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Highly Specialised Therapist - Urgent + Emergency Care

Whittington Health NHS Trust
£51,488 to £57,802 per annum inclusive of HCAS
Closing date
24 May 2024

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Mental health
Band 7
Contract Type
Full Time
Highly Specialised Therapist - Urgent + Emergency Care.

Band 7

Contract- Permanent. Full-Time 37.5 hours per week

The post holder will provide a high standard of Therapy assessment and treatment interventions working as an autonomous practitioner in the Emergency Department (ED), Seven Day Emergency Care (SDEC) and other related work areas.

Main duties of the job

  • Therapy assessment and treatment interventions working as an autonomous practitioner in the Emergency Department (ED), Seven Day Emergency Care (SDEC) and other related work areas.
  • Identifying older people with frailty at the earliest possible point in their urgent care journey.
  • Being part of a multi-disciplinary response that initiates frailty scoring and Comprehensive Geriatric Assessment (CGA) in a timely way and identifies those whose need can be managed on the frailty pathway in place.
  • Using Home first principles to prevent an in-patient stay where a person's urgent care needs can be safely met at home.
  • Or alternately making an early decision to admit when this is necessary but with a defined problem list and management plan to prevent associated functional decline.

About us

Working for your organisation should read: Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

Job description

Job responsibilities

The post holder will be required to proactively screen, assess and treat any patients who present to ED with medical and/or social complexity which has led to functional decline working closely and as part of the Specialised Therapy Assessment and Rapid Treatment Team (START).

The role will involve close liaison with the London Ambulance Service, Rapid Assessment Nursing and Medical Team, Ambulatory Care, Virtual Ward/Rapid Response, Frailty Consultant, Frailty Nurse and Integrated Community Assessment Team (ICAT) .

Person Specification



  • Hold a recognised degree or diploma in Occupational Therapy or Physiotherapy
  • Current HCPC registration
  • Evidence of relevant post graduate courses or training to post-graduate diploma level
  • IELTS Level 7.0 or above (overseas candidates only)
  • Evidence of Continuing Professional development


  • Evidence of Continuing Professional development Member of RCOT/ CSP and clinical special interest groups/sections.
  • Introductory Management Course



  • 4 years minimum post graduate clinical experience ideally within A& E, acute care, care of older people and/or associated clinical areas.
  • Worked in the NHS or equivalent and are familiar with the NHS system, treatment pathways and the discharge planning process.
  • Experience of working as an autonomous practitioner, with the ability to demonstrate excellent clinical reasoning, risk assessment and complex case co-ordination.
  • Experience of planning onward treatment or care for patients in the community and of making effective referrals to other Agencies/partners.
  • Experience of prioritizing, organizing and delegating workloads for self, individuals and teams.
  • Evidence of supervision of less experienced staff, students and assistants.


  • Experience of working in a fast paced Emergency Department as a core member of the MDT



  • Advanced knowledge of a range of clinical conditions, that an older person may present to the Emergency Department with.
  • Knowledge of the range of clinical and therapeutic assessments relevant to the work setting.
  • Knowledge of inter-disciplinary working
  • Knowledge of relevant clinical guidelines and legal frameworks which may be required in practice e.g. NICE Guidelines, Emergency Medicine Best Practice Guideline, Mental Capacity Act etc. and their implementation in practice.
  • Knowledge of the role of statutory and non-statutory services in supporting older people on discharge from hospital


  • Understanding of audit and its practical application.

Skills and Abilities


  • The ability to analyse clinical and non-clinical information and a range of situations to identify an appropriate therapy intervention plan for patients with complex and non-complex needs
  • The ability to communicate complex information clearly: i.e. verbal handover, patient notes, letters and written reports.
  • The ability to, work under pressure maintaining focus and accuracy under challenging circumstances.
  • To be able to demonstrate initiative in practice and be innovative to make the best use of resources available
  • The ability to, deliver presentations and training to peers and others when needed.
  • An understanding of cultural diversity and equal opportunities and how to apply this in practice.
  • Understanding of how to facilitate effective team working which may include local teams and the wider MDT.
  • Recent involvement in a service improvement which has led to proposed or actual changes to work practices.


  • Involvement in developing guidelines, policies or procedures with a view to improving patient care or the delivery of the service

Other Qualities


  • Physical ability to carry out the role, which involves manual handling of patients, extended periods of standing and frequent moderate effort for periods of time.
  • Proactive attitude and the ability to motivate others with the team, ward, department etc.
  • The demonstrate resilience and the ability to be flexible and responsive to changing/competing work demands.
  • Excellent reliability and attendance
  • To work a shift pattern/unsocial hours as required by the service

Employer details

Employer name

Whittington Hospital NHS Trust


Whittington Hospital

Magdala Avenue,


N19 5NF

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