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Job overview
Are you an ambitious Occupational Therapist looking to expand your skills across a range of specialties while progressing your career in a supportive and forward-thinking Trust?
We are seeking motivated Occupational Therapists with excellent communication and clinical skills to join our expanding Band 6 rotational programme. This exciting opportunity offers a diverse mix of acute and community placements, enabling you to develop broad clinical expertise and gain valuable experience across different services.
Our acute rotations include exposure to a variety of inpatient settings, including our large and well-established Stroke Unit. We also offer a wide range of community opportunities, including rehabilitation and long-term conditions services, supporting individuals to maximise independence and achieve meaningful goals within their communities.
We are proud of our strong partnerships with community providers, creating opportunities for collaborative working and, where appropriate, additional experiences aligned to your professional interests and development goals.
Join a dynamic Occupational Therapy team where innovation, career development, and high-quality patient care are at the heart of everything we do.
Main duties of the job
The rotations:
- Rotations into 8 different speciality areas: Stroke Unit Community UCR therapy team Community TOCH team Neuro Outliers (including ITU and Trauma caseload) Bromley Stroke Rehab Team Acute Medicine Acute COE Acute ED Acute Frailty
- Stroke Unit
- Community UCR therapy team
- Community TOCH team
- Neuro Outliers (including ITU and Trauma caseload)
- Bromley Stroke Rehab Team
- Acute Medicine
- Acute COE
- Acute ED
- Acute Frailty
Candidates
Essential experience required:
- Post-graduate clinical experience working as a Band 5 Occupational Therapist
- Evidence of participation in In-service training and Personal CPD
- HCPC registration and RCOT/BAOT membership
Candidates must have a professional, enthusiastic, friendly and flexible approach
Working days and or shift patterns will be agreed by the line manager to meet the needs of the service, including shift patterns over 7 day period covering 8am-8pm in some services.
Informal visits will be available on request to shortlisted candidates.
Detailed job description and main responsibilities
Job Summary
- To manage a designated case load with complex needs using evidence based / client centred principles to assess, plan, implement and evaluate
- Maintain records which fulfil legal requirements
- To regularly supervise O.T. students on practice placements
- To provide leadership for junior/support staff, through supervision and appraisal as delegated by a senior member of staff
- Participate in rotational scheme : Elderly , General Medicine, Stroke Unit, Surgery, Orthopaedics, Complex Neurological conditions (including major trauma) and Community Rehabilitation
SPECIFIC DUTIES AND RESPONSIBILITIES
1 Clinical
- To assess and treat a specific caseload of patients
- To demonstrate a broad level of knowledge and understanding of clinical conditions.
- To undertake individual initial screens to identify patient need including areas affecting functional ability, followed by agreed assessment plans.
- To design / plan individual patient treatment programmes to implement oneself, or to delegate as appropriate
- To assess and provide treatment for the functional level of patients with regard to personal and domestic activities of daily living, to maximise independence.
- To select and conduct standardised cognitive and perceptual testing with further assessment when needed.
- To carry out an initial risk assessment where necessary and to monitor ongoing risk
- To assess need and risk factors for hoist and wheelchair provision
- To advise, recommend, make provision for the installation of appropriate aids and adaptations to the patient’s social and physical environment.
- To carry out home visits, with or without the patient, to assess environmental risks and functional ability at home.
- To carry out community visits to assess for and practise daily living skills as needed.
- To identify and set client centred goals
- To monitor and evaluate treatment, including the use of outcome measures, in order to measure progress and ensure effectiveness of the intervention
- To participate in decisions regarding placements post discharge.
- To undertake discharge planning / co-ordination of complex patients.
- When working in the community and domiciliary settings, to work as a lone practitioner with telephone support from a senior Occupational Therapist, if required.
- To refer on to appropriate agencies for the continuation of treatment, reassessment, monitoring and provision of further adaptations.
- To participate in the weekend service.
2 Communication
- To communicate effectively with patients and carers, O.T colleagues, multidisciplinary team members and other agencies
- To participate in the multidisciplinary team meetings and case conferences.
- To advise and educate patients and carers regarding aids / equipment and safety in the home and community
- To participate in staff meetings and other meetings as directed by senior staff and the Lead O.T.
3 Documentation
- To maintain up to date activity data and activity records in accordance with Professional and Trust standards.
