Clinical Specialist Therapist in Urgent Care

4 weeks ago


Cosham, United Kingdom Portsmouth Hospitals University NHS Trust Full time

Professional/Clinical To accept clinical responsibility for a designated caseload of patients and ensure a high standard of clinical care for the patients under your management and those of more junior staff, using resources effectively to manage competing priorities and demands across the team and wider service. To undertake comprehensive specialist therapy assessment of patients, including those with a complex presentation, using investigative and analytical skills and with a holistic approach. To interpret and analyse clinical and non-clinical facts to recommend and implement the best course of intervention and determine safety for discharge. To demonstrate advanced clinical reasoning skills and knowledge with documented process.

To monitor, evaluate, and modify treatments and interventions with measured progress and ensuring effectiveness of therapy input. To gain informed consent prior to treatment and have the ability to work within the legal framework with patients to provide appropriate intervention and care to patients who lack capacity to consent to treatment or to make specific decisions in a manner which supports their best interests, and to recognise and take appropriate action in relation to the Mental Capacity Act (2005) when the need arises. Delivery of evidence-based care which is both individualised and personalised through holistic needs assessment, planning and evaluation of care, and treatment to patients who will frequently have complex presentations requiring specialist occupational therapy. Ensure the goals and objectives of interventions are clearly developed in conjunction with the patient and where appropriate carers, through clinical reasoning and where appropriate these can be assessed using recognised outcome tools.

Communicate complex patient related information effectively to ensure collaborative working with other members of the multi-disciplinary team across health, social care and voluntary sectors to ensure the delivery of co-ordinated patient focused care. To provide highly specialised spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals to promote an understanding of the aims of occupational therapy and to ensure a consistent approach to patient care. To use highly specialist occupational therapy or physiotherapy skills in the delivery of clinical care to assist with meeting the Trusts priorities and objectives. Develop new skills in response to emerging knowledge and techniques.

Work across professional boundaries using creative reasoning and problem solving Use creative reasoning, experience and vision to advance care Demonstrate high level clinical technical and audit skills through breadth and depth of knowledge Demonstrate continuous evaluation of practice and make changes where appropriate Initiate and maintain contacts with local and national clinical interest groups appropriate to the clinical area, sharing and disseminating knowledge with colleagues. To provide independent specialist occupational therapy or physiotherapy advice to colleagues working within the MDT team, as well as other clinical areas when appropriate. Undertake risk assessment and manage and document risk. Advise senior and junior staff in appropriate therapeutic management of patients in relation to risk.

Be professionally accountable for standards of practice within the clinical team to the Therapy Clinical lead. Quality and Service Development Identify local, National and professional drives for change, keeping abreast of current development and legislation in the specialist area the team cover. Monitor the day-to-day pressures on time and resources and have a solution focussed approach to ensure quality is maintained during periods of unplanned / unexpected pressure. Ensure staff are skilled to provide the most appropriate and focussed care and management for the teams patient group.

To be actively involved, working with the Therapy Clinical Lead and other Therapy Clinical Specialists within the team to analyse appropriate data and statistics providing monthly reports to the Head of Therapies to support effective performance management reporting. Ensure the quality and service improvements link with the Trust aims as part of the overall clinical strategy Management and Leadership To be a lead specialist OT/Physiotherapist resource using highly developed clinical skills, theoretical knowledge and relevant practical experience and to be able to supervise, assess and mentor the team to assure good clinical practice within the team. Responsible for the effective case-load management of a complex caseload individually and within team and allocation of work to senior and junior staff, support staff and students. This will require an overview and re-allocation of workload daily due to changing priorities, in order to support delivery of key quality and performance targets.

Lead on the development of a clinical network within designated clinic



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