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Specialist Occupational Therapist, Stroke - Neurorehabilitation

North Middlesex University Hospital NHS Trust
£49,178 to £55,492 per annum inclusive of HCAS
Closing date
5 Jul 2024

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Occupational therapist
Band 7
Contract Type
Full Time
This exciting opportunity is for a dynamic, experienced Occupational therapist within Stroke and Neurology to join our friendly and supportive rehabilitation team based within Magnolia unit which covers Inpatient Stroke/ Neuro rehab ( 12 beds) alongside Core Physical Rehabilitation and is located at the St Michael's primary care Centre site in Enfield. Magnolia unit is an Inpatient Physical Rehabilitation ward admitting adult patients with Post Stroke/ Neurological presentations alongside Core Inpatients with Intensive Rehabilitation needs and focuses on providing this within an MDT setting.

As the Band 7 Occupational therapist for inpatient Stroke/ Neurology, you will work alongside Band 7 OT and Physiotherapy colleagues to lead the Neuro-therapy team working within a well-established MDT, managing the planning and delivery of the Stroke/ Neuro Occupational Therapy service, in order to achieve the best outcomes adhering to set National standards for patients admitted for intensive Inpatient Rehabilitation.

This role would be ideal for a highly motivated candidate with effective clinical and leadership skills at a Band 6 level with a view to developing those further into a senior position or for existing Band 7s looking for a new challenge. The post holder has supervision , staff management and training / education responsibility supported by the Integrated Therapy Lead for career development .

Main duties of the job

This post is primarily to deliver high standard of specialist occupational therapy Stroke & Neurorehabilitation to inpatients admitted to Magnolia Inpatient rehabilitation unit supporting their smooth transition into community services working closely within Stroke 7 neuro acute and community colleagues. This is an exciting time to join the service as we develop integrated rehabilitation pathways across inpatient and community services. You will be a self-directed clinician who works with their patient to ensure the patient reaches their full and optimized potential.

Within the rehabilitation service the post holder who by reason of their specialist knowledge, underpinned by theory, practice and experience, will deliver a high quality specialist service, providing expert clinical, education and support to patients and their carers. The post holder will provide patient assessment, case coordination, and treatment and planned discharge for adults with a primary neurological diagnosis including Stroke.

The postholder will be responsible for the education of, monitoring and delivery of service provided by junior staff and therapy support workers.

occupational therapists, speech and language therapists and dietetian therapy technicians , doctors and nurses to provide a holistic service for patients to prepare for their discharge into the community or to continue to stay in their preferred environment where safe to do so.

About us

North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospital here

Job description

Job responsibilities

To perform comprehensive specialist occupational therapyassessment of patients, presenting with complex physical and psychological conditions, to provide a clinical diagnosis of their occupational therapyproblems and develop and deliver an individualized treatment/ management programme.

To ensure all occupational therapy assessments are completed within agreed timescales adhering to local and national guidelines.

To be responsible for the day to day organisation of the occupational therapyinput to the rehabilitation service and to manage a designated caseload, delivering care according the service specification requirements.

To support and educate patients and carers in managing complex occupational therapy /rehabilitation needs within and following an inpatient stay.

To work closely with other agencies e.g. specialist equipment services, social services, voluntary, charity and private agencies to ensure occupational therapytreatment is fully integrated into the patients care programmes where applicable.

To hold full responsibility for own caseload of patients, working without direct supervision.

Own supervision takes the form of regular peer review, peer training and case conferences. Self directed access to advice and support from a higher grade is available, as required, clinical work is not routinely evaluated.

To undertake regular management supervision with therapy lead

To undertake all aspects of clinical duties as an autonomous practitioner.

To provide clinical supervision and support to less experienced occupational therapystaff, assistants, technical Instructors, support workers and students on placement and to support training and supervision of others in the MDT team .

To undertake evidence-based audit and projects to further own and others clinical practice. Make recommendations to the therapy lead for changes to practice in order to improve services to patients.

To contribute to and support the implementation of specific changes to practice or contribute to service protocols with support and guidance from the therapy lead.

To be aware of and highlight to therapy lead any clinical governance issues pertaining to your role and practice.

To contribute to the delivery of health promotion activities within the service and the wider Trust initiatives.

See full JD for details.

Person Specification



  • Extensive and recent OT experience at least at band 6 level/equivalent in adult neurology, especially stroke care.
  • Also able to demonstrate appropriate postgraduate experience working across other core OT areas to support the rehabilitation needs of the patient.
  • Experience of working as part of a team.
  • Experience of working in Inpatient services.
  • Active contribution to training others
  • Experience of working within the NHS and awareness of NHS systems and processes


  • Experience of working across agencies
  • Experience of working in multidisciplinary services



  • H.C.P.C. Registration
  • Recognised Diploma / Degree in Occupational Therapy
  • Evidence from C.P.D. portfolio of ongoing relevant post-graduate training both theoretical and practical to a high level. This will be accredited at Masters or equivalent level.


  • Membership of professional body or interest group
  • MSc OT / Any other relevant training & education

Knowledge / Awareness / Understanding


  • Keen appreciation of own role and those of others within the service
  • An advanced breadth of knowledge about stroke care and evidence based/best OT practice relating to the delivery of stroke care services.
  • Suitable post graduate course specialising in stroke care e.g. Normal Movement/Carr & Shepherd
  • Awareness of other relevant research and evaluation.
  • Have an excellent understanding of clinical governance in relation to OT and the ability to apply principles to stroke care.
  • Stroke care expertise and knowledge is also underpinned by understanding of a broader OT therapeutic base.
  • A good working knowledge of the NHS and an understanding of how NHS policy and strategy impact on own workload.

Employer details

Employer name

North Middlesex University Hospital NHS Trust


Magnolia unit, St Michael's primary care centre

Gater Drive, Enfield



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