Specialist Occupational Therapist Band 6 (Stroke Rehabilitation) Factors Essential % Desirable %

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1 PERSONNEL SPECIFICATION POST: Specialist Occupational Therapist Band 6 (Stroke Rehabilitation) DEPARTMENT: Occupational Therapy LOCATION: Western Health & Social Care Trust DATE: July 2013 Factors Essential % Desirable % QUALIFICATIONS AND / OR EXPERIENCE (LENGTH & TYPE) Degree / Diploma in Occupational Therapy Registration with the Health & Care Professions Council (HCPC) A minimum of 2 years post-graduate experience, one of which must be experience in Adult Neuro Rehabilitation Member of COT Specialist Section, Neuro Practice Post Graduate Training relevant to this post: Bobath Module I Basic Wheelchair Others KNOWLEDGE Knowledge of neurological conditions and principles of normal movement Use of standardised assessments and outcome measures Understanding of clinical audit and quality issues Knowledge of community resources and voluntary organisations MDT working Splinting skills

2 FACTORS Essential % Desirable % SPECIAL APTITUDES Ability to communicate clearly and concisely via written and spoken word Ability to work and relate effectively with other disciplines/ clients/ families/ Motivation for personal and professional development SPECIAL CIRCUMSTANCES A full current driving licence and access to a car is also essential. Consideration will be given to alternative travelling proposals in respect of applicants with a disability who cannot hold a licence SIGNATURE: DATE:

3 JOB DESCRIPTION JOB TITLE / BAND: Specialist Occupational Therapist Band 6 Stroke Rehabilitation In-Patients / Outpatient Services DIRECTORATE: LOCATION: RESPONSIBLE TO: REPORTS TO: ROLE: Primary Care and Older People ALTNAGELVIN AREA HOSPITAL, LONDONDERRY Occupational Therapy Services Manager/Head OT Acute Band 7 Clinical Specialist Stroke The post-holder will be part of the Stroke Rehab Team, providing an Occupational Therapy Service to clients with rehabilitation needs following stroke. The post holder will be required to deliver assessment and treatments within a range of facilities Acute, subacute and community settings. DUTIES & RESPONSIBILITIES PROFESSIONAL 1. To accept direct referrals from multi-disciplinary team members within the acute hospital settings in accordance with the referral criteria set out for the service. 2. To independently manage a caseload of patients with complex and highly complex needs evidencing a high level problem solving and reasoning skills approach. 3. To provide a specialist response by formulating and implementing treatment plans for patients within the area of stroke who require rehabilitation either in a hospital setting or their own home/community setting. 4. To utilise advanced interpersonal skills to encourage clients and their families/carers to participate in the treatment process, ensuring specialist client centred response and involvement at all stages of intervention. 5. To initiate, administer and interpret clinical observations and standardised assessment, which will establish a level of physical, sensory, perceptual and cognitive functioning and assist in clinical diagnosis of complex conditions.

4 6. To provide risk assessment in routine and complex moving and handling situations and implement the necessary actions. In doing so the therapist must develop a high level of understanding of manual handling legislation and a thorough knowledge of manual handling best practice and associated equipment. 7. To continually assess/reassess the complex needs of patients and provide them and their carers with the relevant information to enable them to make decisions about their future. 8. To fabricate and monitor static & serial splints for the remediation and management of neurological disorders. 9. To liase with other Health & Social Care Professionals and other related statutory, private and voluntary organisations, providing written and verbal reports and onward referrals where necessary. 10. To consult with Community Occupational Therapy, housing bodies and other agencies in making recommendation for individual clients regarding housing needs relating to client s therapeutic outcomes to ensure the appropriate provision of housing adaptations. 11. To provide support, help and advice to service users, their families and other carers teaching and demonstrating techniques to optimise the users functional ability, independence and/or management. 12. To have highly developed communication skills with clients who have altered perception, expressive and receptive dysphasia, pain, sensation loss and visual defects. General Management 1. To operationally lead and manage designated junior staff and students on practice education placements providing guidance, supervision and performance. 2. To contribute to the Trust s and Teams Clinical Governance and Quality Assurance Programmes setting and monitoring practice standards within the OT Service and in liaison with interdisciplinary colleagues. 3. To identify unmet needs and gaps in service provision through the initiation and implementation of audit and outcome measures and participation in other quality and service improvement initiatives. 4. To maintain accurate comprehensive and up-to-date documentation in line with legal and departmental requirements and communicate assessment and treatment results to the appropriate disciplines in the form of report and letters. 5. To provide statistical information on OT treatments, activities and outcomes on a weekly basis.

