Job summary We are recruiting for a B4 Rehabilitation Assistant in Early Supported Discharge for Stroke. The role is community-based, supporting patients with their rehabilitation at home. The caseload is complex and varied, and you'll visit patients with physical, cognitive and visual impairments. You'll work closely with our multidisciplinary team to provide individually tailored rehabilitation programmes. The majority of work is directly with patients in their homes, sometimes using a combination of methods including digital platforms and telephone as well as face to face. Flexibility plus good organisational and prioritisation skills are essential. This is a good opportunity If you are interested in developing greater skills in neurology and rehabilitation, and would enjoy the chance to carry your own caseload - completing assessments with a specified list of patients and formulating plans for them. You need NHS experience in stroke rehabilitation/neurology and have preferably worked in the community. A valid UK driving license, and access to a car with business insurance is essential. Main duties of the job Undertake skilled support work to aid assessment, treatment, and management of stroke patients. This includes gathering collateral information and providing intervention within set parameters to facilitate patients reaching an optimum level of independence / social integration Work independently, as part of the ESD team carrying a delegated caseload within set parameters andunder the guidance and supervision of qualified staff Take responsibility for time management, planning and organisation of delegated workload on daily basis Report on patient changes/ progress in a timely manner Assist in making onward referrals Maintain effective communication with patients, carers and all relevant professionals Undertake non-clinical duties e.g. ordering of equipment, recording contacts/stats Assist in the implementation, evaluation and modification of ESD service Help to provide a high quality, effective and efficient ESD service Work autonomously, assessing risk, and judging when senior support is required Continue professional development including participation in training programmes Work closely with and liaise with partner organisations There is an expectation that the post holder will be required to travel between sites for meetings/training as necessary and to support other teams if required All clinical duties will be regulated by an HCPC registered Physiotherapist, Occupational Therapist, Speech & Language Therapist or NMC registered Nurse About us Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond. Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey. We also run many specialist clinics in the community and local community hospitals and other healthcare facilities. Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development and flexibility to shape our workforce around our patient care. We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures. We can offer you the full range of NHS benefits/discounts and in addition: Excellent pension scheme and annual leave entitlement On-site Nurseries On-site staff cafes On-site parking Support in career development Salary Sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics Adverts may close early, so applicants are encouraged to submit an application as soon as possible. For more information about a career at ASPH please visit:www.asph-careers.org Date posted 13 January 2025 Pay scheme Agenda for change Band Band 4 Salary £27,857 to £30,570 a year per annum inc. HCAS Contract Permanent Working pattern Full-time, Part-time Reference number 323-ACS1708-ED Job locations Ashford Hospital or Milford Hospital London Road Ashford TW15 3AA Job description Job responsibilities Be part of the multidisciplinary team (MDT) and implement specific treatment programmes or interventions delegated by qualified staff Contribute to patient education Carry out delegated assessment and rehabilitation as determined by patients needs The post holder will be dealing with a varied caseload of patients Work in collaboration with other team members to provide a rehabilitation service for patients within the specialty, assisting in the implementation of programmes to meet individual needs Provide therapeutic intervention for individual patients to maintain or improve function in mobility, social and domestic activities including accessing the community, and evaluating the findings Carry out initial assessments (within scope of practice) and therapy programmes and be responsible for monitoring these to facilitate clients reaching their optimum level of independence and social integration Plan treatment programmes, adapting and progressing patient rehabilitation within set guidelines. This will include modifying treatments to take account of changes in the patients physical and mental state Take responsibility for the implementation of treatment programmes for an identified caseload, with access to supervision from senior therapy staff Organise the identified workload efficiently and effectively regarding clinical priorities and use of time Identify and manage clinical risk within own clinical caseload, and report to supervising clinician Identify those who may require treatment or intervention by more senior staff or other services Make limited decisions on straightforward clinical treatments and prioritise within agreed parameters, applying clinical reasoning skills Carry out selected functional assessments, communicating the outcome effectively to the MDT Work with patients individually or in a group, in a variety of settings without direct supervision or presence of a qualified therapist Advise on the use and provision of mobility