Job summary
Are you an ambitious Occupational Therapist looking to expand your skills across a range of specialties while progressing your career in a supportive and forward-thinking Trust?

We are seeking motivated Occupational Therapists with excellent communication and clinical skills to join our expanding Band 6 rotational programme. This exciting opportunity offers a diverse mix of acute and community placements, enabling you to develop broad clinical expertise and gain valuable experience across different services.

Our acute rotations include exposure to a variety of inpatient settings, including our large and well-established Stroke Unit. We also offer a wide range of community opportunities, including rehabilitation and long-term conditions services, supporting individuals to maximise independence and achieve meaningful goals within their communities.

We are proud of our strong partnerships with community providers, creating opportunities for collaborative working and, where appropriate, additional experiences aligned to your professional interests and development goals.

Join a dynamic Occupational Therapy team where innovation, career development, and high-quality patient care are at the heart of everything we do.

Main duties of the job
The rotations:

• Rotations into 8 different speciality areas:
• Stroke Unit
• Community UCR therapy team
• Community TOCH team
• Neuro Outliers (including ITU and Trauma caseload)
• Bromley Stroke Rehab Team
• Acute Medicine
• Acute COE
• Acute ED
• Acute Frailty

Candidates
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
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

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Details
Date posted: 19 August 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £39,959 to £48,117 a year
per annum plus HCAS
Contract: Permanent
Working pattern: Full-time
Reference number: 197-AO8625
Job locations: University Hospital Lewisham, Stadium Road, London, SE13 6LH, United Kingdom

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

SPECIFIC DUTIES AND RESPONSIBILITIES
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 theLead 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.

Person Specification
Experience
Essential

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

Desirable

• Audit experience
• Experience in working in rehabilitation, stroke and community teams.

Knowledge & Skills
Essential

• Good verbal communication skills in the English language
• Ability to communicate clearly with other disciplines
• Ability to keep clear, precise records in the English language, which meet legal requirements
• Clear, concise report writing
• A clear understanding of clinical governance and its implications on OT
• Ability to plan, prioritise and manage a caseload
• Able to work autonomously and to manage time effectively
• Broad understanding of current issues surrounding healthcare provision in London
• Knowledge of Support services in community

Desirable

• Presentation Skills

Qualifications & Training
Essential

• Diploma / Degree in Occupational Therapy
• HCPC Registration
• Evidence including attendance at recent post graduate courses/training relevant to rotational clinical specialties
• Member of British Association of Occupational Therapists
• Supervision/Experience Training
• Practice Placement Training
• DBS clearance

Desirable

• Evidence of attendance at relevant post-registration courses
• Car driver
• Member of COT special clinical interest
• Experience in having students

Personal Characteristics/Disposition
Essential

• Flexible and innovative
• Ability to work with others as part of the multidisciplinary team
• Calm and reliable
• Well organised
• Ability to treat people with respect, irrespective of age, gender, culture, religion & sexuality
• Committed to ongoing CPD.
• Good interpersonal skills with ability to establish rapport with patients and carers
• Ability to work under pressure and adapt to change
• Reliable work record

Circumstances
Essential

• Able to work hours prescribed including shift patterns if required (Shifts covering between 8am-8pm)
• Able to work weekend shifts.

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details
Employer name: Lewisham and Greenwich NHS Trust
Address: University Hospital Lewisham, Stadium Road, London, SE13 6LH, United Kingdom
Employer's website: https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)

Employer contact details
For questions about the job, contact:
Head of Adult OT
Emma Tilley
emma.tilley1@nhs.net
07788566176

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applicants must have current UK professional registration.