[ref. u8862818] Highly Specialist Occupational Therapist | Central and North West London NHS Foundation Trust - Bletchley

Home First are excited to advertise for a Highly Specialist Band 7 Occupational Therapist to support the ongoing development of the Milton Keynes Health and Social Care improving patient flow projects.

Home 1st provide admission avoidance assessment for access to community admission avoidance beds, support discharge for the people of Milton Keynes who have been admitted to local acute services and Physiotherapy and Occupational Therapy intervention in the community for those requiring a period of rehabilitation following illness.

An expert knowledge of community services, equipment prescription and environmental risk assessment is key.

Experience of triaging and prioritising referrals, managing waiting lists and allocating workload are essential.

• To support the delivery of Home 1stTherapy services to people in Milton Keynes considering the holistic management of those with long-term conditions and frailty.
• To provide highly specialist holistic assessments and deliver person-centred rehabilitation- based discharge planning advice to patients requiring supported discharge from Milton Keynes University Hospital (MKUH), providing in-reach support as required.
• To work in partnership with the integrated discharge and therapy teams at MKUH to support the case management of discharge plans in to the community, for patients with highly complex frailty or social presentations.
• To work closely by liaising with other Home 1stteams providing specialist support to expedite transfer of care
• To work in collaboration with Milton Keynes Council Social care teams to triage, allocate and respond to referrals requiring joint integrated care and therapy assessment in order to support discharge from hospital.
• To provide sign-posting advice to individuals seeking support from community services.
• To undertake all aspects of clinical duties as an autonomous practitioner.
• To communicate effectively and work collaboratively with all members of the multidisciplinary team both internal to CNWL and across partner organisations.
• To participate in development of the Home 1stTherapy service.

But it doesn't stop there .... we can offer coaching and opportunities for daily debriefs, access to remote working, regular 1:1 formal and informal supervision, peer group CPD sessions and in-service training, QI project work and volunteering for champion roles.

Home1st is based in Bletchley and the modern office is a central hub for multi-disciplinary working. You will be provided with ICT laptop, mobile phone, uniform and have mileage expenses paid for.

• Flexible working
• Buying and selling annual leave
• An attractive pension scheme
• Employee assistance programme: a free and confidential service to help with personal life
• Staying well at work service for tailored employment related support to staff
• Physio Med: an education zone, advice line and treatment service for staff
• Staff wellbeing zone for free and confidential online health and wellbeing programmes
• A range of staff networks
• Discounts and savings at hundreds of retailers nationwide with Vivup
• Childcare vouchers
• Salary sacrifice
• Travel discounts
• To be professional and legally accountable for all aspects of your work including the delivery of highly specialist therapy intervention and caseload management of patients in your care.
• To use specialist professional and clinical knowledge across a range of procedures based on a sound knowledge of evidence-based practice and treatment options, using clinical assessment, reasoning skills and knowledge of treatment skills.
• To undertake comprehensive holistic assessment of patients to determine suitable management of their rehabilitation needs.
• Use clinical reasoning skills to triage and risk assess appropriate therapeutic intervention response times for patients referred to Home 1st.
• To assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.
• Use a range of verbal or non-verbal communication tools to communicate effectively with patients, relative’s, carers and other health and social care professionals to progress rehabilitation and treatment programmes and discharge plans as required. This will include patients who may have difficulties in understanding or communicating.
• To manage clinical risk within the Home 1stTherapy waiting list to prevent the deterioration of patients requiring therapeutic input.
• Following assessment, be able to prescribe, order and review the equipment needs for patients requiring supported discharge, that require high level equipment packages for discharge.
• To support in-reach assessment, access visits or home visits for people with complex needs to expedite discharge plans in collaboration with PW1 and PW2 requirements.
• To attend MKUH integrated discharge hub multidisciplinary meetings to represent community services in discharge planning for those with complex needs.
• On completion of risk assessments, be able to make recommendations to the multi-professional teams, about the level of support need required to meet individualised packages of care on discharge.
• To be able to promote a risk enabling approach to staff to encourage therapeutic intervention and functional activities, preventing deconditioning and reducing length of stay.
• To be responsible for the safe and competent use of all appropriate equipment.
• Work collaboratively with the multi-professional teams, including GP’s, other clinicians, medical and therapy colleagues, social services and the voluntary sector to ensure needs led comprehensive treatment plans are in place.
• Provide a comprehensive and highly specialist level of communication / liaison between the MKUH Integrated discharge hub, CNWL Single Point of Access (SPA), Acute Adult Frailty Team (AAFT), Seacole Inpatient Units and the Virtual ward team to promote patients therapy requirements in treatment and discharge planning.
• To attend the Virtual Ward / AAFT / Inpatient multidisciplinary meetings as required.
• Ensure accurate electronic records are maintained timely and effectively.
• To work with members of the Home 1stteam to deliver seamless therapeutic treatment plans in the transition from hospital to home.
• Take part in service audit to assess the effectiveness of the Home 1stclinical pathways.
• To work collaboratively in partnership with CNWL, MKUH and BLMK ICB to implement system flow response as part of escalation processes.
• To actively seek patient and carer feedback, to enable informed decision-making when reviewing service interventions.
• To take responsibility for analysis of Datix incidents regarding patient discharge from hospital and implement recommended actions to prevent recurrent risk.
• To supervise and support development of Band 5 therapists on rotation
• To comply and uphold standards of the HCPC and the Chartered Society of Physiotherapy / Royal College of Occupational Therapy as indicated by Professional registration
• To be responsible for maintaining own competency to practice through CPD activities and to maintain a portfolio which reflects personal development.
• To be responsible for attending and participating in formal supervision, including clinical supervision, in accordance with Trust policies and procedures and the standards of the HCPC/CSP/RCOT
• To participate in the staff appraisal scheme as an appraisee and be responsible for complying with your agreed personal development programmes to meet knowledge and competency requirements.
• To undertake the measurement and evaluation of your work and current practices through the use of evidence-based practice projects, audit and outcome measures in conjunction with the Home 1stTherapy team leads and Manager.
• To be an active member of the in-service training programme by attendance at, and participation in, in-service training programmes, tutorials and individual training sessions.
• To attend the Home 1stTherapy team meetings and contribute to the agenda providing updates on Frailty related topics.
• To be responsible for planning own caseload, prioritising workload as situations arise.
• Acquire an understanding of CNWL clinical and HR policy and procedures.
• To supervise designated team members and complete appraisals, maintaining accurate documentation.

This advert closes on Thursday 20 Feb 2025