Clinical Duties To undertake comprehensive assessments of clients who may have complex conditions including multi pathology. Use well developed clinical reasoning to select appropriate assessment techniques. To analyse the information gained from the assessment to formulate an accurate Occupational Therapy treatment plan for the client and then discuss and agree goals and outcomes for treatment with them. To set realistic timescales for achieving these. To select and be able to perform appropriate treatment techniques from a wide range of specialist skills. The selection of techniques will be based on both theoretical and practical knowledge and evaluated past experience. To demonstrate the physical ability to carry out occupational therapy assessment and interventions. To be responsible for all aspects of safety relating to equipment used. To be responsible for checking and/or teaching competency of more junior therapists and non-qualified staff in using equipment e.g. manual handling equipment and techniques and alternative pieces of equipment. To produce clear written information for clients to follow at home or when not with a therapist. This may include teaching carers and care-givers in patients own homes. To use developed clinical reasoning skills to review and evaluate client progress and their current condition at each treatment session and to amend the treatment programme as appropriate to achieve agreed goals. To plan and undertake discharge of clients from Community Occupational Therapy when agreed goals have been reached or treatment is no longer appropriate. To be able to negotiate this with clients who wish to continue treatment on an on-going basis. To be able to correctly identify inappropriate referrals to Community Occupational Therapy and have the confidence to refer on or back as required. To produce timely and accurate client records and reports in accordance with Health and Care Professions regulations. Communication Skills Using verbal, non-verbal and written communication tools, ensure that clients and carers (if appropriate within the scope of patient confidentiality) have an understanding of their condition and the role and aims of Occupational Therapy in relation to this. The Occupational Therapist must be able to persuade, motivate and negotiate, as well as demonstrate empathy and reassurance. The Occupational Therapist must effectively amend their communication techniques according to individual needs of the client. To be confident in their own diagnosis and be able to communicate that effectively to others (including medical professionals and other Allied Health Professionals). To share information in a timely manner with the appropriate individuals if there are concerns about a clients safety, condition or progress. To urgently report and take appropriate action if there are any concerns about staff and/or patient safety to more senior staff. To represent the Community Occupational Therapy service in meetings with other professionals with an aim of accurately contributing and reporting back relevant information to the Therapy Lead. Professional Skills The Occupational Therapist must be able to adapt their communication, treatment, information and advice to meet the needs of individual clients. Clients seen will range from the vulnerable (e.g. elderly, mentally ill or those with poor memory) to those who are extremely well informed about their condition. To be professionally and legally accountable for all aspects of own work including the management of clients in your care. To support and guide more junior Occupational Therapists and non-qualified staff in both clinical and organisational skills. To deputise for more senior therapy staff and delegate duties in a competent and safe way to junior therapists and non-qualified staff. To take a lead for specific projects within own area of work to enhance patient care and service delivery. To exhibit and maintain a high personal standard of professional expertise, attitude and behaviour at all times in accordance with local Trust policies. To be an advocate for the Occupational Therapy profession and Community Occupational Therapy Service. To delegate tasks appropriately to Junior Occupational Therapists, assistants and other professionals considering the complexity of the task and the skills and competence of that person. To complete the Practice Educators training and support student placements. To fully understand systems and procedures in place in your area of work to be able to implement them to contribute to the continuity and smooth running of the service. This may be in the absence of a more senior member of staff. To effectively manage and prioritise your own workload within the time available including the prioritising of clients to be treated along with other commitments in the day (e.g. meetings). To be able to delegate or arrange cover when required. To assist other staff to prioritise their workload and adjust own/teams plans to accommodate changes in demand. To efficiently manage a challenging caseload, demonstrating flexibility with varying levels of staff, varying complexity of patients and fluctuating numbers of clients on the caseload. Education and Research To be an active participant in the Supervision and Appraisal process. This includes prior preparation and being able to identify own learning needs and objectives. To take responsibility for booking and attending mandatory training as specified in Trust policies and take action as required in the work place (e.g. basic life support, fire, manual handling). To continue to develop specialist Occupational Therapy skills in a specific clinical field. To actively review the service you provide with an aim of promoting better client care using audit, research, case studies and reflective practice. To be responsible for own competence to practice by on-going continuing professional development (CPD) and the recording of it in a reflective diary/portfolio. To maximise the learning opportunities available in order to support evidence based practice and influence clinical practice