Detailed job description and main responsibilities

 General requirements
To communicate effectively and work collaboratively, as a practitioner, 
with health, social care and voluntary team colleagues to assist in the 
delivery of a co-ordinated multi agency service within the complexities 
of a community environment and care pathways
To work as an autonomous practitioner and as a lone worker in the 
community
To independently implement therapy intervention and care packages 
according to agreed plans , requesting support from the therapists as 
required and being aware of own limitations.
To undertake administrative and any other duties, which may be 
allocated by the Operational Team Manager within the general scope 
of the post, and appropriate to the grade, after negotiation, adequate 
training and appropriate supervision (e.g. lead projects to review and 
improve service delivery) 

Principal duties
Clinical:
To manage a designated caseload of adult clients with neurological 
presentations under supervision and delegation, working in conjunction 
with other members of the team and seeking support as required
To demonstrate initiative and contribute towards ensuring a high 
standard of clinical care for clients receiving therapeutic programmes 
as part of inter/multidisciplinary working. 
To work generically assisting OT, PT, SLT and Psychology staff as 
appropriate to area of work.
To accept clinical responsibility for patient case load and to organise 
this effectively and efficiently with regard to clinical priorities and use of 
time, asking for support when necessary.
To be legally responsible and accountable for all aspects of your own 
work including the management of patients in your care ensuring a high 
standard of clinical care for the patients under your management.
To complete clinical outcome measures under the direction of qualified 
Therapists in order to achieve goals with patients.

Undertake day to day assessment of patients’ mental health and 
physical levels of function and their capacity to undertake activities and 
modify treatment appropriately and according to senior guidance.
To demonstrate awareness of mental capacity, informed consent and
the legal framework required for clients who lack capacity to consent to 
treatment, requesting support from qualified Therapists as appropriate.
To demonstrate awareness of when patients require further 
assessment by a qualified therapist or other external health/social care 
professional, liaise with senior staff and complete onward referrals as 
appropriate.
To demonstrate a broad knowledge of conditions and disorders 
observed in people with Long Term Neurological Conditions.
To demonstrate skills in dealing with disclosure of complex, sensitive or 
contentious information by clients and carers. To recognise the 
importance of passing this to qualified staff.
To communicate effectively and work collaboratively, under 
professional guidance, with health, social care and voluntary team 
colleagues to assist in the delivery of a co-ordinated multi agency 
service within a community environment and care pathways

 Under professional guidance, to provide planned advice, teaching, 
training and instruction to relatives, carers and other professionals, to 
ensure a consistent approach to patient care and treatment e.g. moving 
and handling, use of communication aids, strategies for cognitive 
deficits.
To prepare and compile materials/equipment for use in therapy e.g. 
communication charts and aids, as required by therapists.
To provide therapeutic interventions in working conditions which may 
frequently be hazardous e.g. exposure to body fluids, aggressive 
persons, visits to high risk areas and associated travel risks.
To undertake frequent therapeutic handling and moving of patients, 
with or without aids and equipment utilising moderate physical effort 
within clinical and non-clinical settings. This may involve bending, 
kneeling or frequent repetitive activities often in confined restricted 
places.
To work with patients, carers, relatives who may have barriers to 
understanding, distressing or challenging social/clinical circumstances 
or behaviours.

To be responsible for the day to day planning, management and 
prioritisation of own workload, under guidance and supervision from 
senior staff on a regular basis.
To be an active member of appropriate clinical working groups within 
LTNC to ensure policies, procedures and governance are maintained in 
daily practice. 
To organise and plan appropriate venues for the provision of group 
activities taking into account patients’ physical and mental health 
capabilities, under guidance from senior staff.
To demonstrate effective infection control and hygiene practice of self 
and equipment.
To monitor stock and maintain equipment, making recommendations 
about ordering. 
To contribute to the effective selection and ordering of equipment, its 
fitting and safe instruction in its use to patients and carers.
To develop dexterity, co-ordination and sensory skills for manual 
treatment of patients with LTNC.
To demonstrate auditory and perceptual skills when working with 
clients with communication difficulties.
To maintain and update technical skills e.g. use and modification of 
equipment and software
To demonstrate skills to enable the client in areas of self-maintenance,
productivity and leisure.
To provide training and advice on lifestyle changes and adaptations to 
the client’s social and physical environment under direction and 
guidance.

Leadership:
To actively contribute towards service and operational development 
through leadership forums e.g microsystems, peer supervision,
research and project management 
To promote the understanding of the role of the therapy assistant to 
therapy students and other health and social care staff.
To promote awareness of your role within the team, locally and 
nationally.

Service development;
To participate in designated projects in relation to service design, 
development and delivery within LTNC services.
To participate in research and audit projects relevant to LTNC services. 
To maintain accurate, comprehensive and up to date data and statistics 
for the use of the department
To comply with the requirements of SHSC in relation to policy, 
governance and legislation and to review and update policy and 
procedure as appropriate e.g infection control, information governance 
etc

Professional:
To ensure client confidentiality when dealing with complex cases, 
multiple agencies and the community setting.
To be professionally and legally responsible and accountable for all 
aspects of work including confidentiality, note writing and in line with 
professional codes of conduct. 
To promote awareness of the role of the post holder’s profession within 
the team, trust, locally and nationally.
To contribute towards supervision and assessment of students from
Higher Education institutions and work collaboratively towards 
standards of clinical and professional tutoring. 
To participate in the staff appraisal scheme, Personal Development 
Plan (PDP), LTNC staff induction, provision of clinical and professional 
supervision to junior staff and contribute to training programmes for 
Long Term Neurological Conditions staff.
To comply with requirements for clinical supervision and reflect, under 
guidance from senior staff on ethical issues through evidence collected 
in supervision notes. To contribute to peer supervision across LTNC 
services
To respect the individuality, values, cultural and religious diversity of 
clients and contribute to the provision of a service sensitive to these 
needs