Job summary We have an exciting opportunity for Therapy Rehabilitation Practitioner to join a new intermediate care at home therapy service within the Wigan borough. This is a full time post (37.5 hours) working across Monday to Sunday. We are aiming to recruit a suitably qualified, enthusiastic and engaged individual to our new Intermediate Care at Home Team. The Team will provide rehabilitation for patients in their own place of residence, and other community settings. Joining up the services provided by the 'Home First' Team, in addition to Community Therapy, whilst working closely and flexibly with social care colleagues and the existing Intermediate Care Therapy Team who deliver rehabilitation into our existing bedded units. The ideal candidate will have an open minded and flexible approach, have a 'can do' attitude and be willing to come into a new initiative to support the development and establishment of the service - have excellent communication skills, Function as an effective member of the multi-disciplinary team and the integrated team within Health and Social Care and also the ability to comfortably work across role boundaries. It is essential for this role that you have the ability to independently travel across the borough to assess, formulate therapy plans and deliver therapy interventions for patients in their own place of residence. You must have relevant business insurance for your vehicle. UK NHS experience is essential. Previous applicants need not apply. Main duties of the job The post holder is required to work without direct supervision, undertaking assessments and decision making within agreed protocols, underpinned by appropriate experience / knowledge. To promote and sustain independence/wellbeing for the individual in the relevant community setting through a holistic approach that encompasses patient values and beliefs. To work autonomously and carry out specific delegated clinical rehabilitation tasks and responsibilities, taking responsibility for their own workload. The post holder will use technical and creative skills to provide therapeutic activities for individual patients and will be responsible for review and progression of treatment programmes and interventions within guidelines and specific timeframes. The work can take place in a variety of settings including, community units, patients' own homes and other community settings, alongside other team members but as a lone worker in community at times, following the Organisations Lone Worker policy. Function as an effective member of the multi-disciplinary team and the integrated team within Health and Social Care. About us Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'. WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs. On-Call Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational. Date posted 01 November 2024 Pay scheme Agenda for change Band Band 4 Salary £26,530 to £29,114 a year pa pro rata Contract Permanent Working pattern Full-time, Part-time, Flexible working Reference number 302-24-6567856CM Job locations Leigh Town Hall Market Street Leigh WN7 1DY Job description Job responsibilities Planning and Organisational Duties To assist the therapy service in the assessment and treatment of patients for diverse range of clinical conditions and presentations. Utilise judgement skills, the post holder will be required to assess and evaluate patient conditions and within parameters set by the Occupational Therapists and Physiotherapists to make relevant alterations to existing treatments/equipment or progress a patients rehabilitation programme onto a different stage within agreed protocol based clinical care. This could be done without prior consultation with the therapist and may include discontinuing rehabilitation program if judged unsafe or modifying activities or equipment. Conducting initial interviews to gather information prioritise and analyse for the therapists. Liaise closely with supervising therapist, updating and reporting any significant changes in the patients condition, to facilitate modification of the treatment programme to the therapist. Promote safe moving and handling practices, according to patients needs within the manual handling policy. Carry a dedicated caseload of patients, under supervision of qualified staff. To identify and contribute to person-centred goals identified with the patient, evaluating progression and recognising changes required with qualified clinicians. To engage patients in therapeutic activities to promote independence, wellbeing and social inclusion, adjusting interventions accordingly with the support of qualified staff. To provide support, advice and education to patients, carers and others in the rehabilitation and self-management of the person concerned. Including the delivery of health promotion strategies. To undertake a range of discipline specific assessments, (including BP monitoring), (weight management). Recording and evaluating outcome measures with qualified support. To assess and prescribe equipment, minor adaptations and refer to other services for specialist adaptations. To clearly document patient interventions in case notes, following organisational policies and local standards. Ensuring patient contact statistics and discharges are completed in a timely fashion. To maintain accurate patient records in accordance with trust guidelines for records and records keeping, complying with the Data Protection Act. Organise and prioritise own allocated workload, incorporating time management and forward planning, thus acknowledging the need to meet deadlines. Understand and apply risk and capacity assessments as appropriate, including acting in the best interest of the service user with support from qualified staff. Clinical completion of an episode of care, appropriate communication of discharge within agreed protocols. Attend and participate in meetings to discuss patient progress, future treatment plans and diary planning for the week ahead. By utilising knowledge of the wider community services, support professional colleagues to access and refer to the most appropriate service to meet patient needs. Manage time and caseload pressure in a rapidly changing environment, using appropriate prioritisation. Demonstrate flexibility as the service requires. Undertake any other professional duty as required within the service, in accordance