WHSCT_Advanced Clinical Practitioner Occupational Therapist - Neuro Rehabilitation_Band 7

Branch: Western Health & Social Care Trust
Location: Gransha Woodview
Directorate: Primary Care & Older People
Salary: Band 7 (£47,810 - £54,710)
Contract Type: Permanent
Opening date: 06/11/26
Closes: Fri, 20 November 2026 @ 3:30 PM
Interview Dates: To be confirmed.

Job Summary
To provide a consistent and highly specialist Occupational Therapy Neuro Rehabilitation service for patients and clients with neuro disability.

This post is a split post and post holder will be required to work within the North West Centre for Neuro Rehabilitation providing both inpatient and outpatient service delivery. The post holder will also work within Community Neuro Rehabilitation, delivering community-based rehabilitation for clients presenting with complex neuro disability. (At time of advert neuro services in Spruce are under review with no rehab beds currently. This is subject to change)

The post holder will autonomously manage, a caseload of patients/clients with complex clinical needs, at all times organising and prioritising workload in accordance with agreed policies and procedures.

The post holder will provide comprehensive Occupational Therapy Neuro evaluation of patients/clients presenting with a broad range of complex Neurological conditions addressing their physical, sensory, cognitive, perceptual, psychosocial, spiritual, social, environmental and cultural needs.

The post holder will analyse areas in which dysfunction has been identified and design and deliver patient centred intervention programmes, monitoring and reviewing as appropriate.

The post holder will have operational and professional supervisory responsibilities for all Clinical Occupational Therapy staff working within the areas of Neuro Rehabilitation.

The post holder will design and deliver formal education sessions, contributing to the training and development of both Occupational Therapy staff and wider Health Care Professionals.

Main Duties & Responsibilities - Clinical/Professional

• To independently manage a caseload of patients/clients with complex and highly complex needs, evidencing high-level problem-solving and clinical reasoning skills.
• To initiate administer and interpret clinical observations and standardised assessments which will establish a level of physical, sensory, perceptual, cognitive and psycho-social functioning assisting in the clinical diagnosis of complex conditions.
• To provide a highly specialist response by formulating an implementing intervention plans for patients/clients with neuro disability. Treatment approaches will include environmental stimulation, neuro developmental therapy, cognitive remediation visual therapy and behavioural management programs. All intervention will be goal driven, time limit and will be delivered within a clinical setting or appropriate community settings.
• To design, deliver and evaluate group based intervention where appropriate, providing specialist therapeutic approaches such as required for the management of Functional Neurological Disorders.
• To provide both operational and professional supervision to all clinical occupational therapy staff working with
• To convey difficult and anxiety provoking information regarding assessment results and realistic intervention outcomes in such a manner so as to maintain therapeutic relationship, confidence, trust and patient/client engagement.
• To utilise highly developed interpersonal skills to create a therapeutic environment maximising the client's potential, encouraging client and their families to participate in all stages of the treatment process promote client centre consistency of approach and minimisation of behavioural concerns
• To display highly developed and flexible communication techniques with those clients/ patients who have altered perception, expressive and receptive dysphasia, pain, sensation loss or visual deficits.
• To undertake the role of the key worker as required when working within North West Centre for Neuro Rehabilitation, taking responsibility for coordinating the patient's treatment pathway. This will include prioritisation and organisation of necessary multi-disciplinary reviews, family conferences, discharge planning and completion of onward referrals.
• To provide risk assessment in both routine and complex moving and handling situations and to implement the necessary remediation. In doing so the post holder must develop a high level of understanding of manual handling legislation and a thorough knowledge of manual handling best practice and associated equipment.
• To assess patients/clients in relation to the provision of standard and specialist equipment formulating individual prescriptions/specifications where necessary to ensure patient/client needs are met. This will include complex seating assessment and wheelchair assessment and prescription. This may require liaison with clinical specialists.
• To design, fabricate and monitor static and serial splints for the remediation and management of neuro motor disorders.
• To provide highly specialist knowledge, training, guidance and support to Healthcare Professionals regarding best practice clinical intervention for patients/clients with neuro disability. This may include formal presentations at local and national level.
• To provide training, guidance and support to families, carers and support workers regarding specialist equipment, minor adaptations and clinical interventions with this client group.
• To ensure client is aware of the legal requirements of driving with a neurological condition/post neurological event. Completing formal assessments relevant to driving, facilitating the acquisition of pre-driving/driving skills within an intervention plan where appropriate and communicating results to appropriate medical personnel to assist with decision making regarding fitness to drive.
• To liaise directly with Consultant Neurologists, Consultants in Rehab Medicine, Allied Health Professionals and relevant statutory and non-statutory organisations providing written and verbal reports with onward referrals were necessary.
• To attend multidisciplinary meetings within North West Centre for Neuro Rehabilitation, informing the interdisciplinary team regarding the patient's rehabilitation progress, goal attainment and any necessary alterations to intervention plans.
• To complete vocational assessments, design and deliver vocational rehabilitation programmes and to act as lead role in implementing return to work schedules for clients.
• To advise and provide education to Consultants, GPs, Occupational Health Physicians and appropriate external agencies, throughout the vocational rehabilitation process.
• To prepare expert legal reports pertaining to patient/client's functional abilities and the implication of their deficits on future functioning, participating in all legal processes as required.
• To perform a consultancy role to Occupational Therapy staff working within other clinical specialities, providing clinical expertise and advising on best practice and effective intervention/approaches.

