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Band 6 OT Acute and Community Rotation.

Lewisham and Greenwich NHS Trust
£35,392 to £42,618 per annum plus HCAS
Closing date
2 Jul 2024

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Other allied health
Band 6
Contract Type
Full Time
Band 6 Rotation Acute and Community sites.

We are looking for Occupational therapists with excellent communication skills to join our expanding band 6 rotation in the trust.

We are extremely lucky in that we have a wide variety of options available on our rotation to meet your career and development needs.

The rotation consists of acute rotations including the large stroke unit.

We have a large amount of community rotation options which include rehab and long term conditions. We have well established links with community partners and have options for exploring additional options on the rotation, should you be keen.

Currently we are exploring expansion of the rotation into paediatrics with our community partners.

You will have an excellent opportunity to develop your knowledge and specialist skills and to further your career in a Band 6 post. We have an established cross site band 6 development programme and peer support group. The trust actively support access to external courses and training.

The posts are for qualified Occupational Therapist with an interest in developing specialist skills in neurology and experience at Band 5 or Band 6 level.

A professional attitude is essential along with the skills to work in a busy, fast paced setting.

Main duties of the job

The rotations:
  • Rotations into 8 different speciality areas:
    • Stroke Unit (UHL
    • Community UCR therapy team
    • Community D2A
    • Neuro Outliers (including ITU and Trauma caseload)
    • Bromley Stroke Rehab Team
    • Acute Medicine
    • Acute COE
    • Acute ED
    • Acute Frailty
    • Rotation in development
        • Paediatrics - Lewisham community.


Essential experience required:
  • Post-graduate clinical experience working as a Band 5 Occupational Therapist
  • Evidence of participation in In-service training and Personal CPD
  • HCPC registration and RCOT/BAOT membership

Candidates must have a professional, enthusiastic, friendly and flexible approach

Working days and or shift patterns will be agreed by the line manager to meet the needs of the service, including shift patterns over 7 day period covering 8am-8pm in some services.

Informal visits will be available on request to shortlisted candidates.

About us

We can offer you:
  • Band 6 development programme - please see documents
  • An excellent working environment.
  • A supportive management structure
  • A positive and well-established appraisal and development system
  • Encouragement to develop clinical skills

Clinical leadership is provided through an established structure of professional lead occupational therapist and senior OT team leads, regular in-service training, clinical supervision and good peer group support.

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
    • Maintain records which fulfil legal requirements
    • To regularly supervise O.T. students on practice placements
    • To provide leadership for junior/support staff, through supervision and appraisal as delegated by a senior member of staff
    • Participate in rotational scheme : Elderly , General Medicine, Stroke Unit, Surgery, Orthopaedics, Complex Neurological conditions (including major trauma) and Community Rehabilitation


    1 Clinical

    1.1 To assess and treat a specific caseload of patients

    1.2 To demonstrate a broad level of knowledge and understanding of clinical conditions.

    1.3 To undertake individual initial screens to identify patient need including areas affectingfunctional ability, followed by agreed assessment plans.

    1.4 To design / plan individual patient treatment programmes to implement oneself, or todelegate as appropriate

    1.5 To assess and provide treatment for the functional level of patients with regard topersonal and domestic activities of daily living, to maximise independence.

    1.6 To select andconduct standardised cognitive and perceptual testing with furtherassessment when needed.

    1.7 To carry out an initial risk assessment where necessary and to monitor ongoing risk

    1.8 To assess need and risk factors for hoist and wheelchair provision

    1.9 To advise, recommend, make provision for the installation of appropriateaids andadaptations to the patients social and physical environment.

    1.10 To carry out home visits, with or without the patient, to assess environmental risks andfunctional ability at home.

    1.11 To carry out community visits to assess for and practise daily living skills as needed.

    1.12 To identify and set client centred goals

    1.13 To monitor and evaluate treatment, including the use of outcome measures, in order tomeasure progress and ensure effectiveness of the intervention

    1.14 To participate in decisions regarding placementspost discharge.

    1.15 To undertake discharge planning / co-ordination of complex patients.

    1.16 When working in the community and domiciliary settings, to work as a lone practitioner with telephone support from a senior Occupational Therapist, if required.

    1.17 To refer on to appropriate agencies for the continuation of treatment, reassessment, monitoring and provision of further adaptations.

    1.18 To participate in the weekend service.

    2 Communication

    2.1 To communicate effectively with patients and carers, O.T colleagues, multidisciplinary team members and other agencies

    2.2 To participate in the multidisciplinary team meetings and case conferences.

    2.3 To advise and educate patients and carers regarding aids / equipment and safety in the home and community

    2.4 To participate in staff meetings and other meetings as directed by senior staff and the Lead O.T.

    3 Documentation

    3.1 To maintain up to date activity data and activity records in accordance with Professionaland Trust standards.

    3.2 To promptly provide reports on home visits

    3.3 To provide specific reports to other agencies as appropriate

    4 Professional Ethics

    4.1 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.