with training, and experience following consultation with the trained member of the team. To work professionally and in a non-discriminatory manner, be legally responsible and accountable for all aspects of the work undertaken. Deal with challenging behavioural situations including verbal aggression or distress, seeking support as necessary. Promote and educate others regarding the role of the Intermediate rehabilitation teams, and the importance of occupation and function in relation to health and wellbeing To participate in the non-clinical aspect of team working, such as housekeeping duties, equipment ordering and monitoring and documentation tasks. Communications and Key Working Relationships To have excellent communication skills to enable effective and professional communication with team members, other clinical staff, patients and their families. To demonstrate an ability to communicate through email and telephone correspondence effectively and professionally, video calls and face to face conversations. To establish and maintain appropriate clinical relationships with patients to assist in the delivery of effective patient centred care, using a range of techniques to overcome communication barriers. Participate in case conferences/meetings and liaise with other disciplines to achieve comprehensive, effective and holistic ongoing care management planning for the patient. Demonstrate the ability to communicate information, sometimes of a complex and sensitive nature and respond appropriately to patients, carers and staff. Maintain accurate records according to the Trusts standards and ensure that all reports are completed and sent appropriately. Ensure timely and effective communication with the qualified staff or Team Leader on all team matters. Responsibility for Finance Be aware of financial limitations and provide a service in consideration of resources available Responsibility for Health & Safety Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Responsibility for Training Participate in on going professional development activities. Keep up to date with clinical developments implementing change to clinical practice accordingly, under the supervision of the qualified clinician. Undertake regular clinical supervision sessions in line with Trust Policy. To be accountable for the completion of own mandatory training, in line with trust policy. Actively participate in your own personal development plan with your supervisor in order to develop the skills and knowledge required to carry out the responsibilities set out in the job description. Ensure that personal support and development is gained through performance review, regular supervision and that training needs are identified with subsequent training as appropriate, in line with Trust policy Work Circumstances & on-call To work flexibly including extended hours and weekend working, responsive to service working requirements and GM Specifications Job description Job responsibilities Planning and Organisational Duties To assist the therapy service in the assessment and treatment of patients for diverse range of clinical conditions and presentations. Utilise judgement skills, the post holder will be required to assess and evaluate patient conditions and within parameters set by the Occupational Therapists and Physiotherapists to make relevant alterations to existing treatments/equipment or progress a patients rehabilitation programme onto a different stage within agreed protocol based clinical care. This could be done without prior consultation with the therapist and may include discontinuing rehabilitation program if judged unsafe or modifying activities or equipment. Conducting initial interviews to gather information prioritise and analyse for the therapists. Liaise closely with supervising therapist, updating and reporting any significant changes in the patients condition, to facilitate modification of the treatment programme to the therapist. Promote safe moving and handling practices, according to patients needs within the manual handling policy. Carry a dedicated caseload of patients, under supervision of qualified staff. To identify and contribute to person-centred goals identified with the patient, evaluating progression and recognising changes required with qualified clinicians. To engage patients in therapeutic activities to promote independence, wellbeing and social inclusion, adjusting interventions accordingly with the support of qualified staff. To provide support, advice and education to patients, carers and others in the rehabilitation and self-management of the person concerned. Including the delivery of health promotion strategies. To undertake a range of discipline specific assessments, (including BP monitoring), (weight management). Recording and evaluating outcome measures with qualified support. To assess and prescribe equipment, minor adaptations and refer to other services for specialist adaptations. To clearly document patient interventions in case notes, following organisational policies and local standards. Ensuring patient contact statistics and discharges are completed in a timely fashion. To maintain accurate patient records in accordance with trust guidelines for records and records keeping, complying with the Data Protection Act. Organise and prioritise own allocated workload, incorporating time management and forward planning, thus acknowledging the need to meet deadlines. Understand and apply risk and capacity assessments as appropriate, including acting in the best interest of the service user with support from qualified staff. Clinical completion of an episode of care, appropriate communication of discharge within agreed protocols. Attend and participate in meetings to discuss patient progress, future treatment plans and diary planning for the week ahead. By utilising knowledge of the wider community services, support professional colleagues to access and refer to the most appropriate service to meet patient needs. Manage time and caseload pressure in a rapidly changing environment, using appropriate prioritisation. Demonstrate flexibility as the service requires. Undertake any other professional duty as required within the service, in accordance with training, and experience following consultation with the trained member of the team. To work professionally and in a non-discriminatory manner, be