Job Description

We have an exciting opportunity for a Neuro Rehab specialist Occupational Therapist to join the team on the Bradley Unit, based in Woking Hospital as part of Ashford and St Peter's Hospitals NHS Foundation Trust.



The post is 22.5 hours a week working on the Bradley Unit - a 20 bedded Regional 2b Neurorehabilitation Unit.



Delivering excellence in patient care and patient experience is our driving force.



The post will support development of clinical and leadership skills in a friendly and supportive department. You would have the chance to contribute, facilitate, design and lead service improvements, innovations and audit within stroke services. We are committed to personal development through supervision and appraisal, as well as internal and external training.



There would be occasions when you will be expected to transfer your skills to support acute stroke/neurological patients/ESD patients or weekend working as the service requires.



Alongside Physio and SLT Team Lead Therapists be jointly responsible for the neuro rehabilitation service on the Bradley Unit.



Be responsible for the management of a complex clinical caseload.



Provide clinical expertise and support and training to the team.



Be a clinical expert and resource to other in-patient teams as required.



Work closely with the MDT and support with complex patients, management duties and training.



Line manage within the Bradley Unit Neuro rehab therapies team consisting of qualified and non-qualified staff



Be responsible for the clinical OT assessment, rehab and management of a complex clinical neuro caseload from admission through to discharge, including liaison and onwards referrals.



Be involved in developing the service in line with national and local strategic plan.



Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond.



Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey.



We also run many specialist clinics in the community and local community hospitals and other healthcare facilities.



Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development and flexibility to shape our workforce around our patient care.



We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures.



We can offer you the full range of NHS benefits/discounts and in addition:



Excellent pension scheme and annual leave entitlement



On-site Nurseries



On-site staff cafes



On-site parking



Support in career development



Salary Sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics



Adverts may close early, so applicants are encouraged to submit an application as soon as possible.

For more information about a career at ASPH please visit:

www.asph-careers.org



Clinical



To take a leading role in the advanced assessment, clinical diagnosis and treatment of patients with a neurological diagnosis and often complex presentations.

To provide an effective high quality service to patients.

To be responsible as an autonomous practitioner to undertake a significant specialist clinical caseload.

To take a leading role in the training and development of staff in this speciality.

To be professionally and legally responsible and accountable for all aspects of professional activities working within codes of practice and professional guidelines.

To be aware of risks involved as part of delivering clinical care and manage this within own patient case load.

To be an integrated member of the inpatient team and be able to provide support to other teams in the management of stroke and neuro rehabilitation where required.

To act as a lead specialist Occupational Therapy resource using highly developed clinical skills in theoretical knowledge and relevant practical experience.

To provide information and advice across the in-patient occupational therapy team regarding equipment provision and authorize others requests.

To be responsible as an autonomous practitioner to undertake a significant specialist clinical workload and use excellent clinical reasoning skills to utilize a wide range of treatment skills and options in order to formulate a specialized programme of care using a range of interventions.

To use investigative and analytical skills, manual assessment techniques and diagnostic procedures to assess complex patients and support other more junior staff with their patients as required.

Formulate accurate prognoses and recommend best course of intervention, developing comprehensive discharge plans and appropriate discharge information.

Evaluate patient progress, reassess and alter treatment programs if required.

To set and maintain a high standard of clinical care using evidence-based practice by keeping up to date with clinical developments, analysing current research and discussing and implementing changes in your clinical practice and encourage this throughout the team.

To be responsible for the setting and monitoring of standards and policies of clinical Occupational Therapy practice benchmarking against National guidelines such as RCP, NICE and RCOT.

To be professionally and legally responsible and accountable for all aspects of your professional activities working within the codes of practice and professional guidelines.

To demonstrate a high level of understanding of clinical governance and clinical risk and of the use of treatment plans with evidence-based link.

To develop services in line with recent NHS initiatives and guidance.

To demonstrate the physical ability to carry out Occupational Therapy assessments and interventions, including highly developed cognitive therapy and therapeutic handling. This includes frequent moderate to high physical effort.

To be aware of risks involved as part of delivering clinical care and manage this within own patients' case load.



Leadership or managerial



To plan effectively the daily management of a caseload of patients by prioritising clinical work and responding to frequent urgent and unpredictable issues .



To maintain the high standards of the service by contributing to the individual, team and service objectives.



To manage potentially stressful and upsetting or emotional situations in an empathetic manner.



To prioritise clinical and managerial work and balance other patient related and professional activities as the department requires.



To supervise junior staff, senior staff and therapy assistants where appropriate.



To participate in the appraisal scheme as an appraiser and to be appraised.



To demonstrate a high level of understanding of clinical governance and clinical risk.



To attend appropriate meetings both within and outside of the trust



To develop and advocate for the Bradley Unit service within ASPH and across trusts.



Evaluate and manage risks in relation to provision of therapy services



Communication



To be highly effective in communicating with other partner organisations in order to provide an effective service. This will include consultants, the ESD team, Stroke nurse specialists, nursing teams, neurotherapy team and neuro rehabilitation teams.

To initiate and maintain good contact with service users regarding the development of the service.

To provide advice to other disciplines both internally and externally to ensure a multidisciplinary approach to care.

To communicate effectively with all disciplines involved in a patient's care, both those from within the organisation and those outside to ensure efficient multidisciplinary working.

To be able to communicate complex and sensitive information to patients, carers and other staff including imparting unwelcome news relating to their prognosis and gaining consent for treatment.

To assess patients' understanding of treatment proposals, gain valid consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.

To maintain accurate records in line with the RCOT, Trust and service standards and policies. To ensure that records of directly managed staff also comply with these standards.

To use a range of verbal and non-verbal communication tools to communicate effectively and sensitively with patients in order to initiate treatment and achieve treatment concordance. This may include patients who may have difficulties in understanding or communicating and for those whom English is not their first language.

To communicate any changes in care plan or treatment approach to other member of the multi-disciplinary team as necessary.



Education



To participate in clinical supervision sessions as a member of the MDT.

To participate in any training sessions as a recipient and facilitator.

To disseminate any training received to other staff and healthcare professionals.

To be actively involved in special interest groups in order to share and disseminate knowledge to colleagues.



Research/Audit/Quality



Demonstrate the use of relevant information and research findings to support and promote evidence-based practice within the clinical area



Promote clinical excellence through initiating & participating in setting, maintaining and evaluating standards of rehabilitation and care within a clinical governance framework



Participate in both clinical and organisational audit to continually evaluate the effectiveness of the service



Feedback to appropriate stakeholders on the results, trends of audits and research undertaken



To undertake and present relevant evidence-based projects.



IT



To maintain timely and accurate statistical information as required by senior staff and managers.



To be responsible for the accurate input of clinical information onto the trust IT system and manage the clinical workload diary.



To keep up to date with advances in technology.



Further information and general responsibilities



To have responsibility for the health, safety and welfare of self and others at work. This includes being conversant with relevant trust safety policies and procedures. To report incidents and near misses at work; take part in the risk management process; attend all mandatory training courses in the agreed duration as defined by trust policy and carry out tasks and use equipment only when competent to do so.



To ensure confidentiality at all times, only releasing confidential information obtained during the course of employment to those acting in an official capacity. To comply with the requirements of the Data Protection act.



To comply with the trust's corporate and local policies and procedures on such subjects and clinical management and human resources.



To ensure that patients, clients and members of the public are consulted and involved in decisions about local health service developments. As a trust employee to be mindful of this and do what is appropriate to the role and level meet this duty of responsibility.