equipment (e.g. walking aids, ADL equipment) ensuring appropriate sizing and education of client in the correct use of appliance Participate in triage process, where required, to accept referrals to ESD from the inpatient setting, and contribute to the discharge planning process from ESD service Be aware of problems that could affect the patients progress and report back any changes to senior staff Be able to judge when patient is unwell and deteriorating, and call for appropriate assistance in a timely manner Make onward referrals Demonstrate knowledge of a range of manual handling and mobility skills relevant to the management of patients, including safe use of transfer equipment Follow Trust and departmental procedures, policy, guidance and pathways e.g. lone working policy, manual handling, infection control Be aware of own safety and safety of others, assessing risk and reporting any adverse incidents or near misses Be professionally and legally accountable for all aspects of own work, including the management of patients on your caseload, ensuring a high standard of clinical care Participate in CPD and develop knowledge and skills by attending relevant training and keeping mandatory training up to date This role requires a flexible approach to working and may require the post holder to undertake weekend commitments as part of a rota Maintain the competency required to work at Band 4 level Work to the standards of individual speciality areas and to ensure that the background knowledge within each area is acquired through independent learning and collaboration during the working day with qualified staff Ensure equipment and resources are prepared for use by therapists Ensure supplies of equipment are maintained and prepare orders when appropriate Take initiative and be responsible for general and specific administrative duties as required and delegated Participate in clinical supervision sessions and the Trust appraisal system as an appraisee Support new members of staff by contributing to their induction Contribute to the supervision of students where appropriate Maintain the high standards of the service by contributing towards individual, team and service objectives Participate and contribute to all activities associated with the departments response to current trends/developments and changes within the Health service Support B3 Rehabilitation Assistants to ensure fair and efficient distribution of the caseload Develop rapport with patients, encourage interest and participation, in a manner which promotes dignity, self-esteem and choice. This requires empathy, sensitivity and good interpersonal skills Use a range of verbal, non-verbal, written and presentation skills appropriately with colleagues, customers and carers Use effective communication tools, verbal and non-verbal, to communicate treatment programmes to patients who may have barriers to understanding or communication e.g. language or hearing impairment, or those whose first language is not English Form professional relationships with patients who may exhibit challenging behaviour and communicate in a way which respects their autonomy Be able to engage, persuade and motivate patients with their rehabilitation through effective communication to maximise treatment outcome recognising those who are in pain, are afraid or reluctant and require additional reassurance or other support Convey information in a sensitive manner when it is contradictory to customer and carer expectations, cultural beliefs or desires Gain consent for intervention Report back directly to the MDT, particularly re any changes in functional abilities, relevant information gained, or patients comments linked to treatment Consult with more experienced staff for advice when required Maintain accurate and legible records of all interventions and management, using SOAP format, in accordance withstandards set by the therapy service, local systems, Trust policies and professional guidelines for documentation Attend appropriate team meetings and liaise with other agencies and members of the MDT, participating in the clinical decision-making process to ensure planned, coordinated and effective delivery of care Attend staff meetings and relevant training, and actively participate Promote an understanding of effective rehabilitation via multidisciplinary work, discussion, information giving Demonstrate ability to manage potentially stressful and upsetting or emotional situations in an appropriate and empathetic manner Communicate effectively with all disciplines involved in a patients care, both those from within the organisation and those outside, to ensure efficient multidisciplinary working Use computer skills competently to support role including e-mail Maintain strict confidentiality regarding customer and staff information, adhering to organisational policies and procedures Take responsibility for and actively record own personal development through educational and experiential learning Ensure own competence in the accurate use of the Trust IT system Ensure practice is kept up to date by participating in mandatory and other training programmes identified in personal development reviews, attendance at relevant training and ensuring interventions adhere to any approved guidelines Be aware of and demonstrate boundaries in personal scope of practice Identify your own learning needs and demonstrate reflective practice Participate in peer meetings with other assistants in the service area Participate in regular meetings with clinical supervisor/mentor to include clinical supervision and appraisal Provide appropriate advice, demonstrate own activities or workplace routines to new or less experienced employees or students, including during induction