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Specialist Occupational Therapist Palliative Care Band 6

Oxford University Hospitals NHS Foundation Trust
£35,392 to £42,618 per annum pro rata
Closing date
27 Sep 2023

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Mental health
Band 6
Full Time
We have the perfect opportunity for OT to join our team to cover a maternity leave

Are you looking for a role where you can spend time getting to know your patients?

Would you enjoy seeing patients in a variety of settings - Community, Inpatients, Living Well Service.?

Do you enjoy multi-professional team working?

Would you like working in modern hospices nationally recognised for quality teaching programs?

Would you like to work alongside a broad range of highly skilled and experienced professionals?

The Specialist OT plays a key role in the multidisciplinary specialist palliative care teams by contributing their unique knowledge, skills and expertise to patient care.

We are proud to be developing a Rapid Intervention in Palliative and End of Life care project which aims to enable patients whose preference is to remain at home for the end of their life to do so. The second phase of the project has now launched - Rapid Discharge from Hospital and Crisis response to patients in the community is starting soon.

A full driving license, access to a car for work purposes is essential, as is the ability to work within Oxfordshire and South Northamptonshire.

The Therapy service intends to increase to a 7-day service across all sites in the near future. Weekend and extended hours working will be required, with cross cover for the palliative care specialist OTs across the service.

We would consider this as a link grade (5-6) post.

Main duties of the job

  • Performs holistic assessment of patients including those with complex presentations, and from this formulates a treatment plan, which is carried out as an autonomous practitioner.
  • To provide rapid assessment and intervention to prevent admission, facilitate discharge, support carers and families, manage symptoms, improve function and quality of life and ensure safety.
  • Maintain a clinical caseload of complex patients as an autonomous practitioner.
  • Communication and collaboration with others involved in the care of patients, and non-clinical activity.
  • Work as part of the MDT with patients known to Palliative Care across the settings of Community, Living Well Services, Inpatient Unit and Outpatients.
  • Participates in the supervision, teaching and appraisal of junior / student Occupational Therapists and Therapy Assistants.
  • Participate in maintaining and improving all aspects of evidence-based practice and quality assurance, this may involve change management.
  • Contribute to services development, clinical governance, audit, research and CPD.

About us

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 thisDelivering Compassionate Excellenceand 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 theOUH YouTube channel.

Job description

Job responsibilities

Clinical Practice:
  • Work within their scope of practice within the specialist service and practice autonomously as well as within the multi-disciplinary specialist palliative care team.
  • Initiate and co-ordinate the assessment, planning, delivery and evaluation of the holistic needs of patients and families, to optimise health and wellbeing, following agreed policies, protocols and guidelines.
  • To provide specialist care and use range of knowledge in complex decision making to determine evidence-based recommendations and therapeutic interventions to promote a high standard of Occupational Therapy practice.
  • Plan, prioritise and manage complete episodes of care, working in partnership with others, delegating and referring as appropriate to optimise health outcomes and resource use, providing direct support to patients and clients.
  • Use professional judgement in managing complex and unpredictable care events.
  • Draw upon an appropriate range of multi-agency and inter-professional resources in their practice.
  • Appropriately define boundaries in practice in collaboration with Senior Specialist OT
  • Practice a high standard of communication including highly sensitive and complex information to develop and sustain partnership working with individuals, groups, communities and agencies. Utilise evidence based information through a variety of communication media.
  • Maintain adequate patient documentation for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required.

