Central and North West London NHS Foundation Trust

Home First Senior Therapist (OT/PT)

The closing date is 19 February 2026

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Job summary

Job Summary:

Supporting Operational Pathway Lead for Home First & Urgent Community Response with service managerial activities.
To work collaboratively within the specialist multi-disciplinary team (MDT)
To work with the acute Multi-Disciplinary Team & Transfer of Care Hubs to promote an efficient, effective discharge from hospital to the patient's own home
To bring a holistic therapeutic approach to the multi-disciplinary team. Concentrating specifically on admission avoidance strategies and interventions.
To have a role in the responsibility for the management of patients care pathway through the CIS services
To be responsible for a designated caseload of patients, where you will implement and evaluate treatment plans, and coordinate interventions within Home First & Urgent Community Response.
As a registered Allied Health Care Professional, you will assist in the organisation, development, and delivery of the Home First & Urgent Community Response service
To liaise with health, and adult social care, working in partnership with primary and secondary care, social prescribers, and other external agencies to ensure the delivery of a high-quality service, and facilitate effective discharge from the Home First Service.
To provide a specialist service to patients in their own home/usual residence

Main duties of the job

Divide managerial and clinical duties to support the Home First & Urgent Community Response Leads.
Assist with staff management, appraisals, leave approvals, and sickness reporting.
Promote holistic, patient-centred care for functional improvement.
Support Home First with triage, care pathways, and discharge strategies.
Collaborate with patients, carers, families, and health services.
Deliver individualized treatments autonomously and within the MDT team.
Be flexible and skilled in various treatment interventions.
Use advanced communication for motivational and emotional support.
Have expert knowledge of long-term conditions and prognosis.
Manage patients through their care episodes from assessment to discharge.
Work with primary, secondary, and third-sector services for seamless care.
Provide urgent 2-hour responses for crisis patients.
Manage complex, housebound patients with social services.
Recognize and escalate deteriorating patient conditions.
Advocate for patients and direct them to support resources.
Handle a caseload independently and support MDT peers.
Ensure interventions are evidence-based and professionally compliant.
Stay updated on Discharge to Assess and Crisis Response literature.
Conduct risk assessments per Trust/National Protocol.

About us

As a member of the clinical team, we expect you to show COMPASSION, contribute to a caring and kind environment and recognise that what you do and say helps can make the lives of others better.

We expect you to RESPECT everyone and acknowledge and welcome people's differences rather than ignore them or see them as problematic.

We expect you to EMPOWER others and continually try to provide information, resources and support to help others make their own decisions and meet their own needs.

We expect you to work in PARTNERSHIP and behave in a way that shows that you recognise that commissioners and users of our services are the people who generate and pay for our work.

Date posted

06 February 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£56,276 to £63,176 a year per annum incl. HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

333-G-CIS-0213

Job locations

Kensington & Chelsea

Hornton Street

London

W8 7NX

Job description

Job responsibilities

Division of duties between managerial and clinical activities, supporting the Home First & Urgent Community response Operational Pathway Lead in managing the service facilitating efficiency, effective and safe activity of Home First service activity.
Support Operational Pathway Lead with service management activities: appraisal and supervision of B6 staff, approving annual leave, reporting on sickness using Health Roster.
Promote a holistic, supportive, and patient centred service that facilitates an intervention approach to promote change, acceptance and promotes self-management aiming to optimises functional improvement
Work with Home First: supporting with triage, patient care pathway, and sharing knowledge related to the discharge to assess and admission avoidance strategies
Work with patients, carers and families, and other statutory health related services
Work autonomously and within the MDT team delivering individualised treatment interventions and management programmes
Be flexible in the approach to delivering treatment and advice, have skills to deliver a variety of treatment interventions
Have advanced communication skills that would include motivational and emotional support skills
To have expert knowledge and understanding of long-term conditions and symptoms, and prognosis
Manage a patient through the entirety of their care episode in relation to Home First assessment, symptom management, support and discharge.
Where appropriate to work collaboratively with primary and secondary health care services, third sector services and social prescribing, education and social services, to ensure the delivery of a seamless and high-quality service.
Have a broad skill set which can include advanced skills in delivering therapy intervention in order to provide a 2-hour urgent response for patients in a crisis.
Manage severe complex, house bound patients. The CIS Home First service offers a domiciliary service to severely affected individuals; this requires collaborative working with social services and other attending care agencies.
Be able to recognise the signs and symptoms of a deteriorating patient, having the skills to escalate accordingly.
Be an advocate for the patient.
Knowledge of where to sign-post patients for support, e.g. local or national support groups
To be responsible for a caseload and work without direct supervision, and provide peer support for members of the MDT
To ensure patient care and planned interventions are supported by available evidence base and experiential knowledge and are in accordance with Code of Professional conduct.
To keep up to date and monitor literature related to Discharge to Assess and Crisis Response.
To carryout risk assessment in line with Trust/National Protocol.

