Job Title: NHS Community Frailty Assessment Service Occupational Therapist
Location - Stevenage NHS Trust
Hours - Part Time 15 hours per week Minimum or Full time Hours
Salary - Band 6 Or 7 Guidelines
JOB PURPOSE SUMMARY:
To be part of the multidisciplinary community frailty assessment team; providing assessment of occupational performance in the context of Frailty, using the Comprehensive Geriatric Assessment template and in conjunction with a holistic multidimensional assessment to guide further management of the patient through the pathway. To provide direct clinical care by the assessment of need and the provision of planned and evaluated therapeutic interventions.
MAIN DUTIES and RESPONSIBILITIES:
Operational Delivery To be professionally and legally accountable for all aspects of own work, including the management of patients in your care. To provide core/complex assessments, and treatment, where required for frail patients with complex needs. To be responsible for organising and planning own caseload and monitoring those of other team members to meet patient priorities and service needs. Readjusting plans as situations change/arise. To manage clinical risk within own patient caseload. Page 1 of 6To provide advice, training and education to other members of the MDT/colleagues regarding the complex needs of frail patients. To take responsibility for planning, co-ordination and leading assessments. Working with the patient or with carers, relatives and other professionals, making recommendations as required to meet the patient’s need. To supervise and co-ordinate less experienced staff and students working with the post holder on a daily basis.
Patient / Customer Care
To undertake advanced, comprehensive frailty assessments, looking at all Occupational Therapy performance. This includes self-maintenance, productivity and leisure, for patients with diverse or highly complex presentations/multi pathologies, using investigative and analytical skills. To formulate and deliver an individual therapy treatment programme based on a sound knowledge of evidence based practice and treatment options using clinical assessment, reasoning skills and knowledge of treatment skills e.g. therapeutic handling, patient education, and other alternative options. To interpret and analyse clinical and non-clinical information to form an accurate assessment across a wide range of conditions, to recommend the best course of intervention and to develop comprehensive rehabilitation and discharge plans. To assess capacity, gain valid and effective consent and work within a legal framework with patients who lack capacity to consent to treatment. To provide advice to other members of the team regarding patients’ functional, cognitive, sensory and/or perceptual abilities and on the subsequent management of any deficit. Assess for and prescribe a range of standard and non-standard assistive equipment and adaptations. To participate with individuals and groups on health promotion.
EFFORT, PHYSICAL SKILLS and WORKING CONDITIONS:
Physical skills and Moderate physical effort required when treating patients, e.g. patients with long-standing mobility problems. To have high level of dexterity and co-ordination skills for assessment, manual treatment and therapeutic handling of patients. Mental effort Carrying out assessments and treatments of a variety of often complex conditions on a daily basis. Supervision of less experienced staff e.g. TI’s, assistants and work with them on their personal development. Able to adapt own caseload to take on urgent patients or help less experienced staff if they have a problem Emotional effort Dealing with patients who are terminally ill or have a long-term degenerative condition or whose condition is worsening. Having to impart ‘bad news’ or sensitive information about patient’s prognosis or management. Dealing sensitively with patients, relatives or carers who may be angry, difficult, upset or ill and have a high level of anxiety. This includes supporting staff that are dealing with these patients. Working conditions The job involves occasional exposure to unpleasant working conditions e.g. bodily fluids including vomit and urine as well as fleas and lice.