Job summary
Come and join our fantastic, friendly front door Integrated Discharge Team at the Royal Sussex County Hospital in Brighton based on Level 5 across A&E, Acute Assessment Unit , Short Stay Wards, C5 and the rest of level 5 as required. This is an exciting opportunity with the IDT expanding with the opening of the new Louisa Martindale Building and plans for an acute floor re-development in the future.
We are looking for an enthusiastic Clinical Specialist Therapist with operational and clinical leadership qualities, effective communication skills, a flexible approach, and an ability to work under pressure.
This post will enable you to further develop and utilise your specialist clinical skills in a fast paced, highly pressured A&E and acute floor environment. You will carry a clinical caseload, providing leadership and promoting a strong profile for Therapy within the service and wider Multi-Disciplinary Team.
Our Team comprises of a Discharge Coordinator, Occupational Therapists, Physiotherapists and Therapy Assistants. This enables close multidisciplinary working to achieve combined goals, effective discharge planning and improved patient flow. Therapists work within an integrated model and are upskilled to carry out comprehensive, generic assessments with the aim to deliver highest standards of patient care, as well as promoting service and professional development to further enhance both clinical and non-clinical skills.
Main duties of the job
The Clinical Specialist therapist is responsible for providing clinical expertise, leadership, support and supervision within the IDT.
To independently case manage an ever changing caseload of patients with complex and highly complex health, mental health, cognitive, social, environmental and equipment needs, using evidence-based principles to plan and implement effective assessments and treatment programmes.
To undertake rapid, comprehensive and timely assessments of patients utilising highly advanced clinical reasoning and analytical skills, responding rapidly to changes in patients' clinical needs, functional needs and mental health status, including assessing their ability to give informed consent for therapy and eliciting active patient participation in treatment and discharge planning.
As a Clinical Specialist therapist you are required to provide a wide range of highly specialist Therapy interventions as part of an evidence based, flexible and patient-centred approach withaspecific aim of avoiding unnecessary admissions and facilitating timely discharges for patients' with complex health, mental health and social care needs.
To participate in and facilitate the planning, development and evaluation of Therapy within the Integrated Discharge Team, holding responsibility for defined projects including further implementation and rolling out of a front door seven day service model.
About us
At UHSussex we're proud to be at the heart of the NHS. As one of theUK's largest acute Trusts, we're a leading example of the excellence, the ambition and the values that have embodied the NHS for over 70 years.
Improving lives:We are a vibrant and inclusive organisation, with hardworking, talented and dedicated individuals, who work together towards a common goal, to always put ourPatient First. Our mission is summed up by our 'where better never stops' motto and no matter the role at UHSussex, you will play a part in driving us forwards and in improving the lives of patients across Sussex. We treat our patients and staff with the same compassion and empathy we expect for ourselves. We're here for them when they need us, and we go above and beyond to meet their needs. This can be seen in ourwellbeing programmefor staff which is extensive and designed to support you when you need it because we know that to look after others we must first look after ourselves.
Build a career with us:As a university trust and a leader in healthcare research, we value learning, teaching and training so that we can be the best that we can be. From the moment you start with us and throughout your career we will help you to grow and develop. We hope that in choosing UHSussex you are choosing a long and happy career where you will be able to see the difference you make and feel valued for all that you do.
Job description
Job responsibilities
The post would include being part of the rostered seven day working and extended hours service covering 8am-8pm (currently 8am-6pm) to support discharges using various services available. The expectation would be approximately 1 weekend or less a month.
Patient Care Delivery
- To be responsible for the planning, delivery, and evaluation of Occupational Therapy/ Physiotherapy within the front door Integrated Discharge Team, prioritising needs to provide an effective service to the client group.
- To hold an active clinical caseload, delegating work to other members of IDT as required.
- To take the lead in recommending and carrying out the best course of intervention to develop comprehensive goals and discharge plans taking the 4 hour wait target in A&E into consideration.
