# Team Lead Acute Medical Unit - Occupational Therapy/therapist > NHS job listing from Job Clerk for Lewisham and Greenwich NHS Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/team-lead-acute-medical-unit-occupational-therapytherapist/acdb1615-a1a5-44bf-a488-ffd8beaab1c2 - **Markdown:** https://www.jobclerk.com/job/team-lead-acute-medical-unit-occupational-therapytherapist/acdb1615-a1a5-44bf-a488-ffd8beaab1c2.md ## Summary - **Status:** Live - **Employer:** Lewisham and Greenwich NHS Trust - **Town:** London - **Region:** London - **Country:** England - **Profession:** Occupational Therapist - **Grade:** Band 7 - **Salary:** £49,387 - £56,515 per annum plus HCAS - **Contract type:** Permanent - **Employment type:** Full time - 37.5 hours per week (7 day working- 4 longer shifts per week. One full weekend a month) - **Closing date:** 2026-06-14T23:59:00.000Z - **Posted:** 2026-05-27T09:13:31.160Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/Woolwich/Lewisham_Greenwich_NHS_Trust/Occupational_Therapy/Occupational_Therapy-v7982553 - **Application URL:** https://apps.trac.jobs/job-advert/7982553?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.lewishamandgreenwich.nhs.uk ## Job Content ### Job overview The Occupational Therapy Team Lead provides professional and clinical leadership to Occupational Therapy staff in the Acute Medical Unit based at the QEH site. The post holder supervises the day to day running of the AMU Occupational Therapy team and is line managed by the Occupational Therapy Site Lead at QEH.  To achieve this, the post holder works in close collaboration with the OT Site Lead QEH, and the other Band 7 Occupational Therapy Team Leads. The Occupational Therapy Team Lead is a highly experienced clinician in short stay frailty who independently manages a significant and highly specialised clinical caseload. In conjunction with the OT Site Lead, the post holder coordinates a rolling programme of education, clinical evaluation, audit and research within the pathway team at QEH. As part of the senior clinical Occupational Therapy team on the QEH site, the post holder will deputise for the Occupational Therapy Site Lead QEH as required. The post is based on the Queen Elizabeth site but may at times be asked to work on other sites in order to maintain service levels 7-day working for Therapies is in place within the Trust and the postholder is required to undertake a different working pattern, including weekends, in the future. ### Main duties of the job Clinical - To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with highly complex presentations - To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands - To be professionally and legally responsible and accountable for all aspects of own work, and of the pathway teams’ work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist. - To assess patients’ capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient ### Detailed job description and main responsibilities KEY RELATIONSHIPS INTERNAL INCLUDE: Therapy Managers and Therapy leads, own Teams, referring clinicians, MDTs, on ward, therapy administrative team, HR, other Trust Committees and own clinical teams EXTERNAL INCLUDE: GPs, Community Services, Social services, Local authorities, AHP managers and leads, Voluntary services, College of Occupational Therapists, Health professions council, DoH Networks and Policy Groups, Higher Education Institutes, Colleges and Schools DUTIES AND RESPONSIBILITIES Clinical - To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with highly complex presentations - To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands - To be professionally and legally responsible and accountable for all aspects of own work, and of the pathway teams’ work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist. - To assess patients’ capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient - To undertake the comprehensive assessment and accurate diagnosis of patients, including those with an extremely complex presentation, using investigative, palpatory, analytical and clinical reasoning skills - As appropriate to the job role, to request diagnostic procedures that will inform clinical decision making - To undertake physical treatment techniques utilising highly developed manual skills - To formulate individualised clinical management programmes, utilising a wide range of treatment skills and options to plan a highly-specialised programme of care - To use recognised outcome measures to evaluate the effect of Occupational Therapy interventions and ensure that treatment programmes are progressing appropriately. - To provide spontaneous and planned expert advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of Occupational Therapy and to ensure continuation of the treatment programme. To be consulted by staff within the pathway, the Trust and externally. - To participate in and where indicated, initiate multidisciplinary/multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning - To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria - To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services e.g. interpreters, SALT - To ensure that individual practice and that of the pathway team is user focused and patient views are incorporated into treatment planning - To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment programme - To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome - To receive highly complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management - To communicate and advise regarding highly complex patient related information effectively to