Job summary
We are delighted to be recruiting to our substantive Urgent Community Response (UCR) Therapy Team, where you will be one of at least four B7 Therapists, supported by non-registered members of the team.
With a passion for urgent patient care in the community, this is the perfect role for anyone excited by complex clinical situations, with varied and at times unpredictable workload.
Having been running locally for 6 months, we are now recruiting to permanent positions where you will be helping to shape the future of the service and its delivery, as we plan to expand.
Under the umbrella of Intermediate Care, UCR will be encouraged and facilitated to adjust and develop to the needs of the local population. You will receive clinical supervision within UCR, working in conjunction with Hospital at Home, and have regular 1:1s with the Service Manager. We will support your ongoing CPD through both formal relevant education (Masters) courses and informal opportunities across the ICS.
The service operates between 8am-8pm 7 days a week with a mix of Long Day (8am-8pm), Early (8am-4pm) and Late (12pm-8pm) shifts. A current UK driving license is preferred but not essential. Candidates with a driving license will require business insurance and will be asked to drive the Trust van and/or pool cars.
We will happily accommodate visits to the team, any time within current working hours.
Main duties of the job
- 2 hour response to patients at risk of admission to hospital
- First assessment of clinically unwell patient, in lieu of GP, Paramedic etc
- Specialist, complex therapy interventions for immediate safety and wellbeing
- Complex manual handling
- Integrated working with medical and emergency teams
- Signposting for ongoing treatment and preventative input
- Service development
About us
There's never been a more exciting time to build your career at Frimley Health, one of the country's largest and most respected trusts
Frimley Health NHS Foundation Trust (FHFT) has an outstanding reputation and a proud record of achievement. We have an ongoing commitment to improving the health and care services for the 900,000 people we serve across Berkshire, Hampshire, Surrey and south Buckinghamshire.
We continue to invest in our services and facilities, including a £10 million upgrade to the hospital maternity unit as well as £49m major new Emergency Assessment Centre on our Wexham Park site. The opening of a brand new £100m state of the art hospital which replaced the existing hospital facility at Heatherwood and are planning to invest further in diagnostics and inpatient capacity at Frimley Park.
We have also made significant investment in our quality improvement and digital programmes to support our vision and we will ensure that we achieve our aim of providing the highest quality healthcare to our patients. Our new EPR - Epic - went live in June and we are already beginning to reap the benefits of this ambitious investment.
Our threecore values, and the behaviours that support them, guide everything we do and set out what we expect of our staff in the way they treat patients, visitors, service users and each other.
If you have a passion for clinical excellence, patient care and your own career development, you'll feel at home at Frimley Health.
Job description
Job responsibilities
Clinical
- Complete specialist, complex assessments demonstrating specialist knowledge of the concepts of biological, physical, social, and psychological sciences in relation to function to ensuring patient safety in their own homes
- Complete comprehensive holistic assessments to address immediate presenting needs of the patient utilising extended clinical skills
- Complex manual handling including urgent prescription of specialist equipment to manage immediate risks to patients during a crisis situation
- Profession-specific assessments, generalist assessments and, where appropriate and within scope of extended practice, cross-profession assessments to maintain patient safety during acute medical / social crisis
- Refer to appropriate clinical services to ensure patient safety is maintained; escalation of patient deterioration
- Use assessment tools/skills that will ensure an appropriate level of recovery intervention so that patients who present with highly complex needs are timely referred to the appropriate clinicians/teams
- Complete complex risk assessments, both as an independent clinician and drawing on the wider MDT as appropriate
- Triage and prioritisation of new referrals and allocation of workload
- To be responsible for the day-to-day management and prioritisation of your own caseload
- Respond to urgent referrals and an unpredictable workload: this will require prolonged concentration in an unpredictable environment
- Manage potentially stressful, upsetting or emotional situations in an empathetic manner including when imparting bad news: to ensure this is communicated sensitively to all parties concerned
- To keep yourself well at work both physically and emotionally, to access peer, clinical and management support when needed and to be aware of own limitations and escalate accordingly
- To work as part of the wider Intermediate Care team in community services as required
- Be wholly accountable for your clinical practice taking every reasonable opportunity to sustain and improve knowledge and professional competence
- To manage a varied caseload, seeking support from peers and senior staff where necessary to ensure the provision of a timely, clinically effective service based on evidence based practice
- To be actively involved in service development projects towards the development and delivery of UCR, therapy and broader community services, and to contribute to new developments and initiatives within the locality
- Play an active role in the management of clinical governance and patient safety
Management
- To be part of the Duty Manager rota within Intermediate Care being responsible for the day to day needs and management of the wider service
- Line Management and supervision of junior staff (registered therapists and/or non-registered staff) and students, including performance management, objective setting and appraisals
- Participate in the implementation of departmental policies and the annual performance and service development plan
- Be an active participant in the Trusts appraisal scheme
- Undertake investigations of complaints where required, participate in the risk management process, critical incident reporting, evaluation, action planning, dissemination and change in practice.
- Take responsibility for cost effective management and safe use of expensive and highly complex equipment, provide recommendations for effective use of resources and contribute to the effective delivery of cost improvement planning.
