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Band 5 Rotational Occupational Therapist

An opportunity has arisen for a Band 5 Occupational Therapist to join our rotation at Queen Elizabeth Hospital, Lewisham and Greenwich NHS Trust. The rotations include:

• Acute Medical Unit supporting the frailty pathway
• Acute Medicine (Respiratory, Cardiology, Gastroenterology)
• General Surgery
• Older People
• Acute Stroke (based at UHL)
• Trauma and Orthopaedics

We have Specialist Occupational Therapists who provide support and teaching as part of the preceptorship programmes for newly graduated and existing Band 5s.

Main Duties of the Job

• To manage a designated case load with complex needs using evidence-based/client-centred principles to assess, plan, implement and evaluate interventions.
• To lead and manage the O.T. team, ensuring a responsive service supporting the Trust's objectives.
• Maintain records which fulfil legal requirements.
• To regularly provide clinical and non-clinical supervision to team members and the wider OT team.
• To provide leadership for junior staff, through supervision and appraisal.
• To participate in the planning, development and evaluation of O.T. services within a designated clinical area.
• To lead on service development in specialist area.
• To contribute to the maintenance and development of the Trust O.T. Service.

About Us

Our People Are Our Greatest Asset. When We Feel Supported And Happy At Work, This Positivity Reaches Those Very People We Are Here For, The Patients. Engaged Employees Perform At Their Best And Our Equality, Diversity & Inclusion (EDI) Initiatives Contribute To Cultivate a Culture Of Engagement. We Have Four Staff Networks, a Corporate EDI Team And a Suite Of Programmes And Events Which Aim To Insert The 5 Aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development.
• Widening access (anchor institution) and employability.
• Improving the experience of staff with disability.
• Improving the EDI literacy and confidence of trust staff through training and development.
• Making equalities mainstream.

Date posted: 04 March 2025

Pay scheme: Agenda for change

Band: Band 5

Salary: £29,970 to £36,483 a year per annum plus HCAS

Contract: Permanent

Working pattern: Full-time

Reference number: 197-UT6322-A

Job DescriptionJob Responsibilities

The postholder rotates through specialty pathways on a 6-monthly basis and works under supervision of an allocated Specialist Occupational Therapist or Team Lead.

Occupational Therapy Rotations Include

• Acute Medicine
• Older People
• Stroke (based at UHL site)
• Trauma & Orthopaedics
• Community Neuro based in Bromley

Clinical Governance and clinical support will be provided to rotational staff by the Team Leads and Occupational Therapy Site Lead for QEH.

The postholder is a clinician who independently manages a full clinical caseload working as part of a specialist pathway team in each rotational area.

The postholder participates in a rolling programme of education, clinical evaluation, audit and research across the specialty.

The postholder may be required to work at any of the sites within the Trust. 7-day working for Therapies is under development within the Trust and the postholder may be required to work at weekends on a roster basis during some of the above rotations.

Key Relationships

Specialist Occupational Therapists, Team Lead Occupational Therapists, Occupational Therapy Site Lead, Heads of Therapies, Therapy Support Workers, Medical Consultants, Physiotherapists / Speech and Language Therapists / Dietitians, All Occupational Therapy Staff Trustwide, Nursing Staff, Referring Hospitals, Social Services, Community Services, GPs, Voluntary Services, Academic Institutions, Specialists external to L&G.

Duties and ResponsibilitiesClinical

To undertake all aspects of clinical duties and to carry a full caseload of patients as an autonomous practitioner.

• To be professionally and legally accountable for a patient caseload and to decide priorities for own work area, balancing other patient related and professional demands.
• To be professionally and legally responsible and accountable for all aspects of own work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist.
• To assess patients capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient.
• To undertake the comprehensive assessment and accurate diagnosis of patients, using investigative, palpatory, analytical and clinical reasoning skills.
• To undertake physical treatment techniques utilising developed manual skills.
• To formulate individualised clinical management programmes, utilising a wide range of treatment skills and options to plan a suitable programme of care.
• To use recognised outcome measures to evaluate the effect of Occupational Therapy interventions and ensure that treatment programmes are progressing appropriately.
• To provide advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of Occupational Therapy and to ensure continuation of the treatment programme.
• To participate in and where indicated, initiate multidisciplinary/multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning.
• To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria.
• To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services e.g. interpreters, SALT.
• To ensure that individual practice and that of the local pathway team is user focused and patient views are incorporated into treatment planning.
• To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment programme.
• To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome.
• To receive complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management.
• To communicate and advise regarding complex patient related information effectively to ensure collaborative working within the Occupational Therapy service and with other professionals across health and other agencies to ensure the delivery of a co-ordinated multidisciplinary service.
• To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge reports.
• To produce comprehensive patient related reports for other disciplines or agencies relating to assessment findings and/or treatment outcomes.
• To undertake the measurement and evaluation of own work through audit, outcome measurement, the application of evidence based practice and research where appropriate.
• To facilitate the implementation and evaluation of Occupational Therapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards.
• To work to Trust and College of Occupational Therapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored.
• To follow service policy regarding current clinical and service developments.
• To be accessible and provide clinical advice to colleagues.
• Once considered competent, to participate in the on-call, weekend, bank holiday and extended working rotas where clinically appropriate.
• To fully participate in whatever pattern of working is required by the service in the future.

All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies.

Person SpecificationQualificationsEssential

• Diploma / Degree in Occupational Therapy.
• HCPC registration.

Desirable

• BAOT
• Member of Special Interest Group
• Undertaken a range of relevant postgraduate courses / Preceptorship.

ExperienceEssential

• A broad range of undergraduate experience in all core specialities of Occupational Therapy.
• Experience and ability to work collaboratively within MPT.

Desirable

• Previous experience at band 5 level.
• Experience of clinical practice in an NHS environment.
• Experience of participating in audit and evidence based projects.
• Evidence of actively participating in in-service training and MDT groups, and evaluating effectiveness of training.
• Research experience.
• Experience in managing limited resources and high workloads.

KnowledgeEssential

• An understanding of evidenced based practice pertaining to Occupational Therapy.
• Awareness of national guidelines and standards relevant to Occupational Therapy.
• Understanding of clinical governance and its implication for Occupational Therapy.
• Understanding of the legal responsibilities of the profession.

Desirable

• Awareness and understanding of NHS structure, current issues and developments.

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer Details

Employer name: Lewisham and Greenwich NHS Trust

Address: Queen Elizabeth Hospital, Stadium Road, London, SE18 4QH

Employer's website: https://www.lewishamandgreenwich.nhs.uk/

Seniority Level

Mid-Senior level

Employment Type

Full-time

Job Function

Health Care Provider

Industries

Hospitals and Health Care

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