Highly Specialist Occupational Therapist

Oxleas NHS Foundation Trust

This job is now closed

Job summary

The Greenwich Integrated Community Care and Rehabilitation team (CAR) is seeking an enthusiastic occupational therapist to join our team. The team comprises of Occupational Therapists, Physiotherapists, nurses, social workers, Care managers, assessment officers and therapy assistants. The post holder will provide functional rehabilitation to patients in the discharge to assess unit working with the wider MDT to ensure safe discharge from the D2A units and also will will work with Continuing Healthcare (CHC) Adults services, Health and social care partners to carry out timely and proportionate Occupational Therapy assessments.

You will need to be a versatile, adaptable team player who has good organisational skills. You will be required to use multiple computer systems therefore a good knowledge of IT is essential.

For an informal discussion or further information about this exciting opportunityplease contact: Rajkarun Masina, email: r.masina@nhs.net or telephone: 020 83314175

Main duties of the job

This will be a split post providing Occupational Therapy to clients in the Discharge to Assess (D2A) Unit and working with Continuing Healthcare (CHC) Adults services.

The post holder will provide functional rehabilitation to patients in the discharge to assess unit working with the wider MDT to ensure safe discharge from the D2A units.
The post holder will work with Continuing Healthcare (CHC) Adults services, Health and social care partners to carry out timely and proportionate Occupational Therapy assessments.
To provide Highly specialist Occupational Therapy service for inpatients in the discharge to assess units
To work with the wider MDT to discharge plan to ensure safe and pro-active discharges from D2A pathway
To practice within the multidisciplinary team as an autonomous practitioner, ensuring the highest possible standards of practice
Through assessment recommendations, plan how to meet CHC needs using the full range of available resources in the Local system / National guidance, with the aim of supporting the resident / carer to optimise their level of functioning / safety using strengths-based approaches.

About us

Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes. We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people. Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:

We're Kind
We're Fair
We Listen
We Care

Date posted

15 March 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,836 to £52,849 a year pa inc

Contract

Permanent

Working pattern

Full-time

Reference number

277-5035823-CPH

Job locations

Memorial Hospital

Shooters Hill

London

SE18 3RZ

Job description

Job responsibilities

Key Task and Responsibilities

To undertake specialised OT assessments in the D2A units and clients home using evidence-based tools and approaches to identify physical, cognitive and psychosocial skills and the impact of impairments of functional (ADL) tasks
To contribute in ensuring care packages are proportionate, recommending relevant assistive equipment / adaptations,assistive technology, manual handling techniques
To demonstrate highly specialist knowledge of CHC casework and related government guidance / legislation across health, social care and the voluntary sector.
To participate in regular MDTs to ensure discharge plans are co-ordinated
To be highly effective in working with clients who have conditions which involve multiple presentations and contraindications.
To carry out assessments where the situation is deemed to be significantly complex and wheremultiple high-risk factors may have been identified or anticipated due to medical condition, disability, environment, behaviour, social dynamics and safeguarding situations.
Promoting the use of specialist Occupational therapy knowledge in the provision of cost effective and cost-efficient assessment, intervention, and support for long term care needs.
To participate in joint visits with colleagues from D2A teams and CHC team Nurse facilitate good communication with clients, their carers / care agencies where there may be challenging / contentious dynamics and where timely or time limited interventions may be required.
To promote strength-based practice and positive change in CHC Adults lives and D2A clients by using Occupational therapy approaches, models and tools with the aim of helping them to participate in their health and wellbeing.

To be responsible and accountable for management and implementation of client rehabilitation programmes in the community
To be responsible for obtaining client and/or carer consent prior to Occupational Therapy intervention in accordance with professional guidelines
To ensure management of clinical risk within own caseload
To maintain up-to-date clinical written records using relevant computer systems including MOSIAC and RIO in accordance with local and professional standards; and also writing comprehensive discharge and progress reports
To flexibly plan and organise own time
To achieve the effective daily management of a caseload of clients, including prioritising clinical work and balancing other client related and professional duties
Assess clients 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 provide statistical information as required in a timely manner
To keep up-to-date statistics in accordance with D2A and CHC requirements
To be responsible for any organisational tasks related to the post

To participate in specialist networks / meetings, informing and sharing best practice locally and nationally, leading on CHC and D2A Occupational Therapy provision for the local population including provision of training sessions / updates for the system as required
To be flexible in the undertaking of any other duties as requested by line managers to meet the changing needs of the service

Management responsibilities:

Physical Resources

Maintain high level of efficiency and effectiveness in work area to utilise resources to the full and report defects in equipment in a timely manner
To practice within the Standing Financial Instructions of the Trust

Human Resources

To actively participate in the induction and development of new members of the Community Assessment and Rehabilitation Team, D2A team and CHC team

Information resources

To maintain clinical records as per organisational requirements and ensure data is collected and evidenced through regular supervision and, as required, provide business updates.
To be familiar with and able to use the trusts, local authority and Discharge to assess computer and information systems.

