# Home First Therapist (OT/PT) > NHS job listing from Job Clerk for Central and North West London NHS Foundation Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/home-first-therapist-otpt/b8caadf1-d4af-4163-a7d5-db1495b2038b - **Markdown:** https://www.jobclerk.com/job/home-first-therapist-otpt/b8caadf1-d4af-4163-a7d5-db1495b2038b.md ## Summary - **Status:** Live - **Employer:** Central and North West London NHS Foundation Trust - **Town:** London - **Region:** London - **Country:** England - **Profession:** Mental health professionals - **Grade:** Band 6 - **Salary:** £47,951 - £56,863 per annum incl HCAS (pro rata if Part time) - **Contract type:** Permanent - **Employment type:** Full time - 37.5 hours per week - **Closing date:** 2026-07-07T23:59:00.000Z - **Posted:** 2026-06-23T13:01:19.541Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/London/Central_North_West_London_NHS_Foundation_Trust/Occupational_Therapy_Physiotherapy/Occupational_Therapy_Physiotherapy-v8079624 - **Application URL:** https://apps.trac.jobs/job-advert/8079624?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.cnwl.nhs.uk ## Job Content ### Job overview - To undertake a comprehensive assessment of patients, including those with diverse or complex presentations/multi pathologies. - 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. - 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 - To communicate effectively with patients and carers and allied agencies to maximise discharge and recovery potential and to ensure understanding of condition ### Main duties of the job - To be professionally and legally accountable for all aspects of own work, including the management of own patient caseload. To ensure a high level of care, and support more junior staff to do likewise. - Promote a holistic, supportive, and patient cantered 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 ### Detailed job description and main responsibilities - To be professionally and legally accountable for all aspects of own work, including the management of own patient caseload. To ensure a high level of care, and support more junior staff to do likewise. - Promote a holistic, supportive, and patient cantered 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 use advanced clinical reasoning skills and assessment techniques to analyse and provide an accurate diagnosis of their condition. - 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. ## Job Details To undertake a comprehensive assessment of patients, including those with diverse or complex presentations/multi pathologies. 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. 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 To communicate effectively with patients and carers and allied agencies to maximise discharge and recovery potential and to ensure understanding of condition ## Job Description To be professionally and legally accountable for all aspects of own work, including the management of own patient caseload. To ensure a high level of care, and support more junior staff to do likewise. Promote a holistic, supportive, and patient cantered 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 ## Responsibilities To be professionally and legally accountable for all aspects of own work, including the management of own patient caseload. To ensure a high level of care, and support more junior staff to do likewise. Promote a holistic, supportive, and patient cantered 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 use advanced clinical reasoning skills and assessment techniques to analyse and provide an accurate diagnosis of their condition. 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. ## Person Specification ### Qualifications **Essential** - Diploma/degree in Physiotherapy OR diploma /degree in Occupational Therapy - Registration with HCPC - Membership of the Chartered Society of Physiotherapy OR Membership of the RCOT - Evidence of CPD maintained in a portfolio Attendance at recent postgraduate courses **Desirable** - Evidence of CPD maintained in a portfolio - Involvement in CSP Special Clinical Interest Groups OR RCOT Special Clinical Interest Groups ### Specific Skills: **Essential** - Excellent interpersonal facilitation, negotiating and communication (written and verbal) skills - Good team player – able to support others in making their contribution. - Remain updated with professional and evidence-based practice and new research - To be competent in performing complex assessments and treatments with patients with a variety of conditions - Evidence of ability to quickly gain and maintain credibility across the Trust and externally, with a wide range of professions - Understand the legal responsibilities of the profession - Able to present information written and orally, in a clear and logical manner and to keep accurate and legible patient notes - Effective organisational skills - Able to develop management - Demonstrates effective leadership skills. - Understanding of clinical governance and its implications for services, including experience of quality issues and audit data protection, equal opportunities and health and safety - Flexibility in response to service needs. **Desirable** - Experience of participation in running internal/external courses and supervisory skills. - Effective presentation skills ### Skills & Abilities **Essential** - Sound practical skills - Assessment skills - Ability to manage a team - Delegation skills - Ability to work alone as well as be part of a team - Ability to work under pressure - Excellent communication skills - Organisational skills - Ability to prioritise a changing workload **Desirable** - Ability to implement policy and guidelines ### Personal Disposition **Essential** - Self-motivated and innovative - Assertive and Confident - Enthusiastic - Empathetic and Supportive - Able to deal with challenging working conditions - Ability to manage and diffuse stressful situations ### Knowledge & Experience **Essential** - Must be able to provide evidence (through appraisals, competencies and reflection from post graduate study) to demonstrate development of specialist knowledge - Experience with patients with physical frailty and disability - Knowledge of validated assessment tools and outcome measures - Specialist knowledge of broad range of conditions, experience of working as part of a therapy team and/or multidisciplinary team - Experience of student and therapy assistant supervision - Specialist knowledge of broad range of conditions Experience of working as part of a therapy team and/or multidisciplinary team **Desirable** - Experience in clinical service development. - Experience in audit or measuring clinical effectiveness. - Post qualified experience in profession, to include acute experience - Worked in Urgent Community Response or Discharge to asses service. ### Physical Skills & Emotion al effort: **Essential** - Regularly undertakes moderate physical effort for multiple periods on a daily basis, whilst carrying out concurrent activities - Work often includes intense physical effort for several periods in the day - Ability to work in a stressful environment and with emotional or aggressive patients and carers. - Able to handle conflict effectively and differences in opinion tactfully. - Able to use negotiation skills in conflict management across a range of situations - The ability to maintain high levels of concentration when under pressure from competing sources - To deal sensitively with patients who have high levels of anxiety and aggression causes by pain, dementia or limited mobility - To be able to frequently care for critically/ terminally/ chronically ill patients and deal with distressing and difficult circumstances often giving unwelcome news regarding limited expectations of recovery or prognosis ## Documents - [cnwl values (pdf, 182.9kb)](https://www.healthjobsuk.com/documents?edoc=1162) - [person spec (pdf, 280.4kb)](https://www.healthjobsuk.com/documents?vdoc=10371636) - [job description (pdf, 328.4kb)](https://www.healthjobsuk.com/documents?vdoc=10371635) - [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) - [new starter road map (pdf, 81.5kb)](https://www.healthjobsuk.com/documents?vdoc=10371637) - [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.