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Band 7 Highly Specialist Occupational Therapist - Stroke

Lewisham and Greenwich NHS Trust
£43,742 to £50,056 per annum plus HCAS
Closing date
27 May 2024

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Occupational therapist
Band 7
Contract Type
Full Time
Band 7 Occupational Therapist - Stroke Unit UHL

We are looking for an experienced, innovative and enthusiastic Occupational Therapist, with substantive stroke experience to join our dynamic Stroke Unit at University Hospital Lewisham.

This post provides an excellent opportunity to be part of the leadership team on the stroke unit, and to support the leadership team indirecting and enhancing the development of the unit.

Main duties of the job

Due to the complexity of the caseload, experience in neurological deficits is essential including a sound knowledge of assessment, intervention and discharge planning from the acute setting. A good knowledge of stroke legislation and pathways, including the ICS are essential to the role. The role will allow development of specialist knowledge of stroke specific assessment and treatment interventions, with an opportunity to evaluate practice and audit outcomes as per national standards (SSNAP).

You will provide supervision to a team of Occupational Therapists across the speciality and also contribute specialist input to stroke patients outlying on medical and care of the elderly wards. Further opportunities will include ongoing service development including ongoing developments of links with consortium and community services, contribution to operational group meetings and striving to meet our national and local guidelines.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
  • Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  • Widening access (anchor institution) and employability
  • Improving the experience of staff with disability
  • Improving the EDI literacy and confidence of trust staff through training and development
  • Making equalities mainstream

  • Job description

    Job responsibilities

    Job Summary:
    • To manage a designated case load with complex needs using evidence based/client centred principles to assess, plan, implement and evaluate interventions.
    • To lead and manage the Occupational Therapy (O.T.) team in the Stroke Unit
    • Maintain records which fulfil legal requirements.
    • To regularly supervise O.T. students on practice placements.
    • To provide leadership for junior staff, through supervision and appraisal
    • To participate in the planning, development and evaluation of O.T. services within the Stroke Unit
    • To contribute to the maintenance and development of the Trust O.T. Service

    Key Result Areas & Performance:

    • To assess and treat a specific caseload of patients with complex needs, prioritising efficiently to help prevent readmissions.
    • To apply a high level of knowledge and understanding of the particular clinical area.
    • To undertake individual initial screens to identify patient need including areas affecting functional ability, followed by agreed assessment plans.
    • To design/plan individual patient programmes to implement oneself or to delegate as appropriate
    • To assess and treat the patients personal and domestic daily living functional activity level to maximise independence.
    • To select and conduct standardised cognitive and perceptual testing to identify areas affecting functional ability and indicate need for further assessment/treatment.
    • To carry out an initial risk assessment where necessary and monitor ongoing risk.
    • To assess need and risk factors for hoist and wheelchair provision.
    • To carry out home visits with or without the patient to assess environmental risks and functional ability at home.
    • To advise on, recommend, make provision for the installation of appropriate aids and adaptations to the patients social and physical environment.
    • To assess and manufacture appropriate upper limb and lower limb splints as needed. To design and monitor ongoing splint regimes.
    • To carry out community visits to assess for and practise daily living skills as needed.
    • To monitor and evaluate treatment, including using outcome measures in order to measure progress and ensure effectiveness of the intervention.
    • To undertake discharge planning and coordination of complex patients.
    • To take a lead in the decisions regarding placement after discharge.
    • To refer onto appropriate agencies for :- the continuation of treatment, reassessment, monitoring, provision of further adaptations.
    • To carry out joint working with others from the Trust and across other agencies.

    • To maintain up to date activity data and activity records in accordance with

    Professional and Trust standards.
    • To provide reports on home visits.
    • To provide specific reports to other agencies as appropriate.

    Professional Ethics
    • To adhere to the COT Code of Ethics and Professional Conduct, and all other relevant policies and procedures. These include maintaining confidentiality and respecting the patients dignity, privacy culture and wishes
    • To provide guidance to junior/support staff on ethical issues.

    Leadership, Supervision and Appraisal
    • To lead and manage the O.T. team in the Stroke Unit.
    • To participate in the planning and implementing of the induction, training and education of students and other staff in this setting, and take a lead when needed.
    • To undertake the supervision and appraisal of junior/support staff as delegated by the Lead O.T.
    • To provide specialist training on an individual basis.
    • To provide advice to junior/support staff and students on a day to day basis as required.
    • To deputise for the Lead O.T. in an absence.

    Training Staff and Students
    • To participate in the planning and implementing(taking a lead as needed ) of the induction, training and education of students and other staff in this setting.
    • To be responsible for the supervision and written assessment of O.T. students on practice placement on a regular basis
    • To give presentations/training on specialist topics.
    • To organize and implement the training programme for O.T. team in the Stroke Unit.

    Service Development and Delivery
    • To work with other staff within the department to ensure that equipment is maintained and stock monitored
    • To manage own caseload efficiently, including methods of prioritisation in order to achieve timely and safe discharges of patients from hospital and to help prevent admissions/readmissions.
    • To facilitate, coordinate and monitor the workloads of the O.T team members the

    Stroke Unit
    • To participate in the operational planning and implementation of policies within the department
    • Assist with the recruitment and appointment of O.T. staff.
    • To represent O.T. on Trust wide (and linked agencies) working parties and groups as delegated by the Lead O.T.
    • To take a lead on specific projects as delegated by the Lead O.T.
    • To participate in, and take a lead as needed, in the Therapies special interest group for the relevant clinical area.