5 6. To ensure efficient and effective use of Occupational Therapy and Trust equipment, supplies and other resources. 7. To participate in the recruitment and selection of staff as required. 8. To participate and co-ordinate annual leave in collaboration with colleagues. Personal 1. To articulate and work to the value base and principles which underpin Occupational Therapy practise representing the unique role of Occupational Therapy in relation to interdisciplinary working. 2. To encourage good practice and act as a role model, give leadership and support junior staff and encourage team spirit. 3. Utilise formal and informal reporting mechanisms including electronic reporting to ensure effective communication across health and social care. 4. To maintain confidentiality consistent with Trust and Service policies. Act as an advocate on behalf of clients and carers by adopting a client centred approach to support meaningful participation in life roles. 5. To prepare specialist treatment and diagnostic reports to inform local health and social care providers. 6. To maintain and develop professional communication links across health and social care including representation at multi-disciplinary collaborative forums and networks. 7. To utilise advanced communication skills involving the education of other health professionals and students of own area of clinical expertise and on the role and scope of Occupational Therapy. Professional Development 1. To maintain professional status and competence at a senior level taking responsibility for keeping own knowledge and skills up-to-date by engaging in and directing continuous professional development and lifelong learning. 2. To actively participate in supervision, appraisal and the knowledge and skills framework. 3. Use supervision monitoring and performance development plans to promote clinical and personal effectiveness of self and others. 4. To attend and actively participate in staff meetings and in-service training programmes.

6 5. To ensure own clinical and professional knowledge base is kept up-to-date with current practice. GENERAL DUTIES 1. Employees of the Trust will be required to promote and support the mission and vision of the service for which they are responsible. 2. Develop and maintain good communication with all levels of management and build partnerships with the wider HPSS, NHS and external organizations in the promotion of the Trust. 3. Carry out their duties and responsibilities in compliance with health and safety policy and statutory regulations. 4. Participate in the grievance and disciplinary processes as required. 5. Promote equality of opportunity through his/her own actions and ensure this policy is adhered to by staff for whom he/she has responsibility. GENERAL RESPONSIBILITIES: Service Quality Western Health and Social Care Trust is committed to providing the highest possible quality of service to all patients, clients and community through supporting and contributing to Trust quality initiatives. Employees are expected at all times to provide a caring service and to treat those with whom they come into contact in a courteous and respectful manner. Conduct Employees must at all times abide by Trust policies and procedures and the terms of their contract of employment. They must conduct themselves with impartiality, integrity, objectivity and honesty and maintain high standards of personal and professional accountability. Performance Employees are expected to demonstrate commitment to the Trust by ensuring regular attendance at work and efficient completion of duties.

7 Risk Management Employee must ensure that they comply with any risk management responsibilities specific to their post, and as set out in the Trust s Risk Management Strategy. Governance The Trust is committed to the development and implementation of systems under Integrated Governance to ensure continuous improvement in the quality of services provided. Employees will be expected to co-operate and work with such systems. Records Management All employees of the Trust are legally responsible for all records held, created or used as part of their business within the Trust including patient/client, corporate and administrative records whether paper based or electronic and also including s. All such records are public records and are accessible to the general public, with limited exceptions, under Freedom of Information Act 2000, the Environmental Information Regulations 2004 and the Data Protection Act Employees are required to be conversant with the Trust s policy and procedures on records management and to seek advice if in doubt. Confidentiality All information concerning patients and staff must be held in the strictest confidence and may not be divulged to any unauthorized person. Equality & Human Rights Employees must ensure that equality and human rights issues are addressed within the post holder s area of responsibility in accordance with the Trust s Equality Scheme. Health and Safety Employees should note that under Health & Safety at Work Legislation they are required to take all reasonable steps while at work to ensure their own health and safety and the health and safety of those who may be affected by their acts or omissions at work. Smoking, Alcohol & Health The Trust operates policies on smoking, alcohol and health. Environmental Cleanliness The Trust promotes a culture of cleanliness and has adopted a partnership and collaborative approach that recognises cleanliness as the responsibility of everyone, cascading throughout every level of the organisation.

