Band 6/7 Weekend A&E Occupational Therapist Specialist

Job Title: Band 7 Occupational Therapist (Acute Medicine and Cardiorespiratory)

About the Role:

Chelsea and Westminster Hospital NHS Foundation Trust is seeking an experienced Band 7 Occupational Therapist to lead our Respiratory Medicine team in West Middlesex Hospital. As a specialist practitioner, you will provide advanced clinical skills in the assessment and management of patients with complex health and social needs.

Main Responsibilities:

• To be a specialist practitioner in the assessment and management of older adult patients (admitted to West Middlesex Hospital)
• To use expert knowledge and advanced clinical reasoning skills to provide specialist support and advice to patients and staff within the Respiratory, Cardiology, Surgical, Enhanced care, and ICU pending on experience, and to manage a caseload of patients with highly complex discharge planning throughout their hospital stay.
• To be responsible for the operational management and clinical leadership of the Respiratory Medicine Occupational Therapy team and service development of OT in Critical Care.
• To lead on the development of the Occupational therapy service in the Intensive care unit and attend relevant training/meetings to build the service pathway.

About Us:

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London. Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A& E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use. We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex. We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs. Some roles may require weekend shifts at multiple sites. To take overall responsibility for the Occupational Therapy caseload, being able to independently manage service capacity and demand, ensuring service delivery is based on priorities The patient group may include the following conditions: Post ICU syndrome, Orthopaedic conditions, Dementia and cognitive concerns, Frailty and related conditions. To determine the patients and families/carers understanding of the occupational therapy intervention in order to gain valid informed consent and to be able to work within a legal framework with patients who lack capacity to consent to treatment To use in depth clinical reasoning, comprehensive knowledge and understanding of conditions, and wide-ranging knowledge of treatment options to plan and implement individual occupational therapy programs, and treatment protocols, using highly developed occupational therapy treatment techniques and therapeutic handling skills. To monitor and evaluate occupational therapy treatment to ensure effectiveness of the intervention and to identify quickly when treatment requires modifying Provide spontaneous and planned advice, teaching and instruction to relatives, carers and other professionals, promoting understanding of the aims of occupational treatment plans ensuring a consistent approach to patient care. Demonstrate safe and efficient moving and handling skills and therapeutic handling on the basis of a sound risk assessment. Develop comprehensive discharge plans in collaboration with the other members of the multidisciplinary team and have good knowledge of community services and pathways Within remit of specialist expertise ensure timely referral to other health professionals/services as appropriate. Ensure that all documentation around patient care is recorded to Trust and COT Standards of Practice and Health Care Professionals Code of Conduct. To be responsible for the appropriate provision and the safe and competent use of a wide range of therapy aids and equipment to patients in line with department standards and ensure that all staff in your team do likewise. To work as a lone practitioner while on community visits including access visits and those as part of the Discharge to Assess pathway To support more junior staff in the development of their assessment, treatment and clinical reasoning skills to ensure a high standard of care to Respiratory Medicine. To develop the service of Occupational therapy within the intensive care unit in order to meet the relevant guidelines/recommendation. Provide occupational therapy at weekends as required by the service this will include participation on the Emergency Department weekend rota Organisational: To have an active role in the planning, development, coordination, delivery and evaluation of the Respiratory Medicine occupational therapy service. To provide support to the clinical lead therapist in the daily operational management for the occupational therapy team including strategic developments To provide leadership and peer support to occupational therapists and support workers within the Respiratory Medicine team. Assist in planning and provision of the induction and education of new staff, occupational therapy students and work experience students. To act as a mentor for occupational therapy colleagues, providing clinical and professional support on a regular basis. To delegate to, supervise and inspire occupational therapists, students and support workers To manage priorities for the Respiratory Medicine occupational therapy team, balancing patient related and professional/managerial demands within available resources ensuring that these remain service led To deputise for the clinical lead therapist as required To collect data and statistics for reporting purposes. To have an active role in the recruitment of new therapy staff. To assist with organising the Respiratory Medicine therapy training programme and demonstrate good presentation skills in the delivery of teaching sessions and tutorials. To facilitate your teams development of therapy evidence based practice and specialist knowledge related to Cardio-respiratory. To develop skills and knowledge in Critical Care. To train, supervise and performance manage other occupational therapists, assistants and students (this will include the use of formal PDR documentation). To provide educational opportunities to occupational therapy students To initiate and carry out audit and evidence based practice projects, make recommendations and implement changes in conjunction with the inpatient therapy lead, in order to improve the Respiratory Medicine therapy service. Professional: To abide by the Standards of Practice as outlined by the Health Profession Council requirements for occupational therapy registration. Review and reflect on practice and identify areas of self-development through participation in annual individual performance review/appraisal. To participate in all mandatory training to ensuring annual compliance To maintain own continuous professional development (CPD) and incorporate new trends and developments into practice. To attend and contribute as appropriate at staff meetings, tutorials, training sessions, courses, other CPD activities and to undertake reflective practice. To maintain comprehensive and accurate assessment and treatment records in line with legal, professional, Trust and departmental policies and guidelines. To use skills of persuasion, motivation, explanation, and empathy to encourage patients to undertake their treatment programme and optimise rehabilitation potential and/or quality of life. To use specific skills to communicate with patients who, for example, depend on sign languages, communication boards etc. To contribute to and compile additional written reports which form the basis of legal documents for other agencies To use Information Technology for the purposes of:

• Communication within and outside the Trust
• Accessing clinical and professional information

Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health condition

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