Leadership

To participate in regular supervision and reflective practice
To participate in regular PPDR
To comply with professional guidelines, codes of conduct of practice, Trust and departmental policies
To be an active member of appropriate special interest groups and local branches

To act as a specialist in the provision of evidence-based Occupational therapy advice within the Trust
To ensure that quality standards relating to Occupational therapy are continually improved
To identify possible areas of development for Occupational therapy practice in the service and communicate this to lead therapist or service manager

Clinical

To maintain a high standard of clinical practice, ensuring knowledge and skills are up to date, supervision is utilised and continuing professional development is pursued to develop and enhance service provision.
To demonstrate theoretical knowledge of multiple pathologies and impairments in the assessment of community clients, often in the presence of incomplete or conflicting referral information to form accurate analyses and diagnoses
To monitor, review and continually re-assess clients care plans and objectives against outcomes measured in order to facilitate modification of packages of care/targets as appropriate to enable achievement of their goals
To seek guidance from more experienced Occupational Therapy colleagues regarding the treatment and management of clients with complex presentations
To work in a co-ordinated, multi-disciplinary manner, communicating effectively with other team members and the wider clinical network involved in client care
To provide advice and education to client, carers and relatives based on clinical evidence
To provide training and education programmes for allied health care professionals, rehabilitation assistants, and health care assistants, in the form of tutorials and presentations
To maintain continuing professional development by participating in regular in service training, supervision, reflective practice and attending study days and training, giving feedback to the team where appropriate to disseminate learning
To take an active role in postgraduate education and in the in-service training programmes, including the training and supervision of students and junior staff and rehabilitation assistants
To attend statutory training annually
To maintain competency in manually handling people and therapeutic manual handling
To identify possible areas of development for the Occupational Therapy service in the CHC team and the Discharge to assess unit and communicate this to lead therapist

Research

To keep abreast of evidence based and best practice
To ensure good working knowledge of national and local standards, and monitor quality through participating in clinical audit and evaluation work as required
To ensure that quality standards relating to Occupational Therapy are continually improved

Communication

To Communicate relevant medical and social information to co-ordinate care across a range of networks, communities, complex family / organisational dynamics following local and professional guidelines for sharing information and consent. This would include Consultants, GPs Social Services, other health care professionals and voluntary agencies
To work in a co-ordinated, multi-disciplinary manner, communicating effectively with other team members and the wider clinical network involved in client care
To convey complex and sensitive information relating to clients using skill in situations where there may be barriers to communication i.e. use of interpreters, receptive/cognitive pathologies or excess noise
To be able to adapt complicated and sensitive information into a simplified form to clients who may be seriously ill or have complex or long-term conditions

Job description

Job responsibilities

Key Task and Responsibilities

To undertake specialised OT assessments in the D2A units and clients home using evidence-based tools and approaches to identify physical, cognitive and psychosocial skills and the impact of impairments of functional (ADL) tasks
To contribute in ensuring care packages are proportionate, recommending relevant assistive equipment / adaptations,assistive technology, manual handling techniques
To demonstrate highly specialist knowledge of CHC casework and related government guidance / legislation across health, social care and the voluntary sector.
To participate in regular MDTs to ensure discharge plans are co-ordinated
To be highly effective in working with clients who have conditions which involve multiple presentations and contraindications.
To carry out assessments where the situation is deemed to be significantly complex and wheremultiple high-risk factors may have been identified or anticipated due to medical condition, disability, environment, behaviour, social dynamics and safeguarding situations.
Promoting the use of specialist Occupational therapy knowledge in the provision of cost effective and cost-efficient assessment, intervention, and support for long term care needs.
To participate in joint visits with colleagues from D2A teams and CHC team Nurse facilitate good communication with clients, their carers / care agencies where there may be challenging / contentious dynamics and where timely or time limited interventions may be required.
To promote strength-based practice and positive change in CHC Adults lives and D2A clients by using Occupational therapy approaches, models and tools with the aim of helping them to participate in their health and wellbeing.