- To undertake assessments and interventions beyond the usual scope of Occupational Therapy/ Physiotherapy, such as mobility assessments for walking aids, blood pressure measurement, administration of analgesia and cannula removal etc that requires additional training and competencies.
- To use persuasive skills, empowering patients to engage rapidly in self-management, through advice, education, coping strategies and therapeutic procedures to facilitate discharge from A&E.
- To provide clinical expertise, training and supervision to the Integrated Discharge Team and the Therapy services.
- To provide Occupational Therapy/Physiotherapy expertise to the multidisciplinary team
- To forge and develop strong working relationships with other Therapy and multidisciplinary teams.
- To perform highly specialist assessments demonstrating advanced clinical reasoning skills in the management of patients within in A&E and the rest of the acute floor who will have complex and/or acute or chronic conditions.
- To develop, deliver, implement, evaluate, and modify individualised treatment programmes, ensuring appropriate pathways of care and communication via liaison and referral to other agencies as required.
- To undertake therapeutic handling of patients to facilitate training in personal care, transfer, and motor/sensory/perceptual rehabilitation demonstrating dexterity, co-ordination and palpatory skills often with the need for prolonged physical effort. This will include patients with complex and specialist needs
- Assess and measure for wheelchairs, equipment, and minor home adaptations
- To support patients posture management needs including awareness of the need for splints/orthotics and specialist seating.
- To plan, implement and modify client centred individual interventions, selecting and grading activities to achieve therapeutic goals
- To give highly specialist advice, teaching and training to patients, carers and other educational and social care professionals, as appropriate to ensure provision of good patient care.
- To apply a high level of understanding of the effect of illness and/or disability and provide training and advice on adaptations to clients lifestyle, physical and social environments.
- To monitor, evaluate and modify intervention(s) to measure progress and ensure effectiveness.
- To develop and maintain a high standard of clinical practice as a member of the Occupational Therapy/ Physiotherapy and multidisciplinary teams, in line with the Code of Professional Conduct of the Royal College of Occupational Therapists and the Chartered Society of Physiotherapy.
- To assess, treat and discharge plan for patient with acute presentations of illness or injury, following protocols (for example fracture management care plans) as appropriate
- Demonstrate, instruct and educate on the safe use of specialist equipment for example, hinge knee braces, stand aids and commodes.
Please see Job Description for full details
Job description
Job responsibilities
The post would include being part of the rostered seven day working and extended hours service covering 8am-8pm (currently 8am-6pm) to support discharges using various services available. The expectation would be approximately 1 weekend or less a month.
Patient Care Delivery
- To be responsible for the planning, delivery, and evaluation of Occupational Therapy/ Physiotherapy within the front door Integrated Discharge Team, prioritising needs to provide an effective service to the client group.
- To hold an active clinical caseload, delegating work to other members of IDT as required.
- To take the lead in recommending and carrying out the best course of intervention to develop comprehensive goals and discharge plans taking the 4 hour wait target in A&E into consideration.
- To undertake assessments and interventions beyond the usual scope of Occupational Therapy/ Physiotherapy, such as mobility assessments for walking aids, blood pressure measurement, administration of analgesia and cannula removal etc that requires additional training and competencies.
- To use persuasive skills, empowering patients to engage rapidly in self-management, through advice, education, coping strategies and therapeutic procedures to facilitate discharge from A&E.
- To provide clinical expertise, training and supervision to the Integrated Discharge Team and the Therapy services.
- To provide Occupational Therapy/Physiotherapy expertise to the multidisciplinary team
- To forge and develop strong working relationships with other Therapy and multidisciplinary teams.
- To perform highly specialist assessments demonstrating advanced clinical reasoning skills in the management of patients within in A&E and the rest of the acute floor who will have complex and/or acute or chronic conditions.
- To develop, deliver, implement, evaluate, and modify individualised treatment programmes, ensuring appropriate pathways of care and communication via liaison and referral to other agencies as required.
