# Assertive Outreach Occupational Therapist > NHS job listing from Job Clerk for Central and North West London NHS Foundation Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/assertive-outreach-occupational-therapist/9816eb65-353c-4ea2-9001-1506d4ca8bbd - **Markdown:** https://www.jobclerk.com/job/assertive-outreach-occupational-therapist/9816eb65-353c-4ea2-9001-1506d4ca8bbd.md ## Summary - **Status:** Live - **Employer:** Central and North West London NHS Foundation Trust - **Town:** London - **Region:** London - **Country:** England - **Profession:** Occupational Therapist - **Grade:** Band 6 - **Salary:** £47,951 - £56,863 per annum inc HCAS (pro rata if P/T) - **Contract type:** Permanent - **Employment type:** Full time - 37.5 hours per week - **Closing date:** 2026-06-15T23:59:00.000Z - **Posted:** 2026-06-01T13:42:56.281Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/London/Central_North_West_London_NHS_Foundation_Trust/Occupational_Therapy/Occupational_Therapy-v8034919 - **Application URL:** https://apps.trac.jobs/job-advert/8034919?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.cnwl.nhs.uk ## Job Content ### Job overview Westminster Community Mental health hubs are seeking a motivated and experienced Band 6 Occupational Therapist  to join our new assertive outreach pathway. This is an excellent opportunity for a therapist who is ready to take the next step in their career and develop their Occupational Therapy skills in a assertive outreach pathway in a community mental health setting. We are looking for someone who is passionate about delivering high‑quality care, proactive, engaged, and committed to supporting people in their mental health recovery. The successful candidate will join an Occupational Therapy service that prides itself on innovation, excellent service delivery and continued learning. This post is based in the West End Community Mental Health Hub, but you will be required to visit patients across the  Boroughs depending on service demand. We operate a five‑day service and working hours run from 9 am to 5 pm. View this webpage and video for more information about Occupational Therapy in CNWL Occupational Therapy :: Central and North West London NHS Foundation Trust CNWL Occupational Therapy Recruitment (FINAL) | Videos & Movies on Vimeo ### Main duties of the job The post holder will manage a small, high-intensity caseload, delivering time-limited interventions through proactive and persistent engagement. Practice will be guided by Assertive Outreach principles, including flexibility, collaborative risk management, and a strong focus on sustaining engagement and reducing barriers to care. Working with individuals with high levels of complexity, the post holder will address issues such as disengagement, medication non-adherence, recent admissions, housing instability, substance misuse, and escalating risk. Interventions will be occupationally focused, strengths-based, and trauma-informed, supporting activity, participation, and recovery. The role includes delivering interventions flexibly across settings, including home visits, community environments, and remote contact, requiring adaptable and responsive working patterns. We are looking for an experienced and motivated Occupational Therapist with strong clinical skills in complex mental health. The ideal candidate will demonstrate confidence in risk management, outreach working, and engaging individuals who may be ambivalent about services. They will work autonomously within a multidisciplinary team and be committed to delivering recovery-focused, outcome-driven care within a structured outreach model, including clear goal setting, outcome measures, and planned step-down to routine CMHH care. ### Detailed job description and main responsibilities See attached Job description and Person Specification for further information on the job role requirements. Key Responsibilities  Clinical - deliver specialist occupational therapy assessment and intervention for individuals with complex mental health needs - provide assertive outreach interventions, including intensive and time-limited support during periods of risk or disengagement - use proactive and persistent engagement approaches to maintain contact with individuals who are difficult to engage - plan and deliver interventions with clear goals, outcome measures and structured transition planning - contribute to risk assessment and management, balancing positive risk-taking with safety - manage referrals and hold a small, high-intensity caseload within the multidisciplinary team - prioritise work load and delegate appropriately to support staff - apply occupational therapy models (e.g. MOHO) to inform clinical reasoning and interventions - use outcome measures to evaluate effectiveness and inform care planning - place service users at the centre of goal setting and involve carers where appropriate - deliver culturally responsive and inclusive care - prescribe equipment to support occupational performance in line with Trust policy ## Job Details Westminster Community Mental health hubs are seeking a motivated and experienced Band 6 Occupational Therapist to join our new assertive outreach pathway. This is an excellent opportunity for a therapist who is ready to take the next step in their career and develop their Occupational Therapy skills in a assertive outreach pathway in a community mental health setting. We are looking for someone who is passionate about delivering high‑quality care, proactive, engaged, and committed to supporting people in their mental health recovery. The successful candidate will join an Occupational Therapy service that prides itself on innovation, excellent service delivery and continued learning. This post is based in the West End Community Mental Health Hub, but you will be required to visit patients across the Boroughs depending on service demand. We operate a five‑day service and working hours run from 9 am to 5 pm. View this webpage and video for more information about Occupational Therapy in CNWL Occupational Therapy :: Central and North West London NHS Foundation Trust CNWL Occupational Therapy Recruitment (FINAL) | Videos & Movies on Vimeo ## Job Description The post holder will manage a small, high-intensity caseload, delivering time-limited interventions through proactive and persistent engagement. Practice will be guided by Assertive Outreach principles, including flexibility, collaborative risk management, and a strong focus on sustaining engagement and reducing barriers to care. Working with individuals