Royal National Orthopaedic Hospital NHS Trust

Band 6 Specialist Occupational Therapist (Pain and Rehabilitation)

The closing date is 10 November 2025

Job summary

To assess and treat routine and highly complex patients in this clinical unit, teach junior staff and students and support the Team Leader in developing the service.

Responsible to Highly Specialist Occupational Therapist in related clinical area and directly supervises one member of staff and students as allocated.

Main duties of the job

Assesses and treats patients with routine and highly complex conditions and liaises with other members of the RNOH multi-disciplinary team (MDT) and in other organisations to ensure the best level of care for each individual.

Promotes the OT role within the clinical unit and contributes to the smooth running of the OT service through regular duties and one-off projects as agreed with senior staff

About us

At the Royal National Orthopaedic Hospital (RNOH), we are committed to achieving the best staff experience in the NHS. In the 2023 NHS Staff Survey, we proudly:

  • Scored above the national average for the People Promises: "We are recognised and rewarded," "We are always learning," "We work flexibly," "We are a team," and for staff engagement.
  • Ranked #1 among all Trusts in North and Central London for all People Promises and themes.
  • Ranked #1 among all Acute Specialist Trusts for "We work flexibly."

At RNOH, we're committed to being actively anti-discriminatory and actively inclusive. We recognise our brilliant people do brilliant work, and we offer rewarding careers, no matter what their background. We continue to strive to break down barriers to be the Trust where people come together because what they do matters, makes a difference and where they can thrive.

Joining our organisation means enjoying a wide range of staff benefits, including:

  • 24/7 access to wellbeing support through our Employee Assistance Programme.
  • A Rewards & Recognition platform, offering opportunities to thank colleagues, send gifts, and access exclusive discounts.
  • A dedicated Staff Wellbeing Hub, providing a space to relax and recharge away from the work environment.
  • Salary sacrifice schemes for transport (season ticket loans, car and bike), electrical goods, and childcare

At RNOH, we are more than a workplace--we are committed to patients, to excellence and the wellbeing of our staff.

Details

Date posted

27 October 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,485 to £52,521 a year per annum including of HCAs

Contract

Permanent

Working pattern

Full-time

Reference number

392-RNOH-1329

Job locations

Stanmore

Brockley Hill

Stanmore

HA7 4LP


Job description

Job responsibilities

Patient/client care

1. Attains competencies for the safe use of all equipment and techniques before use.

2. Once training period complete, uses evidence based knowledge and clinical reasoning to undertake routine and complex clinical assessment, in a relevant location, eg hospital, nursery, school, work or home, identifying patient needs, treatment aims and goals in collaboration with the individual patient and the MDT. These may be in-patients, out-patients or those attending specialist clinics. Assessment and treatment may include splinting, wheelchair adjustment, therapeutic handling / hoisting and discharge planning in a busy and unpredictable environment.

3. Uses professional skills to engage patients with challenging behaviour, psychological and psychiatric needs in purposeful treatment programmes, in collaboration with the MDT, to ensure the provision of holistic care.

4. Determines patients level of understanding of treatment plan to ensure valid patient consent and works within legal framework with patients who lack capacity to consent.

5. Documents findings according to Trust policy and department procedure.

6. Uses recognised outcome measures and goal setting measures to motivate challenging clients.

7. Formulates and implements graded treatment plans.

8. Oversees treatment plans delegated to support staff, maintaining responsibility for overall care of patient.

9. Analyses patients progress and adjusts treatment programmes as appropriate.

10. Manages clinical risk within own patient caseload and in own work area.

11. Plans and leads group and individual specialist education, advice and support sessions for up to 15 patients / carers.

12. Makes referrals, reports and recommendations verbally and in writing to the MDT, external agencies and employers as required.

13. Prioritises and manages own clinical caseload, delegating as appropriate.

14. Attends ward rounds, case conferences and other patient reviews and reports both verbally and in writing.

15. Maintains and develops knowledge of evidence based practice and own competencies through CPD activities (e.g. peer review, in-service training, journal club, external courses), maintaining a portfolio, which reflects personal development.

Policy/service development/implementation

16. Works within established standards of practice and procedures of the department and clinical unit and makes suggestions for changes in work practice in own area.

