Toch Therapy Lead

5 months ago

Bristol, United Kingdom North Bristol NHS Trust Full time

Clinical 1. To provide advanced discharge-focussed Therapy advice, intervention, and support to members of the MDT, patients and families, including complex cases (e.g. patients with a wide variety of medical, functional and social problems), demonstrating excellent clinical reasoning. 2.

To provide highly specialist therapy assessment of patients skills, functional performance needs and need for specialist assistive devices and/or building adaptations. Consideration is given to a patients views and wishes, medical history and prognosis, physical skills, sensorimotor skills, communication skills, social skills, cognitive abilities, behaviour, safety issues, environmental and psycho-social factors, and where appropriate, the viewpoints, abilities, and other issues of carers these multiple factors are often conflicting. 3. To use advanced skills in analysing the results of the assessments, formulate professional judgements, work with patients to formulate discharge plans, which are appropriate for the patient and others involved in their care.

4. To be responsible for deciding priorities for own work area (with direction from the Head of Integrated Discharge), balancing other clinical, non-clinical and professional demands, and to ensure that these remain in accordance with those of the specialty and Trust wide. This may involve reprioritising own and other staffs work activities and schedules 5. To assess and manage clinical risk within own and teams caseload, responding to and resolving problems identified by others.

6. To plan and implement interventions related to discharge planning with the patient or with their carer, and with relevant members of the ToCH and MDT, for patients with reduced capacity, in line with Trust policy. 7. To take responsibility for the health, safety and welfare of the patient during any intervention, and considering control of infection and management of medical needs when appropriate.

10. To undertake risk assessments in relation to patient and carers in order to reduce risks associated with discharge planning, maintain independence and improve safety. Provide advice and develop strategies in relation to discharge outcomes and liaise with other professions/agencies regarding future management. 11.

Give specialist advice to the multi-disciplinary team on discharge planning and how needs can be met in the community setting. 12. To work with partners in the ToCH (within describe, not prescribe principles), and members of the MDT, to discharge plan effectively, and make recommendations to internal and external teams 13. To be a lead member of the multi-disciplinary team, attending case conferences and meetings and ensuring accurate documentation of the outcome of these meetings within the appropriate records.

14. To ensure that up to date written and electronic records, reports and activity data are maintained for self and clinical area(s) in accordance with professional and local standards. 15. To provide discharge-focussed therapy input flexibly within the ToCH and Trust to respond to areas of necessity, operational need, and focus.

Communication 16. Communicate complex patient-related information effectively to ensure collaborative working with MDT colleagues across Health and Social Care sectors, including statutory, private and voluntary agencies, demonstrating highly skilled clinical reasoning and using sound negotiating skills on a daily basis to ensure delivery of a co-ordinated service. This includes participation in discussions and decisions with regard to patient programmes as a member of the multi-disciplinary team. 17.

To use a range of verbal and non-verbal communication tools to communicate effectively with patients to progress discharge; to use communication skills of motivational interviewing, explanation and gaining informed consent with a wide variety of patients; to overcome barriers to effective communication, including: cognitive impairment, expressive and receptive communication difficulties, embarrassment, anxiety, pain, fear and visual/hearing impairment; to devise and implement strategies to overcome these barriers, and to teach others to do so. 18. Communicate effectively with other statutory, private and voluntary agencies in order to achieve the patients identified discharge needs. 19.

To effectively counsel, and support other staff, in their counselling on sensitive or unwelcome information regarding patients discharge planning to patients, carers and other professionals. At times this process may be stressful and involve difficult issues e.g. Patient being unsafe to go home which can result in dealing with anger, anxiety and distress, differences in professional opinion. 20.

To effectively use written, verbal, non-verbal and electronic communication as appropriate, to ensure that this is in a format that is accessible to the patient, their carers and to members of the multi-disciplinary team, and to be aware of how to access alternative comm

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