legally responsible and accountable for all aspects of the work undertaken. Deal with challenging behavioural situations including verbal aggression or distress, seeking support as necessary. Promote and educate others regarding the role of the Intermediate rehabilitation teams, and the importance of occupation and function in relation to health and wellbeing To participate in the non-clinical aspect of team working, such as housekeeping duties, equipment ordering and monitoring and documentation tasks. Communications and Key Working Relationships To have excellent communication skills to enable effective and professional communication with team members, other clinical staff, patients and their families. To demonstrate an ability to communicate through email and telephone correspondence effectively and professionally, video calls and face to face conversations. To establish and maintain appropriate clinical relationships with patients to assist in the delivery of effective patient centred care, using a range of techniques to overcome communication barriers. Participate in case conferences/meetings and liaise with other disciplines to achieve comprehensive, effective and holistic ongoing care management planning for the patient. Demonstrate the ability to communicate information, sometimes of a complex and sensitive nature and respond appropriately to patients, carers and staff. Maintain accurate records according to the Trusts standards and ensure that all reports are completed and sent appropriately. Ensure timely and effective communication with the qualified staff or Team Leader on all team matters. Responsibility for Finance Be aware of financial limitations and provide a service in consideration of resources available Responsibility for Health & Safety Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. Responsibility for Training Participate in on going professional development activities. Keep up to date with clinical developments implementing change to clinical practice accordingly, under the supervision of the qualified clinician. Undertake regular clinical supervision sessions in line with Trust Policy. To be accountable for the completion of own mandatory training, in line with trust policy. Actively participate in your own personal development plan with your supervisor in order to develop the skills and knowledge required to carry out the responsibilities set out in the job description. Ensure that personal support and development is gained through performance review, regular supervision and that training needs are identified with subsequent training as appropriate, in line with Trust policy Work Circumstances & on-call To work flexibly including extended hours and weekend working, responsive to service working requirements and GM Specifications Person Specification Qualifications Essential Maths & English GCSE at Grade C/4 or Numeracy & Literacy Functional Skills Level 2 Healthcare related Level 3 or equivalent relevant experience Experience Essential NHS experience Experience working in a healthcare setting Experience of rehabilitation in either acute or community setting Experience of workload management Experience of working with people experiencing falls, mobility and balance problems Experience of rehabilitation in either acute or community setting Skills Essential Excellent communication skills - written and verbal IT skills relevant to role (Electronic patient records, SystemOne) Able to work autonomously or as part of a team Well organised with workload and prioritisation Demonstrate the ability to problem solve flexibly Good observation skills Demonstrate the ability to handle difficult situations and work under pressure Demonstrate appropriate professional conduct at all times Knowledge Essential Awareness of health and safety An understanding of the impact of disability or illness on function. Knowledge of therapy assessments and interventions. Knowledge around OT and physiotherapy Knowledge of confidentiality Additional Essential Willingness to work flexibly accordingly to the demands of the service Demonstrate a commitment to lifelong learning Be able to recognise and work within own personal job specification and role and seek advice and support appropriately Have access to a car for work purposes (with business insurance) and be able to travel independently across Trust Speak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation. Person Specification Qualifications Essential Maths & English GCSE at Grade C/4 or Numeracy & Literacy Functional Skills Level 2 Healthcare related Level 3 or equivalent relevant experience Experience Essential NHS experience Experience working in a healthcare setting Experience of rehabilitation in either acute or community setting Experience of workload management Experience of working with people experiencing falls, mobility and balance problems Experience of rehabilitation in either acute or community setting Skills Essential Excellent communication skills - written and verbal IT skills relevant to role (Electronic patient records, SystemOne) Able to work autonomously or as part of a team Well organised with workload and prioritisation Demonstrate the ability to problem solve flexibly Good observation skills Demonstrate the ability to handle difficult situations and work under pressure Demonstrate appropriate professional conduct at all times Knowledge Essential Awareness of health and safety An understanding of the impact of disability or illness on function. Knowledge of therapy assessments and interventions. Knowledge around OT and physiotherapy Knowledge of confidentiality Additional Essential Willingness to work flexibly accordingly to the demands of the service Demonstrate a commitment to lifelong learning Be able to recognise and work within own personal job specification and role and seek advice and support appropriately Have access to a car for work purposes (with business insurance) and be able to travel independently across Trust Speak English to an appropriate standard relevant to their role, i.e. with confidence and accuracy, using correct sentence structures and vocabulary, and without hesitation. 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 Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust Address Leigh Town Hall Market Street Leigh WN7 1DY Employer's website http://www.wwl.nhs.uk/ (Opens in a new tab)