  • Collaborate with the multi-professional members of the specialist palliative care team to develop a shared vision of the service.
  • Act as a role model and resource using skilled clinical evidence based practice.
  • Work collaboratively with colleagues to help develop effective documentation, pathways, protocols and guidelines for care.
  • Demonstrate a commitment to share expertise and disseminate information.
  • Actively participate in the development of the team and the service to continuously improve patient care
  • Participate in implementing national standards and frameworks at a local level.
  • Network locally, regionally, and nationally and seek opportunities to develop the OT role.
  • Use effective change management skills to initiate and assist in implementing service and practice development.
  • Maintain involvement and active input in multidisciplinary meetings and appropriate local bodies / forums to contribute to practice and service development

  • Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through ongoing self-education and attendance at relevant courses of study.
  • Develop and maintain a peer network of support, information and learning with therapists and other palliative care specialists at a local and National level.
  • Maintain own professional portfolio.
  • Contribute to the development and acquisition of specialist knowledge and skills to enhance and extend the practice of other therapists, nurses and health care professionals within the service and beyond
  • Role model life- long learning and relishing opportunities to share best practice
  • Identify and address the educational needs of patients, families, carers and staff involved in the delivery of this service.
  • Contribute to the teaching and support of students from the multi professional team within relevant educational programmes.
  • Provide an appropriate learning environment, including mentorship, coaching and preceptorship.
  • Contribute to relevant educational programmes and in house study days.

Improving quality and developing practice:
  • Contribute to ongoing service review and evaluation, including seeking and monitoring patient experience and outcomes
  • Participate in research / audit to generate new evidence in area of speciality.
  • Assist in evaluating clinical practice in relation to its evidence base and clinical effectiveness including policy and guidance
  • Develop and sustain appropriate multidisciplinary working relationships to improve health outcomes and healthcare delivery systems.
  • Help identify areas of risk and poor quality, and ask for support in addressing these through appropriate governance structures and forums.
  • Participate and actively seek peer review in practice and sound evidence for assurance purposes.
  • Have responsibility to ensure annual appraisal, agree objectives which reflect local and national service needs and develop personal development plans.
  • Develop personal and professional knowledge through critical self-appraisal, clinical supervision and networking with other health care professionals locally, nationally and internationally.
  • Advocate and contribute to a working environment that promotes continuous learning and development, evidence based practice and succession planning, as well as identifying learning opportunities at local and national levels.
  • Have a high level of communication skills to enable the participation in the dissemination of practice through conferences and professional publications.
  • Ensure statutory and mandatory training updates, as well as role /speciality updates are completed and necessary records maintained.

Person Specification



  • Degree / Diploma in Occupational Therapy.
  • State Registration Health and Care Professions Council


  • oRelevant Postgraduate training



  • Previous experience working with patients with palliative care needs
  • Previous experience of end of life care o
  • Previous experience working with patients with palliative care needs o
  • Supervision of staff and students
  • Experience of Service/ Experience of complex assessment, treatment and discharge planning. oExperience of mentoring and supporting other staff Practice innovation.
  • Experience of contributing to audit and research.


  • Previous experience working in a Palliative Care setting.
  • Previous experience working in the community setting.
  • Membership of speciality groups

Skills and Abilities


  • oAbility to work autonomously with individuals..
  • Knowledge and understanding of activity/occupation in relation to work and well-being.
  • Application of Occupational Therapy models of practice and evidence based practice.
  • Demonstrate application of risk management to clinical practice
  • Experience working within a multi-disciplinary team
  • Demonstrate autonomous practice with defined caseload oAccurate patient record and data recording
  • Ability to prioritise multiple demands
  • Excellent communication skills or willingness to attend advanced communication skills course. o
  • Demonstrate ability to manage conflict
  • Computer Literate.
  • Understand values and principles of audit and research.
  • Ability to present information in a formal and informal educational setting


  • oAbility to support the supervision and education of students on practice, Occupational Therapy Assistants. o
  • Able to draw upon and apply previous experience to identify and address problems with clients, and provide rationale for the chosen theoretical framework in which intervention is to be based. o
  • Experience of collating data for service development o
  • Experience with spreadsheets

Personal Qualoties


  • oWillingness to work flexibly.
  • Good personal organisational and time management skills. o
  • Proactive, problem solving approach. o
  • Commitment to life long learning.
  • Understanding of the impact of an emotionally challenging area of work o
  • Resilient and has the ability to support this in others.


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