Guy's and St Thomas' NHS Foundation Trust

Specialist Occupational Therapist

The closing date is 09 July 2025

Job summary

Ready to take the next step in your OT journey? Join our friendly and forward-thinking Community Rehab and Falls Team as a Band 6 Occupational Therapist, where no two days are the same.

You'll be working at the heart of our South London communities, using your clinical expertise to empower adults to live safely, independently, and with purpose in their own homes. Whether it's helping someone return to cooking their favourite meal or regain confidence after a fall, your work will make a genuine, lasting impact.

This isn't your standard 9-5 desk job. You'll be out in Brixton, Streatham, and Oval, Peckham and Dulwich supporting clients with a wide range of complex needs--physical, cognitive, and functional--using creative, evidence-based approaches. Your problem-solving skills and holistic mindset will be put to good use as you design tailored rehab plans that meet real-life goals.

You'll also be part of our award-winning"Showing We Care About You" programme at Guy's and St Thomas Trust, which offers a wide range of benefits designed to support your whole self. From financial wellbeing and career development, to recognition initiatives and work-life balance support, we're committed to helping you thrive both professionally and personally.

As part of King's Health Partners, one of the UK's leading centres for hospital and community-based care, research, and education, you'll have access to outstanding training and development opportunities.

Main duties of the job

The Community Rehabilitation and Falls Service is part of the Integrated Local Services directorate. It delivers physiotherapy and occupational therapy to adults and older people with illness, injury or disability, helping them to be more independent in their daily activities.

The clients have a wide range of functional difficulties, long-term conditions and disabilities and many have multiple pathologies and complex medical conditions. They may be seen in a 14 bed Intermediate Care Unit, in their own homes and in health and community centres within Lambeth and Southwark. The service leads the provision of Falls prevention and management of clients within both boroughs providing individual and group exercise programmes

The post holder will mainly work from one of the sites: Pulross Centre, Whittington Centre in Lambeth or Townley Road Health Centre in Southwark, but will be expected to work from other centres/locations within the boroughs of Lambeth and Southwark as required.

Job Summary

Perform specialised Occupational Therapy assessments and treatments in the community as a part of Community Rehab and Falls Service.Support the service's commitment to meeting client needs and delivering excellence.

Be responsible for supervision, education and assessment of students and new/junior members of staff.

About us

Guys and St. Thomas' NHS Foundation Trust:

From our5main hospitals, and in thecommunity, we provide a full range of lifelong, general and specialist care, as well asclinical research, innovation,education and training.

We're a diverse and welcoming organisation, and are incredibly proud of our 25,500 staff and the dedication they show to our patients and each other.

We aim to be outstanding in everything we do and to provide high quality and compassionate care and experience to all of our patients and families.

As a leading centre of clinical research with a long history of innovation and medical firsts, we are able to provide the latest and most advanced treatments. We'reranked top in Englandfor the number of trials open for patients to join and in the top 10 for the number of patients recruited to help us in our research.

Together with our partners inKing's Health Partners, we form 1 of the UK's 8 Academic Health Science Centres.

Our world famous teaching hospitals train the doctors, nurses and healthcare professionals of the future.GKT School of Medical Educationis our medical school, run jointly withKing's College LondonandKing's College Hospital.

We're guided byour values in everything we do and, as one of the largest employers in London, we reflect the diversity, opportunity and ambition of our communities and the people we serve.