8 The Trust is an Equal Opportunities Employer The duties and responsibilities outlined in the above job description are not intended to be definitive nor restrictive, and may be amended to meet the changing needs of the Trust. July 2013

9 JOB DESCRIPTION JOB TITLE/GRADE: Specialist Occupational Therapist Band 6 Stroke Rehabilitation In-Patients / outpatient Services DIRECTORATE: LOCATION: Primary Care and Older People SOUTH WEST ACUTE HOSPITAL, ENNISKILLEN RESPONSIBLE TO: ROLE: Occupational Therapy Services Manager/Head OT Acute Clinical Principal Occupational Therapist The post-holder will be part of the Stroke Rehab Team, providing an Occupational Therapy Service to clients with rehabilitation needs following stroke. The post holder will be required to deliver assessment and treatments within a range of facilities Acute, subacute and community settings. DUTIES AND RESPONSIBILITIES PROFESSIONAL 13. To accept direct referrals from multi-disciplinary team members within the acute hospital settings in accordance with the referral criteria set out for the service. 14. To independently manage a caseload of patients with complex and highly complex needs evidencing a high level problem solving and reasoning skills approach. 15. To provide a specialist response by formulating and implementing treatment plans for patients within the area of stroke who require rehabilitation either in a hospital setting or their own home/community setting. 16. To utilise advanced interpersonal skills to encourage clients and their families/carers to participate in the treatment process, ensuring specialist client centred response and involvement at all stages of intervention. 17. To initiate, administer and interpret clinical observations and standardised assessment, which will establish a level of physical, sensory, perceptual and cognitive functioning and assist in clinical diagnosis of complex conditions. 18. To provide risk assessment in routine and complex moving and handling situations and implement the necessary actions. In doing so the therapist must

10 develop a high level of understanding of manual handling legislation and a thorough knowledge of manual handling best practice and associated equipment. 19. To continually assess/reassess the complex needs of patients and provide them and their carers with the relevant information to enable them to make decisions about their future. 20. To fabricate and monitor static & serial splints for the remediation and management of neurological disorders. 21. To liase with other Health & Social Care Professionals and other related statutory, private and voluntary organisations, providing written and verbal reports and onward referrals where necessary. 22. To consult with Community Occupational Therapy, housing bodies and other agencies in making recommendation for individual clients regarding housing needs relating to client s therapeutic outcomes to ensure the appropriate provision of housing adaptations. 23. To provide support, help and advice to service users, their families and other carers teaching and demonstrating techniques to optimise the users functional ability, independence and/or management. 24. To have highly developed communication skills with clients who have altered perception, expressive and receptive dysphasia, pain, sensation loss and visual defects. General Management 9. To operationally lead and manage designated junior staff and students on practice education placements providing guidance, supervision and performance. 10. To contribute to the Trust s and Teams Clinical Governance and Quality Assurance Programmes setting and monitoring practice standards within the OT Service and in liaison with interdisciplinary colleagues. 11. To identify unmet needs and gaps in service provision through the initiation and implementation of audit and outcome measures and participation in other quality and service improvement initiatives. 12. To maintain accurate comprehensive and up-to-date documentation in line with legal and departmental requirements and communicate assessment and treatment results to the appropriate disciplines in the form of report and letters. 13. To provide statistical information on OT treatments, activities and outcomes on a weekly basis. 14. To ensure efficient and effective use of Occupational Therapy and Trust equipment, supplies and other resources.