- To promptly provide reports on home visits
- To provide specific reports to other agencies as appropriate
4 Professional Ethics
- To adhere to the COT Code of Ethics and Professional Conduct, and all other relevant policies and procedures. These include maintaining confidentiality and respecting the patient’s dignity, privacy culture and wishes.
5 Leadership, Supervision and Appraisal
- To participate in the individual performance review programme
- To effectively use supervision and appraisal to reflect on own practice and performance.
- To undertake the supervision and appraisal of junior/support staff as delegated by a senior member of staff
- To delegate tasks to support staff as appropriate
- To provide advice to junior/support staff on a day to day basis as required.
- To deputise for the Senior I in his/her absence, taking responsibility for operational management of the team, allocating and organising the work of junior and assistant staff to meet service priorities on a daily basis.
6 Training Staff and Students
- To participate in the planning and implementing of the induction, training and education of students and other staff in this setting.
- To be responsible for the supervision and written assessment of O.T. students on practice placement on a regular basis
- To give presentations on specific chosen topics.
- Responsibility for organising specific aspects of training within the department.
7 Service Development and Delivery
- To work with other staff within the department to ensure that equipment is maintained and stock monitored.
- To manage the caseload efficiently in order to achieve timely and safe discharges of patients from hospital.
- To assist senior staff and the Lead O.T. / Inpatient Therapy Manager in implementing new policies within the department.
- To undertake specific departmental duties as requested by Senior staff or Lead O.T / Inpatient Therapy Manager
- To work constructively with other senior OTs / Inpatient Therapy Manager on service development issues, adapting practice and/or making recommendations for change as indicated.
8 Personal / Professional Development
- To participate in internal and external training opportunities, including mandatory and statutory training, to meet identified objectives and demonstrate ongoing development.
- To demonstrate an increasingly complex skills and knowledge base to establish competence and fitness to practise as a senior O.T.
- To maintain a professional portfolio for CPD.
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.
Person specification
Experience
Essential
- • At least 18 months post qualification experience
- • Broad based experience of Occupational Therapy treatment including work as a qualified OT in an NHS acute hospital
- • Knowledge and experience of equipment provision and prescription.
- • Broad experience of treatment options and approached
- • Advanced clinical reasoning skills.
- • Experience in complex moving and handling.
- • Experience in assessment and discharge planning within a fast paced environment.
- • Broad experience in standardised assessment.
- • Broad experience in assessment of and treatment of cognitive deficits.
- • Knowledge of wheelchair assessment and provision
- • Experience of supervising / teaching other staff
Desirable
- • Audit experience
- • Experience in working in rehabilitation, stroke and community teams.
Circumstances
Essential
- Able to work hours prescribed including shift patterns if required (Shifts covering between 8am-8pm)
- Able to work weekend shifts.
Knowledge & Skills
Essential
- • Good verbal communication skills in the English language
- • Ability to communicate clearly with other disciplines
- • Ability to keep clear, precise records in the English language, which meet legal requirements
- • Clear, concise report writing
- • A clear understanding of clinical governance and its implications on OT
- • Ability to plan, prioritise and manage a caseload
- • Able to work autonomously and to manage time effectively
- • Broad understanding of current issues surrounding healthcare provision in London
- • Knowledge of Support services in community
Desirable
- • Presentation Skills
Qualifications & Training
Essential
- • Diploma / Degree in Occupational Therapy
- • HCPC Registration
- • Evidence including attendance at recent post graduate courses/training relevant to rotational clinical specialties
- • Member of British Association of Occupational Therapists
- • Supervision/Experience Training
- • Practice Placement Training
- DBS clearance
Desirable
- • Evidence of attendance at relevant post-registration courses
- • Car driver
- • Member of COT special clinical interest
- • Experience in having students
Personal Characteristics/Disposition
Essential
- Flexible and innovative
- Ability to work with others as part of the multidisciplinary team
- Calm and reliable
- Well organised
- Ability to treat people with respect, irrespective of age, gender, culture, religion & sexuality
- Committed to ongoing CPD.
- Good interpersonal skills with ability to establish rapport with patients and carers
- Ability to work under pressure and adapt to change
- Reliable work record
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Applying for this NHS job
This advert is for Band 6 OT Acute and Community Rotation with Lewisham and Greenwich NHS Trust in University Hospital Lewisham. It is listed as a Band 6 role. The advertised salary is £39,959 - £48,117 per annum plus HCAS. The contract type is Permanent. The application deadline is 02 Sep 2026.
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