Whittington Hospital NHS Trust

Community Occupational Therapist - MACC Team

The closing date is 05 February 2026

Job summary

If you are excited about working in an innovative community team, this opportunity to work with the Multi Agency Care and Coordination Team (MACCT) is for you!

We are looking for someone who has excellent holistic personalised care skills, able to support clinicians to improve the physical & mental health and wellbeing of clients living in the borough of Haringey. Although this is advertised as Band 6 post, we are happy to accept applications from Band 5 in a development post to a band 6 dependent on achieving Band 6 competencies during the probation period.

The role is a great opportunity to work with other professionals in the team including Physiotherapists, Social Workers, Pharmacists, Occupational Therapist, Community Matrons, Mental Health Workers and Care & Dementia Navigators, supported by a fantastic administration and MDT coordinator team.

You will be committed to addressing Health and Social Inequalities for your clients and work towards the team purpose of; Managing health, wellbeing and preventing crises through innovative partnership working.

You will be supported to develop skills and competences and have the opportunity to stretch and develop your skills with the support of the team and with regular professional supervision.

Whittington Health Adult Community Service has achieved CQC Excellence check out this video to meet other members of our outstanding community services; ACS Recruitment on Vimeo

Main duties of the job

Job Summary

To provide high quality efficient and effective holistic occupational therapy assessment and intervention to the clients care coordinated within the MACCT MDT.

To provide specialist occupational therapy assessments and creative personalised treatment programmes co-produced alongside client's strengths and their support network to support them to manage with complex health conditions both physical and psychological and to support the stabilisation of their social situations.

To promote good collaborative working links with partnership agencies across the health, social and voluntary sectors to ensure the clients have the best possible support network to prevent unplanned hospital admissions.

To be an active motivated member of the multidisciplinary team and participate in projects and service developments as identified by the successful candidates, their colleagues and managers including audits, quality improvement projects and the promotion of integrated personalised care approach. To provide support and clinical supervision to colleagues or junior staff, and to share specialist knowledge with others working within the MACC Team and the associated teams, hubs, care providers, clients and their support networks.

About us

Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.

Details

Date posted

22 January 2026

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,485 to £52,521 a year inclusive of Outer HCAS per annum

Contract

Permanent

Working pattern

Full-time

Reference number

220-WHT-3646

Job locations

Lordship Lane Health Centre / Whittington Health community

239 Lordship Lane

Wood Green

N17 6AA


Job description

Job responsibilities

MAIN RESPONSIBILITIES

Clinical

To be professional and legally accountable for all work undertaken. To work within the standards and guidelines of the trust, the team, professional services, and appropriate professional body.

To stay up-to date with new emerging evidence and evidence-based practice for frailty and long-term conditions and be able to utilise this to continue to develop the service going forward.

To undertake advanced assessment of people with frailty who present with complex multi-pathology amalgamating in both physical and mental health presentations. To undertake joint visits with all multi-disciplinary team members where appropriate and provide specialist advice on treatment / management regimes.

Comprehensive subjective history taking - supporting the individual to only have to tell their story once - enhancing client experiences and promoting integrated working.

Completing outcome measures and recording on appropriate systems.

To formulate, evaluate and reassess individualised management and / or treatment plans, using clinical reasoning and utilising a wide range of treatment skills and options in order to formulate a personalisedcare plan.

Tocomplete assessments and interventions in a variety of settings utilising a range of methods to do this e.g., face to face and virtual, the clients home and in community settings.

To be able to manage a caseload of people with complex health and social care needs.

To provide specialist advice for clients, their families and colleaguesbased on up-to-date theoretical knowledge and relevant practical experience, and provide specialist advice and guidance to MDT colleagues, junior team members and other health care professionals both within and outside the trust.

To use collaboration and partnership to empower patients to effectively self-manage their condition and identify those that may need alternative support to achieve this.

To be able to identify when a client can be discharged from the service, taking into account their confidence and competence to self-manage and to be able to effectively communicate this to the client and their support network.

Ensuring crisis and escalationplans are in place to support client and their support network post discharge.

To be responsible for the maintenance of accurate written records using electronic patient notes. This includes communicating to other health professionals in a contemporaneous manner.

To ensure that high standards of clinical practice and patient care are maintained and to ensure that other clinicians in the team do likewise, through ongoing competency assessment and supervision/appraisal.