17. Assists senior staff in evaluating the OT service and implements changes in liaison with senior staff.

18. Discusses issues brought to the peer support group and feeds back as appropriate.

Financial and physical resources

19. Monitors stock levels of equipment and materials for own clinical area and initiates ordering process as required.

20. Checks OT equipment is in working order within manufacturers guidelines and reports need for repair if required.

21. Carries out or delegates maintenance and cleaning of equipment as appropriate.

22. Ensures equipment is issued appropriately and processes cash donations as per department policy.

Human resources

23. Participates in staff appraisal scheme as an appraisee and is responsible for complying with agreed personal development plan to meet required knowledge and competencies.

24. Inducts, supervises and educates an allocated member of staff according to their learning needs.

25. Conducts appraisal of an allocated member of staff with guidance from own supervisor.

26. Prepares for fieldwork placements as allocated and directly supervises undergraduate and post-graduate OT students, completing assessments and reports for the Higher Education Institution.

27. Assists senior staff in presenting educational sessions to the MDT.

28. Prepares and delivers in-service training sessions to groups of 5-30 OT staff in rotation with other staff members as required.

29. Provides specialist advice and education to OTs in other organisations who may be specialists in the field and discusses the most complex queries with peers and senior staff as appropriate.

30. Shares good practice with all grades of staff, internal and external to the organisation.

Information resources

31. Maintains statistics according to department procedure.

32. Maintains resource files and contact details for relevant external organisations.

33. Monitors current patient information and updates as agreed with senior staff.

Research and Development

34. a) Undertakes measurement and evaluation of current practice through use of projects, audit and outcome measures as agreed with senior staff and shares findings within the Trust.

b) Where post is part-funded by research monies, the post holder initiates and undertakes measurement and evaluation of current practice through use of projects, audit and outcome measures with approval of Head Occupational Therapist and RNOH Research & Development Committee.

35. Uses a range of research methodologies and collects required data as part of research and audit initiatives.

36. Documents projects undertaken, submitting papers for publication and presentation to special interest groups and conferences.

Freedom to act

37. Maintains professional and legal responsibility for all aspects of own work, including the management of patients within own clinical caseloads and those of staff & students under their supervision.

38. Works within the Trust and College of Occupational Therapists (COT) standards of practice and procedures and national guidelines and monitors own quality of practice and that of staff & students under their supervision.

39. Maintains responsibility for own time management to meet caseload and service priorities.

40. Management of workload is via staff meetings, one to one meetings with supervisor and informal updates with supervisor and/or peers.

41. Seeks assistance from senior staff or peers as appropriate.

Job description

Job responsibilities

Patient/client care

1. Attains competencies for the safe use of all equipment and techniques before use.

2. Once training period complete, uses evidence based knowledge and clinical reasoning to undertake routine and complex clinical assessment, in a relevant location, eg hospital, nursery, school, work or home, identifying patient needs, treatment aims and goals in collaboration with the individual patient and the MDT. These may be in-patients, out-patients or those attending specialist clinics. Assessment and treatment may include splinting, wheelchair adjustment, therapeutic handling / hoisting and discharge planning in a busy and unpredictable environment.

3. Uses professional skills to engage patients with challenging behaviour, psychological and psychiatric needs in purposeful treatment programmes, in collaboration with the MDT, to ensure the provision of holistic care.

4. Determines patients level of understanding of treatment plan to ensure valid patient consent and works within legal framework with patients who lack capacity to consent.

5. Documents findings according to Trust policy and department procedure.

6. Uses recognised outcome measures and goal setting measures to motivate challenging clients.

7. Formulates and implements graded treatment plans.

8. Oversees treatment plans delegated to support staff, maintaining responsibility for overall care of patient.

9. Analyses patients progress and adjusts treatment programmes as appropriate.

10. Manages clinical risk within own patient caseload and in own work area.

11. Plans and leads group and individual specialist education, advice and support sessions for up to 15 patients / carers.

12. Makes referrals, reports and recommendations verbally and in writing to the MDT, external agencies and employers as required.

13. Prioritises and manages own clinical caseload, delegating as appropriate.

14. Attends ward rounds, case conferences and other patient reviews and reports both verbally and in writing.

15. Maintains and develops knowledge of evidence based practice and own competencies through CPD activities (e.g. peer review, in-service training, journal club, external courses), maintaining a portfolio, which reflects personal development.

Policy/service development/implementation

16. Works within established standards of practice and procedures of the department and clinical unit and makes suggestions for changes in work practice in own area.

17. Assists senior staff in evaluating the OT service and implements changes in liaison with senior staff.

18. Discusses issues brought to the peer support group and feeds back as appropriate.

Financial and physical resources

19. Monitors stock levels of equipment and materials for own clinical area and initiates ordering process as required.

20. Checks OT equipment is in working order within manufacturers guidelines and reports need for repair if required.

21. Carries out or delegates maintenance and cleaning of equipment as appropriate.

22. Ensures equipment is issued appropriately and processes cash donations as per department policy.

Human resources

23. Participates in staff appraisal scheme as an appraisee and is responsible for complying with agreed personal development plan to meet required knowledge and competencies.