Job description

Job responsibilities

Division of duties between managerial and clinical activities, supporting the Home First & Urgent Community response Operational Pathway Lead in managing the service facilitating efficiency, effective and safe activity of Home First service activity.
Support Operational Pathway Lead with service management activities: appraisal and supervision of B6 staff, approving annual leave, reporting on sickness using Health Roster.
Promote a holistic, supportive, and patient centred service that facilitates an intervention approach to promote change, acceptance and promotes self-management aiming to optimises functional improvement
Work with Home First: supporting with triage, patient care pathway, and sharing knowledge related to the discharge to assess and admission avoidance strategies
Work with patients, carers and families, and other statutory health related services
Work autonomously and within the MDT team delivering individualised treatment interventions and management programmes
Be flexible in the approach to delivering treatment and advice, have skills to deliver a variety of treatment interventions
Have advanced communication skills that would include motivational and emotional support skills
To have expert knowledge and understanding of long-term conditions and symptoms, and prognosis
Manage a patient through the entirety of their care episode in relation to Home First assessment, symptom management, support and discharge.
Where appropriate to work collaboratively with primary and secondary health care services, third sector services and social prescribing, education and social services, to ensure the delivery of a seamless and high-quality service.
Have a broad skill set which can include advanced skills in delivering therapy intervention in order to provide a 2-hour urgent response for patients in a crisis.
Manage severe complex, house bound patients. The CIS Home First service offers a domiciliary service to severely affected individuals; this requires collaborative working with social services and other attending care agencies.
Be able to recognise the signs and symptoms of a deteriorating patient, having the skills to escalate accordingly.
Be an advocate for the patient.
Knowledge of where to sign-post patients for support, e.g. local or national support groups
To be responsible for a caseload and work without direct supervision, and provide peer support for members of the MDT
To ensure patient care and planned interventions are supported by available evidence base and experiential knowledge and are in accordance with Code of Professional conduct.
To keep up to date and monitor literature related to Discharge to Assess and Crisis Response.
To carryout risk assessment in line with Trust/National Protocol.

Person Specification

Qualifications

Essential

Registered Occupational Therapist or Physiotherapist with current registration with relevant professional body
Evidence of recent CPD

Experience

Essential

Substantial post registration experience.
Supervisory experiences
Proven experience of working as an independent practitioner
Experience of working within a multi-disciplinary team.
Extensive clinical experience
Knowledge of recent NHS legislation, relevant to discharge and Admission prevention strategies
Experience of data management and simple reporting using Microsoft Office programs e.g., Excel

Desirable

Experience of leading, planning and completing audit / research.
Experience of working with discharge to assess principles
Additional Leadership training and/or experience

Knowledge Advanced clinical skills

Essential

Able to demonstrate care which reflects evidence-based
Ability to manage complexity and develop and sustain partnership working with both individuals and across organisations
Ability to manage high pressured situations
Can demonstrate experience of acute and or community working
Able to prioritise workload, achieving a balance between clinical and other aspects of role
Evidence of recognised knowledge/skills in service improvement.
Infection control issues and procedures

Desirable

Management skills with team building abilities
Leadership skills with ability to engage and deliver change through negotiation and partnership working
Ability to manage high pressured situations

Skills and Abilities

Essential

Ability to manage a team
Ability to work under pressure
Excellent communication skills o Organisational skills
Ability to prioritise a changing workload

Desirable

Ability to implement policy and guidelines

Person Specification

Qualifications

Essential

Registered Occupational Therapist or Physiotherapist with current registration with relevant professional body
Evidence of recent CPD

Experience

Essential

Substantial post registration experience.
Supervisory experiences
Proven experience of working as an independent practitioner
Experience of working within a multi-disciplinary team.
Extensive clinical experience
Knowledge of recent NHS legislation, relevant to discharge and Admission prevention strategies
Experience of data management and simple reporting using Microsoft Office programs e.g., Excel

Desirable

Experience of leading, planning and completing audit / research.
Experience of working with discharge to assess principles
Additional Leadership training and/or experience

Knowledge Advanced clinical skills

Essential

Able to demonstrate care which reflects evidence-based
Ability to manage complexity and develop and sustain partnership working with both individuals and across organisations
Ability to manage high pressured situations
Can demonstrate experience of acute and or community working
Able to prioritise workload, achieving a balance between clinical and other aspects of role
Evidence of recognised knowledge/skills in service improvement.
Infection control issues and procedures

Desirable

Management skills with team building abilities
Leadership skills with ability to engage and deliver change through negotiation and partnership working
Ability to manage high pressured situations

Skills and Abilities

Essential

Ability to manage a team
Ability to work under pressure
Excellent communication skills o Organisational skills
Ability to prioritise a changing workload

Desirable

Ability to implement policy and guidelines

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

Certificate of Sponsorship

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

Central and North West London NHS Foundation Trust

Address

Kensington & Chelsea

Hornton Street

London

W8 7NX

Employer's website

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

Employer details

Employer name

Central and North West London NHS Foundation Trust

Address

Kensington & Chelsea

Hornton Street

London

W8 7NX

Employer's website

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