Job summary
- Main area
- Occupational Therapy / Physiotherapy
- Grade
- NHS AfC: Band 6
- Contract
- 6 months (Fixed Term)
- Hours
- Full time - 37.5 hours per week (12 hour shifts 8am-8pm)
- Job ref
- 333-G-CIS-0200
- Employer
- Central and North West London NHS Foundation Trust
- Employer type
- NHS
- Site
- Kensington & Chelsea
- Town
- London
- Salary
- £46,419 - £55,046 per annum + inner London HCAS (pro rata if Part time)
- Salary period
- Yearly
- Closing
- 17/10/2025 23:59
Employer heading
Home First Therapist (OT/PT)
NHS AfC: Band 6
CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.
Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.
We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.
We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. For more information on these and other benefits of working for us, see our Benefits, Reward and Wellbeing page
Become part of our team. We care for you as much as you care for others.
CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.
Job overview
- To undertake a comprehensive assessment of patients, including those with diverse or complex presentations/multi pathologies.
- To work with the acute Multi-Disciplinary Team & Transfer of Care Hubs to promote an efficient, effective discharge from hospital to the patient’s own home.
- To bring a holistic therapeutic approach to the multi-disciplinary team. Concentrating specifically on admission avoidance strategies and interventions.
- To have a role in the responsibility for the management of patients care pathway through the CIS services
- To be responsible for a designated caseload of patients, where you will implement and evaluate treatment plans, and coordinate interventions within Home First & Urgent Community Response.
- To liaise with health, and adult social care, working in partnership with primary and secondary care, social prescribers, and other external agencies to ensure the delivery of a high-quality service, and facilitate effective discharge from the Home First Service.
- To provide a specialist service to patients in their own home/usual residence
- To communicate effectively with patients and carers and allied agencies to maximise discharge and recovery potential and to ensure understanding of condition
Main duties of the job
- To be professionally and legally accountable for all aspects of own work, including the management of own patient caseload. To ensure a high level of care, and support more junior staff to do likewise.
- Promote a holistic, supportive, and patient cantered service that facilitates an intervention approach to promote change, acceptance and promotes self-management aiming to optimises functional improvement
- Work with Home First: supporting with triage, patient care pathway, and sharing knowledge related to the discharge to assess and admission avoidance strategies
- Work with patients, carers and families, and other statutory health related services
- Work autonomously and within the MDT team delivering individualised treatment interventions and management programmes
- Be flexible in the approach to delivering treatment and advice, have skills to deliver a variety of treatment interventions
- Have advanced communication skills that would include motivational and emotional support skills
Working for our organisation
Central and North West London NHS Trust expects all staff to act in a way which shows you understand our core values and are willing to put them into practice with service users, their friends, family, carers, and also other staff members.
As a member of the clinical team, we expect you to show COMPASSION, contribute to a caring and kind environment and recognise that what you do and say helps can make the lives of others better.
We expect you to RESPECT everyone and acknowledge and welcome people’s differences rather than ignore them or see them as problematic.
We expect you to EMPOWER others and continually try to provide information, resources and support to help others make their own decisions and meet their own needs.
We expect you to work in PARTNERSHIP and behave in a way that shows that you recognise that commissioners and users of our services are the people who generate and pay for our work.
Detailed job description and main responsibilities
- To be professionally and legally accountable for all aspects of own work, including the management of own patient caseload. To ensure a high level of care, and support more junior staff to do likewise.
- Promote a holistic, supportive, and patient cantered service that facilitates an intervention approach to promote change, acceptance and promotes self-management aiming to optimises functional improvement
- Work with Home First: supporting with triage, patient care pathway, and sharing knowledge related to the discharge to assess and admission avoidance strategies
- Work with patients, carers and families, and other statutory health related services
- Work autonomously and within the MDT team delivering individualised treatment interventions and management programmes
- Be flexible in the approach to delivering treatment and advice, have skills to deliver a variety of treatment interventions
- Have advanced communication skills that would include motivational and emotional support skills
- To use advanced clinical reasoning skills and assessment techniques to analyse and provide an accurate diagnosis of their condition.
- Manage a patient through the entirety of their care episode in relation to Home First assessment, symptom management, support and discharge.
- Where appropriate to work collaboratively with primary and secondary health care services, third sector services and social prescribing, education and social services, to ensure the delivery of a seamless and high-quality service.
- Have a broad skill set which can include advanced skills in delivering therapy intervention in order to provide a 2-hour urgent response for patients in a crisis.
- Manage severe complex, house bound patients. The CIS Home First service offers a domiciliary service to severely affected individuals; this requires collaborative working with social services and other attending care agencies.
- Be able to recognise the signs and symptoms of a deteriorating patient, having the skills to escalate accordingly.
- Be an advocate for the patient.
- Knowledge of where to sign-post patients for support, e.g. local or national support groups
- To be responsible for a caseload and work without direct supervision, and provide peer support for members of the MDT
- To ensure patient care and planned interventions are supported by available evidence base and experiential knowledge and are in accordance with Code of Professional conduct.
- To keep up to date and monitor literature related to Discharge to Assess and Crisis Response.
- To carryout risk assessment in line with Trust/National Protocol.
Person specification
Qualifications
Essential criteria
- Diploma/degree in Physiotherapy OR diploma /degree in Occupational Therapy
- Registration with HCPC
- Membership of the Chartered Society of Physiotherapy OR Membership of the RCOT
Desirable criteria
- Attendance at recent postgraduate courses
- Evidence of CPD maintained in a portfolio
- Involvement in CSP Special Clinical Interest Groups OR RCOT Special Clinical Interest Groups
Knowledge & Experience
Essential criteria
- Must be able to provide evidence (through appraisals, competencies and reflection from post graduate study) to demonstrate development of specialist knowledge
- Experience of community work
- Experience with patients with dementia and confusion
- Experience with patients with physical frailty and disability
- Knowledge of validated assessment tools and outcome measures
- Experience of student and therapy assistant supervision
- Specialist knowledge of broad range of conditions Experience of working as part of a therapy team and/or multidisciplinary team
Desirable criteria
- Extensive post qualified experience in profession, to include acute experience
- Experience in clinical service development.
- Experience in audit or measuring clinical effectiveness.
- Worked in Urgent Community Response or Discharge to asses service.
Skills
Essential criteria
- Excellent interpersonal facilitation, negotiating and communication (written and verbal) skills
- Good team player - Demonstrates initiating own learning and supporting colleagues in their learning.
- Evidence of ability to quickly gain and maintain credibility across the Trust and externally, with a wide range of professions
- Remain updated with professional and evidence-based practice and new research
- Understand the legal responsibilities of the profession
- To be competent in performing complex assessments and treatments with patients with a variety of conditions
- Demonstrates effective leadership skills
Desirable criteria
- Experience of participation in running internal/external courses and supervisory skills.
Employer certification / accreditation badges
Applicant requirements
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.
Documents to download
Further details / informal visits contact
- Name
- Kathryn Brierley
- Job title
- Bi-borough Home First Pathway Lead
- Email address
- [email protected]
- Telephone number
- 07907978207
- Additional information
Andrea Mizzaro - UCR Pathway Lead - K&C and Westminster on 07808892178/ [email protected]
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