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Specialist Occupational Therapist

Guy's and St Thomas' NHS Foundation Trust
£42,471 to £50,364 a year p.a. inc. HCA
Closing date
23 May 2024

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Occupational therapist
Band 6
Contract Type
Full Time
Job Summary

Our cardiovascular centre at Guy's and St Thomas' provides a wide range of services to the local population, and as a specialist centre, primarily to south east London and Kent. The centre is comprised of three departments cardiology, cardiac surgery and vascular surgery, providing treatment to inpatients across several different wards based at St Thomas' Hospital. We also provide a specialist services to our Gastrointestinal patients with complex surgical needs locally, across London and Kent. We work collaboratively with an award winning amputee rehabilitation team. We also work closely with the Perioperative care of the older person undergoing surgery and the Cardiology Older person Specialist team in optimising patient care, providing holistic assessment and reducing length of stay. We are passionate about service development, research and evidence based practice.

This specialist band 6 Occupational Therapy post provides specialist Surgery and Cardiovascular OT assessment and intervention to patients across the trust and is supervised by a Band 7 Senior Specialist OT. This opportunity will allow you to develop and utilise your specialist clinical skills in the management of people with complex health, rehabilitation and social care needs. You will also support with management of Junior Occupational Therapists, Advanced Occupational Therapy assistant and students.


Main duties of the job

Our professional offer to you:As a Band 6 OT you will have an opportunity to:o Develop your discipline specific skills, e.g. assess for suitable equipment, minor home adaptations, cognitive assessment, rehabilitation and discharge planningo Develop your skills in complex case management of clients beyond the scope of your traditional Occupational Therapy practiceo Develop your skills in holistic assessment, problem solving and joint working with other health and social care colleagues, GPs, hospital teams and voluntary sector agencies o Develop supervisory, leadership and service development skillso Access appropriate GSTT leadership development training courses to support career development o Support you to be involved in Occupational Therapy clinical meetingso Develop your skills in service development

About us

The Occupational Therapy service has a supportive and progressive management structure with departmental objectives founded upon the principles of the clinical governance framework and trust core values. Multi-disciplinary working within the Trust is well established and Students are accepted on placement from several training schools.

The Trust is committed to continuing the professional development of its workforce. The department has structured in-service training supported by personal and professional development plans and yearly appraisals. Staff are encouraged to attend courses to continue their clinical development and participate in multi-disciplinary training programmes.At Guys & St Thomas' NHS Foundation Trust, we are committed to providing you with:o Professional expert advice, including access to our Professional Leads in our Community and Hospital settingso An annual appraisal and personal development plan (PDR)o Structured in-service development programs and regular supervision o Support to undertake research, audit and service evaluation o Training links to London Southbank and King's College Universitieso Support to develop your skills in presentation (for teaching)

Job description

Job responsibilities



-To be responsible for providing specialist individual client centred assessments on the acute surgical and vascular wards who have complex conditions such as a amputees requiring rehabilitation in the acute phase and other surgical conditions.

-To address occupational performance skills, patterns, context or contexts and activity demands in collaboration with patients and carers both in the hospital and patients home environment

-To undertake specialist multi-needs assessment using analysis and synthesis to develop individual goal and task orientated treatment plans in collaboration with patients, carers and colleagues.

-To carry out physical, cognitive and functional assessments and treatment to facilitate and promote functional independence.

-Ensure reviews demonstrate ethical clinical reasoning and problem solving techniques to determine agreed outcomes across health and social care.

-Accurately record all professional judgements and decisions taken, keeping records of plans in accordance with Occupational Therapy Policies.

-To maintain high standards of patient care working within the Occupational Therapy Code of Conduct and Occupational Therapy Service Standards and Procedures.

-To allocate appropriate patient related tasks and ongoing treatment to Occupational Therapy assistants and technical staff, reviewing and monitoring outcomes.

-Undertake complex risk assessments to determine appropriate management specifically relating to moving and handling safe use of equipment pre-discharge access visits and home assessments ensuring safety for self and others during Occupational Therapy interventions both in hospital and the patients home.

-To be proactive in the monitoring, recording and reporting of changes in clinical practice which may influence Occupational Therapy Service delivery.

-To demonstrate understanding and application of National guidelines and legislation relating to health and social care and their impact on Occupational Therapy practice.

-To be responsible for the clinical, professional development and day to day management of Junior Occupational Therapists and assistants.

-Use supervision and professional development plans to promote own and others clinical effectiveness where appropriate.

-To identify personal competency limitations in relation to clinical practice seeking advice and guidance through supervision structures.

-To manage clinical workloads of self and others using effective strategies to prioritise referrals and resources on a day to day basis seeking guidance as appropriate.

Person Specification



  • Diploma or Degree in Occupational Therapy. State Registration HPC
  • Adherence to College of Occupational Therapy and HPC guidelines and codes of ethics and


  • Membership of Occupational Therapy special interest groups. Membership of professional body.



  • Postgraduate experience in physical disability. Evidence of continuing professional development.
  • Experience working in general surgery and vascular


  • Experience in physical disability.



  • Ability to work autonomously with individuals and groups.
  • Knowledge and understanding of activity/occupation in relation to work and well being.
  • Application of Occupational Therapy models of practice and evidence based practice.
  • Knowledge, understanding and application of Occupational Therapy process relating to client centred practice.
  • Demonstrate sound techniques in applying a range of specialist sensory, physical and manual assessments and treatments.
  • Ability to analyse tasks and activities, synthesise findings and develop goal orientated treatment plans.
  • Ability to delegate appropriate tasks to Occupational Therapy Technical Instructor's, Assistants and students.
  • Ability to support, supervise and educate students on practice placements, Occupational Therapy Assistants and Technical Instructors.
  • Understand and apply principles of risk management to clinical practice.
  • Ability to prioritise tasks for self and others.
  • Ability to appreciate the sensitivity, complexity of context, culture and diversity within clinical practice.
  • Ability to manage and recognise differences of opinion in both patient related and inter-professional settings coping positively with interpersonal tensions/barriers.
  • Excellent communication and interactive skills.
  • Willingness to work flexibly


  • oAssessment and prescription of wheelchair and postural seating needs

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust


Guys and St Thomas Hospital

Lambeth Palace Road



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