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Clinical Specialist Occupational Therapist

Guy's and St Thomas' NHS Foundation Trust
£58,698 to £65,095 per annum inc of HCA
Closing date
28 May 2024

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Occupational therapist
Band 8A
Contract Type
Full Time

Job Details

  • To provide a highly specialist and expert Occupational Therapy Service to a specialist and complex caseload of Elective and Trauma Orthopaedics and Surgery and Vascular teams Interventions may occur in the Occupational Therapy Department, wards or the patient's home.
  • - To lead, develop and support staff within the Orthopaedic and Surgery and Vascular Service, leading on service improvements and relevant initiatives.
  • To manage the most complex caseload within Orthopaedics and Surgery & Vascular and act as an specialist advisor using advanced clinical reasoning, critical thinking, reflection and analysis to support assessments using a client centred approach.
  • To lead a designated team of Occupational Therapists providing leadership for senior and junior staff and Occupational Therapy Assistants through supervision and performance management.
  • To act as a clinical source of expertise and advice being actively involved in leading on Clinical Governance and Quality Assurance in Orthopaedics and Surgery and Vascular
  • To be responsible for the maintenance and development of own CPD identifying and contributing to the evidence base of Occupational Therapy.
  • To support the management of the Occupational Therapy Service as required by the Trust Head Occupational Therapist.
  • To be actively involved in professional activities within the Occupational Therapy profession and outside the profession, e.g. multi-disciplinary forums and networks.

Main duties of the job

An exciting opportunity has arisen for a clinical specialist occupational therapist to lead and work as part of an established and dynamic surgery and vascular and trauma and elective orthopaedic multi-disciplinary therapy team. We seek an individual who is autonomous, forward thinking and enthusiastic to work with us within the surgical and orthopaedic wards.

The successful candidate will manage a variable and complex clinical caseload with a high proportion of amputees, complex surgical and orthopaedic conditions in this fast paced environment.

Our large and well-established multi-disciplinary team will support the successful candidate to further enhance and extend their assessment, intervention and clinical decision making skill set within this environment. The role requires weekend/bank holiday working on a rota system within the orthopaedic and surgical services. Aspects of this role will include supervision, service development and innovation across the surgical and orthopaedics OT service.

The successful candidate will be supported by the Clinical Lead OT to further develop and enhance your leadership and clinical management skills

About us

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK's busiest, most successful foundation trusts. Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.

We are working in partnership with King's Health Partners, to deliver our vision of creating a new centre of excellence, which will be the global leader in the research into and treatment of heart and lung disease, in patients from pre-birth to old age.

We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.

Job description

Job responsibilities

To be responsible for providing the most complex individual and group client centred assessments to Orthopaedic and Surgery & Vascular patients, managing the most complex cases addressing Occupational performance skills, patterns, context or contexts and activity demands in collaboration with patients and carers.

2. To undertake, and act as a source of expertise in providing Occupational Therapy Specialist multi-needs assessments using complex and advanced clinical reasoning demonstrating critical thinking, reflection and analysis to develop individual and group goal and task oriented treatment plans.

3. To carry out the most complex physical and functional assessments and treatments using dexterity, co-ordination, manual and sensory skills to facilitate and promote functional independence.

4. To lead and manage Occupational Therapy Staff within the Orthopaedic and Surgery & Vascular teams providing effective guidance, supervision and performance management including the education and management of students on practice placements. To contribute to the Trusts, Directorates and Teams Clinical Governance and Quality assurance programmes, setting and monitoring practice standards, jointly developing guidelines and protocols with the Occupational Therapy Service and in liaison with interdisciplinary colleagues.

5. To inform the Occupational Therapy Service of changes in Clinical practice which may influence Occupational Therapy Service delivery, business planning and strategic reviews to support the delivery of the annual Occupational Therapy plan, meeting agreed objectives.

6. To articulate and work to the value base and principles which underpin Occupational Therapy practice representing the unique role of Occupational Therapy in relation to interdisciplinary working.

7. To use effective interpersonal skills to communicate complex and frequently unwelcome news regarding prognosis where agreement and co-operation is required and where there are barriers to understanding such as vulnerable and at risk patients

Person Specification

Training and Qualification


  • Diploma or Degree in Occupational Therapy
  • HCPC Registration
  • Masters level or equivalent training in specialist area or evidence of significant practical experience, research or publication in specialist area.



  • Experience should include a varied range of clinical experiences in an acute hospital setting.
  • Evidence of continuing professional development and post registration education and training.
  • Proven leadership skills in managing and developing teams
  • Experience of research and audit.
  • Advanced performance in a range of clinical skills in physical disability


  • Experience in areas such as: Orthopaedics/ General surgery and Vascular Surgery and Amputees Elderly care Hand therapy General medicine

Skills & Abilities


  • Advanced specialist knowledge, understanding and application of Occupational Therapy process within an acute or primary care service relating to client centred practice.
  • Demonstrate evidence of a high standard of understanding and performance in managing the rehabilitation outcomes of surgery.
  • Knowledge of specialist adaptive equipment wheelchairs and specialist seating
  • Demonstrate highly specialist knowledge, application and analysis of standardised and non-standardised tests
  • Demonstrate sound techniques in applying a range of sensory, physical and manual assessments and treatments
  • Ability to work autonomously, to deadlines and under pressure especially in relation to those with a limited prognosis
  • Demonstrate excellent leadership, organisational, managerial and team performance skills.
  • Proven experience in the training, teaching, supervision and mentoring of others
  • Proven experience in developing and providing education and teaching programmes to other professionals
  • Ability to manage and recognise differences of opinion in both patient related and inter-professional settings, coping positively with inter-professional tensions/ barriers.


  • Knowledge of Microsoft Office eg. Word, Powerpoint, Outlook , exel

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust


Guys and St Thomas' Hospital

Westminster Bridge



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