    5 Leadership, Supervision and Appraisal

    5.1 To participate in the individual performance review programme

    5.2 To effectively use supervision and appraisal to reflect on own practice and performance.

    5.3 To undertake the supervision and appraisal of junior/support staff as delegated by a senior member of staff

    5.4 To delegate tasks to support staff as appropriate

    5.5 To provide advice to junior/support staff on a day to day basis as required.

    5.6 To deputise for the Senior I in his/her absence, taking responsibility for operational management of the team, allocating and organising the work of junior and assistant staff to meet service priorities on a daily basis.

    6 Training Staff and Students

    6.1 To participate in the planning and implementing of the induction, training and education of students and other staff in this setting.

    6.2 To be responsible for the supervision and written assessment of O.T. students onpractice placement on a regular basis

    6.3 To give presentations on specific chosen topics.

    6.4 Responsibility for organising specific aspects of training within the department.

    7 Service Development and Delivery

    7.1 To work with other staff within the department to ensure that equipment is maintained and stock monitored.

    7.2 To manage the caseload efficiently in order to achieve timely and safe discharges ofpatients from hospital.

    7.3 To assist senior staff and the Lead O.T. / Inpatient Therapy Manager in implementingnew policies within the department.

    7.4 To undertake specific departmental duties as requested by Senior staff orLead O.T / Inpatient Therapy Manager

    7.5 To work constructively with other senior OTs / Inpatient Therapy Manager on servicedevelopment issues, adapting practice and/or making recommendations for change asindicated.

    8 Personal / Professional Development

    8.1 To participate in internal and external training opportunities, including mandatory and

    statutory training, to meet identified objectives and demonstrate ongoing development.

    8.2 To demonstrate an increasingly complex skills and knowledge base to establishcompetence and fitness to practise as a senior O.T.

    8.3 To maintain a professional portfolio for CPD.

    9 Clinical Governance

    9.1 To comply with all Trust Policies and procedures (including InfectionControl), the Health& Safety at Work Act, and the Data Protection Act.

    9.2 To be familiar with and comply with local fire procedures

    9.3 To be familiar with all Trust and Therapy emergency procedures on and off site and torespond as necessary eg emergency resuscitation, hydrotherapy.

    9.4 To report on complaints, accidents and any deficits in equipment as soon as possible.

    9.5 To assess for and advise on risk factors in given situations.

    9.6 To contribute to the Therapy clinical governance and quality agenda.

    9.7 To participate in the evaluation and audit of practice, clinical pathways and protocolswithin the clinical area as required .

    9.8 To demonstrate knowledge and application of national guidelines and legislation relatingto health care.

    10 Research & Practice Development

    10.1 To demonstrate the ability to critically evaluate current research, apply to practice anddisseminate findings at local level.

    10.2 To develop research and audit skills through participation in local projects.

    10.3 To participate in groups facilitating good practice.

    • 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. / Inpatient Therapy Manager .
    • 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


    • oDiploma / Degree in Occupational Therapy
    • oHCPC Registration
    • oEvidence including attendance at recent post graduate courses/training relevant to rotational clinical specialties
    • oMember of British Association of Occupational Therapists
    • oSupervision/Experience Training
    • oPractice Placement Training


    • oEvidence of attendance at relevant post-registration courses
    • oCar driver
    • oMember of COT special clinical interest
    • oExperience in having students



    • oAt least 18 months post qualification experience
    • oBroad based experience of Occupational Therapy treatment including work as a qualified OT in an NHS acute hospital
    • oKnowledge and experience of equipment provision and prescription.
    • oBroad experience of treatment options and approached
    • oAdvanced clinical reasoning skills.
    • oExperience in complex moving and handling.
    • oExperience in assessment and discharge planning within a fast paced environment.
    • oBroad experience in standardised assessment.
    • oBroad experience in assessment of and treatment of cognitive deficits.
    • oKnowledge of wheelchair assessment and provision
    • oExperience of supervising / teaching other staff


    • oAudit experience
    • oExperience in working in rehabilitation, stroke and community teams.

    Knowledge & Skills


    • oGood verbal communication skills in the English language
    • oAbility to communicate clearly with other disciplines
    • oAbility to keep clear, precise records in the English language, which meet legal requirements
    • oClear, concise report writing
    • oA clear understanding of clinical governance and its implications on OT
    • oAbility to plan, prioritise and manage a caseload
    • oAble to work autonomously and to manage time effectively
    • oBroad understanding of current issues surrounding healthcare provision in London
    • oKnowledge of Support services in community


    • oPresentation Skills

    Employer details

    Employer name

    Lewisham and Greenwich NHS Trust


    University Hospital Lewisham


    SE13 6LH

    Any attachments will be accessible after you click to apply.


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