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Specialist Neurological Occupational Therapist
4 months ago
Job summary
This post is an exciting opportunity to join the Inpatient Rehabilitation Team at St Pancras Rehabilitation Unit.
You will be responsible for a providing specialist Neurological rehabilitation. You will work closely with the other AHP staff ( Neuro Physiotherapy Pathway Coordinator, General Rehabilitation Physiotherapist, Occupational Therapist and the wider Integrated Multidisciplinary Team.)
The inpatient multi-pathology and Neurological rehabilitation unit has 53 beds. The unit has strong links with community partners and the NCL Intermediate Care bed base.
The MDT and Occupational Therapy team embrace innovative evidence based practice. As a service we work in partnership with patients and their families /carers and encourage self - management activities at all stages in the patient journey. You will benefit from the experience and support offered by this highly integrated service. You will support and deliver intensive rehabilitation to patients with both Level 2 (6 beds) and Level 3 (17 beds) rehabilitation needs. We can offer opportunities to participate in clinical research projects and service development.
The unit has established training programmes in place and there are frequently opportunities for all staff to develop knowledge and skills within their role.
Main duties of the job
As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
To manage a complex neurological caseload using evidence based clinical reasoning, critical thinking, reflection, and analysis to support assessments, goal setting, personalised rehabilitation and disability management. To work flexibly with all members of the team to deliver an integrated rehabilitation service to clients in accordance with the philosophy and operational policies of the team. At times this will include working with a small number of patients with general rehabilitation needs ( patients with frailty, falls, amputee) in addition to a primary caseload of level 2 and level 3 patients requiring neurological rehabilitation. To support maintain and further develop a high quality, efficient and effective Occupational Therapy Service within a multidisciplinary context and in accordance with the philosophy and operational policies for the Organisation. To be responsible for the supervision and monitoring of junior staff, including Band 5 OT's, Rehabilitation Assistants and OT students. Cross-disciple working to assist with supervision and monitoring of staff from other professions may be required. To actively engage in a wide range of Continuing Professional Development activities.
About us
If you come and work with us, we will ensure you are able to follow your clinical and leadership development priorities identified through your personal development and appraisal plan.
You will enjoy the rewards of working with a patient group for whom you can make a significant difference every day, and you will gain understanding of being part of a supportive multi-agency effort which includes Medical, Mental Health, Nursing, Allied Health Professional, Social care and Reablement staff. You will use evidence based principles/current best practise and specialist skills to assess, plan, implement and evaluate interventions and to ensure that all members of your team do so accordingly.
As the senior Occupational Therapists within the team, you will provide excellent supervision and guidance, to junior OT's and rehab assistants to deliver evidence based rehabilitation. You will manage your own caseload, providing individual occupational Therapy assessments to patients in their own homes. You will lead on manual handling, pressure care and equipment needs within the team and support the team lead with Datix investigations, and development audits. You will deputise for the Band 7 Occupational Therapist in their absence.
Job description
Job responsibilities
Please see full list of requirements attached.
Overview of Clinical Responsibilities
To be professionally and legally accountable for all work undertaken. To work within the standards and guidelines of the team, the Trust, and professional organisations.. To ensure that the client and/or their carer has an understanding of treatment protocols and gives informed consent to examination and treatment. To successfully manage, modify and prioritise a caseload of clients with complex needs, with supervision and guidance as necessary from senior staff, taking a key worker role as indicated. To undertake a range of neurological and/or complex multipathology occupational therapy assessments of clients with complex needs through subjective questioning, objective examination and the use of other resources. To prioritise factors involved in the clients presenting condition through clinical reasoning based on knowledge of current professional opinion, clients prognosis and other physical, social, emotional and mental health issues. To agree personalised goals for treatment with clients and/or their carer and ensure that they are supported through their rehabilitation key worker, carer assessment and specialist sign posting routinely occurring. To maintain a high standard of clinical practice which is evidence-based, and uses standardised assessment and outcome measures, where appropriate. To deliver evidence based treatment programmes within a team approach in a variety of settings and evaluate and review occupational therapy treatment/interventions within a multi-disciplinary framework and modify as necessary. To deliver routine and specialist Occupational Therapy interventions with clients assessing their occupational needs and addressing quality of life, and physical, cognitive, affective, social, and environmental issues utilising appropriate individual or group treatment modalities. To use a range of interventions within rehabilitation and complex case management when managing tone, motor recovery, increasing participation in ADLs. To actively identify the need for joint working opportunities To delegate and monitor appropriately work to rehabilitation assistants To work autonomously at times in isolated community situations which vary in relation to local socio-economic and multi-cultural needs. To use knowledge of other multi-disciplinary roles and external agencies to ensure effective referral management and achieve best client care including seamless transfer of care. To have the ability, knowledge and skills required for moving and handling people in hospital and community environments and supporting the formulation of a routine risk assessments/ handovers. To be physically able to install specialist occupational therapy equipment in client homes applying safe manual handling at all times, especially when doing so in restricted spaces To advise and teach the relevant carers/health workers to participate in on-going rehabilitation care programmes for clients, as appropriate and ensure that self-management activities are embedded routinely into rehabilitation and transfer of care plans . To participate in routine multidisciplinary assessments of need across health and social care prior to transfer of care ensuring comprehensive risk assessment and specialist rehabilitation prescriptions are used to support with appropriate and timely discharge preparation and referral onwards as needed To actively be involved in the development of new specialist clinical services within the Team. To be able to manage clinical risk in own caseload and support other staff to comply manual handling risk assessment and local policy regarding lone working. To know when to escalate risk concerns to supervisor and senior management To assist in the development of local best practice clinical uni-disciplinary and multi-disciplinary guidelines To ensure that client and service records are recorded and maintained as per local guidelines and that IT databases are used To independently or jointly with other professions, write reports outlining recommendation for discharge from the team. These are communicated to appropriate external agencies ie,referrer, GPs, Social Services and Community Therapists To contribute to the efficient, day-to-day, running, of the team. Person Specification
Qualifications
Essential
Degree/Diploma in Occupational Therapy State registration with HCPC Substantial post-registration experience working as band 5 or band 6 or equivalent in experience Previous experience of working in the UK or a similar health economy as an Occupational Therapist.
Desirable
Post-graduate qualification relevant to the healthcare environment Post Registration courses: Cognition, Seating, Upper limb assessment and treatment Membership and/or involvement in National neurological special interest group
Experience
Essential
Previous general experience in Neurology Previous general experience in Medicine Previous general experience in Older people/elderly rehab
Desirable
Previous experience of working with students Previous general experience in community
Skills
Essential
Excellent written and verbal communication skills Demonstrate ability to use Computers including: internet, word, power point and excel Demonstrates flexibility, problem solving, initiative and leadership skills. Able to demonstrate clinical and professional development Understanding the principles of Multi-Disciplinary Teamwork Understanding of the problems of disability and its effects. Awareness of developments in NHS and service delivery. Demonstration of knowledge of standards of practice, evidence and best practice guidelines in relation to working with neurological conditions Being able to work independently. Being able to work in the community safely and independently. Neurological OT initial assessment skills. Neurological OT intervention skills Working with an MDT and completing inter-disciplinary working. Able to demonstrate a good understanding of role of OT in rehabilitation Able to demonstrate insight into the problems of disability and its effects, Able to demonstrate an understanding of the application of Health and Safety To be flexible, to be able to self motivate self and others. Able to prioritise, delegate and manage own time. To be able to demonstrate Evidence of Continued professional practice in relation to the field of Neurology