Home First & Urgent Community Response Therapist (OT/ PT) inLondon inLondon PUBLISHED 4 NOV 2024

• Supporting Operational Pathway Lead for Home First & Urgent Community Response with service managerial activities.
• To work collaboratively within the specialist multi-disciplinary team (MDT)
• 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.
• As a registered Allied Health Care Professional, you will assist in the organisation, development, and delivery of the Home First & Urgent Community Response service
• 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

• Divide managerial and clinical duties to support the Home First & Urgent Community Response Lead.
• Assist with staff management, appraisals, leave approvals, and sickness reporting.
• Promote holistic, patient-centred care for functional improvement.
• Support Home First with triage, care pathways, and discharge strategies.
• Collaborate with patients, carers, families, and health services.
• Deliver individualized treatments autonomously and within the MDT team.
• Be flexible and skilled in various treatment interventions.
• Use advanced communication for motivational and emotional support.
• Have expert knowledge of long-term conditions and prognosis.
• Manage patients through their care episodes from assessment to discharge.
• Work with primary, secondary, and third-sector services for seamless care.
• Provide urgent 2-hour responses for crisis patients.
• Manage complex, housebound patients with social services.
• Recognize and escalate deteriorating patient conditions.
• Advocate for patients and direct them to support resources.
• Handle a caseload independently and support MDT peers.
• Ensure interventions are evidence-based and professionally compliant.
• Stay updated on Discharge to Assess and Crisis Response literature.
• Conduct risk assessments per Trust/National Protocol.

About us

• Division of duties between managerial and clinical activities, supporting the Home First & Urgent Community response Operational Pathway Lead in managing the service facilitating efficiency, effective and safe activity of Home First service activity.
• Support Operational Pathway Lead with service management activities: appraisal and supervision of B6 staff, approving annual leave, reporting on sickness using Health Roster.
• Promote a holistic, supportive, and patient centred 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 have expert knowledge and understanding of long-term conditions and symptoms, and prognosis
• 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.