    Personal/Professional Development
    • To participate in internal and external training opportunities to meet identified objectives and demonstrate ongoing development.
    • To apply specialist skills and knowledge in order to maintain professional competence and fitness to practise as a senior O.T.
    • To maintain a professional portfolio for CPD , regarding learning outcomes

    Clinical Governance
    • To comply with all Trust Policies and procedures including Infection
    • Control, the Health & Safety at Work Act and the Data Protection Act To report on complaints, accidents and any deficits in equipment as soon as possible.
    • To be familiar with and comply with local fire procedures.
    • To be familiar with all Trust and Therapy emergency procedures, on and off site and to respond as necessary e.g. emergency resuscitation, hydrotherapy etc.
    • To assess for and advise on risk factors in given situations.
    • To contribute to the Trust and Therapies clinical governance and quality agenda including the setting and monitoring of practice standards.
    • To participate in the evaluation and audit of practice, clinical pathways and protocols within the clinical area.
    • To apply national guidelines/legislation relating to health care.

    Research and Practice Development
    • To undertake research and/or audit projects relevant to O.T. and/or service area and disseminate findings at local level.
    • To broaden research and development skills through participation in local audit and research projects.

    Work force
    • To supervise and delegate to Rehab Therapy Assistants, Band 5 and 6 OTs, when appropriate.
    • To advise and demonstrate to carers, nursing and other staff on the safe manual handling, positioning and moving of patients.
    • To co-operate with the other Senior members of the MDT in the organisation of the workload, and to assist the Lead OT/ Therapy Manager in departmental managerial matters when required.
    • To contribute to the education of Therapy Assistants.
    • To be responsible for the appraisals of staff in your team, delegating to the Band 6 OT when possible.

    Partnerships/Communications and Relationships
    • To communicate effectively with patients and carers, O.T colleagues, multidisciplinary team members and other agencies
    • To participate (and take a lead as needed) in the multidisciplinary team meetings and case conferences, with regard to patient care programmes.
    • To advise and educate patients and carers regarding aids and equipment in the home and outside community
    • To participate in staff meetings and other meetings (taking a lead as needed) as directed by the Lead O.T.
    • To promote the O.T. role within the Stroke Unit, the Trust, and to other agencies.

    • The post holder will be experienced in assessing a patients needs and establishing an appropriate treatment plan
    • The post holder will be physically fit and able to carry out regular manual handling tasks, including assisting with patient transfers, manipulating an upper limb, and using equipment such as a hoist or wheelchair.
    • The post holder should be flexible and be able to adapt their treatment planning in light of unforeseen circumstances or a change in the patients condition.
    • The post holder will be able to manage sensitive situations, dealing with patients or family members who are distressed.
    • The post holder will be confident of working in the ward environment, or in patients homes.
    • The post holder may be required to undertake other duties which fall with the grade of the job, in discussion with the Lead O.T.
    • This job description will be reviewed in the light of changing service requirements. Any such changes will be discussed with the post holder.

    Person Specification

    Qualifications & Training


    • Diploma / Degree in Occupational Therapy.
    • HCPC registration
    • Working at M level (e.g. module) or equivalent experience/qualification
    • Undertaken a range of relevant postgraduate courses
    • Undertaken clinical educators training


    • BAOT
    • Member of Special interest Group
    • MSC in related subject
    • Undertaken appropriate managerial training



    • Wide ranging post graduate Occupational Therapy experience including having held senior position in relevant speciality
    • Significant experience of relevant specialist pathway
    • Experience of working autonomously and unsupervised
    • Experience in managing limited resources and high workloads
    • Experience in leading and completing audit and evidence based projects.
    • Experience of supervision and appraisal of Occupational Therapy staff and students with ability to give constructive feedback and performance management when necessary
    • Evidence of actively participating in in-service training and presenting to large MDT groups, undergraduate and postgraduate staff and evaluating effectiveness of training
    • Experience and ability to work collaboratively within MPT
    • Evidence of leading change management and innovation in clinical practice


    • Previous experience at band 7 Level
    • Research experience including publication in recognised journal.
    • Presented at national level or external courses relevant to subject area
    • Actively involved in developing research links with other academic institutions
    • Evidence of presenting to MDT groups, undergraduate and postgraduate staff

    Knowledge & Skills


    • Extensive specialist knowledge of evidenced based Occupational Therapy for designated specialist pathway
    • In depth knowledge of national guidelines and standards pertaining to specialist pathway and Occupational Therapy
    • Robust understanding of clinical governance and its implication for Occupational Therapy
    • Awareness and understanding of NHS structure, current issues and developments
    • Understanding of the legal responsibilities of the profession

    Employer details

    Employer name

    Lewisham and Greenwich NHS Trust


    University Hospital Lewisham

    Lewisham High Street


    SE13 6LH

    Any attachments will be accessible after you click to apply.


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