Job summary We have an exciting opportunity at Barnet Hospital to recruit a dynamic Band 7 Occupational Therapist or Physiotherapist to become part of our integrated Rapid Emergency and Acute Care Therapy Team (REACTT). The successful candidate is required to be able demonstrate the Trust values, the responsibilities of the job description and person specification. The person applying for this position should be flexible and able to work in the fast paced areas of the Emergency Department, AAU (Adult Assessment Unit) and Same Day Emergency Floor and Clinics. We are seeking an enthusiastic and passionate therapist, who is keen to develop their specialist clinical knowledge and management skills. The successful candidate should be forward thinking and pro-active with excellent organisational and clinical skills within the fast paced Emergency Department, to facilitate admission avoidance and safe discharges. Good communication skills and the ability to make autonomous decisions under pressure are also required. The Therapy Department will support the successful applicant by means of regular supervision, appraisal and training. If you believe you meet the criteria of the person specification and would like to join the Royal Free at this time, we would be interested in receiving your application. Main duties of the job We are looking to recruit a motivated Band 7 Occupational Therapist or Physiotherapist with experience in this setting to provide clinical leadership to a highly specialised service with a keen focus on admission avoidance, frailty, quality improvement & providing exceptional patientassessment & care. We are a trans-disciplinary, supportive & dynamic team who work closely with the wider MDT in Emergency & Acute medicine to provide comprehensive and effective patient care & intervention. This includes multi-disciplinary working from the point of admission at triage and ambulance handover with nursing staff and paramedics through to comprehensive geriatric assessment and complex discharge planning with Speciality Consultants and community partners. The successful candidate should be forward thinking and pro-active with excellent organisational and clinical skills to work within a fast-paced setting. They will be required to lead a multidisciplinary team & support prioritisation, caseload management, staff development & to facilitatetimely discharges in alignment with SDEC & acute medicine principles. There are opportunities to lead & participate in Quality Improvement projects and in setting new service directions. Good communication skills and motivation to encourage and facilitate best practice is required. We offer various opportunities for learning and development of both clinical and managerial skills to ensure continuing development of both individuals & the team. About us This is an exciting time to be working at the Royal Free London NHS Foundation Trust one of the biggest NHS Trusts in the UK, delivering care to more than 1.6 million people a year through our three main hospitals: Barnet, Chase Farm and Royal Free. The Royal Free London NHS Foundation Trust is one of the UK's biggest and most innovative trusts. Across three main hospitals, our dedicated army of staff care for over 1.6 million patients, treat more than 200,000 in A&E, deliver over 8,000 babies and carry out more than 17million tests. Our size, scale and influence offer you unrivalled career opportunities and a forward-thinking approach to working that works around your lifestyle. From flexible hours and generous benefits, to next level training, we make it easier to take your career to the top For more information please follow link https://www.royalfreelondonjobs.co.uk/ Date posted 05 March 2025 Pay scheme Agenda for change Band Band 7 Salary £51,883 to £58,544 a year per annum inclusive of HCAS Contract Permanent Working pattern Full-time Reference number 391-RFL-7009239 Job locations Barnet Hospital Wellhouse Lane Barnet EN5 3DJ Job description Job responsibilities To be a proficient member of the multidisciplinary team (MDT), contributing towards clinical decisions. To liaise with other MDT professionals, statutory organisations such as: Local Authority Social Services, Housing and voluntary organisations effectively and as appropriate regarding individual patient care. This information can be highly complex and sensitive and requires the therapist to have advanced negotiating skills in order to secure appropriate treatment and discharge plans including care and/or adaptive equipment for individual patients. To ensure that up to date written and electronic (patient) records and activity data are maintained in accordance with Professional and Trust standards and provide specialist therapy reports relevant to practice setting. To advise and monitor the development of documentation and written patient information. To provide highly specialised professional help and advice to therapy colleagues, other members of the MDT and to relatives and the community teams carers on a daily basis, facilitating effective communication. To communicate assessment and treatment outcomes to the relevant disciplines via the most appropriate methods e.g. reports, letters, medical notes and ensure self and others maintain high standards. To screen and prioritise referrals for therapy treatment, including those of highly complex patients. To screen, assess and formulate treatment plans for unwell respiratory patients in allocated clinical areas, and appropriately escalate to the MDT and PARRT (Patient At Risk & Resuscitation Team). To have a major role in ensuring appropriate risk management occurs within designated area, such as risk assessment and timely completion of incident forms (IR1), reporting back to Clinical lead. To assess patients current functional ability and occupational needs and make independent decisions using advanced clinical reasoning skills, to determine safety for discharge. To refer, provide and arrange appropriate services to improve functional independence and ensure safe discharge and evaluate appropriateness of these treatments. To interpret and analyse clinical and non-clinical data