Clinical 1. To carry and prioritise own patient caseload and other ongoing tasks, allocating appropriate work to technical instructors and students. 2. To perform specialist therapy assessment of patients with diverse and complex presentations, using advanced clinical reasoning skills to analyse, interpret and make judgements on complex facts or situations, to provide specialised packages of care, treatment and advice to patients, based on sound knowledge of evidence based practice and the range of treatment options and/or adaptive techniques and/or equipment provision, and/or care services. 3. To attend consultant outpatients clinics and to assess and treat patients as necessary. This may include cross site working. 4. To incorporate the appropriate standard assessment tools with patients, and apply additional relevant skills in specialised splint making. 5.To communicate sensitively and reassuringly complex condition and functional risk/limitation related information to patients/carers, to gain consent to and co-operation in assessment and treatment, and in giving specialist advice to patients/carers regarding their options for ongoing care needs. Being aware at all times of the sensitive nature of some recommendations, and the potential for patients/carers to have special communication needs resulting in barriers to understanding. 6.Attend multi-disciplinary meetings as the hand therapist representative for individual patients, to inform complex discussions, gain a full range of information prior to planning patient centred goals, analyse options for meeting goals and participate in the clinical decision making process and development of comprehensive MDT plans for discharge. 7. To evaluate patient progress, reassess and alter treatment programmes as required. 8. To manage clinical risk in relation to your own caseload, seeking guidance and help from senior therapist, as appropriate. 9. To maintain accurate, legible and complete clinical records of all patient related interventions, in line with the hand therapy Documentation Guidelines. To include the computerised patient database system. 1. To be professionally and legally accountable for all aspects of your own professional and clinical work. Ensuring that assessments and interventions are carried out in accordance with Surrey Downs Health and Care policies, College of Occupational Therapy/ Chartered Society of Physiotherapy standards and code of conduct, and have a good working knowledge of national and local standards to guide your practice. Monitor own and others quality of practice as appropriate. Seek guidance as necessary. Organisational 1. To undertake delegated responsibility for the screening, prioritisation and allocation of referrals within the clinical area in the absence of the team leader. 2. To provide regular teaching sessions and contribute to the performance assessment of rotational Physios and technical instructors. 3. To provide training sessions to staff from other teams and agencies, either on request or on a regular basis. 4. To keep accurate statistical information to assist in the monitoring and management of the service. 5. To participate in ongoing data collection for clinical audit and departmental research, and occasionally lead clinical audit within the hand therapy department or as part of the MDT. Undertake literature searches and other research activities to support the development of evidence based services. Undertake clinical projects/pilots under guidance. 6. Attend relevant team, departmental or other appropriate meetings and actively contribute to the development of policies & procedures for clinical or service provision, and implement as appropriate. 7. To be responsible for equipment used in carrying out hand therapy duties and to adhere to departmental policies and guidelines to ensure safe use of equipment by self and others. To report any defects or difficulties to the Clinical Manager. 8. To advise the senior therapist of any therapeutic equipment/materials needed for the service. 9. To utilise information management and technology (IM&T) systems to improve the efficiency of the service. 1. To share responsibility for departmental tidiness, maintenance and administration. Professional 1. To be responsible for teaching student therapists to graduate level on therapeutic skills and knowledge within core clinical areas. 2. To actively participate in the in-service training programme by attending and contributing to discussions, and in providing sessions. This can occur off site and the post-holder must be able to make necessary travel arrangements 3. To maintain and further develop current specialist knowledge, skills and evidenced based practice, incorporating them as appropriate into clinical work. 4. To participate in formal supervision process as a supervisee. 5. To participate in the SDHC appraisal scheme and formulate a personal development plan. Please refer to the Job Description and Person Specification for more details