trust procedure.To ensure that Health and Safety legislation is complied with at all times, including COSHH, Workplace Risk Assessment and Control of Infection.Maintain Covid 19 vaccination status in accordance with relevant legislation, unless medically exempt - Health and Social Act 2008 (amendment Coronavirus) regulations 2021
Confidentiality:Working within the trust you may gain knowledge of confidential matters which may include personal and medical information about patients and staff.
Such information must be consideredstrictly confidential and must not be discussed or disclosed. Failure to observe this confidentialitycould lead to disciplinary action being taken against you.
Data QualityAll employees are reminded about the importance of Data Quality and staff should make themselves aware of both departmental and corporate objectives for Data Quality.Data Quality forms part of the appraisal and objective setting process for staff responsible for data entry and data production; staff should ensure that they adhere to policies and procedures at all times. Failure to do so may result in disciplinary action being taken.
Codes of Conduct and Accountability:You are expected to comply with relevant Bolton NHS Foundation Trust codes of conduct and accountability.
Infection Prevention and Control:You must comply with all relevant policies, procedures and training on infection prevention and control.
Safeguarding Children and Vulnerable Adults:You must comply with all relevant policies, procedures and training on safeguarding and promoting the welfare of children and vulnerable adults.
Valuing Diversity and Promoting Equality:You must comply with all relevant policies, procedures and training on valuing diversity and promoting equality.
Training:Managers are required to take responsibility for their own and their staffs development.All employees have a duty to attend all mandatory training sessions as required by the Trust.
Any other general requirements as appropriate to the post and location.The range of duties and responsibilities outlined above are indicative only and are intended to give a broad flavour of the range and type of duties that will be allocated. They are subject to modification in the light of changing service demands and the development requirements of the postholder.
Person Specification
Qualifications
Essential
- OT degree
- Registered with HCPC
- Evidence CPD / post grad training in specialist area
- Clinical educators course / supervise students
Desirable
- Membership of appropriate professional body
- Membership of professional special interest group
Experience
Essential
- Broad range of clinical experience prior to specialising.
- Experience working within stroke (Acute and /or community) with practitioners from own or other professions who are experienced in this area.
- Experience of managing a caseload of stroke clients with complex needs.
- Experience of effective team working
- experience of supervising junior staff / students
- Experience working in NHS
Desirable
- Experience of treating patients who do not speak English or have barriers to communication
- participation in clinical audit
Skills
Essential
- Ability to use and apply Assessment and treatment with stroke patients
- Ability to pass knowledge and skills onto others
- WOrk with data protection and trust policies
- Lead and inspire others
- Establish good working relationships
- Computer skills
Knowledge
Essential
- Knowledge of a stroke and its management achieved through in-depth experience or study
- Development of additional knowledge through specialist training and experience in order to be able to manage a caseload of complex needs
- Demonstrate learning about all the professions within the team.
- An understanding of quality governance and evidence based practice
- Knowledge of recent NHS & Trust developments and their impact on the service
other
Essential
- ability to work flexible hrs and weekends
Person Specification
Qualifications
Essential
- OT degree
- Registered with HCPC
- Evidence CPD / post grad training in specialist area
- Clinical educators course / supervise students
Desirable
- Membership of appropriate professional body
- Membership of professional special interest group
Experience
Essential
- Broad range of clinical experience prior to specialising.
- Experience working within stroke (Acute and /or community) with practitioners from own or other professions who are experienced in this area.
- Experience of managing a caseload of stroke clients with complex needs.
- Experience of effective team working
- experience of supervising junior staff / students
- Experience working in NHS
Desirable
- Experience of treating patients who do not speak English or have barriers to communication
- participation in clinical audit
Skills
Essential
- Ability to use and apply Assessment and treatment with stroke patients
- Ability to pass knowledge and skills onto others
- WOrk with data protection and trust policies
- Lead and inspire others
- Establish good working relationships
- Computer skills
Knowledge
Essential
- Knowledge of a stroke and its management achieved through in-depth experience or study
- Development of additional knowledge through specialist training and experience in order to be able to manage a caseload of complex needs
- Demonstrate learning about all the professions within the team.
- An understanding of quality governance and evidence based practice
- Knowledge of recent NHS & Trust developments and their impact on the service
other
Essential
- ability to work flexible hrs and weekends
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
Bolton NHS Foundation Trust
Address
Breightmet Health Centre / Stroke Unit Royal Bolton Hospital
Breightmet Fold Lane
Bolton
BL2 6NT
Employer's website
http://www.boltonft.nhs.uk/ (Opens in a new tab)
Employer details
Employer name
Bolton NHS Foundation Trust
Address
Breightmet Health Centre / Stroke Unit Royal Bolton Hospital
Breightmet Fold Lane
Bolton
BL2 6NT
Employer's website
http://www.boltonft.nhs.uk/ (Opens in a new tab)
Employer contact details
For questions about the job, contact:
Details
Date posted
09 June 2023
Pay scheme
Agenda for change
Band
Band 6
Salary
£35,392 to £42,618 a year pa pro rata
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
241-424-IC-23
Job locations
Breightmet Health Centre / Stroke Unit Royal Bolton Hospital
Breightmet Fold Lane
Bolton
BL2 6NT
Supporting documents
Privacy notice
Bolton NHS Foundation Trust's privacy notice (opens in a new tab)