24. Inducts, supervises and educates an allocated member of staff according to their learning needs.

25. Conducts appraisal of an allocated member of staff with guidance from own supervisor.

26. Prepares for fieldwork placements as allocated and directly supervises undergraduate and post-graduate OT students, completing assessments and reports for the Higher Education Institution.

27. Assists senior staff in presenting educational sessions to the MDT.

28. Prepares and delivers in-service training sessions to groups of 5-30 OT staff in rotation with other staff members as required.

29. Provides specialist advice and education to OTs in other organisations who may be specialists in the field and discusses the most complex queries with peers and senior staff as appropriate.

30. Shares good practice with all grades of staff, internal and external to the organisation.

Information resources

31. Maintains statistics according to department procedure.

32. Maintains resource files and contact details for relevant external organisations.

33. Monitors current patient information and updates as agreed with senior staff.

Research and Development

34. a) Undertakes measurement and evaluation of current practice through use of projects, audit and outcome measures as agreed with senior staff and shares findings within the Trust.

b) Where post is part-funded by research monies, the post holder initiates and undertakes measurement and evaluation of current practice through use of projects, audit and outcome measures with approval of Head Occupational Therapist and RNOH Research & Development Committee.

35. Uses a range of research methodologies and collects required data as part of research and audit initiatives.

36. Documents projects undertaken, submitting papers for publication and presentation to special interest groups and conferences.

Freedom to act

37. Maintains professional and legal responsibility for all aspects of own work, including the management of patients within own clinical caseloads and those of staff & students under their supervision.

38. Works within the Trust and College of Occupational Therapists (COT) standards of practice and procedures and national guidelines and monitors own quality of practice and that of staff & students under their supervision.

39. Maintains responsibility for own time management to meet caseload and service priorities.

40. Management of workload is via staff meetings, one to one meetings with supervisor and informal updates with supervisor and/or peers.

41. Seeks assistance from senior staff or peers as appropriate.

Person Specification

Qualifications

Essential

  • DipCOT/ Degree in Occupational Therapy
  • 3 years minimum post-qualification experience, including 6 months working with people with complex disabilities.
  • Registered with HCPC
  • Evidence of relevant CPD

Desirable

  • Member of relevant special interest group.

Experience

Essential

  • Teaching experience
  • Experience working in MDT

Desirable

  • Experience in Mental Health OT
  • Experience with clinical audit and outcome measures

Knowledge and skills

Essential

  • Sound knowledge of neurological treatment approaches
  • Working knowledge of common adaptive equipment
  • Able to communicate with a variety of people, occasionally in emotional distress.
  • Good organisation of self and time

Desirable

  • Working knowledge of some specialist equipment relevant to the post.
Person Specification

Qualifications

Essential

  • DipCOT/ Degree in Occupational Therapy
  • 3 years minimum post-qualification experience, including 6 months working with people with complex disabilities.
  • Registered with HCPC
  • Evidence of relevant CPD

Desirable

  • Member of relevant special interest group.

Experience

Essential

  • Teaching experience
  • Experience working in MDT

Desirable

  • Experience in Mental Health OT
  • Experience with clinical audit and outcome measures

Knowledge and skills

Essential

  • Sound knowledge of neurological treatment approaches
  • Working knowledge of common adaptive equipment
  • Able to communicate with a variety of people, occasionally in emotional distress.
  • Good organisation of self and time

Desirable

  • Working knowledge of some specialist equipment relevant to the post.

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

Royal National Orthopaedic Hospital NHS Trust

Address

Stanmore

Brockley Hill

Stanmore

HA7 4LP


Employer's website

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


Employer details

Employer name

Royal National Orthopaedic Hospital NHS Trust

Address

Stanmore

Brockley Hill

Stanmore

HA7 4LP


Employer's website

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


Employer contact details

For questions about the job, contact:

Lead Physio for Rehabilitation and Pain Team

Nicola Clancy

n.clancy@nhs.net

02089095818

Details

Date posted

27 October 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£44,485 to £52,521 a year per annum including of HCAs

Contract

Permanent

Working pattern

Full-time

Reference number

392-RNOH-1329

Job locations

Stanmore

Brockley Hill

Stanmore

HA7 4LP


Supporting documents

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