Band 7 OT Neuro Therapy and ITU

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Lewisham and Greenwich

Band 7 OT Neuro Therapy and ITU

Full-Time On-site

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Step into a place where exceptional care, patients, culture, and careers come together.

Explore our current vacancies and take your first step toward making a real difference.

Join us. Make a difference. Be part of Team LGT.

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

Are you an experienced Occupational Therapist looking for an exciting opportunity to develop specialist skills across Neurorehabilitation and Intensive Care? Do you thrive in fast-paced acute environments and enjoy supporting patients with complex neurological and critical care needs? If so, Lewisham and Greenwich NHS Trust would love to hear from you.

We are seeking an enthusiastic, skilled and forward-thinking Band 7 Neuro and ITU Occupational Therapist to join our dynamic Therapy Services team at University Hospital Lewisham. This is an exceptional opportunity for an experienced clinician to take on a specialist leadership role working across critical care, neurosciences and acute rehabilitation pathways.

As a Band 7 therapist, you will play a pivotal role in delivering high-quality, evidence-based occupational therapy services to patients with complex neurological presentations and those recovering from critical illness. You will work within an established multidisciplinary team, helping patients maximise independence, improve functional outcomes and achieve meaningful goals throughout their recovery journey.

This role offers the chance to influence service development, contribute to workforce education and support innovative approaches to rehabilitation within one of South East London’s busiest and most diverse healthcare organisations.

Previous applicants need not apply.

Main duties of the job

You will manage a highly complex caseload including patients presenting with:

Acquired brain injuries
Early Stroke
SCI
Long term conditions
Neurological conditions
Critical illness neuropathy and myopathy
Prolonged ventilation and deconditioning
Cognitive and perceptual impairments
Functional neurological challenges
Optimising flow and Complex discharge planning needs

You will:

Deliver specialist occupational therapy assessment and intervention for patients with complex neurological and critical care needs.
Lead occupational therapy practice within Neuro and ITU services, supporting rehabilitation from critical illness through to discharge.
Undertake functional, cognitive, perceptual and environmental assessments to inform individualised treatment plans.
Develop and implement evidence-based rehabilitation programmes that promote independence and meaningful occupational engagement.
Facilitate safe, effective discharge planning across acute, rehabilitation and community pathways.
Provide expert advice on equipment, adaptations and ongoing rehabilitation requirements.

You will:

Contribute to the development of Neuro and Critical Care rehabilitation services.
Participate in audit, quality improvement and service evaluation activities.
Support implementation of evidence-based practice and national clinical standards.
Identify and deliver innovative approaches to enhance patient outcomes, experience and early rehabilitation within acute care settings.

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
Widening access (anchor institution) and employability
Improving the experience of staff with disability
Improving the EDI literacy and confidence of trust staff through training and development

Job Summary

To lead and manage the O.T. neuro outliers service.
To review and develop rehabilitation practice within UHL, including weekend practice.
To provide leadership and supervision to the neuro outlier OT team,
To provide support to therapists in teams working with complex patients:
To review and develop OT service provision in ITU
To lead on and manage a caseload of neurologically impaired patients.
To manage a designated case load with complex needs using evidence based/client centred principles to assess, plan, implement and evaluate interventions.
Maintain records which fulfil legal requirements.
To regularly supervise O.T. students on practice placements.
To provide leadership for junior staff, through supervision and performance reviews.
To participate in the planning, development and evaluation of O.T. neuro outlier service.
To contribute to the maintenance and development of the Trust O.T. service.

Key Result Areas & Performance

Clinical

To assess and treat a specific caseload of patients with complex needs, prioritising efficiently to help prevent readmissions.
To apply a high level of knowledge and understanding in the speciality including neurological conditions.
To undertake individual initial screens to identify patient need including areas affecting functional ability, followed by agreed assessment plans.
To design/plan individual patient programmes to implement oneself or to delegate as appropriate
To assess and treat the patient’s personal and domestic daily living functional activity level to maximise independence.
To select and conduct standardised cognitive and perceptual testing to identify areas affecting functional ability and indicate need for further assessment/treatment.
To carry out an initial risk assessment where necessary and monitor ongoing risk.
To assess need and risk factors for hoist and wheelchair provision.
To carry out home visits with or without the patient to assess environmental risks and functional ability at home.
To advise on, recommend, make provision for the installation of; appropriate aids and adaptations to the patients’ social and physical environment.
To assess and manufacture appropriate upper limb and lower limb splints as needed. To design and monitor ongoing splint regimes.
To carry out community visits to assess for and practise daily living skills as needed.
To monitor and evaluate treatment, including using outcome measures in order to measure progress and ensure effectiveness of the intervention.
To undertake discharge planning and coordination of complex patients.
To take a lead in the decisions regarding placement after discharge.
To refer onto appropriate agencies for :- the continuation of treatment, reassessment, monitoring, provision of further adaptations.
To carry out joint working with others from the Trust and across other agencies.

Documentation

To maintain up to date activity data and activity records in accordance with Professional and Trust standards.
To provide reports on home visits.
To provide specific reports to other agencies as appropriate.

Professional Ethics

To adhere to the COT Code of Ethics and Professional Conduct, and all other relevant policies and procedures. These include maintaining confidentiality and respecting the patient’s dignity, privacy culture and wishes
To provide guidance to junior/support staff on ethical issues.

Leadership, Supervision and Appraisal

To lead and manage the O.T. team in the Stroke Unit.
To participate in the planning and implementing of the induction, training and education of students and other staff in this setting, and take a lead when needed.
To undertake the supervision and appraisal of junior/support staff as delegated by the Lead O.T.
To provide specialist training on an individual basis.
To provide advice to junior/support staff and students on a day to day basis as required.
To deputise for the Lead O.T. in an absence.

Training Staff and Students

To participate in the planning and implementing(taking a lead as needed ) of the induction, training and education of students and other staff in this setting.
To be responsible for the supervision and written assessment of O.T. students on practice placement on a regular basis.
To give presentations/training on specialist topics.
To organise and implement the training programme for O.T. team in the Stroke Unit.

Service Development and Delivery

To work with other staff within the department to ensure that equipment is maintained and stock monitored.
To manage own caseload efficiently, including methods of prioritisation in order to achieve timely and safe discharges of patients from hospital and to help prevent admissions/readmissions.
To facilitate, coordinate and monitor the workloads of the O.T. team members the Stroke Unit
To participate in the operational planning and implementation of policies within the department
Assist with the recruitment and appointment of O.T. staff.
To represent O.T. on Trust wide (and linked agencies) working parties and groups as delegated by the Lead O.T.
To take a lead on specific projects as delegated by the Lead O.T.
To participate in, and take a lead as needed, in the Therapies special interest group for the relevant clinical area.

Personal/Professional Development

To participate in internal and external training opportunities to meet identified

Person specification

Qualifications

Diploma/Degree in Occupational Therapy & HPC registration.
Post Grad Qualification

Experience

Broad based OT experience including ITU
Specialist Neuro knowledge
Experience within Major Trauma
Experience of Wheelchair and specialist seating prescription
Use of EBP
Splinting experience
Member of special interest group

Knowledge

Audit and service evaluation

We reserve the right to close the post before the stated closing date.

We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note: Information provided during recruitment and pre‑employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action.

Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.

Use of AI in recruitment: We may use artificial intelligence (AI) tools to support the initial review of applications against the essential criteria for this role. Where AI is used, it will support rather than replace human decision-making, and applications will remain subject to appropriate human review.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

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