Integrated Urgent Crisis Team Occupational Therapist Full time 37.5 hours - Permanent
This is an exciting opportunity for a therapist to join the Integrated Urgent Crisis Team (IUCT) . As a member of the Integrated Urgent Crisis Team, you will be expected to work as a senior clinician with a broad range of competencies who is able to adapt to a wide variety of clinical circumstances. You will be expected to be able to complete a holistic assessment for patients within the community setting. This post will allow the successful applicant to gain an outstanding skill set and help to provide a seamless patient journey across community areas. You will also be expected to work as part of the MDT to complete skilled rapid assessments for individuals referred into IUCT either from discharge from the hospital under the discharge to assess pathway or via the community for a rapid visit referred by family, public or other health / social care professionals including North West Ambulance Service and GP's. You will also need to have knowledge of assessments and the Continuing Health Care (CHC) process and be able to complete fast track and rapid discharges.Main duties of the job
To conduct holistic assessments within the community setting to support discharges and avoid admission to hospital by using pathways such as the home first pathway. To work closely with other health and social care colleagues across the acute and community setting to support safe discharges and avoid admission to hospital. To refer onto appropriate services to avoid readmission or further admissions to hospital. To attend/ lead on regular safety huddles and MDT meetings.
You will provide complex assessments and interventions and will make high impact clinical decisions to support discharges and to support patients to remain within their preferred community setting and avoid hospital admissions. You will be expected to work autonomously whilst drawing assistance from other colleagues in primary and secondary care.
You will use evidence-based principles, current best practice and specialist skills to assess, plan, implement and evaluate interventions and to ensure that all members of your team do so accordingly.About us
Tameside and Glossop Integrated Care NHS Foundation Trust serves a community of 250,000 people across Tameside & Glossop. We provide a range of services both within the hospital and across our community for both adults and children.Our vision is to improve health outcomes for our population and influence wider determinants of health through collaboration with our health & care partners. We have a clear set of values & behaviours which we expect all of our staff to demonstrate:
We believe that the best organisations are those that reflect the communities they serve. We are therefore seeking to improve the diversity of our workforce to make it truly representative of our local population.
We actively encourage applications irrespective of race, age, disability, sex, gender reassignment, gender identity or expression, sexual orientation, religion or belief, marriage & civil partnership, or pregnancy or maternity. Recognising those communities that are underrepresented within our workforce, we would particularly welcome applications from Black, Asian & minority ethnic candidates, LGBTQ+& Disabled people.
Benefits include flexible working, 27-33 days annual leave plus bank holidays, sick pay, NHS Pension Scheme, free eye tests and health checks, gym discount, free bicycle loan scheme, salary sacrifice car scheme, support with stress, bereavement, relationships, finance, and much more.Job descriptionJob responsibilities
Address distressing and emotional needs of patients and carers in an exemplary manner. To communicate sensitively with patients and their families some of whom have high levels of distress caused by pain, dementia, long-term disability and terminal illness.
Provide specialist advice on patient care to other health, social and voluntary sector services. This may involve challenging or negotiating changes to treatment programmes or care plans set by other professionals.
To advise and train members of other agencies, health care professionals, carers and families in aspects of care.
To communicate effectively with all other health sector and outside agencies for information exchange or gathering along with problem solving.
Be professionally and legally accountable for all work undertaken. To work within the standards and guidelines of the team, the Trust, and the conduct and standards of your relevant professional bodies, NMC, HCPC
Deliver care to patients that is excellent, individualised and ensures patients and carers dignity is enhanced.
To undertake highly skilled and complex clinical activities directly related to the assessment, planning & evaluation of patient care and discharge planning.
To develop your skill set with advanced techniques and other skills not normally associated with your profession.
Make skilled clinical decisions and communicate rationale clearly
Clearly document to a high standard at all times.
Effective implementation of infection prevention & control policies
Management of complex patient care ensuring that risks are adequately assessed, minimised, appropriate care plans and reported across the organisation as appropriate
Manage the effective coordination and continuity of patient care working closely with external agencies and community colleagues
To ensure that clinical practice is contemporary to meeting the needs of patients and families
To ensure that each patient has a comprehensive assessment of need, including risk assessment and that their care is culturally sensitive and addresses issues of diversity
To participate in resource projects and health promotion programmes as requested
To work closely with the Acute, community, GPs, nursing, social care and therapy colleagues and the VCSE sector to prevent inappropriate hospital admissions and support safe discharges
Assess for, prescribe, and issue a range of equipment, mobility aids and aids for daily living.