To identify appropriate patient cases, present and discuss these the appropriate MDTs, identifying risks to ensure that the wider MDT are aware and involved in decision making. Supporting more junior staff members with this process.

To triagereferrals into the team with appropriate clinical experience and supervision and identifying if appropriate or not. To be able to establish priority and assign to appropriate pathway.

To attend and actively participate in MDT clinical meetings and take part in MDT teleconferences to support with multi professional discussions

To use specialist knowledge to refer to other disciplines as appropriate for both physical and mental health support.

To ensure that the service provided is client centred, that all verbal and written information is accessible and understandable to users, considering cultural, sensory, cognitive and behavioural needs.

Leadership

To support, supervise and appraise the work of supervised staff, students, and rehabilitation assistants / care navigators and to induct new staff as required.

To participate in the Trust Appraisal Scheme, both as appraisee and as an appraiser.

To assist and support the Clinical Leads andservice managers, taking an active part in patient engagement, audit and project leading when required.

To be involved in the recruitment, selection, and induction process for staff in the MACCT / Proactive care service.

To support staff to achieve and maintain appropriate levels of education and continuing professional development, maintain and update a Continuing Professional Development Portfolio (CPD), are up to date with mandatory training.

To assist in the organisation and presentation of In-service training to staff in the team and wider MDT.

To supervise undergraduate students as required and to liaise with academic institutions regarding student performance and placement within the team.

To establish and maintain robust and effective lines of communication within the MACCT but also with other stakeholders, including publicising and promoting the service.

In line with the Trusts commitment to Clinical Governance, to identify and participate in quality improvement (QI) within the team alongside clinical audit and evaluation of clinical effectiveness.

To be responsible for equipment used in carrying out duties and to adhere to departmental equipment policy. To ensure that all equipment defects, accidents and complaints are reported to the team lead and appropriate actions taken as per trust guidelines.

To ensure the competent and safe use of equipment by other designated team members, patients, and carers.

Communication/Collaboration

To work collaboratively with members of the Anticipatory care networkand other clinical specialities, e.g. GP practice, palliative care teams, in order to provide seamless, high quality care

To work in partnership with members of NCL& ACS Anticipatory Careteams to assist in the development and review guidelines and protocols.

To develop and maintain collaborative relationships, partnerships and networks to influence and improve the delivery ofMACCT / Haringey Anticipatory Care.

To contribute to the development of formal mechanisms to share good practice across Whittington Health and elsewhere sharing knowledge, skills and clinical expertise.

To maintain patient information systems in a timely and professional manner and in line with local guidelines and protocols.

To provide specialised advice, teaching and training to other members of the MDT regarding the Occupational Therapy management of adults in the community.

Research/Audit

To be proactive in local and national audits in order to assess the effectiveness and productivity ofMACCT/ Haringey Anticipatory Care and service provision.

To participate in and critically evaluate research findings, to disseminate them appropriately and implement findings to improve the service and patient care

To participate in research appropriate to the role.

To provide regular information and statistics to assist in the audit of the service and respond to the needs identified and in keeping with national standards / guidelines.

Note: this job description is a reflection of the current position and the post holder is expected to view it as a guide rather than an exact description of all duties and responsibilities. It may be varied from time to time in consultation with the post holder.

Job description

Job responsibilities

MAIN RESPONSIBILITIES

Clinical

To be professional and legally accountable for all work undertaken. To work within the standards and guidelines of the trust, the team, professional services, and appropriate professional body.

To stay up-to date with new emerging evidence and evidence-based practice for frailty and long-term conditions and be able to utilise this to continue to develop the service going forward.

To undertake advanced assessment of people with frailty who present with complex multi-pathology amalgamating in both physical and mental health presentations. To undertake joint visits with all multi-disciplinary team members where appropriate and provide specialist advice on treatment / management regimes.

Comprehensive subjective history taking - supporting the individual to only have to tell their story once - enhancing client experiences and promoting integrated working.

Completing outcome measures and recording on appropriate systems.

To formulate, evaluate and reassess individualised management and / or treatment plans, using clinical reasoning and utilising a wide range of treatment skills and options in order to formulate a personalisedcare plan.