- Maintain and provide accurate and timely statistics to support service development and provision
- Deputise as clinical lead for Intermediate Care if Team Leads are absent
- To delegate appropriately, and to act on delegation
- Recruitment
- To ensure that all equipment defects, accidents and complaints are reported appropriately to ensure appropriate action is taken
Job description
Job responsibilities
Clinical
- Complete specialist, complex assessments demonstrating specialist knowledge of the concepts of biological, physical, social, and psychological sciences in relation to function to ensuring patient safety in their own homes
- Complete comprehensive holistic assessments to address immediate presenting needs of the patient utilising extended clinical skills
- Complex manual handling including urgent prescription of specialist equipment to manage immediate risks to patients during a crisis situation
- Profession-specific assessments, generalist assessments and, where appropriate and within scope of extended practice, cross-profession assessments to maintain patient safety during acute medical / social crisis
- Refer to appropriate clinical services to ensure patient safety is maintained; escalation of patient deterioration
- Use assessment tools/skills that will ensure an appropriate level of recovery intervention so that patients who present with highly complex needs are timely referred to the appropriate clinicians/teams
- Complete complex risk assessments, both as an independent clinician and drawing on the wider MDT as appropriate
- Triage and prioritisation of new referrals and allocation of workload
- To be responsible for the day-to-day management and prioritisation of your own caseload
- Respond to urgent referrals and an unpredictable workload: this will require prolonged concentration in an unpredictable environment
- Manage potentially stressful, upsetting or emotional situations in an empathetic manner including when imparting bad news: to ensure this is communicated sensitively to all parties concerned
- To keep yourself well at work both physically and emotionally, to access peer, clinical and management support when needed and to be aware of own limitations and escalate accordingly
- To work as part of the wider Intermediate Care team in community services as required
- Be wholly accountable for your clinical practice taking every reasonable opportunity to sustain and improve knowledge and professional competence
- To manage a varied caseload, seeking support from peers and senior staff where necessary to ensure the provision of a timely, clinically effective service based on evidence based practice
- To be actively involved in service development projects towards the development and delivery of UCR, therapy and broader community services, and to contribute to new developments and initiatives within the locality
- Play an active role in the management of clinical governance and patient safety
Management
- To be part of the Duty Manager rota within Intermediate Care being responsible for the day to day needs and management of the wider service
- Line Management and supervision of junior staff (registered therapists and/or non-registered staff) and students, including performance management, objective setting and appraisals
- Participate in the implementation of departmental policies and the annual performance and service development plan
- Be an active participant in the Trusts appraisal scheme
- Undertake investigations of complaints where required, participate in the risk management process, critical incident reporting, evaluation, action planning, dissemination and change in practice.
- Take responsibility for cost effective management and safe use of expensive and highly complex equipment, provide recommendations for effective use of resources and contribute to the effective delivery of cost improvement planning.
- Maintain and provide accurate and timely statistics to support service development and provision
- Deputise as clinical lead for Intermediate Care if Team Leads are absent
- To delegate appropriately, and to act on delegation
- Recruitment
- To ensure that all equipment defects, accidents and complaints are reported appropriately to ensure appropriate action is taken
Person Specification
Knowledge
Essential
- Degree or equivalent in Occupational Therapy or Physiotherapy
- Evidence of continued CPD with varied evidence
- Knowledge in identifying and prescribing appropriate equipment required in enabling patients whilst promoting safety
Desirable
- Educated to masters level
- NHS leadership training
Experience
Essential
- Extensive community experience at band 6 or band 7 level
- Experience working in admission avoidance
Desirable
- Experience of rapid response
- Managerial/supervisory experience and/or training
Knowledge
Essential
- Knowledge of relevant national and local policies/guidelines relevant to this role
- Specialist knowledge of governance and risk strategies and their application in a community setting
- Highly specialist knowledge in managing patients in the community with complex recovery needs and acute and long term/chronic disease management
Skills
Essential
- Highly specialist clinical and technical skills in recovery and rehabilitation for people with highly complex conditions and disabilities
- Ability to adapt to the demands of a constantly changing environment
Person Specification
Knowledge
Essential
- Degree or equivalent in Occupational Therapy or Physiotherapy
- Evidence of continued CPD with varied evidence
- Knowledge in identifying and prescribing appropriate equipment required in enabling patients whilst promoting safety
Desirable
- Educated to masters level
- NHS leadership training
Experience
Essential
- Extensive community experience at band 6 or band 7 level
- Experience working in admission avoidance
Desirable
- Experience of rapid response
- Managerial/supervisory experience and/or training
Knowledge
Essential
- Knowledge of relevant national and local policies/guidelines relevant to this role
- Specialist knowledge of governance and risk strategies and their application in a community setting
- Highly specialist knowledge in managing patients in the community with complex recovery needs and acute and long term/chronic disease management
Skills
Essential
- Highly specialist clinical and technical skills in recovery and rehabilitation for people with highly complex conditions and disabilities
- Ability to adapt to the demands of a constantly changing environment
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