To undertake other duties that may be allocated as per service development Key Liaisons
- Social Care Assistant Team Managers
- Admission Avoidance
- Community nurses
- Other continuing care teams
- Hospital Doctors and GPs in community.
- Hospital and community allied health professionals
- Specialist hospital and community practitioners.
- Digital Health
- Extensive Care Team
- Neighborhood teams
Prioritise workload or activities in order to meet the demands of the Urgent care team Have a car and full UK driving license and Business insurance and be able to travel within the requirements of the post
To be responsible for the safety and welfare of patients, colleagues and self during the treatment period in accordance with professional standards and health and safety regulations.
To work at other sites in the Trust, specifically across IUCT and ITS, if required
Comply with Trust Standard Operating Procedures, Policies and processes, and other related guidelines.
Attend regular team meetings to ensure local and national, health and social service initiatives are implemented within the service contributing ideas for improvement and sharing lessons learned.
Participate in regular clinical supervision and appraisals as per trust policy
Act as a positive role model, establishing and maintaining interpersonal relationships with team members, encouraging innovation.
Actively participate and support in service development.
To actively participate in clinical governance processes with a particular emphasis on identifying and handling risks that affect patient care
To ensure appropriate evaluation mechanisms are in place to check that the service continues to meet the required standard and quality
Maintain best practice and own fitness to practice through continual professional development
Comply with the incident reporting process and contribute to the resolution of complaints as required.
To participate in audit as required by the department and Trust.
To use audit results, current research and government guidelines to recommend changes to service delivery and to demonstrate evidence- based practice.
The post-holder will be expected to travel between different work locations frequently throughout the day. They will be expected to load, transport and unload necessary equipment between work locations.
Manage and prioritise workload which may be unpredictable.
Respond to changes in workflow being interrupted frequently during the working day.
The post will require a high level of concentration with the ability to be flexible to the needs of the service
Attend regular team meetings to disseminate information between senior staff and the team.
Lead MDT meetings which may require managing sensitive, emotive or conflicting views/opinions.
Manages conflict between agencies, challenging poor practice and none adherence to local and national policy.
Manages complaints and conflict with patients, carers and family members at times of major life changes where services are not available due to financial constraints or, expectations outside service provision criteria or where there is a barrier to understanding.
Advocates for patients ensuring choice is respected whilst adhering to both social service and health eligibility.
Manages own time within expected response timescales having the ability to change direction at short notice.
Be accountable for completion, accuracy and presentation of content of assessments undertaken
The post-holder will be expected to kneel, sit on heels, move adult limbs during manual care delivery, support patients while walking, assist patients to transfer, position limbs whilst patient is sitting and standing, give tactile feedback to exercise, push wheelchairs and use hoists on a frequent basis.
The post-holder will be expected to concentrate during treatment sessions and ensure good communication with patients who have impaired understanding and communication difficulties e.g., impaired speech and hearing. Some patients will also not speak English as a first language, and use of an interpreter may be necessary.
The post-holder will be working in many environments over which they have no control. These will include environments where exposure to body fluids (blood, faeces, urine, vomit, and sputum), infestations, smoke and animals may occur. Spaces to work in are often confined, with variable temperatures, noise levels, ventilation and less than ideal work surfaces. There is a risk of exposure to physical/verbal aggression from patients, their families, and the general publicPerson SpecificationQualificationsEssential
- RGN with current NMC registration Or BSc / MSc in Occupational therapy. Current registration with HCPC Or Diploma/degree in Physiotherapy Current registration with HCPC
- Mentorship / teaching and assessing qualification
- Strong evidence of continued professional development
- Management leadership qualification
- 2-3 years relevant experience gained working in specialist areas
- Registered car driver - clean UK license
- Extended / supplementary prescriber or commitment to undertake
- Community, Emergency, Rehabilitation, Falls or relevant experience in specialist areas
- Ability to work autonomously and collaboratively, coordinating programs of care
- Ability and evidence to analyse complex situations and solve as appropriate and necessary
- Time management skills demonstrated through an ability to prioritise own workload
- Excellent presentation skills, written and verbal
- Ability to work within own boundaries of competence
- Ability to interpret National Regulations for Data Protection and record keeping and to develop local systems to ensure these are maintained
- Experience in using analytical and reflection skills
- Change management experience
- Proven ability to meet targets and deadlines.
- Accident and Emergency experience
- Social Care experience
- Case management experience
- Experience of managing complex patients and clients
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