with high levels of complexity, the post holder will address issues such as disengagement, medication non-adherence, recent admissions, housing instability, substance misuse, and escalating risk. Interventions will be occupationally focused, strengths-based, and trauma-informed, supporting activity, participation, and recovery. The role includes delivering interventions flexibly across settings, including home visits, community environments, and remote contact, requiring adaptable and responsive working patterns. We are looking for an experienced and motivated Occupational Therapist with strong clinical skills in complex mental health. The ideal candidate will demonstrate confidence in risk management, outreach working, and engaging individuals who may be ambivalent about services. They will work autonomously within a multidisciplinary team and be committed to delivering recovery-focused, outcome-driven care within a structured outreach model, including clear goal setting, outcome measures, and planned step-down to routine CMHH care. ## Responsibilities See attached Job description and Person Specification for further information on the job role requirements. Key Responsibilities Clinical deliver specialist occupational therapy assessment and intervention for individuals with complex mental health needs provide assertive outreach interventions, including intensive and time-limited support during periods of risk or disengagement use proactive and persistent engagement approaches to maintain contact with individuals who are difficult to engage plan and deliver interventions with clear goals, outcome measures and structured transition planning contribute to risk assessment and management, balancing positive risk-taking with safety manage referrals and hold a small, high-intensity caseload within the multidisciplinary team prioritise work load and delegate appropriately to support staff apply occupational therapy models (e.g. MOHO) to inform clinical reasoning and interventions use outcome measures to evaluate effectiveness and inform care planning place service users at the centre of goal setting and involve carers where appropriate deliver culturally responsive and inclusive care prescribe equipment to support occupational performance in line with Trust policy ## Person Specification ### Previous Experience **Essential** - Working as an OT in secondary mental health services. - Experience of working with individuals who are disengaged or hard to reach - Managing a defined caseload, including prioritisation and autonomous working. - Delivering OT assessments and interventions in community settings - Experience of proactive, persistent engagement approaches - Experience of managing high-risk and complex cases in community settings. - Supporting occupational performance through environmental adaptation and equipment provision. - Working in partnership and co-producing care with service users and carers. - Facilitating groups or structured interventions. **Desirable** - Experience of working in assertive outreach or similar intensive community based services - Experience of trauma-informed practice - Supervision of OT students / non-qualified staff. ### Education and Qualifications **Essential** - Degree/Diploma in Occupational Therapy. - Health Care Professionals Council (HCPC) registered Occupational Therapist. - Post qualification training in relevant mental health skills. **Desirable** - Practice Educator training - Member of the Royal College of OT (RCoT) - Additional training in specialist standardised assessments ### Skills, knowledge and abilities **Essential** - Knowledge of OT theory and models (e.g. MoHO) and their application in mental health. - Strong communication skills, including engaging individuals with complex needs and conveying sensitive information. - Ability to work autonomously and as part of an MDT - Skills in delivering individual and group interventions. - Ability to prioritise workload and work flexibly in a dynamic community setting. - Ability to work flexibly and creatively to maintain engagement - Ability to work in a culturally responsive and inclusive way - Knowledge of the impact of mental and physical health on occupational performance. - Knowledge and application of risk assessment and management, including positive risk-taking. - Knowledge of safeguarding principles and their application in practice. - Confidence in balancing positive risk-taking with safety **Desirable** - Knowledge of research and development principles at graduate level. - Knowledge and skills in vocational rehabilitation, sensory approaches, and brief solution-focused interventions. - Awareness of housing, benefits, and wider health and social care systems. - Experience working with homelessness or housing instability - Experience within criminal justice settings ### Attitudes, aptitudes and personal characteristics **Essential** - Motivated and committed to working in an Assertive Outreach service - Strong organisational skills, with the ability to prioritise, delegate, and manage workload effectively - Flexible and adaptable approach to working in a dynamic environment. - Good self-awareness, with the ability to use initiative and work independently. - Ability to manage conflict constructively and maintain professional boundaries. - Willingness to develop knowledge and skills through ongoing learning. - Ability to take responsibility and demonstrate accountability in practice. - Act as a positive role model, supporting and influencing the practice of others ## Documents - [cnwl values (pdf, 182.9kb)](https://www.healthjobsuk.com/documents?edoc=1162) - [cnwl staff charter (pdf, 684.7kb)](https://www.healthjobsuk.com/documents?edoc=2868) - [cnwl staff networks (pdf, 320.0kb)](https://www.healthjobsuk.com/documents?edoc=1160) - [person specification (pdf, 200.4kb)](https://www.healthjobsuk.com/documents?vdoc=10338495) - [assertive outreach ot b6 (pdf, 520.6kb)](https://www.healthjobsuk.com/documents?vdoc=10322765) - [cnwl reward and wellbeing handbook 2020 (pdf, 1.1mb)](https://www.healthjobsuk.com/documents?edoc=1773) - [cnwl culture scarf behaviour framework (pdf, 710.2kb)](https://www.healthjobsuk.com/documents?edoc=2869) - [accommodation information for new starters (pdf, 120.6kb)](https://www.healthjobsuk.com/documents?ddoc=2438) ## Agent Notes - This Markdown page is generated from the same Job Clerk job record as the HTML job detail page. - Use the canonical HTML URL for user-facing references. - Use the application URL when the user wants to apply on the source NHS site.