of new staff Undertake shadowing and joint sessions with MDT clinicians to further knowledge, skills and understanding Be aware of new developments generally within Therapies, and within the specific area of work Demonstrate an awareness of your own and others health and wellbeing needs and ask for support when needed Ensure competence in the accurate and effective use of all Trust IT systems, particularly the use of Cerner Millenium and SSNAP data, which are used to record patient notes and activity Collect & record data accurately in accordance with professional guidelines and ASPH Values Participate in quality/ development projects, including audit, as directed by the MDT Contribute to the evaluation of the service and make improvements and alterations with support from MDT clinicians Keep accurate statistical records in line with departmental procedures Contribute to the completion of activity records to inform planning and service delivery Job description Job responsibilities Be part of the multidisciplinary team (MDT) and implement specific treatment programmes or interventions delegated by qualified staff Contribute to patient education Carry out delegated assessment and rehabilitation as determined by patients needs The post holder will be dealing with a varied caseload of patients Work in collaboration with other team members to provide a rehabilitation service for patients within the specialty, assisting in the implementation of programmes to meet individual needs Provide therapeutic intervention for individual patients to maintain or improve function in mobility, social and domestic activities including accessing the community, and evaluating the findings Carry out initial assessments (within scope of practice) and therapy programmes and be responsible for monitoring these to facilitate clients reaching their optimum level of independence and social integration Plan treatment programmes, adapting and progressing patient rehabilitation within set guidelines. This will include modifying treatments to take account of changes in the patients physical and mental state Take responsibility for the implementation of treatment programmes for an identified caseload, with access to supervision from senior therapy staff Organise the identified workload efficiently and effectively regarding clinical priorities and use of time Identify and manage clinical risk within own clinical caseload, and report to supervising clinician Identify those who may require treatment or intervention by more senior staff or other services Make limited decisions on straightforward clinical treatments and prioritise within agreed parameters, applying clinical reasoning skills Carry out selected functional assessments, communicating the outcome effectively to the MDT Work with patients individually or in a group, in a variety of settings without direct supervision or presence of a qualified therapist Advise on the use and provision of mobility equipment (e.g. walking aids, ADL equipment) ensuring appropriate sizing and education of client in the correct use of appliance Participate in triage process, where required, to accept referrals to ESD from the inpatient setting, and contribute to the discharge planning process from ESD service Be aware of problems that could affect the patients progress and report back any changes to senior staff Be able to judge when patient is unwell and deteriorating, and call for appropriate assistance in a timely manner Make onward referrals Demonstrate knowledge of a range of manual handling and mobility skills relevant to the management of patients, including safe use of transfer equipment Follow Trust and departmental procedures, policy, guidance and pathways e.g. lone working policy, manual handling, infection control Be aware of own safety and safety of others, assessing risk and reporting any adverse incidents or near misses Be professionally and legally accountable for all aspects of own work, including the management of patients on your caseload, ensuring a high standard of clinical care Participate in CPD and develop knowledge and skills by attending relevant training and keeping mandatory training up to date This role requires a flexible approach to working and may require the post holder to undertake weekend commitments as part of a rota Maintain the competency required to work at Band 4 level Work to the standards of individual speciality areas and to ensure that the background knowledge within each area is acquired through independent learning and collaboration during the working day with qualified staff Ensure equipment and resources are prepared for use by therapists Ensure supplies of equipment are maintained and prepare orders when appropriate Take initiative and be responsible for general and specific administrative duties as required and delegated Participate in clinical supervision sessions and the Trust appraisal system as an appraisee Support new members of staff by contributing to their induction Contribute to the supervision of students where appropriate Maintain the high standards of the service by contributing towards individual, team and service objectives Participate and contribute to all activities associated with the departments response to current trends/developments and changes within the Health service Support B3 Rehabilitation Assistants to ensure fair and efficient distribution of the caseload Develop rapport with patients, encourage interest and participation, in a manner which promotes dignity, self-esteem and choice. This requires empathy, sensitivity and good interpersonal skills Use a range of verbal, non-verbal, written and presentation skills appropriately with colleagues, customers and carers Use effective communication