to form accurate diagnoses and prognoses in a wide range of highly complex conditions. From this analysis, to recommend the best course of intervention, and to develop comprehensive management and discharge plans. To formulate individualised treatment plans, using highly developed clinical reasoning and utilising a wide range of treatment skills and options to formulate a highly specialised program of care. To monitor, evaluate and modify treatment in order to measure progress and ensure effectiveness of intervention. To be additionally responsible for the clinical management of patients with multidimensional complex needs within their specialist team. To apply a high level of understanding of the effect of disability and provide training and advice on lifestyles changes and adaptations to the clients social and physical environment. To apply a high level of understanding of general medical and surgical conditions and the impact on patients functioning. To be responsible for equipment used in carrying out therapy duties and to adhere to departmental policies. This includes competence to use equipment and to ensure the safe use of equipment by others through teaching training and supervision of practice. To ensure that self and other team members are able to identify those patients who pose a high manual handling risk. To utilise departmental systems and guidelines to facilitate manual handling risk assessments and develop treatment and management plans accordingly. To implement current departmental priority tool for work area balancing other patient related and professional demands. To have clinical responsibility for a highly specialised caseload of patients, organizing this effectively and efficiently with regard to clinical priorities and time management, supporting more junior staff to do likewise. To take a lead role in the advanced assessment, treatment and management of patients, who frequently have complex and/or chronic conditions. This may include psychosocial and emotional issues as well as physical components and will involve using investigative and analytical skills. To interpret and analyse clinical and non-clinical data to form accurate diagnoses and prognoses in a wide range of highly complex conditions. From this analysis, to recommend the best course of intervention, and to develop comprehensive management and discharge plans. To formulate individualised treatment plans, using highly developed clinical reasoning and utilising a wide range of treatment skills and options to formulate a highly specialised program of care. To be responsible for planning and delivering a client centred therapy service for patients with complex physical and psychosocial needs, grading services where necessary. To manage a caseload of clients with complex needs, taking on the role of care coordinator and/or vocational lead where relevant. To work as an autonomous practitioner, with access to expert advice and support from experienced clinicians as required. Job description Job responsibilities To be a proficient member of the multidisciplinary team (MDT), contributing towards clinical decisions. To liaise with other MDT professionals, statutory organisations such as: Local Authority Social Services, Housing and voluntary organisations effectively and as appropriate regarding individual patient care. This information can be highly complex and sensitive and requires the therapist to have advanced negotiating skills in order to secure appropriate treatment and discharge plans including care and/or adaptive equipment for individual patients. To ensure that up to date written and electronic (patient) records and activity data are maintained in accordance with Professional and Trust standards and provide specialist therapy reports relevant to practice setting. To advise and monitor the development of documentation and written patient information. To provide highly specialised professional help and advice to therapy colleagues, other members of the MDT and to relatives and the community teams carers on a daily basis, facilitating effective communication. To communicate assessment and treatment outcomes to the relevant disciplines via the most appropriate methods e.g. reports, letters, medical notes and ensure self and others maintain high standards. To screen and prioritise referrals for therapy treatment, including those of highly complex patients. To screen, assess and formulate treatment plans for unwell respiratory patients in allocated clinical areas, and appropriately escalate to the MDT and PARRT (Patient At Risk & Resuscitation Team). To have a major role in ensuring appropriate risk management occurs within designated area, such as risk assessment and timely completion of incident forms (IR1), reporting back to Clinical lead. To assess patients current functional ability and occupational needs and make independent decisions using advanced clinical reasoning skills, to determine safety for discharge. To refer, provide and arrange appropriate services to improve functional independence and ensure safe discharge and evaluate appropriateness of these treatments. To interpret and analyse clinical and non-clinical data to form accurate diagnoses and prognoses in a wide range of highly complex conditions. From this analysis, to recommend the best course of intervention, and to develop comprehensive management and discharge plans. To formulate individualised treatment plans, using highly developed clinical reasoning and utilising a wide range of treatment skills and options to formulate a highly specialised program of care. To monitor, evaluate and modify treatment in order to measure progress and ensure effectiveness of intervention. To be additionally responsible for the clinical management of patients with multidimensional complex needs within their specialist team. To apply a high level of understanding of the effect of disability and provide training and advice on lifestyles changes and adaptations to the clients social and physical environment. To apply a high level of understanding of general medical and surgical conditions and the impact on patients functioning. To be responsible