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Highly Specialist Paediatric Occupational Therapy Team Lead

Lewisham and Greenwich NHS Trust
£43,742 to £50,056 per annum plus HCAS pro rata
Closing date
4 Jun 2024

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Occupational therapist
Band 7
Contract Type
Part Time
An exciting opportunity has arisen to join our occupational therapy team as the Paediatric Occupational Therapy Team Lead .You will work closely with the Paediatric physiotherapy team and as part of the wider MDT across the paediatric wards including the newly opened level 2 HDU beds . The Trust is currently developing our same day emergency care service and now is an exciting time to join us at Queen Elizabeth. The Elizabeth Line has also greater enhanced transport links with the hospital and is now only a short journey away from Central London.

This post is suitable for a new or developing band 7. This is an exciting opportunity for an experienced Occupational Therapist to lead the Paediatric OT service at Queen Elizabeth Hospital, Woolwich.

An innovative and an enthusiastic team player is required to maximise the potential of the service and direct the team in its development. Applicants should be committed to help developing and delivering a high quality service based on your knowledge of evidence based practice and clinical governance.

Main duties of the job

As the team lead, you will also be responsible for supervision, training and development of the team, as well as contributing to departmental and Trust improvements. They will have the ability to encourage and motivate others. Service development and audit (to evidence efficiency and efficacy) are essential and as such experience in this field crucial.

The successful applicant will be supervised by Lead OT to ensure they are supported in their role and professional development.

The Trust offers a supportive environment to develop your career. Learning and personal development is encouraged and we have a well-established appraisal system and funding for relevant external and internal courses.

For further information please contact Tim Hall , Lead Occupational Therapist via e-mail, or 0208 836 5002

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

    The Highly Specialist Paediatric Occupational Therapy Lead provides professional and clinical leadership to Therapy staff in this team based at the QEH site.

    The post holder supervises the day to day running of the paediatric therapy team and is line managed by the Occupational Therapy Site Lead at QEH. To achieve this, the post holder works in close collaboration with internal and community multidisciplinary colleagues, the OT Site Lead QEH, and the other Band 7 Occupational Therapy Team Leads.

    The Highly Specialist Paediatric Occupational Therapist Lead is a highly experienced clinician in paediatric care who independently manages a significant and highly specialised clinical caseload working to support assessment and discharge to community partners as required, supporting patient flow.

    In conjunction with the OT Site Lead, the post holder coordinates a rolling

    programme of education, clinical evaluation, audit and research within the pathway team atQEH.

    As part of the senior clinical Occupational Therapy team on the QEH site, the post holder will deputise for the Occupational Therapy Site Lead QEH as required.

    The post is based on the Queen Elizabeth site but may at times be asked to work on other sites in order to maintain service levels

    7 day working is currently under review in the trust and may require 7 day working in the future.


    INTERNAL INCLUDE: Therapy Managers and Therapy leads, own Teams, referring clinicians, MDTs, on ward, therapy administrative team, HR, other Trust Committees and own clinical teams

    EXTERNAL INCLUDE: GPs, Community Services, Social services, Local authorities, AHP managers and leads, Voluntary services, College of Occupational Therapists, Health professions council, DoH Networks and Policy Groups, Higher Education Institutes, Colleges and Schools


  • To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with highly complex presentations
  • To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands
  • To be professionally and legally responsible and accountable for all aspects of own work, and of the pathway teams work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist.
  • To assess patients capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient
  • To undertake the comprehensive assessment and accurate diagnosis of patients, including those with an extremely complex presentation, using investigative, palpatory, analytical and clinical reasoning skills
  • As appropriate to the job role, to request diagnostic procedures that will inform clinical decision making
  • To undertake physical treatment techniques utilising highly developed manual skills
  • To formulate individualised clinical management programmes, utilising a wide range of treatment skills and options to plan a highly-specialised programme of care
  • To use recognised outcome measures to evaluate the effect of Occupational Therapy interventions and ensure that treatment programmes are progressing appropriately.
  • To provide spontaneous and planned expert advice, teaching and instruction to relatives, carers, other disciplines and agencies. To promote understanding of the aims of Occupational Therapy and to ensure continuation of the treatment programme. To be consulted by staff within the pathway, the Trust and externally.
  • To participate in and where indicated, initiate multidisciplinary/multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning
  • To ensure accurate, comprehensive and up to date clinical records are maintained in accordance with Trust guidance and professionally agreed criteria
  • To identify and employ suitable verbal and non-verbal communication skills with patients where there may be barriers to understanding or the inability to accept diagnosis. To facilitate the best possible communication outcome in every situation and use appropriate services e.g. interpreters, SALT
  • To ensure that individual practice and that of the pathway team is user focused and patient views are incorporated into treatment planning
  • To employ appropriate skills such as persuasion, motivation and negotiation to gain co-operation in the continuation of the agreed treatment programme
  • To communicate with empathy, patient information which may be of a complex and sensitive nature including details of prognosis or disability that may be unwelcome
  • To receive highly complex patient related information from patients, relatives, carers and other professionals to effectively plan and develop individual case management
  • To communicate and advise regarding highly complex patient related information effectively to ensure collaborative working within the Occupational Therapy service and with other professionals across health and other agencies to ensure the delivery of a coordinated multidisciplinary service
  • To be integral in discharge planning including liason with referring hospitals or community staff to which patients are discharged, providing timely discharge reports
  • To produce comprehensive patient related reports for other disciplines or agencies relating to assessment findings and/or treatment outcomes
  • To apply a high level of knowledge and understanding of the neurodevelopmental needs, atypical movement patterns and conditions within paediatrics.
  • To undertake the measurement and evaluation of own work through audit, outcome measurement, the application of evidence based practice and research where appropriate. To identify and initiate audit projects to review current clinical practice within the pathway
  • To lead the implementation and evaluation of Trust wide Occupational Therapy clinical outcomes within a designated pathway and monitor adherence with professional and national standards
  • To work to Trust and British Association of Occupational Therapy clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored
  • To raise Occupational Therapy staff awareness of current clinical developments and the implications these may have on clinical practice
  • To be accessible and provide expert clinical advice to colleagues in particular for highly complex case management
  • To fully participate in whatever pattern of working is required by the service in the future

  • All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies.

    Person Specification



    • 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



    • 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



    • The ability to discuss advanced clinical reasoning in the management of highly complex cases
    • The ability to identify and act upon adverse clinical signs
    • Able to communicate at advanced level including complex information to patients, Carers, team and other health professionals.


    • IT skills - Ability to create and/or format data and/or complex spreadsheets using computerised systems

    Employer details

    Employer name

    Lewisham and Greenwich NHS Trust


    Queen Elizabeth Hospital

    Stadium Road


    SE18 4QH

    Any attachments will be accessible after you click to apply.


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