DIMENSIONS OF JOB: To provide expert clinical leadership within the MDT Undertake professional leadership and act as a clinical exemplar within the team To act as an autonomous clinician accountable for both your own and all delegated clinical tasks Contribute to the development of service strategy and clinical standard operating procedures Establish local networks internally and externally Represent the team and the service at Trust and, where appropriate, strategic meetings PURPOSE OF JOB: To provide skilled team leadership, ensuring an effective, high quality service is delivered within the inpatient therapy team To use highly specialist clinical knowledge and skills to manage a complex caseload as an autonomous practitioner To act as a specialist resource for the multi-disciplinary team both on the ward and the wider community services To work with the MDT to develop, monitor and evaluate the service, including organising and implementing service development and change as appropriate To plan and prioritise the services delivery to ensure appropriate management of patients Ensure supervision of staff members within the team is being undertaken as per policy KEY TASKS & Responsibilities: Clinical To be responsible as an autonomous practitioner to undertake a significant specialist clinical workload and using clinical reasoning skills to utilise a wide range of treatment skills and options in order to formulate a specialised programme of care To prioritise work efficiently taking into account clinical and service priorities, using effective organisational skills and highly specialist knowledge to underpin decisions To be responsible in conjunction with the Service Manager and clinical leads for the setting and monitoring of standards and policies of clinical practice and evaluating their outcomes To be responsible for the efficient, effective and safe management of all patients receiving therapy in the community inpatient setting Oversee planning and prioritisation within the team to ensure appropriate management of patients To be responsible for the coordination and undertaking of complex clinical procedures specific to speciality To use recognised outcome measures to evaluate the effect of therapy interventions and ensure the treatment programmes are progressing appropriately To be professionally and legally responsible and accountable for all aspects of own work, including the management of clinical risk, knowledge of indications and precautions of chosen techniques in the line with national and trust clinical guidelines, protocols and pathways where they exist To participate in the advice, guidance and teaching of junior staff and students in the management of patients To develop profession specific practices and local guidelines, and to keep abreast of new treatments in relation to the management of patients relevant to this role To establish good relationships with patients promoting and empowering a life long model of self care and appropriate activity to maintain good health This job will involve frequent exposure to unpleasant working conditions e.g. Bodily fluids, including sputum, unpleasant smells and occasional exposure to hostility in the form of verbal and physical aggression. Communication To provide patients, families and carers with specialist advice and/or instruction, in order to increase their understanding of their condition and the aims of your treatment. This is essential to gain patient engagement with treatment, maximise potential and to ensure consistent patient management To provide and receive information from patients, carers and other professionals, regarding a patients condition and treatment progress. This will include the sharing and receiving of some complex and/or sensitive information, including imparting unwelcome news To use interpreters when required to ensure effective communication with patients who are hard of hearing or do not speak/understand enough English for the purposes of consent and co-operation for treatment To develop and maintain close working relationships with members of the MDT, ensuring appropriate attendance at board rounds, multi-disciplinary meetings and case conferences To provide highly specialty advice and recommendations of relevant clinical management to the MDT To develop and maintain close working relationships with colleagues, referring clinicians and other appropriate professions and agencies ensuring optimal communication and patient care To establish and ensure good links with equipment providers in the community to enable seamless referrals for equipment as appropriate To be integral in transfer/discharge planning including liaison with staff and provide timely reports both from the acute to community hospital, but also community hospital to community/patients own home To report all complaints/incidents immediately to the senior member of staff and document accordingly To represent the team at Trust-based working groups, as and when required To represent the Trust at regional events or meetings and develop best practice at FHFT through liaison with regional specialists/colleagues and other relevant forums To attend and be an active participant in the hospital, wards and service meetings Management To provide day to day management of the team including but not limited to: o Absence management o Recruitment o Induction o HR o Appraisals o Communication o Application of Trust policies o Overseeing delegated management roles To work with the Service Manager and other Team Leads both within the community and the inpatient setting to develop the strategic and local operational management of the team and service To plan and prioritise own workload both clinical and managerial, including responding to urgent referrals and unpredictable workload, and assist the team with theirs. This will require prolonged concentration in an unpredictable environment To be able to manage frequently stressful, upsetting or emotional situations in an empathetic manner when imparting bad news regarding rehabilitation potential e.g. neurological patients, patients with long term conditions. To ensure this is communicated sensitively to all parties concerned To participate in the Trusts appraisal scheme both as appraisee and as an appraiser To line manage staff including objective setting, appraisals, training and supervision To be responsible for the induction of new staff To maintain and provide accurate and timely statistics which are both computer and paper based and ensure team compliance To respond to changes within the team which impacts on the delivery of patient care To initiate and lead projects as requested To maintain comprehensive and accurate patient records in accordance with professional body and Trust guidelines and to ensure the safe keeping and confidentiality of these records Ensure supervision of all staff members within team is being undertaken as per policy To contribute to the formulation of relevant policies, guidelines and procedures and participate in agreed developments within the service Education To play an active role in the education of the MDT, patients and carers, providing patient information, advice and support To be responsible for the training, supervision and professional development of the team and students on placement To be responsible for maintaining own competency to practice through CPD activities, using reflective practice and to maintain a portfolio that indicates personal development Research/Audit/Quality To lead in appropriate research and audit To initiate and implement changes to working practices related to research findings, audit or service initiatives To have a sound knowledge of clinical governance, especially risk management, and have an active role in clinical effectiveness and audit To undertake evidence based projects and recommend change in practice accordingly