▷ 15h Left Senior Therapy Technical Instructor

Senior Therapy Technical Instructor - Therapies Complex Discharge Team

Are you an experienced Therapy Instructor looking for a new challenge or wishing to further develop your skills and knowledge? Do you have a keen interest in complex discharge?

An exciting opportunity has arisen to recruit an enthusiastic and highly motivated Band 4 Senior Technical Instructor to join the Therapies Complex Discharge Team at Northampton General Hospital, part of the University Hospitals of Northamptonshire group. This is a 5 month fixed term contract post to support over the winter months; internal secondments will be considered.

You will be part of roaming therapy team providing expertise and assessment to escalation areas and medically fit ward/areas with complex therapy needs impacting discharge under the indirect supervision of registered staff.

The aim of this initiative is to reduce length of stay by enabling accurate discharge decisions first time, improving functional outcomes for our patients and improving patient experience.

These roles will also enable core therapy staff to focus on patients in their own specialist areas, ensuring right place, right time care.

Mitigating elements of risk in escalation areas with consistent therapy staff who know and can advocate for patients and ensure safe and effective decisions are made.

Main duties of the job

To be part of a roaming Therapies Complex Discharge team, assessing and reviewing patients in escalation areas and medically fit ward/patients with complex therapy needs impacting discharge under the indirect supervision of registered Therapist.

To provide support to wards on complex cases delaying discharges (identified via, discharge hub, bronze, stranded or therapy staff themselves) under the indirect supervision of a registered Therapist.

To provide therapy cover to escalation areas - ensuring these are prioritised equally to the base wards.

To actively provide therapy care for patients as part of the multi-disciplinary team at NGH

To provide specific evidence-based assessments and treatments under the indirect supervision of registered therapist using a therapy framework.

To provide technical skills to assist a registered Therapist in treating a variety of patients.

Provide therapy care to in-patients

To occasionally complete access visits to patients/' homes to assess for suitability of equipment for discharge.

To assist registered therapy staff when completing home visits with a patient

To assess for and issue low level equipment

To have access to, read and understand medical notes and information from the MDT to inform decision making regarding suitability for intervention

To be able to interpret clinical observations and understand the implications of therapy interventions

To participate in 7 day working patterns, including bank holidays

About us

Northampton General Hospital is one of the largest employers in the area and we are on an exciting journey. All of our divisions are committed to doing things better, with more efficiency as we update, modernise, and advance. We have also entered into a Group Model with neighbouring Kettering General Hospital NHS Foundation Trust and become University Hospitals of Northamptonshire.

Our Excellence Values

Compassion

Accountability

Respect

Integrity

Courage

We want to recruit the best people to deliver our services across the University Hospitals of Northamptonshire and help to unleash everyone's full potential. As an organisation, we value how we communicate and promote our vacancies to all communities.

We are a Defence positive trust, supporting our reservists, veterans, spouses and partners.

The Hospital Group encourages applications from people who identify from all protected groups, especially those from BAME, Disabled and LGBTQ+ backgrounds as these are underrepresented in our hospitals.

We understand that we need to work with colleagues from diverse backgrounds and make sure the environment they work in is inclusive and collaborative.

We have active Networks that promote and support colleagues from all backgrounds.This ensures everyone feels supported and has a sense of belonging working for Kettering and Northampton General Hospitals.

Job responsibilities

To be an integral member of a therapies team, to assist registered therapy staff in assessing and carrying out specific therapy interventions for clients with more complex needs. This will include clients who have difficulties understanding and communicating

Review and implement treatment programmes making necessary modifications prior to reporting back to a registered therapist in line with the band 4 competency framework.

Provide support and training to other registered and non-registered staff within the therapy team.

Manage and prioritise own case load independently, carry out delegated duties and work flexibly in order to support the smooth running of the therapy department.

To participate in 7 day working patterns, including bank holidays

Provision of clinical services:

Demonstrate a good understanding of medical conditions within the area of speciality / clinical pathway and the impact of these on the patients function and rehabilitation.

To have a holistic understanding of the patient and their condition, as well as the impact of psychosocial dynamics on their function.

To enable patients to co-operate in their rehabilitation programme using encouragement, reassurance, tact and sensitivity; overcome barriers to understanding with patients whose understanding is impaired.

To identify and implement correct treatment plans within known patient care pathways under the indirect supervision of a registered therapist.

To assess, formulate and adapt treatment and discharge plans for patients in conjunction with registered therapy staff

Be able to use functional tasks to assess a patients physical and/or cognitive abilities under indirect supervision of the registered therapist

To identify patients that do not fall within care pathway / agreed framework and who need referral to registered staff

Using protocols and set processes to assess patients mobility and functional abilities and assess for and issue appropriate low-level equipment.

To provide advice to patients / carers on safe use and care of prescribed equipment.

