Lewisham and Greenwich NHS Trust

Rotational Occupational Therapist - Band 5

The closing date is 26 February 2026

Job summary

This rotation contains a variety of acute based options. There is a large ranges of posts which will encourage development of core OT skills within a supportive environment.

You will be working a well-established therapy teams, as part of a multi-disciplinary team, in the vibrant and diverse area of Lewisham.

Our well established team will support your transition from student to newly qualified therapist or encourage further development for experienced band 5s

The post holder will work as part of the multidisciplinary team to provide high quality, patient-centred occupational therapy assessment, treatment and discharge planning across designated clinical areas.

The role involves managing a defined caseload with support from senior therapists, contributing to service development, and delivering evidence-based interventions to maximise patients' functional independence and occupational performance.

This role contains all core acute based rotations. There are a variety of settings which will encourage development of core OT skills within a very supportive environment.

PLEASE NOTE: We may not be able to offer sponsorship for this post

Main duties of the job

Rotations include:

  • ED
  • Frailty
  • Acute Medical Wards (including Cardiology and Oncology)
  • Acute Respiratory Wards
  • Trauma and Orthopaedics
  • General Surgery
  • Elderly Care.
  • Stroke

You will be working across well-established therapy teams, as part of a multi-disciplinary team, in the vibrant and diverse area of Lewisham.

We have a strong focus on teaching and development, including fortnightly in-service training, protected CPD time and a self-directed band 5 development group. You will have the opportunity to participate in our well established OT-specific preceptorship programme, to support in the transition from student to qualified practitioner

You will be supported by our band 6 and band 7 staff to develop your skills in the assessment, treatment and discharge planning of patients with a broad range of medical conditions,.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

  1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream

"This is what a therapist looks like"

We are TeamLGT

Working at Lewisham and Greenwich NHS Trust

Details

Date posted

12 February 2026

Pay scheme

Agenda for change

Band

Band 5

Salary

£31,049 to £37,796 a year per annum plus HCAS (pro rata if part-time)

Contract

Permanent

Working pattern

Full-time

Reference number

197-R-UT7928

Job locations

University Hospital Lewisham

London

SE13 6LH


Job description

Job responsibilities

JOB SUMMARY

  • To manage a designated caseload using evidence based/client centred principles to assess, plan, implement and evaluate interventions
  • Maintain records which fulfil legal requirements.
  • Participation in rotational scheme :-

- Elderly Rehabilitation

- General Medicine (including Oncology)

- Stroke Unit

- Orthopaedics/Surgery

KEY RESULT AREAS

1 Clinical

1.1 To assess and treat a specific caseload of patients

1.2 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.

1.4 To assess and provide treatment for the functional level of patients with regard to personal and domesticactivities of daily living, to maximise independence.

1.5 To select and conduct standardised cognitive and perceptual testing with further assessment whenneeded.

1.6 To carry out an initial risk assessment where necessary and to monitor ongoing risk.

1.7 To assess need and risk factors for hoist and wheelchair provision.

1.8 To advise on, recommend, make provision for the installation of; appropriate aids and adaptations to thepatients social and physical environment.

1.9 To assess for and manufacture appropriate upper limb splints as needed.

1.10 To design and monitor ongoing splint regimes.

1.11 To carry out home visits with or without the patient to assess environmental risks and functional ability at home.

1.12 To carry out community visits to assess for and practise daily living skills as needed.

1.13 To identify and set client centred goals

1.14 To monitor and evaluate treatment, including the use of outcome measures, in order to measure progress and ensure effectiveness of the intervention.

1.15 To participate in decisions regarding placements post discharge

1.16 To undertake discharge planning / co-ordination of complex patients.

1.17 To refer onto appropriate agencies for:- the continuation of treatment, reassessment, monitoring, and provision of further adaptations.

1.18 To participate in the Occupational Therapy service weekend and bank holiday rota.

2 Communication

2.1 To communicate effectively with patients and carers, OT colleagues, multidisciplinary team members andother agencies

2.2 To participate in the multidisciplinary team meetings and case conferences, with regard to patient care programmes.

2.3 To advise and educate patients and carers regarding aids/equipment and safety in the home andcommunity.

  • To participate in staff meetings and other meetings as directed by senior staff, the Lead OT and the Inpatient Therapy Manager.
3 Documentation

3.1 To maintain up to date activity data and activity records in accordance with Professional and Trust standards.

3.2 To provide reports on home visits.

3.3 To provide specific reports to other agencies as appropriate.

4 Professional Development

4.1 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 patients dignity, privacy, culture

and wishes

4.2 To participate in weekly supervision with a senior occupational therapist.

4.3 To participate in the individual performance review programme and KSF review.

4.4 To effectively use supervision and appraisal to reflect on own practice and performance.

4.5 To delegate tasks to support staff as appropriate.

4.6 To attend internal and external training, including mandatory and statutory training and agreed lectures/ courses to meet identified objectives

4.7 To apply acquired skills and knowledge of practice to further develop competencies to practice.

4.8 To maintain a professional portfolio for CPD regarding learning.

Job description

Job responsibilities

JOB SUMMARY

  • To manage a designated caseload using evidence based/client centred principles to assess, plan, implement and evaluate interventions
  • Maintain records which fulfil legal requirements.
  • Participation in rotational scheme :-

- Elderly Rehabilitation

- General Medicine (including Oncology)

- Stroke Unit

- Orthopaedics/Surgery

KEY RESULT AREAS

1 Clinical

1.1 To assess and treat a specific caseload of patients

1.2 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.

