# 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/occupational-therapist/1286d33d-2c58-498a-a90c-7bf0f624ff27 - **Markdown:** https://www.jobclerk.com/job/occupational-therapist/1286d33d-2c58-498a-a90c-7bf0f624ff27.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:** £45,953 - £54,254 per annum inc HCAS (pro rata if P/T) - **Contract type:** Permanent - **Employment type:** Full time - 37.5 hours per week - **Closing date:** 2026-06-17T23:59:00.000Z - **Posted:** 2026-06-03T12:51:15.218Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/Harrow/Central_North_West_London_NHS_Foundation_Trust/Adult_Mental_Health/Adult_Mental_Health-v8013152 - **Application URL:** https://apps.trac.jobs/job-advert/8013152?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.cnwl.nhs.uk ## Job Content ### Job overview Are you an Occupational Therapist who strives for excellence and wants to make a real difference? Join our pioneering trauma-informed community mental health team in Harrow. This role offers the opportunity to deliver a specialist Occupational Therapy service within an Assertive Outreach model, working with adults experiencing severe and complex mental health needs who are at risk of disengaging from services. You will manage a small, high-intensity caseload, providing proactive, person-centred and evidence-based interventions focused on engagement, recovery and meaningful participation. You will work with individuals presenting with complexity such as non-engagement, recent admissions, substance misuse, housing instability and increased risk. Using a strengths-based and trauma-informed approach, you will support people to rebuild routines, roles and independence, within a structured framework that promotes clear goals and measurable outcomes. Working both autonomously and as part of a multidisciplinary team, you will contribute your specialist occupational perspective to care planning while delivering coordinated, compassionate care alongside service users, families and carers. This is an exciting opportunity to be part of an innovative service and make a lasting impact in a dynamic community setting. ### Main duties of the job Provide specialist Occupational Therapy assessments and interventions for individuals experiencing significant occupational dysfunction, including barriers to participation and limited access to meaningful roles. Deliver intensive, time-limited assertive outreach support with frequent, proactive contact during periods of risk or disengagement, using creative and flexible approaches to maintain engagement. Plan and deliver interventions within a structured framework with clear goals, outcome measures and transition planning. Contribute to risk assessment and management, balancing positive risk-taking with safety in complex presentations. Manage referrals autonomously within the multidisciplinary team, including prioritisation and delegation. Apply Occupational Therapy models such as MoHO alongside evidence-based approaches to guide practice. Use outcome measures to evaluate impact and inform care planning. Ensure service users remain central to formulation and goal setting, involving carers where appropriate, and provide culturally responsive, inclusive care. ### Detailed job description and main responsibilities The post holder will deliver a specialist Occupational Therapy service within an Assertive Outreach function embedded in Harrow Community Mental Health Hubs (CMHH), providing evidence-based, person-centred assessment and intervention for adults with severe and complex mental health needs who are at risk of disengaging from services. The role focuses on direct clinical care, managing a small, high-intensity caseload and delivering time-limited, intensive 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. The post holder will work with individuals presenting with high levels of complexity, including disengagement, medication non-adherence, recent admissions, housing instability, substance misuse and escalating risk. They will deliver occupationally focused, strengths-based and trauma-informed interventions to support participation and recovery, within a structured outreach model that includes clear goals, outcome measurement and planned step-down to routine CMHH care. Working both autonomously and within a multidisciplinary team, the post holder will contribute specialist occupational perspectives to care planning and deliver high-quality, coordinated care in partnership with service users, families and carers. ## Job Details Are you an Occupational Therapist who strives for excellence and wants to make a real difference? Join our pioneering trauma-informed community mental health team in Harrow. This role offers the opportunity to deliver a specialist Occupational Therapy service within an Assertive Outreach model, working with adults experiencing severe and complex mental health needs who are at risk of disengaging from services. You will manage a small, high-intensity caseload, providing proactive, person-centred and evidence-based interventions focused on engagement, recovery and meaningful participation. You will work with individuals presenting with complexity such as non-engagement, recent admissions, substance misuse, housing instability and increased risk. Using a strengths-based and trauma-informed approach, you will support people to rebuild routines, roles and independence, within a structured framework that promotes clear goals and measurable outcomes. Working both autonomously and as part of a multidisciplinary team, you will contribute your specialist occupational perspective to care planning while delivering coordinated, compassionate care alongside service users, families and carers. This is an exciting opportunity to be part of an innovative service and make a lasting impact in a dynamic community setting. ## Job Description Provide specialist Occupational Therapy assessments and interventions for individuals experiencing significant occupational dysfunction, including barriers to participation and limited access to meaningful roles. Deliver intensive, time-limited assertive outreach support with frequent, proactive contact during periods of risk or disengagement, using creative and flexible approaches to maintain engagement. Plan and deliver interventions within a structured framework with clear goals, outcome measures and transition planning. Contribute to risk assessment and management, balancing positive risk-taking with safety in complex presentations. Manage referrals autonomously within the multidisciplinary team, including prioritisation and delegation. Apply Occupational Therapy models such as MoHO alongside evidence-based approaches to guide practice. Use outcome measures to evaluate impact and inform care planning. Ensure service users remain central to formulation and goal setting, involving carers where appropriate, and provide culturally responsive, inclusive care. ## Responsibilities The post holder will deliver a specialist Occupational Therapy service within an Assertive Outreach function embedded in Harrow Community Mental Health Hubs (CMHH), providing evidence-based, person-centred assessment and intervention for adults with severe and complex mental health needs who are at risk of disengaging from services. The role focuses on direct clinical care, managing a small, high-intensity caseload and delivering time-limited, intensive 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. The post holder will work with individuals presenting with high levels of complexity, including disengagement, medication non-adherence, recent admissions, housing instability, substance misuse and escalating risk. They will deliver occupationally focused, strengths-based and trauma-informed interventions to support participation and recovery, within a structured outreach model that includes clear goals, outcome measurement and planned step-down to routine CMHH care. Working both autonomously and within a multidisciplinary team, the post holder will contribute specialist occupational perspectives to care planning and deliver high-quality, coordinated care in partnership with service users, families and carers. ## 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 & 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, 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 - [jd (pdf, 520.6kb)](https://www.healthjobsuk.com/documents?vdoc=10298911) - [cnwl values (pdf, 182.9kb)](https://www.healthjobsuk.com/documents?edoc=1162) - [person spec (pdf, 232.4kb)](https://www.healthjobsuk.com/documents?vdoc=10298912) - [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) - [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) ## 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.