Tocomplete assessments and interventions in a variety of settings utilising a range of methods to do this e.g., face to face and virtual, the clients home and in community settings.

To be able to manage a caseload of people with complex health and social care needs.

To provide specialist advice for clients, their families and colleaguesbased on up-to-date theoretical knowledge and relevant practical experience, and provide specialist advice and guidance to MDT colleagues, junior team members and other health care professionals both within and outside the trust.

To use collaboration and partnership to empower patients to effectively self-manage their condition and identify those that may need alternative support to achieve this.

To be able to identify when a client can be discharged from the service, taking into account their confidence and competence to self-manage and to be able to effectively communicate this to the client and their support network.

Ensuring crisis and escalationplans are in place to support client and their support network post discharge.

To be responsible for the maintenance of accurate written records using electronic patient notes. This includes communicating to other health professionals in a contemporaneous manner.

To ensure that high standards of clinical practice and patient care are maintained and to ensure that other clinicians in the team do likewise, through ongoing competency assessment and supervision/appraisal.

To identify appropriate patient cases, present and discuss these the appropriate MDTs, identifying risks to ensure that the wider MDT are aware and involved in decision making. Supporting more junior staff members with this process.

To triagereferrals into the team with appropriate clinical experience and supervision and identifying if appropriate or not. To be able to establish priority and assign to appropriate pathway.

To attend and actively participate in MDT clinical meetings and take part in MDT teleconferences to support with multi professional discussions

To use specialist knowledge to refer to other disciplines as appropriate for both physical and mental health support.

To ensure that the service provided is client centred, that all verbal and written information is accessible and understandable to users, considering cultural, sensory, cognitive and behavioural needs.

Leadership

To support, supervise and appraise the work of supervised staff, students, and rehabilitation assistants / care navigators and to induct new staff as required.

To participate in the Trust Appraisal Scheme, both as appraisee and as an appraiser.

To assist and support the Clinical Leads andservice managers, taking an active part in patient engagement, audit and project leading when required.

To be involved in the recruitment, selection, and induction process for staff in the MACCT / Proactive care service.

To support staff to achieve and maintain appropriate levels of education and continuing professional development, maintain and update a Continuing Professional Development Portfolio (CPD), are up to date with mandatory training.

To assist in the organisation and presentation of In-service training to staff in the team and wider MDT.

To supervise undergraduate students as required and to liaise with academic institutions regarding student performance and placement within the team.

To establish and maintain robust and effective lines of communication within the MACCT but also with other stakeholders, including publicising and promoting the service.

In line with the Trusts commitment to Clinical Governance, to identify and participate in quality improvement (QI) within the team alongside clinical audit and evaluation of clinical effectiveness.

To be responsible for equipment used in carrying out duties and to adhere to departmental equipment policy. To ensure that all equipment defects, accidents and complaints are reported to the team lead and appropriate actions taken as per trust guidelines.

To ensure the competent and safe use of equipment by other designated team members, patients, and carers.

Communication/Collaboration

To work collaboratively with members of the Anticipatory care networkand other clinical specialities, e.g. GP practice, palliative care teams, in order to provide seamless, high quality care

To work in partnership with members of NCL& ACS Anticipatory Careteams to assist in the development and review guidelines and protocols.

To develop and maintain collaborative relationships, partnerships and networks to influence and improve the delivery ofMACCT / Haringey Anticipatory Care.

To contribute to the development of formal mechanisms to share good practice across Whittington Health and elsewhere sharing knowledge, skills and clinical expertise.

To maintain patient information systems in a timely and professional manner and in line with local guidelines and protocols.

To provide specialised advice, teaching and training to other members of the MDT regarding the Occupational Therapy management of adults in the community.

Research/Audit

To be proactive in local and national audits in order to assess the effectiveness and productivity ofMACCT/ Haringey Anticipatory Care and service provision.

To participate in and critically evaluate research findings, to disseminate them appropriately and implement findings to improve the service and patient care

To participate in research appropriate to the role.

To provide regular information and statistics to assist in the audit of the service and respond to the needs identified and in keeping with national standards / guidelines.

Note: this job description is a reflection of the current position and the post holder is expected to view it as a guide rather than an exact description of all duties and responsibilities. It may be varied from time to time in consultation with the post holder.

