Job vacancy: Occupational Therapist - Neuro-outliers Band 7, Lewisham and Greenwich NHS Trust, London

Job summary

Main area: Occupational Therapy
Grade: Band 7
Contract: Permanent
Hours: Full time - 37.5 hours per week (Will have to work one Saturday or Sunday in 4 weeks)
Job ref: 197-UT6170

Employer: Lewisham and Greenwich NHS Trust
Employer type: NHS
Site: University Hospital Lewisham
Town: London
Salary: £46,148 - £52,809 per annum plus HCAS
Salary period: Yearly
Closing: 05/01/2025 23:59

Occupational Therapist - Neuro-outliers Band 7

Band 7

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Detailed job description and main responsibilities

Job Summary:

· To lead and manage the O.T. neuro outliers service.

· To review and develop rehabilitation practice within UHL, including weekend practice.

· To provide leadership and supervision to the neuro outlier OT team,

· To provide support to therapists in teams working with complex patients:

· To review and develop OT service provision in ITU

· To lead on and manage a caseload of neurologically impaired patients.

· To manage a designated case load with complex needs using evidence based/client centred principles to assess, plan, implement and evaluate interventions.

· Maintain records which fulfil legal requirements.

· To regularly supervise O.T. students on practice placements.

· To provide leadership for junior staff, through supervision and performance reviews.

· To participate in the planning, development and evaluation of O.T. neuro outlier service.

· To contribute to the maintenance and development of the Trust O.T. service.

Key Result Areas & Performance:
Clinical

To assess and treat a specific caseload of patients with complex needs, prioritising efficiently to help prevent readmissions.
To apply a high level of knowledge and understanding in the speciality including neurological conditions.
To undertake individual initial screens to identify patient need including areas affecting functional ability, followed by agreed assessment plans.
To design/plan individual patient programmes to implement oneself or to delegate as appropriate
To assess and treat the patient’s personal and domestic daily living functional activity level to maximise independence.
To select and conduct standardised cognitive and perceptual testing to identify areas affecting functional ability and indicate need for further assessment/treatment.
To carry out an initial risk assessment where necessary and monitor ongoing risk.
To assess need and risk factors for hoist and wheelchair provision.
To carry out home visits with or without the patient to assess environmental risks and functional ability at home.
To advise on, recommend, make provision for the installation of; appropriate aids and adaptations to the patients’ social and physical environment.
To assess and manufacture appropriate upper limb and lower limb splints as needed. To design and monitor ongoing splint regimes.

To carry out community visits to assess for and practise daily living skills as needed.
To monitor and evaluate treatment, including using outcome measures in order to measure progress and ensure effectiveness of the intervention.
To undertake discharge planning and coordination of complex patients.
To take a lead in the decisions regarding placement after discharge.
To refer onto appropriate agencies for :- the continuation of treatment,

reassessment, monitoring, provision of further adaptations.

To carry out joint working with others from the Trust and across other

agencies.

Documentation

To maintain up to date activity data and activity records in accordance with

Professional and Trust standards.

To provide reports on home visits.
To provide specific reports to other agencies as appropriate.

Professional Ethics

To adhere to the COT Code of Ethics and Professional Conduct, and all other

relevant policies and procedures. These include maintaining confidentiality and

respecting the patient’s dignity, privacy culture and wishes

To provide guidance to junior/support staff on ethical issues.

Leadership, Supervision and Appraisal

To lead and manage the O.T. team in the Stroke Unit.
To participate in the planning and implementing of the induction, training and education of students and other staff in this setting, and take a lead when needed.
To undertake the supervision and appraisal of junior/support staff as

delegated by the Lead O.T.

To provide specialist training on an individual basis.
To provide advice to junior/support staff and students on a day to day basis as required.
To deputise for the Lead O.T. in an absence.

Training Staff and Students

To participate in the planning and implementing(taking a lead as needed ) of the

induction, training and education of students and other staff in this setting.

To be responsible for the supervision and written assessment of O.T.

students on practice placement on a regular basis.

To give presentations/training on specialist topics.

· To organise and implement the training programme for O.T. team in the Stroke Unit.

Service Development and Delivery

To work with other staff within the department to ensure that equipment is maintained and stock monitored.

To manage own caseload efficiently, including methods of prioritisation in order to

achieve timely and safe discharges of patients from hospital and to help prevent

admissions/readmissions.

To facilitate, coordinate and monitor the workloads of the O.T team members the

Stroke Unit

To participate in the operational planning and implementation of policies within the department
Assist with the recruitment and appointment of O.T. staff.
To represent O.T. on Trust wide (and linked agencies) working parties and groups as delegated by the Lead O.T.

To take a lead on specific projects as delegated by the Lead O.T.
To participate in, and take a lead as needed, in the Therapies special interest group for the relevant clinical area.

Personal/Professional Development

To participate in internal and external training opportunities to meet identified

objectives and demonstrate ongoing development.

To apply specialist skills and knowledge in order to maintain professional

competence and fitness to practise as a senior O.T.

To maintain a professional portfolio for CPD , regarding learning outcomes

Clinical Governance

To comply with all Trust Policies and procedures including Infection
Control, the Health & Safety at Work Act and the Data Protection Act To report on complaints, accidents and any deficits in equipment as

soon as possible.