Details

Date posted

23 June 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,806 to £53,134 a year p.a inc. HCA

Contract

Permanent

Working pattern

Full-time

Reference number

196-LIS9642

Job locations

Whittington Centre

11-13 Rutford Rd

London

SW16 2DQ


Job description

Job responsibilities

Duties and Responsibilities

  • To be professionally and legally responsible for own practice and accountable for all aspects of treatment delivered to the client to ensure a high standard of clinical care.
  • To work as an autonomous lone practitioner, case managing clients in the community and co-ordinating their care.
  • To carry out timely assessment, treatment, goal setting and rehabilitation of community clients to prevent admission or re-admission to hospital or long-term domiciliary care and to facilitate early discharge home from hospital.
  • To be competent in using a wide variety of specialised assessment and treatment approaches with adults with a range of conditions, including those with severe physical and cognitive impairment or multiple diagnoses in order to formulate treatment plans, maximise rehabilitation potential and set goals.
  • Using advanced clinical reasoning skills, analyse and interpret complex assessment findings, from both standardised and non-standardised assessments in order to formulate an accurate diagnosis and prognosis.
  • To be able to analyse and interpret complex clinical and social information from a range of sources.
  • To ascertain rehabilitation potential of clients following assessment and devise both uni-disciplinary and multi-disciplinary rehabilitation goals which address clinical rehabilitation needs, client choice, service criteria, urgency of need and clinical risk.
  • To be able to identify significant health changes that would warrant medical intervention and liaise with the relevant practitioner in a timely manner.
  • To educate clients, carers and family members on the clients medical condition, prognosis and physical management encouraging their involvement and actively promoting healthy lifestyles.
  • To implement a range of interventions including, but not limited to, physical and cognitive rehabilitation in functional tasks, work and leisure.
  • To undertake patient moving and handling assessments, make recommendations and provide training to informal carers when required.
  • To provide recommendations for posture and seating, minor home adaptations, and specialist housing.
  • Assess clients needs for any rehabilitative equipment and aids to improve safety and functioning within the home as part of a Trusted Assessor role.
  • To train therapy assistants, students, informal carers, family members in the use of appropriate equipment.
  • Demonstrate the safe use of equipment to external providers of care where appropriate.
  • Assess and manage clinical, physical and/or environmental risk.
  • To adhere to incident reporting procedures and to support staff to do likewise.
  • To act as lead health professional for clients when required. This may include initiating and co-ordinating multi-disciplinary/multi-agency meetings, liaising with clients/families and onward referrals to other professionals/agencies.
  • To identify significant health changes that would warrant medical intervention and liaise with the relevant practitioner.
  • To liaise with the multidisciplinary team and identify when referral on to other professions within the team or outside agencies is indicated. This may include making recommendations on package of care needs when appropriate.
  • To maintain accurate and up to date individual client records and ensure safekeeping and confidentiality of these records (including use of the Trust electronic patient records system) in line with Trust, legal and professional requirements.
  • To evaluate client intervention and progress in a timely manner using appropriate outcome measures and evaluation tools. To adapt care plans accordingly and delegate tasks appropriately to junior and assistant staff.
  • To discharge clients in a timely manner having reviewed the clients needs and goals, making appropriate onward referrals where necessary.
  • To participate in the duty therapy rota for the single point of access, responsible for triage and prioritisation of new referrals.
  • To respect an individuals ethnicity and cultural and religious beliefs.

Communication

  • To be highly skilled in effective communication, using both verbal and non-verbal means, with clients, carers and families who may have a range of physical disabilities or other barriers to understanding.
  • To work in a client centred manner with mutually agreed goals, appointments, and rehabilitation programmes.
  • Develop effective working relationships with the multidisciplinary team and external agencies.
  • To be able to respond calmly and patiently to clients, carers and family members who may be distressed and sometimes aggressive. To offer support, reassurance and advice as required in order to diffuse the situation.
  • To offer advice and communicate written and verbal information to clients/ carers and agencies including other health professionals regarding a clients management.
  • To attend regular multidisciplinary meetings, presenting relevant information about client caseloads in a clear and concise manner.

Management & Leadershership

  • Undertake supervision and appraisal of junior staff or therapy assistants when required in line with service needs.
  • To delegate tasks to therapy assistants and junior staff, providing clear instruction and modifying tasks and care plans as appropriate based on feedback.
  • To participate in the recruitment and selection of high calibre staff into the community therapy/rehabilitation teams.
  • To ensure that all complaints and incidents are reported and managed in line with trust complaints procedure policies.
  • To monitor the quality of the services offered and contribute to the development and review of quality measures and performance indicators.
  • To manage and maintain stock levels and safe keeping of equipment, supplies and aids.
  • To implement relevant national and local guidance, policies and procedures. To act as a lead in key areas in line with Trust priorities and actively engage in service development.
  • To ensure all written and verbal feedback is clear, concise and accurate.
  • To identify areas requiring service development and to highlight these to management.