for equipment used in carrying out therapy duties and to adhere to departmental policies. This includes competence to use equipment and to ensure the safe use of equipment by others through teaching training and supervision of practice. To ensure that self and other team members are able to identify those patients who pose a high manual handling risk. To utilise departmental systems and guidelines to facilitate manual handling risk assessments and develop treatment and management plans accordingly. To implement current departmental priority tool for work area balancing other patient related and professional demands. To have clinical responsibility for a highly specialised caseload of patients, organizing this effectively and efficiently with regard to clinical priorities and time management, supporting more junior staff to do likewise. To take a lead role in the advanced assessment, treatment and management of patients, who frequently have complex and/or chronic conditions. This may include psychosocial and emotional issues as well as physical components and will involve using investigative and analytical skills. To interpret and analyse clinical and non-clinical data to form accurate diagnoses and prognoses in a wide range of highly complex conditions. From this analysis, to recommend the best course of intervention, and to develop comprehensive management and discharge plans. To formulate individualised treatment plans, using highly developed clinical reasoning and utilising a wide range of treatment skills and options to formulate a highly specialised program of care. To be responsible for planning and delivering a client centred therapy service for patients with complex physical and psychosocial needs, grading services where necessary. To manage a caseload of clients with complex needs, taking on the role of care coordinator and/or vocational lead where relevant. To work as an autonomous practitioner, with access to expert advice and support from experienced clinicians as required. Person Specification Values Essential Demonstrable ability to meet the Trust Values Education & Qualifications Essential Current H.C.P.C. Registration Diploma/Degree/Masters in Occupational Therapy or Physiotherapy Demonstration of commitment to life long learning Desirable Membership to a special interest group e.g RCOT, SAM Experience Essential Evidence of C.P.D in relevant areas of practice Post registration experience relevant to clinical area Extensive experience working in an acute health setting and complex discharge planning. Experience in supervising/teaching staff/student/volunteer Desirable Relevant other associated work experience Leadership & first line management experience Experience of involvement in audit Experience in AE Skills & Aptitudes Essential Effective written and verbal communication skills to a range of audiences Demonstrate advanced clinical reasoning skills and management of complex cases Ability to relate clinical knowledge to practice Able to work independently as an autonomous practitioner Ability to work as part of a team including MDT Good organisational skills Reflect & critically approve own performance. Ability to lead and motivate self and team Effective time management skills and ability to prioritise case load and managerial tasks Ability to laterally think and problem solve Ability to apply appraisal teaching and supervision skills Highly specialist knowledge of current therapy in relevant area Awareness of current health issues IT skills / computer literate Able to maintain judgment and make decisions under pressure Excellent presentation & training skills. Clear vision of role/commitment to specialty Personal Qualities Essential Committed to personal and team development Adaptable and supportive of change Punctual and reliable Research-minded Able to work weekends in line with the Therapy 7 day working provision Person Specification Values Essential Demonstrable ability to meet the Trust Values Education & Qualifications Essential Current H.C.P.C. Registration Diploma/Degree/Masters in Occupational Therapy or Physiotherapy Demonstration of commitment to life long learning Desirable Membership to a special interest group e.g RCOT, SAM Experience Essential Evidence of C.P.D in relevant areas of practice Post registration experience relevant to clinical area Extensive experience working in an acute health setting and complex discharge planning. Experience in supervising/teaching staff/student/volunteer Desirable Relevant other associated work experience Leadership & first line management experience Experience of involvement in audit Experience in AE Skills & Aptitudes Essential Effective written and verbal communication skills to a range of audiences Demonstrate advanced clinical reasoning skills and management of complex cases Ability to relate clinical knowledge to practice Able to work independently as an autonomous practitioner Ability to work as part of a team including MDT Good organisational skills Reflect & critically approve own performance. Ability to lead and motivate self and team Effective time management skills and ability to prioritise case load and managerial tasks Ability to laterally think and problem solve Ability to apply appraisal teaching and supervision skills Highly specialist knowledge of current therapy in relevant area Awareness of current health issues IT skills / computer literate Able to maintain judgment and make decisions under pressure Excellent presentation & training skills. Clear vision of role/commitment to specialty Personal Qualities Essential Committed to personal and team development Adaptable and supportive of change Punctual and reliable Research-minded Able to work weekends in line with the Therapy 7 day working provision 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). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). 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). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Royal Free London NHS Foundation Trust Address Barnet Hospital Wellhouse Lane Barnet EN5 3DJ Employer's website https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)