- To undertake therapeutic handling of patients to facilitate training in personal care, transfer, and motor/sensory/perceptual rehabilitation demonstrating dexterity, co-ordination and palpatory skills often with the need for prolonged physical effort. This will include patients with complex and specialist needs
- Assess and measure for wheelchairs, equipment, and minor home adaptations
- To support patients posture management needs including awareness of the need for splints/orthotics and specialist seating.
- To plan, implement and modify client centred individual interventions, selecting and grading activities to achieve therapeutic goals
- To give highly specialist advice, teaching and training to patients, carers and other educational and social care professionals, as appropriate to ensure provision of good patient care.
- To apply a high level of understanding of the effect of illness and/or disability and provide training and advice on adaptations to clients lifestyle, physical and social environments.
- To monitor, evaluate and modify intervention(s) to measure progress and ensure effectiveness.
- To develop and maintain a high standard of clinical practice as a member of the Occupational Therapy/ Physiotherapy and multidisciplinary teams, in line with the Code of Professional Conduct of the Royal College of Occupational Therapists and the Chartered Society of Physiotherapy.
- To assess, treat and discharge plan for patient with acute presentations of illness or injury, following protocols (for example fracture management care plans) as appropriate
- Demonstrate, instruct and educate on the safe use of specialist equipment for example, hinge knee braces, stand aids and commodes.
Please see Job Description for full details
Person Specification
Qualifications / Experience
Essential
- oProfessional qualification in Occupational Therapy/ Physiotherapy
- oExtensive postgraduate experience as an occupational therapist/ Physiotherapist.
- oExperience working as part of a multi-disciplinary team in an acute hospital
- oTeaching and supervision of other staff and students
- oExperience of working in a range of clinical specialties e.g.: acute medicine; cardiac; respiratory medicine; palliative care/end of life; dementia care
- oExperience of leading a team
Skills
Essential
- oProven organisational skills including time management, effective delegation and prioritisation
- oProfessional skills to inform suitability for discharge from hospital care and associated risks
- oEffective negotiation skills/communication skills related to difficult clinical or team management issues
- oAssessment for and provision of equipment and minor environmental adaptations
- oAbility to reflect on and critically appraise own performance
- oAbility to work under pressure and set priorities
- oComputer Literacy
People Management
Essential
- oStaff and student supervision
- oAbility to develop and maintain effective working relationships with clients, carers and colleagues
- oAbility to undertake team leadership roles where appropriate, including staff management
- oAbility to reflect on and critically appraise own performance
- oCurrent registration with the Health and Care Professions Council as an Occupational Therapist/ Physiotherapist.
- oCurrent DBS clearance
Person Specification
Qualifications / Experience
Essential
- oProfessional qualification in Occupational Therapy/ Physiotherapy
- oExtensive postgraduate experience as an occupational therapist/ Physiotherapist.
- oExperience working as part of a multi-disciplinary team in an acute hospital
- oTeaching and supervision of other staff and students
- oExperience of working in a range of clinical specialties e.g.: acute medicine; cardiac; respiratory medicine; palliative care/end of life; dementia care
- oExperience of leading a team
Skills
Essential
- oProven organisational skills including time management, effective delegation and prioritisation
- oProfessional skills to inform suitability for discharge from hospital care and associated risks
- oEffective negotiation skills/communication skills related to difficult clinical or team management issues
- oAssessment for and provision of equipment and minor environmental adaptations
- oAbility to reflect on and critically appraise own performance
- oAbility to work under pressure and set priorities
- oComputer Literacy
People Management
Essential
- oStaff and student supervision
- oAbility to develop and maintain effective working relationships with clients, carers and colleagues
- oAbility to undertake team leadership roles where appropriate, including staff management
- oAbility to reflect on and critically appraise own performance
- oCurrent registration with the Health and Care Professions Council as an Occupational Therapist/ Physiotherapist.
- oCurrent DBS clearance
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).