Education, Training & Mentorship

  • Provide clinical training and education to junior staff and other staff including therapy assistants in line with competency framework
  • To induct new staff and develop induction procedures if required.
  • To induct, supervise, appraise and teach students on placements within the team.
  • To undertake all mandatory and statutory training in line with Trust policy.
  • To educate referrers and clients about the services the team offers.
  • To maintain skills within the team, identifying gaps, then developing and implementing a plan to address these.
  • To continually update clinical practice in accordance with current research, evidence-based guidelines, audit results and government legislation.

Personal & Professional Development

  • To work within local and national clinical and operational standards and guidelines.
  • To be professionally and legally accountable for all aspects of own work including management of clients in your care.
  • To maintain and update knowledge and skills in line with personal development plans and appraisal.
  • To use evidence-based practice to develop and maintain a high quality clinically effective and cost-effective service.
  • To participate self-appraisal and performance review.
  • To identify and be responsible for own training needs as well as identifying team training needs and supporting development of others.
  • To reflect on practice at all times and to effectively participate in clinical supervision.
  • To positively engage in change management.
  • To maintain Health and Care Professions Council (HCPC) registration and to work within HCPC Code of Conduct.
  • To actively participate in the services in-service training program, undertaking a project / presentation for staff using advanced presentation skills. Audit, Benchmarking & Research
  • To participate or lead on clinical governance activities such as audit, research and data collection as required.
  • monitor the quality of services offered by the team and when areas of development are identified, to implement an action plan to address these under the direction of the Service Management Team.

Job description

Job responsibilities

Duties and Responsibilities

  • To be professionally and legally responsible for own practice and accountable for all aspects of treatment delivered to the client to ensure a high standard of clinical care.
  • To work as an autonomous lone practitioner, case managing clients in the community and co-ordinating their care.
  • To carry out timely assessment, treatment, goal setting and rehabilitation of community clients to prevent admission or re-admission to hospital or long-term domiciliary care and to facilitate early discharge home from hospital.
  • To be competent in using a wide variety of specialised assessment and treatment approaches with adults with a range of conditions, including those with severe physical and cognitive impairment or multiple diagnoses in order to formulate treatment plans, maximise rehabilitation potential and set goals.
  • Using advanced clinical reasoning skills, analyse and interpret complex assessment findings, from both standardised and non-standardised assessments in order to formulate an accurate diagnosis and prognosis.
  • To be able to analyse and interpret complex clinical and social information from a range of sources.
  • To ascertain rehabilitation potential of clients following assessment and devise both uni-disciplinary and multi-disciplinary rehabilitation goals which address clinical rehabilitation needs, client choice, service criteria, urgency of need and clinical risk.
  • To be able to identify significant health changes that would warrant medical intervention and liaise with the relevant practitioner in a timely manner.
  • To educate clients, carers and family members on the clients medical condition, prognosis and physical management encouraging their involvement and actively promoting healthy lifestyles.
  • To implement a range of interventions including, but not limited to, physical and cognitive rehabilitation in functional tasks, work and leisure.
  • To undertake patient moving and handling assessments, make recommendations and provide training to informal carers when required.
  • To provide recommendations for posture and seating, minor home adaptations, and specialist housing.
  • Assess clients needs for any rehabilitative equipment and aids to improve safety and functioning within the home as part of a Trusted Assessor role.
  • To train therapy assistants, students, informal carers, family members in the use of appropriate equipment.
  • Demonstrate the safe use of equipment to external providers of care where appropriate.
  • Assess and manage clinical, physical and/or environmental risk.
  • To adhere to incident reporting procedures and to support staff to do likewise.
  • To act as lead health professional for clients when required. This may include initiating and co-ordinating multi-disciplinary/multi-agency meetings, liaising with clients/families and onward referrals to other professionals/agencies.
  • To identify significant health changes that would warrant medical intervention and liaise with the relevant practitioner.
  • To liaise with the multidisciplinary team and identify when referral on to other professions within the team or outside agencies is indicated. This may include making recommendations on package of care needs when appropriate.
  • To maintain accurate and up to date individual client records and ensure safekeeping and confidentiality of these records (including use of the Trust electronic patient records system) in line with Trust, legal and professional requirements.
  • To evaluate client intervention and progress in a timely manner using appropriate outcome measures and evaluation tools. To adapt care plans accordingly and delegate tasks appropriately to junior and assistant staff.
  • To discharge clients in a timely manner having reviewed the clients needs and goals, making appropriate onward referrals where necessary.
  • To participate in the duty therapy rota for the single point of access, responsible for triage and prioritisation of new referrals.
  • To respect an individuals ethnicity and cultural and religious beliefs.

