Job Description

The Haringey and Islington Locality Teams are integrated teams consisting of specialist community rehabilitation therapists and district nurses that work together in an integrated way to support the long-term health needs of adult Haringey and Islington patients.



The Band 7 Occupational Therapy Stroke lead will undertake a team lead role for the Haringey Community Stroke Service, as well as managing a clinical caseload, and will support the Clinical Rehabilitation Lead in planning, modernising and transforming pathways. This role is underpinned by clinical practice, area specific clinical competence, leadership and management, and education.



Please see the and the Persons Specification for further details about the job role. If you are unable to access the PDF, the details of the job description can also be found in the 'Detailed and Main responsibilities' section.



POST SUMMARY



To undertake a team lead role on a day-to-day basis to manage the therapy staff in the Haringey Community Stroke service including physiotherapists, occupational therapists and rehabilitation technicians To work closely with the Clinical Rehab Lead in planning, co-ordinating, delivering and evaluating the Haringey Community Stroke service provided to adults referred to the team for rehabilitation, participating in the design and implementation of audit and policy. To be responsible for an allocated caseload, delegating duties when appropriate but maintaining overall responsibility for patient caseload. To be competent in undertaking all stages of the Occupational Therapy process with patients referred to the community service. To be actively involved in evidence-based practice, Continual Professional Development and clinical audit. To provide support and clinical supervision to OTs, rehabilitation technicians and students on placement.

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.



CLINICAL



T o be professionally and legally responsible for all aspects of own professional activities. To adhere to and apply The College of Occupational Therapists' Code of Ethics and Professional Conduct (College of Occupational Therapists 2015)

To independently manage a caseload of complex cases, providing specialist occupational therapy assessment and interventions to clients with complex physical, cognitive and psycho-social needs arising from their medical conditions. To provide this service in the most appropriate setting to the client, e.g. clients' homes, workplace and other community settings, working closely with the client, his/her family/carer and other professionals in doing this.

To be responsible for prioritising the occupational therapy referrals within the service to ensure that clients with urgent needs are seen within appropriate timescales.

To establish excellent therapeutic relationships with clients/family/carers to gain their participation in the therapeutic process by employing advanced interpersonal skills (e.g. communication, reasoning, negotiation skills, motivational tactics) and overcoming any barriers to communication (e.g. different languages, lack of understanding of the spoken word, visual or hearing impairments, fear, anxiety).

To assess for and diagnose any functional, physical, cognitive, perceptual, psychological and sensory deficits using functional assessments together with specialised standardised and non-standardised assessment batteries.

Based on the analysis of the assessment and a risk analysis, to determine occupational therapy aims and treatment goals as part of the overall care plan, and then to formulate intervention options which reduce the impact of disability.

To attend MDT clinical meetings and have close liaison with the acute stroke services (NMH, RFH and the Homerton) and the hyper acute service (HASU).

To work closely with the client/family/carers to encourage participation in the therapeutic process. To negotiate and agree decisions relevant to the client's management whilst respecting their diversity. To identify and select with the client/family/carers the most appropriate intervention options, which balance the complex interactions of risk, safety, client choice, independence, areas of conflict, eligibility for services and cost effectiveness.

To develop specialised occupational therapy treatment programmes in collaboration with clients, carers and other involved professionals (e.g. physiotherapists, speech and language therapists, district nurses, clinical lead professionals, home care agencies) to be carried out in the client's home or community as appropriate.

To plan, coordinate and deliver client-centred interventions on either an individual or group basis, using the principles of graded activity and a wide range of treatment techniques e.g. functional and remedial activities, splinting, equipment provision, education and health promotion.

To use specialised therapeutic moving and handling skills in the assessment for complex neurological conditions, recommending appropriate equipment in line with national and local guidelines; including providing advice and training to client/family/carers on correct handling techniques, having undertaken specialised manual handling risk assessments.

To provide specialist assessment for and provision of adaptive equipment such as specialist seating in line with national and local guidelines.

To provide assessments for and where indicated the construction of upper limb splinting for clients in order to promote joint integrity or facilitate function.

To challenge and improve current practice where appropriate, ensuring practice is evidence based.

To provide specialist advice on lifestyles, role, functional abilities, self care and the physical environment after taking account of the effects of any medical conditions on the individual and his/her family/carers, e.g. energy conservation, fatigue management.

To prescribe and coordinate interventions to be carried out by others, such as rehabilitation support workers or home carers, and to train them to carry out the therapeutic programmes as appropriate to the home or community environment.

To use advanced clinical reasoning, critical thinking and reflection to monitor, evaluate and modify treatment, evaluate outcomes and thus ensure effectiveness of interventions.

To provide verbal and written information to support the client's discharge from the service which informs health and social care providers of the outcomes of interventions and of ongoing health and social care requirements.

To produce accurate and detailed reports, therapy programmes, care plans, advice and information as necessary in a timely manner, reflecting clinical expertise.

To identify and manage the potential difficulties and risks involved in working alone in a variety of community settings (e.g. verbal or physical aggression, challenging behaviour, working in unhygienic environments) and to do this for staff to whom work is delegated. To complete incident forms as necessary.



Please see Job description and personal specification for full outline of main role and responsibilities