To be familiar with and comply with local fire procedures.
To be familiar with all Trust and Therapy emergency procedures, on and off site and to respond as necessary eg. emergency resuscitation, hydrotherapy etc.

· To assess for and advise on risk factors in given situations.

· To contribute to the Trust and Therapies clinical governance and quality agenda including the setting and monitoring of practice standards.

· To participate in the evaluation and audit of practice, clinical pathways and protocols within the clinical area.

To apply national guidelines/legislation relating to health care.

Research and Practice Development

To undertake research and/or audit projects relevant to O.T. and/or service area and disseminate findings at local level.
To broaden research and development skills through participation in local audit and research projects.

Work force

To supervise and delegate to Rehab Therapy Assistants, Band 5 and 6 OTs, when appropriate.
To advise and demonstrate to carers, nursing and other staff on the safe manual handling, positioning and moving of patients.
To co-operate with the other Senior members of the MDT in the organisation of the workload, and to assist the Lead OT/ Therapy Manager in departmental managerial matters when required.
To contribute to the education of Therapy Assistants.
To be responsible for the appraisals of staff in your team, delegating to the Band 6 OT when possible.

Partnerships/Communications and Relationships

To communicate effectively with patients and carers, O.T colleagues, multidisciplinary team members and other agencies
To participate (and take a lead as needed) in the multidisciplinary team meetings

and case conferences, with regard to patient care programmes.

To advise and educate patients and carers regarding aids and equipment in the

home and outside community

To participate in staff meetings and other meetings (taking a lead as needed) as

directed by the Lead O.T.

To promote the O.T. role within the Stroke Unit, the Trust, and to other agencies.

General

The post holder will be experienced in assessing a patient’s needs and establishing an appropriate treatment plan
The post holder will be physically fit and able to carry out regular manual handling tasks, including assisting with patient transfers, manipulating an upper limb, and using equipment such as a hoist or wheelchair.
The post holder should be flexible and be able to adapt their treatment planning in light of unforeseen circumstances or a change in the patient’s condition.
The post holder will be able to manage sensitive situations, dealing with patients or family members who are distressed.
The post holder will be confident of working in the ward environment, or in patients’ homes.

· The post holder may be required to undertake other duties which fall with the grade of the job, in discussion with the Lead O.T.

· This job description will be reviewed in the light of changing service requirements. Any such changes will be discussed with the post holder.

Person specification

Qualifications

Essential criteria

Diploma / Degree in Occupational Therapy.
HCPC registration
Working at M level (e.g. module) or equivalent experience/qualification
Undertaken a range of relevant postgraduate courses
Undertaken clinical educators training

Desirable criteria

Member of RCOT
Member of Special interest Group
MSC in related subject or similar level training
Undertaken appropriate managerial training

Experience

Essential criteria

Wide ranging post graduate Occupational Therapy experience including having held senior position in relevant speciality
Significant experience of relevant specialist pathway
Experience of working autonomously and unsupervised
Experience in managing limited resources and high workloads
Experience in leading and completing audit and evidence based projects.
Experience of supervision and appraisal of Occupational Therapy staff and students with ability to give constructive feedback and performance management when necessary
Evidence of actively participating in in-service training and presenting to large MDT groups, undergraduate and postgraduate staff and evaluating effectiveness of training
Experience and ability to work collaboratively within MPT
Evidence of leading change management and innovation in clinical practice

Desirable criteria

Previous experience at band 7 Level
Research experience including publication in recognised journal.
Presented at national level or external courses relevant to subject area
Actively involved in developing research links with other academic institutions
Evidence of presenting to MDT groups, undergraduate and postgraduate staff

Knowledge

Essential criteria

Extensive specialist knowledge of evidenced based Occupational Therapy for designated specialist pathway
In depth knowledge of national guidelines and standards pertaining to specialist pathway and Occupational Therapy
Robust understanding of clinical governance and its implication for Occupational Therapy
Awareness and understanding of NHS structure, current issues and developments
Understanding of the legal responsibilities of the profession

Skills

Essential criteria

The ability to discuss advanced clinical reasoning in the management of highly complex cases
The ability to identify and act upon adverse clinical signs
Able to communicate at advanced level including complex information to patients, Carers, team and other health professionals.

Desirable criteria

IT skills - Ability to create and/or format data and/or complex spreadsheets using computerised systems

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note, not all roles will meet the criteria for a skilled worker visa.

Timewise helps businesses to attract and develop the best talent through flexible working.

London Living Wage is a voluntary commitment made by employers, who can become accredited with the Living Wage Foundation

We offer Wagestream - A financial wellbeing benefit which lets you access your pay as you earn it.

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name

Sarah Flynn

Job title

Lead Occupational Therapist

Email address

[email protected]

Telephone number

07918331617

Additional information

Please see the link below which will give you further insight into what it is like to work in therapies at LGT.

Working in therapies - YouTube

List jobs with Lewisham and Greenwich NHS Trust in Allied Health Professions or all sectors

Job summary

Employer heading

Occupational Therapist - Neuro-outliers Band 7

Band 7

Job overview

Main duties of the job

Working for our organisation

Detailed job description and main responsibilities

Person specification

Qualifications

Essential criteria

Desirable criteria

Experience

Essential criteria

Desirable criteria

Knowledge

Essential criteria

Skills

Essential criteria

Desirable criteria

Employer certification / accreditation badges

Applicant requirements

Documents to download

Further details / informal visits contact

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