Communication

  • To be highly skilled in effective communication, using both verbal and non-verbal means, with clients, carers and families who may have a range of physical disabilities or other barriers to understanding.
  • To work in a client centred manner with mutually agreed goals, appointments, and rehabilitation programmes.
  • Develop effective working relationships with the multidisciplinary team and external agencies.
  • To be able to respond calmly and patiently to clients, carers and family members who may be distressed and sometimes aggressive. To offer support, reassurance and advice as required in order to diffuse the situation.
  • To offer advice and communicate written and verbal information to clients/ carers and agencies including other health professionals regarding a clients management.
  • To attend regular multidisciplinary meetings, presenting relevant information about client caseloads in a clear and concise manner.

Management & Leadershership

  • Undertake supervision and appraisal of junior staff or therapy assistants when required in line with service needs.
  • To delegate tasks to therapy assistants and junior staff, providing clear instruction and modifying tasks and care plans as appropriate based on feedback.
  • To participate in the recruitment and selection of high calibre staff into the community therapy/rehabilitation teams.
  • To ensure that all complaints and incidents are reported and managed in line with trust complaints procedure policies.
  • To monitor the quality of the services offered and contribute to the development and review of quality measures and performance indicators.
  • To manage and maintain stock levels and safe keeping of equipment, supplies and aids.
  • To implement relevant national and local guidance, policies and procedures. To act as a lead in key areas in line with Trust priorities and actively engage in service development.
  • To ensure all written and verbal feedback is clear, concise and accurate.
  • To identify areas requiring service development and to highlight these to management.

Education, Training & Mentorship

  • Provide clinical training and education to junior staff and other staff including therapy assistants in line with competency framework
  • To induct new staff and develop induction procedures if required.
  • To induct, supervise, appraise and teach students on placements within the team.
  • To undertake all mandatory and statutory training in line with Trust policy.
  • To educate referrers and clients about the services the team offers.
  • To maintain skills within the team, identifying gaps, then developing and implementing a plan to address these.
  • To continually update clinical practice in accordance with current research, evidence-based guidelines, audit results and government legislation.

Personal & Professional Development

  • To work within local and national clinical and operational standards and guidelines.
  • To be professionally and legally accountable for all aspects of own work including management of clients in your care.
  • To maintain and update knowledge and skills in line with personal development plans and appraisal.
  • To use evidence-based practice to develop and maintain a high quality clinically effective and cost-effective service.
  • To participate self-appraisal and performance review.
  • To identify and be responsible for own training needs as well as identifying team training needs and supporting development of others.
  • To reflect on practice at all times and to effectively participate in clinical supervision.
  • To positively engage in change management.
  • To maintain Health and Care Professions Council (HCPC) registration and to work within HCPC Code of Conduct.
  • To actively participate in the services in-service training program, undertaking a project / presentation for staff using advanced presentation skills. Audit, Benchmarking & Research
  • To participate or lead on clinical governance activities such as audit, research and data collection as required.
  • monitor the quality of services offered by the team and when areas of development are identified, to implement an action plan to address these under the direction of the Service Management Team.

Person Specification

Knowledge/Qualifications

Essential

  • HCPC registered Occupational Therapist
  • Degree in Occupational Therapy

Desirable

  • Member of Royal College of Occupational Therapy
  • Member of Specialist Interest Group
  • Evidence of post registration education in specialist area

Physical Requirements

Essential

  • Able to comply with Manual Handling guidelines by ensuring safe handling of clients and equipment
  • Able to travel across the Borough and Sector

Experience

Essential

  • Significant broad based post registration experience at band 5 or above
  • Experience of working in a multidisciplinary or multi-agency team
  • Experience of working in a rehabilitation team environment
  • Experience in carrying out complex assessments and interventions including, but not limited to, physical and cognitive rehabilitation in functional tasks, work and leisure.
  • Experience of working with clients with complex packages of care, which involve other agencies
  • Able to manage staff conflict and difficult situations and to challenge and support others appropriately and assertively
  • Able to identify symptoms of changing condition of clients and take appropriate actions