1.4 To assess and provide treatment for the functional level of patients with regard to personal and domesticactivities of daily living, to maximise independence.

1.5 To select and conduct standardised cognitive and perceptual testing with further assessment whenneeded.

1.6 To carry out an initial risk assessment where necessary and to monitor ongoing risk.

1.7 To assess need and risk factors for hoist and wheelchair provision.

1.8 To advise on, recommend, make provision for the installation of; appropriate aids and adaptations to thepatients social and physical environment.

1.9 To assess for and manufacture appropriate upper limb splints as needed.

1.10 To design and monitor ongoing splint regimes.

1.11 To carry out home visits with or without the patient to assess environmental risks and functional ability at home.

1.12 To carry out community visits to assess for and practise daily living skills as needed.

1.13 To identify and set client centred goals

1.14 To monitor and evaluate treatment, including the use of outcome measures, in order to measure progress and ensure effectiveness of the intervention.

1.15 To participate in decisions regarding placements post discharge

1.16 To undertake discharge planning / co-ordination of complex patients.

1.17 To refer onto appropriate agencies for:- the continuation of treatment, reassessment, monitoring, and provision of further adaptations.

1.18 To participate in the Occupational Therapy service weekend and bank holiday rota.

2 Communication

2.1 To communicate effectively with patients and carers, OT colleagues, multidisciplinary team members andother agencies

2.2 To participate in the multidisciplinary team meetings and case conferences, with regard to patient care programmes.

2.3 To advise and educate patients and carers regarding aids/equipment and safety in the home andcommunity.

  • To participate in staff meetings and other meetings as directed by senior staff, the Lead OT and the Inpatient Therapy Manager.
3 Documentation

3.1 To maintain up to date activity data and activity records in accordance with Professional and Trust standards.

3.2 To provide reports on home visits.

3.3 To provide specific reports to other agencies as appropriate.

4 Professional Development

4.1 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 patients dignity, privacy, culture

and wishes

4.2 To participate in weekly supervision with a senior occupational therapist.

4.3 To participate in the individual performance review programme and KSF review.

4.4 To effectively use supervision and appraisal to reflect on own practice and performance.

4.5 To delegate tasks to support staff as appropriate.

4.6 To attend internal and external training, including mandatory and statutory training and agreed lectures/ courses to meet identified objectives

4.7 To apply acquired skills and knowledge of practice to further develop competencies to practice.

4.8 To maintain a professional portfolio for CPD regarding learning.

Person Specification

Qualifications and Training

Essential

  • oDegree or Diploma in Occupational Therapy
  • oHCPC Registration
  • oDBS Clearance
  • oExperience of working in the NHS at graduate or undergraduate level.
  • oClinical experience with adult patients in a hospital/ physical setting (including prequalification)

Desirable

  • Car driver
  • Member of BAOT

Experience

Essential

  • oAbility to work as a member of a team.
  • oAbility to take responsibility for own caseload.
  • oInterest in all rotations on the scheme.
  • oAwareness of MDT working and strategies to improve this.
  • oExperience of working in a multi-cultural environment/community
  • oAwareness of Clinical Governance and its implications on the OT role.

Desirable

  • Knowledge of quality issues, clinical governance and outcome measures.
  • Previous discharge planning experience.
  • Community Experience
  • Neurology experience

Knowledge & Skills

Essential

  • oProblem solving approach.
  • oKnowledge of OT process and application in clinical practice.
  • oKnowledge of Evidence based practice.
  • oAbility to keep clear, precise records, which meet legal requirements, and in the English language.
  • oAbility to prioritise and organise time effectively
  • oEvidence of self- initiated learning.
  • oAbility to demonstrate effective clinical reasoning skills.
Person Specification

Qualifications and Training

Essential

  • oDegree or Diploma in Occupational Therapy
  • oHCPC Registration
  • oDBS Clearance
  • oExperience of working in the NHS at graduate or undergraduate level.
  • oClinical experience with adult patients in a hospital/ physical setting (including prequalification)

Desirable

  • Car driver
  • Member of BAOT

Experience

Essential

  • oAbility to work as a member of a team.
  • oAbility to take responsibility for own caseload.
  • oInterest in all rotations on the scheme.
  • oAwareness of MDT working and strategies to improve this.
  • oExperience of working in a multi-cultural environment/community
  • oAwareness of Clinical Governance and its implications on the OT role.

Desirable

  • Knowledge of quality issues, clinical governance and outcome measures.
  • Previous discharge planning experience.
  • Community Experience
  • Neurology experience

Knowledge & Skills

Essential

  • oProblem solving approach.
  • oKnowledge of OT process and application in clinical practice.
  • oKnowledge of Evidence based practice.
  • oAbility to keep clear, precise records, which meet legal requirements, and in the English language.
  • oAbility to prioritise and organise time effectively
  • oEvidence of self- initiated learning.
  • oAbility to demonstrate effective clinical reasoning skills.

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.

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.

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

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

University Hospital Lewisham

London

SE13 6LH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Head of Adult OT

Emma Tilley

Emma.tilley1@nhs.net

07788566176

Details

Date posted

12 February 2026

Pay scheme

Agenda for change

Band

Band 5

Salary

£31,049 to £37,796 a year per annum plus HCAS (pro rata if part-time)

Contract

Permanent

Working pattern

Full-time

Reference number

197-R-UT7928

Job locations

University Hospital Lewisham

London

SE13 6LH


Supporting documents

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