Person Specification

Qualifications

Essential

  • Degree or MSc in Occupational Therapy
  • Registration with the Health and Care Professions Council

Experience

Essential

  • At least 3 years post-registration experience, including rotational experience and evidence of dedicated clinical practice and post-graduate training
  • Experience of working in the NHS.
  • Experience of managing a caseload autonomously
  • Experience of involvement in quality improvement /service development initiatives

Desirable

  • Experience of working within the acute / community settings (mental health / physical health)
  • Experience of supervising junior and non-qualified staff, including participation in personal development reviews.

Knowledge

Essential

  • Understanding of clinical governance activity and its application to Occupational Therapy services and practice.
  • Knowledge of current NHS priorities and policy
  • Up to date and advanced knowledge of a variety of Occupational Therapy concepts and approaches and of current best practice within community management of frailty.
  • Knowledge of frailty and multiple long term conditions affecting older adults.
  • Knowledge of outcome measure tools relevant to the post.

Desirable

  • knowledge of the audit cycle and its uses.

skills and Attributes

Essential

  • Able to communicate complex and sensitive information in written, verbal and presentational form to patients, carers and staff within the Trust and across other organisations.
  • Essential IT skills, including Word and PowerPoint.
  • Developed clinical reasoning skills with an ability to develop client centred, realistic and achievable goals. 2
  • Understanding of issues involved in offering a service to a diverse community, and of practical ways to ensure that the service is culturally appropriate and accessible.
  • Able to identify and recognise when to seek advice and support concerning clinical, managerial, professional or organisational issues.
  • Ability and competency in using a range of therapeutic skills including but not exclusively, various assessment techniques, handling skills, manual handling techniques and exercise therapy
  • Able to identify your own development needs.
Person Specification

Qualifications

Essential

  • Degree or MSc in Occupational Therapy
  • Registration with the Health and Care Professions Council

Experience

Essential

  • At least 3 years post-registration experience, including rotational experience and evidence of dedicated clinical practice and post-graduate training
  • Experience of working in the NHS.
  • Experience of managing a caseload autonomously
  • Experience of involvement in quality improvement /service development initiatives

Desirable

  • Experience of working within the acute / community settings (mental health / physical health)
  • Experience of supervising junior and non-qualified staff, including participation in personal development reviews.

Knowledge

Essential

  • Understanding of clinical governance activity and its application to Occupational Therapy services and practice.
  • Knowledge of current NHS priorities and policy
  • Up to date and advanced knowledge of a variety of Occupational Therapy concepts and approaches and of current best practice within community management of frailty.
  • Knowledge of frailty and multiple long term conditions affecting older adults.
  • Knowledge of outcome measure tools relevant to the post.

Desirable

  • knowledge of the audit cycle and its uses.

skills and Attributes

Essential

  • Able to communicate complex and sensitive information in written, verbal and presentational form to patients, carers and staff within the Trust and across other organisations.
  • Essential IT skills, including Word and PowerPoint.
  • Developed clinical reasoning skills with an ability to develop client centred, realistic and achievable goals. 2
  • Understanding of issues involved in offering a service to a diverse community, and of practical ways to ensure that the service is culturally appropriate and accessible.
  • Able to identify and recognise when to seek advice and support concerning clinical, managerial, professional or organisational issues.
  • Ability and competency in using a range of therapeutic skills including but not exclusively, various assessment techniques, handling skills, manual handling techniques and exercise therapy
  • Able to identify your own development needs.

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

Whittington Hospital NHS Trust

Address

Lordship Lane Health Centre / Whittington Health community

239 Lordship Lane

Wood Green

N17 6AA


Employer's website

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


Employer details

Employer name

Whittington Hospital NHS Trust

Address

Lordship Lane Health Centre / Whittington Health community

239 Lordship Lane

Wood Green

N17 6AA


Employer's website

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


Employer contact details

For questions about the job, contact:

AHP Clinical Lead - MACC Team

Sarah Batehup

sarah.batehup@nhs.net

02030742958

Details

Date posted

22 January 2026

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,485 to £52,521 a year inclusive of Outer HCAS per annum

Contract

Permanent

Working pattern

Full-time

Reference number

220-WHT-3646

Job locations

Lordship Lane Health Centre / Whittington Health community

239 Lordship Lane

Wood Green

N17 6AA


Supporting documents

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