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Rotational Occupational Therapist - Band 5

Lewisham and Greenwich NHS Trust
£28,407 to £34,581 per annum plus HCAS
Closing date
2 Jul 2024

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Occupational therapist
Band 5
Contract Type
Full Time
We currently have a vacancy on our newly expanded Band 5 Rotation.

This rotation contains a variety of acute based options. There is a large ranges of posts which will encourage development of core OT skills within a supportive environment.

You will be working a well-established therapy teams, as part of a multi-disciplinary team, in the vibrant and diverse area of Lewisham.

Our well established team will support your transition from student to newly qualified therapist or encourage further development for experienced band 5s

This role contains all core acute based rotations. There are a variety of settings which will encourage development of core OT skills within a very supportive environment.

Main duties of the job

Rotations include:
  • ED
  • Frailty
  • Acute Medical Wards (including Cardiology and Oncology)
  • Acute Respiratory Wards
  • Trauma and Orthopaedics
  • General Surgery
  • Elderly Care.
  • Stroke

You will be working across well-established therapy teams, as part of a multi-disciplinary team, in the vibrant and diverse area of Lewisham.

We have a strong focus on teaching and development, including fortnightly in-service training, protected CPD time and a self-directed band 5 development group. You will have the opportunity to participate in our well established OT-specific preceptorship programme, to support in the transition from student to qualified practitioner

You will be supported by our band 6 and band 7 staff to develop your skills in the assessment, treatment and discharge planning of patients with a broad range of medical conditions,.

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

    • To manage a designated caseload using evidence based/client centred principles to assess, plan, implement and evaluate interventions
    • Maintain records which fulfil legal requirements.
    • Participation in rotational scheme :-

    - Elderly Rehabilitation

    - General Medicine (including Oncology)

    - Stroke Unit

    - Orthopaedics/Surgery


    1 Clinical

    1.1 To assess and treat a specific caseload of patients

    1.2 To undertake individual initial screens to identify patient need including areas affecting functional ability, followed by agreed assessment plans.
    • To design / plan individual patient treatment programmes to implement oneself, or to delegate as appropriate.

    1.4 To assess and provide treatment for the functional level of patients with regard to personal and domesticactivities of daily living, to maximise independence.

    1.5 To select andconduct standardised cognitive and perceptual testing with further assessment whenneeded.

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

    1.7 To assess need and risk factors for hoist and wheelchair provision.

    1.8 To advise on, recommend, make provision for the installation of appropriate aids and adaptations to thepatients social and physical environment.

    1.9 To assess for and manufacture appropriate upper limb splints as needed.

    1.10 To design and monitor ongoing splint regimes.

    1.11 To carry out home visits with or without the patient to assess environmental risks and functional ability at home.

    1.12 To carry out community visits to assess for and practise daily living skills asneeded.

    1.13 To identify and set client centred goals

    1.14 To monitor and evaluate treatment, including the use of outcome measures, in order to measure progress and ensure effectiveness of the intervention.

    1.15 To participate in decisions regarding placements post discharge

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

    1.17 To refer onto appropriate agencies for:- the continuation of treatment, reassessment, monitoring, and provision of further adaptations.

    1.18 To participate in the Occupational Therapy service weekend and bank holiday rota.
    2 Communication
    2.1 To communicate effectively with patients and carers, OT colleagues, multidisciplinary team members andother agencies

    2.2 To participate in the multidisciplinary team meetings and case conferences, with regard to patient care programmes.

    2.3 To advise and educate patients and carers regarding aids/equipment and safety in the home andcommunity.
    • To participate in staff meetings and other meetings as directed by senior staff, the Lead OT and the Inpatient Therapy Manager.
    3 Documentation
    3.1 To maintain up to date activity data and activity records in accordance with Professional and Trust standards.

    3.2 To provide reports on home visits.

    3.3 To provide specific reports to other agencies as appropriate.

    4 Professional Development

    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

    4.2 To participate in weekly supervision with a senior occupational therapist.

    4.3 To participate in the individual performance review programme and KSF review.

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

    4.5 To delegate tasks to support staff as appropriate.

    4.6 To attend internal and external training, including mandatory and statutory training and agreed lectures/ courses to meet identified objectives

    4.7 To apply acquired skills and knowledge of practice to further develop competencies to practice.

    4.8 To maintain a professional portfolio for CPD regarding learning.
    5 Training Staff and Students
    5.1 To participate in the induction and training of other staff and students in this setting.

    5.2 To give presentations on specific, chosen topics.

    6 Service Development and Delivery

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

    6.2 To manage the caseload efficiently in order to achieve timely and safe discharges of patients from hospital.

    6.3 To assist senior staff, the lead OT and the Inpatient Therapy Manager in implementing new policieswithin the department.
    7 Clinical Governance
    7.1 To comply with all Trust Policies and procedures (including InfectionControl)the Health & Safety atWork Act and the Data Protection Act.

    7.2 To be familiar with and comply with local fire procedures.

    7.3 To be familiar with all Trust and Therapy emergency procedures on and offsite and to respond asnecessary eg. emergency resuscitationhydrotherapy.

    7.4 To report immediately on complaints, accidents and any deficits in equipment.

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

    7.6 To participate in the evaluation and audit of practice, clinical pathways and protocols within the clinicalarea.

    7.7 To demonstrate understanding of national guidelines and legislation relating to health care.

    8 Research & Practice Development

    8.1 To demonstrate the ability to critically evaluate current research and apply to practice.


    The postholder may be required to undertake other duties which fall within the grade of the job, in discussion with the 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 and Training


    • oDegree or Diploma in Occupational Therapy
    • oHCPC Registration
    • oDBS Clearance
    • oExperience of working in the NHS at graduate or undergraduate level.
    • oClinical experience with adult patients in a hospital/ physical setting (including prequalification)


    • Car driver
    • Member of BAOT



    • oAbility to work as a member of a team.
    • oAbility to take responsibility for own caseload.
    • oInterest in all rotations on the scheme.
    • oAwareness of MDT working and strategies to improve this.
    • oExperience of working in a multi-cultural environment/community
    • oAwareness of Clinical Governance and its implications on the OT role.


    • Knowledge of quality issues, clinical governance and outcome measures.
    • Previous discharge planning experience.
    • Community Experience
    • Neurology experience

    Knowledge & Skills


    • oProblem solving approach.
    • oKnowledge of OT process and application in clinical practice.
    • oKnowledge of Evidence based practice.
    • oAbility to keep clear, precise records, which meet legal requirements, and in the English language.
    • oAbility to prioritise and organise time effectively
    • oEvidence of self- initiated learning.
    • oAbility to demonstrate effective clinical reasoning 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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