Link grade - Occupational Therapist - Acute General Medicine

Job overview

The process by which the post holder progresses to a Band 6 Occupational Therapy position within the team is through clinical performance and achievement of set competencies.

You will need to have a sound basic knowledge of common pathologies ageing, falls and frailty and ability to apply your knowledge from a number of disciplines including neurology, trauma, musculoskeletal and respiratory areas. You will need to have high levels of professionalism and strong communication skills to work effectively.

As part of a multi-professional team, you will identify and undertake a comprehensive assessment of need and deliver interventions to optimise the recovery of older people during their acute hospital stay and prepare them to return to their home.

Part-time and job share options will be considered.

Main duties of the job

To provide high quality, safe and effective Occupational services to older adults, as part of a cohesive multi-professional team.

To work collaboratively with patients and their carers to effectively assess, goal plan and treat patients following admission to hospital and strive to maximise their independence and quality of life.

To supervise and teach recently qualified Occupational Therapists, support workers and students

To actively participate in quality improvement, clinical audit and research projects

To take an active part in the team’s extended hours and seven-day working roster to maximise the access and delivery of older adult rehabilitation.

Working for our organisation

Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.

We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.

These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.

Detailed job description and main responsibilities

1. To consistently deploy effective communication and engagement skills enabling effective working relationships with all members of the multi-professional team.
2. To effectively communicate with patients and their carers/family members, including the sensitive management of complex or contentious issues.
3. To overcome barriers to effective communication, such as those caused by pathological impairment or language differences, by deploying effective mitigating strategies.
4. To engage and build relationships with external agencies and providers to enhance patient care continuity and outcomes.
5. To be able to motivate and positively influence others through effective verbal and non-verbal communication skills.
6. Be able to write complex reports accurately describing patients’ clinical status and ensuring that the information provided aids effective continuing care and clinical management.

1. To enact the professional and legal responsibilities for all aspects of the post-holders own clinical practice.
2. To carry out comprehensive assessments following hospital admission, including those with complex presentations, and form treatment and rehabilitation plans in partnership with the patient and their carers/family.
3. To interpret and analyse multiple sources of clinical information to form accurate diagnoses in older adult care; drawing on guidance from senior Occupational Therapists when required.
4. To formulate and deliver comprehensive treatment, rehabilitation and discharge plans, based on clinical skills, evidence-based practice, and patient preferences.
5. To evaluate patient progress against agreed treatment goals and be able to modify plans accordingly.
6. To determine a patient’s mental capacity to understand and to gain informed consent for treatment. To work within a legal framework with patients who lack the capacity to consent and are deprived of their liberty.
7. To co-ordinate intervention where there is a need to collaborate across multiple disciplines.
8. To maintain accurate written records using an electronic patient record system and maintain fidelity to professional standards.
9. To determine and mitigate for risk of patient and staff harm using the agreed risk assessment frameworks and the Trust’s manual handling policy.
10. To demonstrate physical ability to carry out assessment and interventions including manual therapy techniques and therapeutic handling
11. To demonstrate highly developed dexterity, co-ordination and palpatory skills for assessment and manual treatment of patients
12. To represent Occupational Therapy and/or individual patients at multi-disciplinary team meetings, to ensure delivery of co-ordinated care.
13. To be an integral part of the team’s extended hours and seven-day service provision.

1. To be responsible for the competent use and maintenance of rehabilitation equipment and support others in the effective and safe use of this equipment.
2. To assist in the supervision, teaching and appraisal of junior staff and assistants.
3. To undertake delegated tasks and roles from the team lead and be able to deputise for them on occasions.
4. To effectively plan and organise own time, patient caseload, meetings, training and be able to adjust plans as required according to staffing levels and unpredictable factors.
5. To assist in the planning of junior staff, students and assistant timetables and deputise for senior staff in organisational duties.

1. To organise and contribute to the team’s training and post-registration education programme.
2. To contribute to the education of multidisciplinary groups, patients, families and carers as appropriate.
3. To be responsible for individual undergraduate student Occupational Therapists’ supervision and practice-based learning.
4. To adopt a proactive approach in learning from others within, and outside of the Occupational Therapy profession.
5. To be responsible for continuing professional development and maintain a portfolio record to evidence this.
6. To maintain contemporary knowledge to apply and maintain best practice in older adult care and rehabilitation.

1. To actively participate in the department’s quality improvement and clinical audit programme through the completion of authorised projects.
2. To implement and maintain evidenced-based Occupational Therapy practice through continuing professional development.
3. To ensure good working knowledge and application of national and local clinical standards.

Person specification

Qualifications

• Degree in Occupational Therapy
• Registered with HCPC

Experience

• Experience in a number of areas including orthopaedics, neurology and older adults.
• Experience working with students and support workers
• Experience working with frailty
• Experience working as part of the MDT
• Up to date with best practice in older adult rehabilitation