To be responsible and accountable for management and implementation of client rehabilitation programmes in the community
To be responsible for obtaining client and/or carer consent prior to Occupational Therapy intervention in accordance with professional guidelines
To ensure management of clinical risk within own caseload
To maintain up-to-date clinical written records using relevant computer systems including MOSIAC and RIO in accordance with local and professional standards; and also writing comprehensive discharge and progress reports
To flexibly plan and organise own time
To achieve the effective daily management of a caseload of clients, including prioritising clinical work and balancing other client related and professional duties
Assess clients 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 provide statistical information as required in a timely manner
To keep up-to-date statistics in accordance with D2A and CHC requirements
To be responsible for any organisational tasks related to the post

To participate in specialist networks / meetings, informing and sharing best practice locally and nationally, leading on CHC and D2A Occupational Therapy provision for the local population including provision of training sessions / updates for the system as required
To be flexible in the undertaking of any other duties as requested by line managers to meet the changing needs of the service

Management responsibilities:

Physical Resources

Maintain high level of efficiency and effectiveness in work area to utilise resources to the full and report defects in equipment in a timely manner
To practice within the Standing Financial Instructions of the Trust

Human Resources

To actively participate in the induction and development of new members of the Community Assessment and Rehabilitation Team, D2A team and CHC team

Information resources

To maintain clinical records as per organisational requirements and ensure data is collected and evidenced through regular supervision and, as required, provide business updates.
To be familiar with and able to use the trusts, local authority and Discharge to assess computer and information systems.

Leadership

To participate in regular supervision and reflective practice
To participate in regular PPDR
To comply with professional guidelines, codes of conduct of practice, Trust and departmental policies
To be an active member of appropriate special interest groups and local branches

To act as a specialist in the provision of evidence-based Occupational therapy advice within the Trust
To ensure that quality standards relating to Occupational therapy are continually improved
To identify possible areas of development for Occupational therapy practice in the service and communicate this to lead therapist or service manager

Clinical

To maintain a high standard of clinical practice, ensuring knowledge and skills are up to date, supervision is utilised and continuing professional development is pursued to develop and enhance service provision.
To demonstrate theoretical knowledge of multiple pathologies and impairments in the assessment of community clients, often in the presence of incomplete or conflicting referral information to form accurate analyses and diagnoses
To monitor, review and continually re-assess clients care plans and objectives against outcomes measured in order to facilitate modification of packages of care/targets as appropriate to enable achievement of their goals
To seek guidance from more experienced Occupational Therapy colleagues regarding the treatment and management of clients with complex presentations
To work in a co-ordinated, multi-disciplinary manner, communicating effectively with other team members and the wider clinical network involved in client care
To provide advice and education to client, carers and relatives based on clinical evidence
To provide training and education programmes for allied health care professionals, rehabilitation assistants, and health care assistants, in the form of tutorials and presentations
To maintain continuing professional development by participating in regular in service training, supervision, reflective practice and attending study days and training, giving feedback to the team where appropriate to disseminate learning
To take an active role in postgraduate education and in the in-service training programmes, including the training and supervision of students and junior staff and rehabilitation assistants
To attend statutory training annually
To maintain competency in manually handling people and therapeutic manual handling
To identify possible areas of development for the Occupational Therapy service in the CHC team and the Discharge to assess unit and communicate this to lead therapist

Research

To keep abreast of evidence based and best practice
To ensure good working knowledge of national and local standards, and monitor quality through participating in clinical audit and evaluation work as required
To ensure that quality standards relating to Occupational Therapy are continually improved

Communication

To Communicate relevant medical and social information to co-ordinate care across a range of networks, communities, complex family / organisational dynamics following local and professional guidelines for sharing information and consent. This would include Consultants, GPs Social Services, other health care professionals and voluntary agencies
To work in a co-ordinated, multi-disciplinary manner, communicating effectively with other team members and the wider clinical network involved in client care
To convey complex and sensitive information relating to clients using skill in situations where there may be barriers to communication i.e. use of interpreters, receptive/cognitive pathologies or excess noise
To be able to adapt complicated and sensitive information into a simplified form to clients who may be seriously ill or have complex or long-term conditions

Person Specification

requirements

Essential

Education and Qualifications
Experience
Skills/Abilities/Knowledge

Desirable

Education and Qualifications
Able to travel independently across the borough

Person Specification

requirements

Essential

Education and Qualifications
Experience
Skills/Abilities/Knowledge

Desirable

Education and Qualifications
Able to travel independently across the borough

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).