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Job summary
We are a friendly and welcoming team of therapists who work alongside our colleagues from other professions to provide acute services in the Medical Rehab team at West Middlesex Hospital. Our Trust provides services from both Chelsea and Westminster Hospital and West Middlesex University Hospital. We are one of the best performing trusts in London for A&E waiting times, and our mortality rates are some of the best in the country.
Whether you are a new Band 6 looking for a new challenge, or a Band 5 considering the next steps in your career, this is an ideal opportunity. Even if you feel you are not quite ready, we would look to support you and develop you to being a confident band 6 therapist. You will ideally have a broad range of clinical experience at Band 5 level or equivalent junior level.
Main duties of the job
The post holder will be considered a senior clinical staff and be part of the Inpatient Medical Rehab Team.
The post holder will need to have significant clinical experience, provide advance clinical expertise to their team and more junior staff, and coordinate and deliver high quality care, as well as, work as an autonomous practitioner in providing Occupational therapy assessment, treatment and management to own caseload of patients. There will be also opportunity to develop specialist knowledge and skills required to work across the older adult pathway.
They will be a role model for expert clinical care, and lead on specific projects / service developments and management functions as delegated by the Band 7 or Clinical Lead Therapist. They will role model the Trust values at all times
The post holder will provide supervision, teaching and support to more junior staff, therapy assistants and students on placement.
The Post holder will actively be part of a 7 day service rota. Requiring it to work a minimum of one weekend shift every four weekends.
About us
About the Trust
Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East.
We have nearly 7,000 members of staff that are PROUD to Care for nearly one million hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics. We're one of the best performing Trusts in the country. We're also one of the top trusts to work for - our staff says they're engaged, motivated, and would recommend us as a place to work and receive treatment.
Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate. We have recently completed a £30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious £60m development of an Ambulatory Diagnostics Centre at West Middlesex.
Job description
Job responsibilities
To carry out appropriate assessments for a designated caseload, addressing occupational performance and skills for clients with multiple/complex needs. To work with clients to identify and agree treatment goals based on assessment outcomes, which balance the complex interaction of risk, safety, client choice, independence, areas of conflict and eligibility for services. To use communication, reasoning and negotiation skills to establish a therapeutic relationship in complex cases, managing basic barriers to communication. To plan and implement individual/group interventions using graded activities to address therapeutic goals and optimise clients functional independence. To address all areas of risk associated with individual clients ability to function independently and minimise the effects of disability within their chosen environment, including planning and carrying out home assessments and discharge to assess visits and being responsible for the clients health and safety during this assessment. To monitor, evaluate and modify interventions in order to measure client progress and treatment effectiveness. To demonstrate and apply a broad level of understanding of the effects of disability to own caseload management and to inform others practice. To supervise the caseload management of Band 5 OT plus supervise day to day activity of therapy assistants and students as designated. To represent the OT Department within the multi-disciplinary team and participate in relevant team/network meetings and ward rounds to contribute to the discussion and planning of client care. To use these forums to seek opinion from the team to inform own caseload analysis and reasoning as appropriate. To liaise with families/carers and statutory and voluntary agencies to contribute to the discussion and planning of client care and seeking opinion from others to inform own caseload analysis and reasoning as appropriate. To assess for, facilitate provision and education in use of equipment for independence with authorisation rights of equipment spend up to £500 per client. To ensure that all documentation and activity recording is maintained according to Trust and College of Occupational Therapists Guidelines. To comply with College of Occupational Therapists Code of Ethics and Professional Conduct and all other relevant national and local policies and procedures. To demonstrate the ability to reflect on ethical issues and provide guidance to junior staff as necessary. To respect the individuality, values, cultural and religious diversity of clients and contribute to provision of a service sensitive to these needs. To progress the client intervention to a satisfactory closure as MDT member. This may include evaluating outcomes, setting up reviews and/or arranging appropriate transfer of care as appropriate. To provide moving and handling advice for other therapy team members as required. To participate in the 7 day rota of flexible working within the designated therapy team. Person Specification
Qualifications
Essential
Degree in OT or equivalent HCPC registration Evidence of on-going CPD
Experience
Essential
Experience of working in acute or rehabiltiation setting Physical health experience in NHS
Desirable
Community experience Mental health experience Research/ audit experience Students supervising/ mentoring Supervision of junior staff
Skills and Knowledge
Essential
Understanding of current best practice and guidelines Word processing/ Good IT skills Prioritisation skills Application of OT processes
Desirable
Group work/ training/ presentation skills Knowledge of standardised assessments and use in practice
Personal qualities
Essential
Experience of working in MDT Able to work weekends/ flexible working
Desirable
Conflict management experience Evidence of client centred non discriminatory approach