11 15. To participate in the recruitment and selection of staff as required. 16. To participate and co-ordinate annual leave in collaboration with colleagues. Personal 8. To articulate and work to the value base and principles which underpin Occupational Therapy practise representing the unique role of Occupational Therapy in relation to interdisciplinary working. 9. To encourage good practice and act as a role model, give leadership and support junior staff and encourage team spirit. 10. Utilise formal and informal reporting mechanisms including electronic reporting to ensure effective communication across health and social care. 11. To maintain confidentiality consistent with Trust and Service policies. Act as an advocate on behalf of clients and carers by adopting a client centred approach to support meaningful participation in life roles. 12. To prepare specialist treatment and diagnostic reports to inform local health and social care providers. 13. To maintain and develop professional communication links across health and social care including representation at multi-disciplinary collaborative forums and networks. 14. To utilise advanced communication skills involving the education of other health professionals and students of own area of clinical expertise and on the role and scope of Occupational Therapy. Professional Development 6. To maintain professional status and competence at a senior level taking responsibility for keeping own knowledge and skills up-to-date by engaging in and directing continuous professional development and lifelong learning. 7. To actively participate in supervision, appraisal and the knowledge and skills framework. 8. Use supervision monitoring and performance development plans to promote clinical and personal effectiveness of self and others. 9. To attend and actively participate in staff meetings and in-service training programmes. 10. To ensure own clinical and professional knowledge base is kept up-to-date with current practice.

12 GENERAL DUTIES 1. Employees of the Trust will be required to promote and support the mission and vision of the service for which they are responsible. 2. Develop and maintain good communication with all levels of management and build partnerships with the wider HPSS, NHS and external organizations in the promotion of the Trust. 3. Carry out their duties and responsibilities in compliance with health and safety policy and statutory regulations. 4. Participate in the grievance and disciplinary processes as required. 5. Promote equality of opportunity through his/her own actions and ensure this policy is adhered to by staff for whom he/she has responsibility. GENERAL RESPONSIBILITIES: Service Quality Western Health and Social Care Trust is committed to providing the highest possible quality of service to all patients, clients and community through supporting and contributing to Trust quality initiatives. Employees are expected at all times to provide a caring service and to treat those with whom they come into contact in a courteous and respectful manner. Conduct Employees must at all times abide by Trust policies and procedures and the terms of their contract of employment. They must conduct themselves with impartiality, integrity, objectivity and honesty and maintain high standards of personal and professional accountability. Performance Employees are expected to demonstrate commitment to the Trust by ensuring regular attendance at work and efficient completion of duties. Risk Management Employee must ensure that they comply with any risk management responsibilities specific to their post, and as set out in the Trust s Risk Management Strategy.

13 Governance The Trust is committed to the development and implementation of systems under Integrated Governance to ensure continuous improvement in the quality of services provided. Employees will be expected to co-operate and work with such systems. Records Management All employees of the Trust are legally responsible for all records held, created or used as part of their business within the Trust including patient/client, corporate and administrative records whether paper based or electronic and also including s. All such records are public records and are accessible to the general public, with limited exceptions, under Freedom of Information Act 2000, the Environmental Information Regulations 2004 and the Data Protection Act Employees are required to be conversant with the Trust s policy and procedures on records management and to seek advice if in doubt. Confidentiality All information concerning patients and staff must be held in the strictest confidence and may not be divulged to any unauthorized person. Equality & Human Rights Employees must ensure that equality and human rights issues are addressed within the post holder s area of responsibility in accordance with the Trust s Equality Scheme. Health and Safety Employees should note that under Health & Safety at Work Legislation they are required to take all reasonable steps while at work to ensure their own health and safety and the health and safety of those who may be affected by their acts or omissions at work. Smoking, Alcohol & Health The Trust operates policies on smoking, alcohol and health. Environmental Cleanliness The Trust promotes a culture of cleanliness and has adopted a partnership and collaborative approach that recognises cleanliness as the responsibility of everyone, cascading throughout every level of the organisation. The Trust is an Equal Opportunities Employer The duties and responsibilities outlined in the above job description are not intended to be definitive nor restrictive, and may be amended to meet the changing needs of the Trust.

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