tools, verbal and non-verbal, to communicate treatment programmes to patients who may have barriers to understanding or communication e.g. language or hearing impairment, or those whose first language is not English Form professional relationships with patients who may exhibit challenging behaviour and communicate in a way which respects their autonomy Be able to engage, persuade and motivate patients with their rehabilitation through effective communication to maximise treatment outcome recognising those who are in pain, are afraid or reluctant and require additional reassurance or other support Convey information in a sensitive manner when it is contradictory to customer and carer expectations, cultural beliefs or desires Gain consent for intervention Report back directly to the MDT, particularly re any changes in functional abilities, relevant information gained, or patients comments linked to treatment Consult with more experienced staff for advice when required Maintain accurate and legible records of all interventions and management, using SOAP format, in accordance withstandards set by the therapy service, local systems, Trust policies and professional guidelines for documentation Attend appropriate team meetings and liaise with other agencies and members of the MDT, participating in the clinical decision-making process to ensure planned, coordinated and effective delivery of care Attend staff meetings and relevant training, and actively participate Promote an understanding of effective rehabilitation via multidisciplinary work, discussion, information giving Demonstrate ability to manage potentially stressful and upsetting or emotional situations in an appropriate and empathetic manner Communicate effectively with all disciplines involved in a patients care, both those from within the organisation and those outside, to ensure efficient multidisciplinary working Use computer skills competently to support role including e-mail Maintain strict confidentiality regarding customer and staff information, adhering to organisational policies and procedures Take responsibility for and actively record own personal development through educational and experiential learning Ensure own competence in the accurate use of the Trust IT system Ensure practice is kept up to date by participating in mandatory and other training programmes identified in personal development reviews, attendance at relevant training and ensuring interventions adhere to any approved guidelines Be aware of and demonstrate boundaries in personal scope of practice Identify your own learning needs and demonstrate reflective practice Participate in peer meetings with other assistants in the service area Participate in regular meetings with clinical supervisor/mentor to include clinical supervision and appraisal Provide appropriate advice, demonstrate own activities or workplace routines to new or less experienced employees or students, including during induction of new staff Undertake shadowing and joint sessions with MDT clinicians to further knowledge, skills and understanding Be aware of new developments generally within Therapies, and within the specific area of work Demonstrate an awareness of your own and others health and wellbeing needs and ask for support when needed Ensure competence in the accurate and effective use of all Trust IT systems, particularly the use of Cerner Millenium and SSNAP data, which are used to record patient notes and activity Collect & record data accurately in accordance with professional guidelines and ASPH Values Participate in quality/ development projects, including audit, as directed by the MDT Contribute to the evaluation of the service and make improvements and alterations with support from MDT clinicians Keep accurate statistical records in line with departmental procedures Contribute to the completion of activity records to inform planning and service delivery Person Specification Qualifications Essential English & Maths GCSE or equivalent Evidence of relevant In Service Training or education Desirable Interest in apprenticeship or professional training NVQ in relevant subject area Experience Essential B3 experience in NHS or social care Team working Direct patient care alongside qualified clinical staff Knowledge Essential Role of Rehabilitation Assistant in community setting & stroke rehabilitation Ability to use self-motivation to set priorities and evaluate these Desirable Good understanding of stroke and the related impairments Skills Essential Range of effective communication skills Computer literacy Organisational skills Responsive to change Person Specification Qualifications Essential English & Maths GCSE or equivalent Evidence of relevant In Service Training or education Desirable Interest in apprenticeship or professional training NVQ in relevant subject area Experience Essential B3 experience in NHS or social care Team working Direct patient care alongside qualified clinical staff Knowledge Essential Role of Rehabilitation Assistant in community setting & stroke rehabilitation Ability to use self-motivation to set priorities and evaluate these Desirable Good understanding of stroke and the related impairments Skills Essential Range of effective communication skills Computer literacy Organisational skills Responsive to change Disclosure and Barring Service Check 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). Additional information Disclosure and Barring Service Check 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). Employer details Employer name Ashford & St. Peter's Hospitals NHS Foundation Trust Address Ashford Hospital or Milford Hospital London Road Ashford TW15 3AA Employer's website https://www.ashfordstpeters.nhs.uk/ (Opens in a new tab)