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Occupational Therapist (Frality)

Chelsea and Westminster Hospital NHS Foundation Trust
£51,488 to £57,802 per annum inc HCAS
Closing date
29 Sep 2023

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Mental health
Band 7
Contract Type
Full Time
Our Medical Rehabilitation and Frailty therapy team is seeking an experienced Clinician to lead our Frailty therapy service on the downstream wards and to develop a more integrated approach to hospital discharge in line with latest national initiatives. The knowledge and skills of Occupational Therapists are key in supporting patients living with frailty and complex needs, and in assisting them in recovering from acute illness and enabling them to return home. We are ambitiously seeking to take this one step further by supporting this transition home through agile and innovative pathways from our frailty service in ED on to longer stay wards and facilitating improved outcomes in conjunction with our community colleagues.

As the Band 7 Frailty Occupational Therapist, you will provide advanced clinical skills in the assessment and management of patients living with Frailty with complex health and social needs, case managing patients across all medical wards in Chelsea and Westminster Hospital. This will include managing a caseload (mainly handed over from the Frailty service at the front door) as well as supporting, teaching and if appropriate supervising other team members, and providing specialist advice to the MDT for patients not directly under your care.

Main duties of the job

To be a Specialist Frailty practitioner in the assessment and management of older adult patients and those in need of Occupational therapy input.

To use expert knowledge and advanced clinical reasoning skills to provide specialist support and advice to patients and staff within the medical rehabilitation and frailty team, and to manage a caseload of patients with highly complex discharge planning throughout their hospital stay.

To lead on the development of the Occupational therapy service in Frailty and attend relevant training/meetings to build the service pathway.

About us

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East. We have nearly 7,000 members of staff that are PROUD to Care for nearly one million people.

Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics. We're one of the best performing Trusts in the country. We're also one of the top trusts to work for -

Our staff survey says they're engaged, motivated, and would recommend us as a place to work and receive treatment. Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an

'Outstanding' rating for 'use of resources' by an NHS Improvement inspection. Our facilities are some of the best in the country. We have been investing significant Capital year on year in our estate. We have recently completed a �30m expansion of our adult and neonatal critical care facilities at Chelsea and Westminster and are planning an ambitious �60m development of an Ambulatory Diagnostics Centre at West Middlesex.

Job description

Job responsibilities

To be responsible for leading and managing a caseload of patient's living with frailty on medical wards in Chelsea and Westminster hospital

To work alongside the team leads for the medical rehabilitation therapy team and take responsibility for the occupational therapists in the team when required. To have a good understanding of both professions

To work alongside the other senior therapists in medicine ensuring continuity of care and smooth pathways across ED, Acute assessment and medical ward areas at CWH.

To ensure continuity of service and care for patients handed over from the frailty service or classified as Frail and complex

To work as an autonomous practitioner in providing complex assessments from your clinical perspective and interventions at an appropriate speed to patients

To actively participate in the weekend service, train and induct staff as necessary and evaluate the effectiveness of the weekend service

To hold own designated caseload of patients and to maintain up to date professional documentation according to professional standards.

To use evidence based principles/current best practice and specialist skills to assess, plan, implement and evaluate interventions and to ensure that all members of your team do so accordingly.

To explore and promote options for service development within the Frailty role for therapy and work alongside senior therapists to ensure that therapy services across the directorate are well planned and cohesive.

To participate in CPD, appraisal processes and other developmental activities and encourage all members of your team to do accordingly.

To be responsible for the supervision, teaching and day to day line management of more junior staff (as appropriate/when required) including occupational therapists, physiotherapists, assistants and students on placement.

To have the opportunity to participate in, or lead, a departmental research project

Person Specification

Education and Qualifications


  • Msc, BSc or Diploma in Occupational Therapy
  • HCPC Registration
  • Evidence of CPD and relevant post graduate courses


  • BOAT/RCOT membership
  • Relevant post graduate qualifications
  • Leadership or Management Training



  • Evidence of experience working as an autonomous practitioner at Band 6 or Band 7 level in an acute physical hospital setting managing patients with orthopaedics, general medical, neurology, rehabilitation and/or general surgery conditions in the UK or equivalent system
  • Evidence of appraisal, clinical and professional supervision and teaching of qualified therapy staff, therapy assistants, students and other members of the MDT
  • Experience of working in the NHS in a specialist Older Adults or Emergency department service


  • Experience of taking on leadership responsibilities within a healthcare setting
  • Experience in engaging in an in service or teaching programme

Skills and Knowledge


  • Advanced clinical reasoning in the management of patient care
  • Ability to work autonomously and monitor workload of team


  • An evidence based approach to the therapeutic management of patients with medical conditions / frailty
  • Evidence of participation in research, service improvement or audit

Employer details

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust


Chelsea and Westminster Hospital

369 Fulham Road


SW10 9NH

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