Within competencies, be able to provide therapy treatments to patients who have a history of falls

To constantly assess patients stamina / understanding during treatment sessions and modify treatment as appropriate.

To work in a flexible and responsive way when under pressure

To provide and receive complex patient care information with the multi-professional team, patients and carers in board rounds, ward rounds, family meetings and discharge planning meetings and use this information to modify patient care.

To provide advice to patients / carers on safe use and care of prescribed equipment.

Maintain accurate and up to date records of clinical interventions, consistent with legal and organisational requirements.

Be responsible for maintaining rehabilitation equipment in the department.

Improving patient and visitor experiences:

To be a point of contact for patients and relatives in the clinical area.

To communicate factual and sometimes complex information to patients and relatives with patients consent.

To contribute to the development and sharing of patient and carer information.

Support with gathering and using patient feedback to help improve and develop services.

Respect the individuality, values, cultural and religious diversity of patients and contribute to the provision of a service sensitive to these needs.

Be aware of ethical issues which impact on Therapy service provision and work under the guidance of Therapists in relation to this.

Using audit, evaluation and research:

Through guidance from the registered Therapists, be aware of and implement, evidence-based practice and outcome measures as appropriate to the clinical area.

Support therapists to implement agreed action plans from both national and local strategies, benchmarking standards and clinical audits as appropriate.

Participate in audit and research projects as required by service leads and collect data as required.

Support therapists to foster a culture which allows innovation and practice development within the clinical area.

Monitor outcomes of patient intervention using outcome measures under indirect supervision from registered therapist

Collect and record accurate and timely data / information to contribute to department service standards and procedures.

Management and Teamwork:

To provide delegation of work and day to day clinical supervision to band 3 Therapy Technical Instructors and band 2 Therapy Assistants with support from the Therapy Clinical Lead.

To actively participate in the clinical education of therapy students.

To participate actively in sharing and receiving in-service training and development to ensure continuous professional development, as appropriate to grade and experience.

Support the induction of new staff.

To identify training needs and facilitate professional development through active participation in supervision and appraisals.

To recognise limitations of own scope of practice.

To submit claim forms in a timely manner following the departments Health Roster Standard Operating Procedure.

Planning and Organisational Skills

Work with therapists across all of the service as required.

Work flexibly to provide cover to other clinical areas according to the needs of patients and demands of the service

Assist therapists in arranging and providing in-service training, study days etc.

Assist the therapists in ensuring working conditions are kept optimal, or where not, dealt with appropriately.

Trust Wide Responsibilities

Act as a resource for members of the multi-disciplinary teams across the Trust through involvement in multi professional teaching and training in the area of expertise.

Act as a role model in customer service towards patients, visitors and staff in the hospital

Regularly attend and participate in care group and professional meetings.

Person Specification

Education Training and Qualifications

- Personal portfolio of evidence of work based learning in healthcare
- Or NVQ level 4 in care related topic or good standard of education equivalent to A level or BTec
- Foundation degree or equivalent in health related subject.
- A combination of short relevant courses

Knowledge and Experience

- Working in an acute NHS healthcare environment.
- Significant Experience of working with a broad range of medical conditions and age groups.
- Knowledge and understanding of roles, responsibilities and working practices of Occupational Therapists and Physiotherapists
- Recognise boundaries of own scope of practice and duty of care, seeking assistance as appropriate
- Understanding of basic anatomy and physiology relevant to Therapy care including muscle groups, gait and skeletal anatomy
- Basic IT skills including use of email
- Knowledge of the psychosocial elements of healthcare
- Principles of confidentiality
- Experience of working within a community based setting.

Skills

- Well-developed communication skills, including interpersonal skills, liaison, influencing and negotiation.
- Ability to work on own without immediate support
- Ability to organise and prioritise own workload
- Ability to delegate and organise others
- Ability to use initiative in addressing own learning needs and appraise own performance
- Basic IT literacy, including use of emails in Microsoft or similar
- Ability to problem solve.
- Pass trust standard literacy and numeracy tests
- Good observation skills.

Key competencies/ Personal Qualities and Attributes

- Flexible and confident manner with a positive approach and high levels of motivation
- Ability to manage work pressures to enable management of a caseload alongside involvement in non-clinical and professional activities
- Appreciation of the dynamics of working within a team
- Commitment to own personal and professional development
- Enthusiasm for contributing towards development of the Therapy services
- Physical ability to undertake manual handling of patients and equipment on a daily basis
- Personal resources to cope when dealing with patients with complex conditions, acute or terminal illnesses, traumatic injuries, mental impairment and challenging behaviours on a daily basis
- Professional manner and appearance
- Personal mobility to move across the hospital site between clinic/office/treatment areas
- Cope with exposure to body fluids, distressing situations and infections

Car driver and ability to travel between hospital sites and patient homes

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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