ensure collaborative working within the Occupational Therapy service and with other professionals across health and other agencies to ensure the delivery of a coordinated multidisciplinary service - To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge reports - To produce comprehensive patient related reports for other disciplines or agencies relating to assessment findings and/or treatment outcomes - To undertake an extended scope role as appropriate to the needs of the service (an extended scope practitioner undertakes delegated responsibility on behalf of medical practitioner(s) including the independent management of complete episodes of care of patients from referral to discharge) - To undertake the measurement and evaluation of own work through audit, outcome measurement, the application of evidence based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway - To lead the implementation and evaluation of Trust wide Occupational Therapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards - To work to Trust and British Association of Occupational Therapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored - To raise Occupational Therapy staff awareness of current clinical developments and the implications these may have on clinical practice - To be accessible and provide expert clinical advice to colleagues in particular for highly complex case management - Once considered competent, to participate in week-end, bank holiday and extended working rotas where clinically appropriate - To fully participate in whatever pattern of working is required by the service in the future All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies. ## Job Details The Occupational Therapy Team Lead provides professional and clinical leadership to Occupational Therapy staff in the Acute Medical Unit based at the QEH site. The post holder supervises the day to day running of the AMU Occupational Therapy team and is line managed by the Occupational Therapy Site Lead at QEH. To achieve this, the post holder works in close collaboration with the OT Site Lead QEH, and the other Band 7 Occupational Therapy Team Leads. The Occupational Therapy Team Lead is a highly experienced clinician in short stay frailty who independently manages a significant and highly specialised clinical caseload. In conjunction with the OT Site Lead, the post holder coordinates a rolling programme of education, clinical evaluation, audit and research within the pathway team at QEH. As part of the senior clinical Occupational Therapy team on the QEH site, the post holder will deputise for the Occupational Therapy Site Lead QEH as required. The post is based on the Queen Elizabeth site but may at times be asked to work on other sites in order to maintain service levels 7-day working for Therapies is in place within the Trust and the postholder is required to undertake a different working pattern, including weekends, in the future. ## Job Description Clinical To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with highly complex presentations To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands To be professionally and legally responsible and accountable for all aspects of own work, and of the pathway teams’ work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist. To assess patients’ capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient ## Responsibilities KEY RELATIONSHIPS INTERNAL INCLUDE: Therapy Managers and Therapy leads, own Teams, referring clinicians, MDTs, on ward, therapy administrative team, HR, other Trust Committees and own clinical teams EXTERNAL INCLUDE: GPs, Community Services, Social services, Local authorities, AHP managers and leads, Voluntary services, College of Occupational Therapists, Health professions council, DoH Networks and Policy Groups, Higher Education Institutes, Colleges and Schools DUTIES AND RESPONSIBILITIES Clinical To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with highly complex presentations To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands To be professionally and legally responsible and accountable for all aspects of own work, and of the pathway teams’ work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist. To assess patients’ capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient To undertake the comprehensive assessment and accurate diagnosis of patients, including those with an extremely complex presentation, using investigative, palpatory, analytical and clinical reasoning skills As appropriate to the job role, to request diagnostic procedures that will inform clinical decision making To undertake physical treatment techniques utilising highly developed manual skills To formulate individualised clinical management programmes, utilising a wide range of treatment skills and options to plan a highly-specialised programme of care To use recognised outcome measures to evaluate the effect of Occupational Therapy interventions and ensure that treatment programmes are progressing appropriately. To provide spontaneous and planned expert advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of Occupational Therapy and to ensure continuation of the treatment programme. To be consulted by staff within the pathway, the Trust and externally. To participate in and where indicated, initiate multidisciplinary/multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services e.g. interpreters, SALT To ensure that individual practice and that of the pathway team is user focused and patient views are incorporated into treatment planning To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment programme To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome To receive highly complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management To communicate and advise regarding highly complex patient related information effectively to ensure collaborative working within the Occupational Therapy service and with other professionals across health and other agencies to ensure the delivery of a coordinated multidisciplinary service To be integral in discharge planning including liaison with referring hospitals or community staff to which patients are discharged, providing timely discharge reports To produce comprehensive patient related reports for other disciplines or agencies relating to assessment findings and/or treatment outcomes To undertake an extended scope role as appropriate to the needs of the service (an extended scope practitioner undertakes delegated responsibility on behalf of medical practitioner(s) including the independent management of complete episodes of care of patients from referral to discharge) To undertake the measurement and evaluation of own work through audit, outcome measurement, the application of evidence based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway To lead the implementation and evaluation of Trust wide Occupational Therapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards To work to Trust and British Association of Occupational Therapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored To raise Occupational Therapy staff awareness of current clinical developments and the implications these may have on clinical practice To be accessible and provide expert clinical advice to colleagues in particular for highly complex case management Once considered competent, to participate in week-end, bank holiday and extended working rotas where clinically appropriate To fully participate in whatever pattern of working is required by the service in the future All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies. ## Person Specification ### Other **Essential** - Self motivated with a clear vision of role / commitment to speciality - Work in a flexible manner and adapt to changing environments - Physically fit and able to comply with Trusts moving and handling guidelines, therapeutic handling - Available for weekend duties, 7-day and altered working patterns where clinically appropriate, 7 day working in operation for this post ### Knowledge **Essential** - Extensive specialist knowledge of evidenced based Occupational Therapy for designated specialist pathway - In depth knowledge of national guidelines and standards pertaining to specialist pathway and Occupational Therapy - Robust understanding of clinical governance and its implication for Occupational Therapy - Awareness and understanding of NHS structure, current issues and developments - Understanding of the legal responsibilities of the profession ### Experience **Essential** - Wide ranging post graduate Occupational Therapy experience including having held senior position in relevant speciality - Significant experience of relevant specialist pathway - Experience of working autonomously and unsupervised - Experience in managing limited resources and high workloads - Experience in leading and completing audit and evidence based projects. - Experience of supervision and appraisal of Occupational Therapy staff and students with ability to give constructive feedback and performance management when necessary - Evidence of actively participating in in-service training and presenting to large MDT groups, undergraduate and postgraduate staff and evaluating effectiveness of training - Evidence of leading change management and innovation in clinical practice **Desirable** - Previous experience at band 7 Level - Research experience including publication in recognised journal. - Presented at national level or external courses relevant to subject area - Evidence of presenting to MDT groups, undergraduate and postgraduate staff ### Skills and Abilities **Essential** - The ability to discuss advanced clinical reasoning in the management of highly complex cases - The ability to identify and act upon adverse clinical signs - Able to communicate at advanced level including complex information to patients, Carers, team and other health professionals. - Excellent ability to work effectively in a team environment - Excellent time management skills with ability to organise, prioritise and delegate - Ability to self direct learning, be critical and evaluate own learning needs, demonstrated in a CPD portfolio. - Demonstrates excellent leadership ability and motivational skills ### Education and Qualificaitons **Essential** - Diploma/Degree in Occupational Therapy - HCPC Registration - Working at M level or equivalent experience/qualification - Undertaken a range of relevant postgraduate courses - Undertaken clinical educators training **Desirable** - RCOT member - Member of Special interest Group - MSC in related subject - Undertaken appropriate managerial training ## Documents - [working at lgt (pdf, 4.2mb)](https://www.healthjobsuk.com/documents?edoc=2533) - [job description & person spec (pdf, 363.7kb)](https://www.healthjobsuk.com/documents?vdoc=10265504) - [candidates guidance on applying (pdf, 175.2kb)](https://www.healthjobsuk.com/documents?edoc=2964) - [candidate guidance on the use of ai (pdf, 3.8mb)](https://www.healthjobsuk.com/documents?edoc=2978) - [visa and certificate of sponsorship information for applicants (pdf, 3.8mb)](https://www.healthjobsuk.com/documents?edoc=2936) ## 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.