Swydd-ddisgrifiad a phrif gyfrifoldebau manwl

1.               To be professionally and legally accountable for all clinical work undertaken. To work within the standards and guidelines of the team, the Trust, and professional organisations.  

2.               To undertake a range of routine and specialist assessments as an autonomous practitioner (on an individual or group basis) which is evidence based and uses standardised assessments and outcome measures where appropriate.

3.               To have a comprehensive knowledge of anatomy, neuro-anatomy, and links with impairments and how they can impact on function. To educate others when required. E.g. post stroke impairments and impact on function

4.               To use clinical reasoning skills to interpret and analyse clinical and non-clinical facts to form an accurate diagnosis and with patient involvement determine an appropriate care plan based on knowledge of current professional opinion, clients’ prognosis, priorities and other physical, social, emotional and mental health issues.

5.               To formulate and negotiate patient centred goals/ clinical objectives with clients, carers relatives, and other health professionals and ensure that these are reviewed and modified as appropriate.

6.               To deliver evidence based treatment programmes within a team approach in a variety of settings ensuring that manual handling, therapeutic handling, patient education, exercise prescription and self-management resources comply with current national and local guidelines and are communicated appropriately.

7.               To devise and manage a treatment plan tailor-made to the patient’s presenting condition through, for example:

·       Functional rehabilitation ie ADLs & PADLs

·       Vocational rehabilitation

·       Equipment provision

·       Orthotic assessment

·       Community-based activities e.g. graded outdoor mobility programme

·       Cognitive/memory ax & treatment

·       Education

·       Health Promotion

·       Addressing relevant psychosocial issues

·       Other treatment options.

8.               To work collaboratively within a multidisciplinary team and routinely support an extensive range of sign-posting activities across multiple statutory and voluntary organisation e.g. referrals for further investigations, referrals within the team and referrals to other community services.

9.                To manage a caseload of clients with complex needs with supervision and guidance as necessary from senior staff. To successfully monitor, evaluate and review physiotherapy treatment/interventions within a multi-disciplinary framework and to modify as necessary, taking a key worker role as indicated.

10.            To ensure that the client understands the clinical reasoning process and the management plan and is supported to engage in self-management activities where possible.

11.            Act as an advocate on behalf of clients and carers by adopting a client centred approach to support meaningful participation in life roles within Ealing.

12.            To advise and teach the relevant carers/health workers to participate in on-going therapy/rehabilitation care programmes for clients, as appropriate

13.            To modify the client’s therapy treatment/management plan as appropriate following ongoing re-assessment, risk assessment and evaluation of progress.

14.            To support with discharge planning activities and risk assessments e.g. making recommendations for follow up therapy, determining equipment needs, determining care needs after your input has concluded.

15.            To use knowledge of other multi-disciplinary roles and external agencies to ensure appropriate referrals are made as part of the seamless transfer of care to other services and allow patients to self manage their condition.

16.            To represent the occupational therapy service at multi-disciplinary team meetings. This will involve providing information on clinical progress, risk assessments and engaging in team discussions to determine appropriate transfer of care options.

17.            To actively participate in health promotion & health education initiatives and programmes in the locality.

18.            To manage clinical risk within own and team caseload and delegate effectively to rehabilitation assistants with appropriate support from senior staff.

19.            To be confident in the safe use and application of all equipment used in patient care and rehabilitation including the use of specialist equipment.