Desirable

  • Experience working as a Specialist Occupational Therapist in a team and in managing staff
  • Experience of working in Community Setting
  • Experience of clinical audit, benchmarking and evaluation of services
  • Experience of direct supervision of more junior staff, and experience of educating and assessing students or junior staff
  • Experience of identifying the development needs of others and giving effective feedback

Skills

Essential

  • Able to work as an autonomous practitioner
  • Able to identify when specialist therapy, nursing or medical skills are required and refer and escalate appropriately
  • Able to make sound evidence-based clinical judgements and decisions regarding client care and to be accountable for choices made
  • Able to work across both community and acute hospital settings
  • Excellent organisational and time management skills
  • Able to work flexibly, prioritise and respond to changing demands in workload
  • Able to organise and lead case conferences and meetings
  • Able to demonstrate empathy with clients, carers, families and colleagues
  • Excellent communication skills with an ability to write concise and comprehensive papers and reports
  • Able to deal with complaints sensitively, avoiding escalation where possible
  • Able to manage a case load independently and be able to discharge patients in timely manner
  • Knowledge of Outcome measures

Desirable

  • Excel spreadsheet and PowerPoint use
  • Previous experience in triaging patients
Person Specification

Knowledge/Qualifications

Essential

  • HCPC registered Occupational Therapist
  • Degree in Occupational Therapy

Desirable

  • Member of Royal College of Occupational Therapy
  • Member of Specialist Interest Group
  • Evidence of post registration education in specialist area

Physical Requirements

Essential

  • Able to comply with Manual Handling guidelines by ensuring safe handling of clients and equipment
  • Able to travel across the Borough and Sector

Experience

Essential

  • Significant broad based post registration experience at band 5 or above
  • Experience of working in a multidisciplinary or multi-agency team
  • Experience of working in a rehabilitation team environment
  • Experience in carrying out complex assessments and interventions including, but not limited to, physical and cognitive rehabilitation in functional tasks, work and leisure.
  • Experience of working with clients with complex packages of care, which involve other agencies
  • Able to manage staff conflict and difficult situations and to challenge and support others appropriately and assertively
  • Able to identify symptoms of changing condition of clients and take appropriate actions

Desirable

  • Experience working as a Specialist Occupational Therapist in a team and in managing staff
  • Experience of working in Community Setting
  • Experience of clinical audit, benchmarking and evaluation of services
  • Experience of direct supervision of more junior staff, and experience of educating and assessing students or junior staff
  • Experience of identifying the development needs of others and giving effective feedback

Skills

Essential

  • Able to work as an autonomous practitioner
  • Able to identify when specialist therapy, nursing or medical skills are required and refer and escalate appropriately
  • Able to make sound evidence-based clinical judgements and decisions regarding client care and to be accountable for choices made
  • Able to work across both community and acute hospital settings
  • Excellent organisational and time management skills
  • Able to work flexibly, prioritise and respond to changing demands in workload
  • Able to organise and lead case conferences and meetings
  • Able to demonstrate empathy with clients, carers, families and colleagues
  • Excellent communication skills with an ability to write concise and comprehensive papers and reports
  • Able to deal with complaints sensitively, avoiding escalation where possible
  • Able to manage a case load independently and be able to discharge patients in timely manner
  • Knowledge of Outcome measures

Desirable

  • Excel spreadsheet and PowerPoint use
  • Previous experience in triaging patients

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Whittington Centre

11-13 Rutford Rd

London

SW16 2DQ


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Whittington Centre

11-13 Rutford Rd

London

SW16 2DQ


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Clinical Specialist Occupational Therapist

Olivia Africa

olivia.africa@nhs.net

02030494558

Details

Date posted

23 June 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,806 to £53,134 a year p.a inc. HCA

Contract

Permanent

Working pattern

Full-time

Reference number

196-LIS9642

Job locations

Whittington Centre

11-13 Rutford Rd

London

SW16 2DQ


Supporting documents

Privacy notice

Guy's and St Thomas' NHS Foundation Trust's privacy notice (opens in a new tab)