Occupational Therapist - Care of Older Adults Band 7

You will work closely with the AHP team and the wider MDT across the Care of Older Adults wards. You will have excellent peer support from our established AHP lead workforce including OT leads within all acute specialities.
This post is suitable for a new or developing band 7 as well as those with experience looking for a change.
We are looking for an innovative and an enthusiastic team player in to maximise the potential of the service and direct the team in its ongoing development. We are keen for a leader who is passionate about service development and innovation.
7-day working for Therapies is under development within the Trust and the postholder may be required to undertake a different working pattern, including weekends., It is an exciting time to join us at Queen Elizabeth at a time of expansion but also a point where there is lots of innovation (within therapies but also trust wide) .
Applicants should be committed to delivering a high quality service based on your knowledge of evidence based practice and clinical governance.
Staff development is actively encouraged with access to a large training fund, including for externally provided courses. Learning and personal development is encouraged and we have a well-established appraisal system and funding for relevant external and internal courses.
The successful applicant will be supervised by Lead OT to ensure they are supported in their role and professional development. Peer support is encouraged with a trust wide band 7 support group and strong links with equivalent post at University Hospital Lewisham.
As part of the senior clinical Occupational Therapy team on the QEH site, the post holder will deputise for the Occupational Therapy Site Lead QEH as required. With development and insight into operational leadership encouraged for the postholder.
KEY RELATIONSHIPS
INTERNAL INCLUDE: Therapy Managers and Therapy leads, own Teams, referring clinicians, MDTs, HR, Divisional and Trust Boards.
EXTERNAL INCLUDE: GPs, Community Services, LA, AHP managers and leads, Voluntary services, RCOT, HCPC DoH Networks, NHSE, HEEs, Colleges and Schools

Working for our organisation
The Queen Elizabeth therapy team is renowned for being a supportive, friendly and inclusive team. The Elizabeth Line has also greater enhanced transport links with the hospital and is now only a short journey away from Central London.
We recognise that our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
2. Widening access (anchor institution) and employability
3. Improving the experience of staff with disability
4. Improving the EDI literacy and confidence of trust staff through training and development
5. Making equalities mainstream
Please see the videos below about what it is like to work for the trust:
https://www.youtube.com/watch?v=owQliCbXe2w
https://www.youtube.com/watch?v=GKDaYIwUhfo, The Occupational Therapy Team Lead provides professional and clinical leadership to Occupational Therapy staff in the Older Peoples Team based at the QEH site.
The post holder supervises the day to day running of the Older Peoples Occupational Therapy team and is line managed by the Occupational Therapy Site Lead at QEH. To achieve this, the post holder works in close collaboration with the OT Site Lead QEH, and the other Band 7 Occupational Therapy Team Leads.
The Occupational Therapy Team Lead is a highly experienced clinician in older people who independently manages a significant and highly specialised clinical caseload.
In conjunction with the OT Site Lead, the post holder coordinates a rolling programme of education, clinical evaluation, audit and research within the older people and frailty pathway at QEH.
As part of the senior clinical Occupational Therapy team on the QEH site, the post holder will deputise for the Occupational Therapy Site Lead QEH as required.
The post is based on the Queen Elizabeth site but may at times be asked to work on other sites in order to maintain service levels
7-day working for Therapies is under development within the Trust and the postholder may be required to undertake a different working pattern, including weekends, in the future., Clinical
1. To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with highly complex presentations
2. To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands
3. To be professionally and legally responsible and accountable for all aspects of own work, and of the pathway teams' work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist.
4. To assess patients' capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient
5. To undertake the comprehensive assessment and accurate diagnosis of patients, including those with an extremely complex presentation, using investigative, palpatory, analytical and clinical reasoning skills
6. As appropriate to the job role, to request diagnostic procedures that will inform clinical decision making
7. To undertake physical treatment techniques utilising highly developed manual skills
8. To formulate individualised clinical management programmes, utilising a wide range of treatment skills and options to plan a highly-specialised programme of care
9. To use recognised outcome measures to evaluate the effect of Occupational Therapy interventions and ensure that treatment programmes are progressing appropriately.
10. To provide spontaneous and planned expert advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of Occupational Therapy and to ensure continuation of the treatment programme. To be consulted by staff within the pathway, the Trust and externally.
11. To participate in and where indicated, initiate multidisciplinary/multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning
12. To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria
13. To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services e.g. interpreters, SALT
14. To ensure that individual practice and that of the pathway team is user focused and patient views are incorporated into treatment planning
15. To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment programme
16. To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome
17. To receive highly complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management
18. To communicate and advise regarding highly complex patient related information effectively to ensure collaborative working within the Occupational Therapy service and with other professionals across health and other agencies to ensure the delivery of a coordinated multidisciplinary service
19. To be integral in discharge planning including liason with referring hospitals or community staff to which patients are discharged, providing timely discharge reports
20. To produce comprehensive patient related reports for other disciplines or agencies relating to assessment findings and/or treatment outcomes
21. To undertake an extended scope role as appropriate to the needs of the service (an extended scope practitioner undertakes delegated responsibility on behalf of medical practitioner(s) including the independent management of complete episodes of care of patients from referral to discharge)
22. To undertake the measurement and evaluation of own work through audit, outcome measurement, the application of evidence based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway
23. To lead the implementation and evaluation of Trust wide Occupational Therapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards
24. To work to Trust and British Association of Occupational Therapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored
25. To raise Occupational Therapy staff awareness of current clinical developments and the implications these may have on clinical practice
26. To be accessible and provide expert clinical advice to colleagues in particular for highly complex case management
27. Once considered competent, to participate in week-end, bank holiday and extended working rotas where clinically appropriate
28. To fully participate in whatever pattern of working is required by the service in the future
All clinical staff are accountable and responsible for their own clinical competence and responsible to RCOT and HCPC.
Education, Training and Research
1. To educate patients/relatives/carers regarding the nature of the condition and the aims of Occupational Therapy intervention
2. To be responsible for maintaining own competency to practice through continuing professional development activities including reflective practice, review of current research and relevant literature, maintenance of a personal portfolio and the attendance of specialist training courses as identified within a personal development plan
3. To participate in peer review as appropriate
4. To take an active role in appropriate uniprofessional and multiprofessional research initiatives
5. To lead on teaching for all of the designated pathway staff
6. To inform, deliver and evaluate specialist in-service training programmes, to initiate implementation of new working practices
7. To prepare, co-ordinate, participate and contribute to the delivery of a specific in-service training programme for staff in the designated pathway
8. To train, assess and confirm competency of staff undertaking high risk procedures within the pathway
9. To undertake the tuition, supervision and performance assessment of undergraduate Occupational Therapy students. This will include working with universities to ensure the standard of practice and teaching meets the standards set by the degree level qualification
10. To provide specialist teaching and instruction to other disciplines to ensure a consistent approach to patient care
11. To be an educational resource and assist/support colleagues undertaking higher education, audit and research projects
12. To participate in mandatory/statutory training as required by the Trust and national standards
13. To maintain state registration with the Health and Care Professions Council (HCPC) and to provide evidence of that registration annually upon request
We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.
As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women's staff networks to bring staff together and celebrate diversity across our whole workforce.
Please note, not all roles will meet the criteria for a skilled worker visa.

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as "good" or "outstanding" in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.