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Highly Specialist Occupational Therapist

Mersey Care NHS Foundation Trust
£43,742 to £50,056 per annum
Closing date
18 Jun 2024

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Occupational therapist
Band 7
Full Time
This is an exciting opportunity to join the Community Forensic Learning Disability Service (CFLDS) - Lancashire and South Cumbria. The team provides specialist health services to adults who have a Learning Disability and who present a risk of offending or who have a history of criminal conviction as well as individuals who are described as having complex challenging behaviour. The service offers enhanced community support in line with Transforming Care ensuring that services for people who have Learning Disabilities are configured around and with local communities, with strengthened support closer to home and reduction on the reliance of hospital care. The CFLDS focuses on supporting people to live in their own communities, providing robust, personalised care and support to people to prevent admission to hospital settings both locally and out of area. The team also works to enhance the discharge process, ensuring that people who do need in-patient care stay for only for as long as they need it. The CFLDS provides enhanced care to individuals and their care teams on discharge from hospital and work with community providers to ensure the correct training and support is available. In addition, the team provides Intensive Support to prevent crisis and enable people to stay at home. The Social Work role within this team is essential to maintain our joint working with the Local Authority.

Shortlisting planned for: 17 June 2024

Interview planned for: 25 June 2024

Main duties of the job

Provide high quality consultation, specialist assessment and intervention in the development of effective clinical services to meet the complex needs of people with behaviour that challenges particularly those whose behaviour presents serious risks to the community.

You will work directly with individuals and act as a resource to locally provided community learning disability teams, the CFLDS will model best practice in personalised care and support planning in addition to supporting local teams to plan creative and flexible supports. The service is underpinned by the principles of positive behavioural support ensuring that person centred practices provide the foundations of all support. You will demonstrate excellent leadership and communication skills and be motivated to developing new ways of working, having a clear commitment to person-centred practices and be able to demonstrate this in your work with individuals, families, and teams.

You must be willing to travel across Lancashire and South Cumbria working with a number of partner agencies including health, social care and the Criminal Justice agencies. You will be required to work primarily 9-5, Monday to Friday and may be required to support the 24 hour on-call Rota.

About us

Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 1.4 million people across our region and are also commissioned for services that cover the North West, North Wales and the Midlands.

We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.

At the heart of all we do is our commitment to 'perfect care' - care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together. We're currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.

Flexible working requests will be considered for all roles.

Job description

Job responsibilities

To carry a clinical caseload and operate as the Occupational Therapy Clinical Lead for the Specialist Community Forensic team supporting people who offend and present a serious risk to the community.

Provide leadership and highly specialised clinical expertise in Occupational Therapy focusing on rehabilitation and recovery through meaningful occupation based on evidence-based practice.

Ensure an occupational balance in self-care, productivity and leisure activities for individuals following a range of occupational therapy and sensory assessments to determine function and provide specific interventions with individual goals and outcome measures.

Support the development of independent living skills, including vocations oremployment, which promotes social inclusion and improves quality of life, reducing the risk of occupational deprivation.

Utilise core skills of collaboration, assessment, enablement, problem-solving, using activity as a therapeutic tool including activity analysis, adaptation and grading and environmental adaptation and group work when appropriate.

Use a range of assessments tools within a model of practice and frames of reference alongside the Occupational Therapy process.

To undertake a thorough highly specialist assessment of new referrals using a range of tools that requires skilled interpretation and analysis.

To provide comprehensive risk assessment of offending and / or other complex behaviours and provide risk management strategies and recommendations.

Following assessment to derive a formulation and plan of intervention negotiating this with the service user, the MDT and carers where appropriate.

To provide a range of appropriate highly specialist evidence-based interventions based of the assessed need of the referral.

To evaluate the outcome of any interventions.

To undertake on occasions urgent or emergency assessments, including riskassessments.

To provide recommendations for a gate keeping assessment where appropriate.

To develop complex service specifications and ensure they inform future practice.

Please refer to attached Job Description for a full list of duties and responsibilities.

Person Specification



  • Degree/Diploma in Occupational Therapy
  • Post-graduate study/short course for CPD
  • Health & Care Professions Council (HCPC) Registration


  • Post registration training in a therapeutic / intervention approach (e.g., in a specific psychological therapy such as CBT, CAT, Applied Behavioural Analysis and Intervention).
  • Forensic Risk Assessment (RSVP, HCRV3)
  • Post registration training in Occupational Therapy assessments
  • Post registration training in leadership and/or management
  • Fieldwork educator
  • Sensory Integration Training

Knowledge/ Experience


  • Experience of working with people with learning disabilities who offend.
  • Experience working with staff teams, providing consultancy and clinical supervision.
  • Experience of working with service users who have learning disabilities a complex need (risk of offending / challenging behaviour).
  • Experience of Positive Behavioural Support and Person-Centred Planning.
  • Experience of staff training and development.
  • Experience of communicating with people on complex matters, issues and ideas and / or complex situations.
  • A good understanding of the Mental Capacity Act, DOLs, Safeguarding and the legal frameworks applicable to working with offenders in a community setting.
  • Experience of supervising staff.
  • Knowledge of commissioning and procurement arrangements within local areas.
  • Knowledge of the structure, roles and responsibilities within health and social care provision and the criminal justice agencies.
  • Development of Occupational Therapy services
  • Application of Occupational Therapy models of practice, standardised assessments and outcome measures.
  • Knowledge of relevant Royal College of Occupational Therapy guidance for working with people with learning disabilities and in secure settings.


  • Experience working within a community based service.
  • Experience of service development and evaluation, for example project work, audit and research.
  • In depth understanding of the Criminal Justice Process.
  • Knowledge in theories of offending in learning disabilities.
  • Experience in the delivery of adapted offender programmes
  • Experience of individual and / or group offence specific interventions.
  • Experience of working in forensic settings.
  • Training in the use of Occupational Therapy assessments such as AMPS, MOHOST, VQ, ACIS, OCAIRS.



  • Continuous Improvement
  • Accountability
  • Respectfulness
  • Enthusiasm
  • Support
  • High professional standards
  • Responsive to service users
  • Engaging leadership style
  • Strong customer service belief
  • Transparency and honesty
  • Discreet
  • Change oriented



  • Ability to provide specialist advice on forensic care to other staff groups.
  • Ability to work in a multiagency context.
  • Competent IT Skills in order to prepare reports, diagrams, drawing in relation to clinical practice and teaching.
  • Skills in the assessment of complex behaviours using a variety of methods including analysis and interpretation.
  • Skills in designing of intervention and management plans, evaluation and monitoring.
  • Ability to work to deadlines.
  • Ability to work with difficult issues and sometimes in crisis (abuse, sexual offending) make decisions and recognise limits of own competency
  • Ability to communicate and motivate at all levels.
  • Ability to lead by example and role-model.
  • Complete assessments and provide advice on occupational therapy interventions with a complex caseload.
  • Ability to write reports.
  • Ability to travel


  • Ability to respond to crisis situations and provide advice / guidance in ensuring service users, their carers and members of the public are kept safe.
  • Ability to reflect on own and others work and to recognise and support development needs.
  • Demonstrate leadership qualities and managerial skills.

Employer details

Employer name

Mersey Care NHS Foundation Trust


Alexander House

32 Station Brow


PR25 3NZ

Any attachments will be accessible after you click to apply.


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