General Management

• To operationally lead and manage designated clinical staff and Students on practice education placements, providing guidance, supervision and performance management.
• To evaluate practice through initiation/implementation of audit and participate in quality and service improvement initiatives.
• To contribute to the Trust's and Teams Clinical Governance and Quality Assurance Programmes setting and monitoring practice standards within the OT Service and in liaison with interdisciplinary colleagues.
• To identify unmet needs and gaps in service provision through the initiation and implementation of audit and outcome measures and participation in other quality and service improvement initiatives.
• To maintain accurate comprehensive and up-to-date documentation in line with legal and departmental requirements and communicate assessments and treatment results to the appropriate disciplines in the form of report and letters.
• To provide statistical information on OT treatments, activities and outcomes on a monthly basis.
• To use a co-production approach with patient involvement to develop & report qualitative patient satisfaction questionnaire.
• To undertake and provide audit reports & service improvement project outcomes to OT Service Manager, Consultants Neurologists and Consultant in rehab Medicine.
• To share staff feedback on training & education events.
• To ensure budget expenditure for Occupational Therapy activities is managed within set limits.
• To participate in the recruitment and selection of junior Occupational Therapy staff.
• To represent OT and participate actively in Operational management meetings within the North West Centre for Neuro rehabilitation.
• To deputise for the Occupational Therapy Service Manager if required.

Personal

• To articulate and work to the value base and principles which underpin Occupational Therapy practice representing the unique role of Occupational Therapy in relation to interdisciplinary working and to continue to raise the profile of OT within Neuro rehabilitation.
• To encourage good practice and act as a role model, give leadership and support junior staff and encourage team spirit.
• Utilise formal and informal reporting mechanisms including electronic reporting to ensure effective communication across health and social care.
• Use effective interpersonal skills to encourage patients and carers active participation in the occupational therapy process. Use verbal and non-verbal communication to receive and disseminate complex clinical information in all therapeutic, educational programmes and professional contexts acknowledging sensitivity and utilising approaches appropriate to the complexity of the context or culture.
• To maintain confidentiality consistent with Trust and Service policies. Act as an advocate on behalf of clients and carers by adopting a client centred approach to support meaningful participation in life roles.
• To maintain and develop professional communication links across health and social care including representation at multi-disciplinary collaborative forums and networks.
• To utilise advanced communication skills acting as a prime educator of other professionals including doctors, nurses, qualified and unqualified AHPs and students of own area of clinical expertise and on the role and scope of Occupational Therapy.

Professional Development

• To maintain professional status and competence at an advanced clinical level taking responsibility for keeping own knowledge and skills current by engaging in and directing continuous professional development and lifelong learning.
• To participate in supervision, appraisal and the knowledge and skills framework.
• To use supervision, monitoring and performance development plans to promote clinical and personal effectiveness of self and others.
• To share expert acquired clinical knowledge and skills with colleagues and peers, both at local, regional and national level.

General Management Responsibilities
The post holder will promote and support effective team working, fostering a culture of openness and transparency. The post holder will ensure that they take all concerns raised with them seriously and act in accordance with 'Your right to raise a concern (Whistleblowing)' policy and their professional code of conduct, where applicable.

General Requirements
The post holder will be required to ensure the Trust's policy on equality of opportunity is promoted through his/her own actions and those of any staff for whom he/she has responsibility. Co-operate fully with the implementation of the Trust's Health and Safety arrangements, reporting any accidents/incidents/equipment defects to his/her manager, and maintaining a clean, uncluttered and safe environment for patients/clients, members of the public and staff. Adhere at all times to all Trust policies/codes of conduct, including for example: Smoke Free policy; IT Security Policy and Code of Conduct; standards of attendance, appearance and behaviour. Contribute to ensuring the highest standards of environmental cleanliness within your designated area of work. Co-operate fully with trust policies and procedures relating to infection prevention and control.

All employees of the Western Health and Social Care Trust are legally responsible for all records held, created or used as part of their business including patients/clients, corporate and administrative records whether paper-based or electronic and also including emails. All such records are public records and are accessible to the general public, with limited exceptions, under the Freedom of Information act 2000 the Environmental Information Regulations 2004, the General Data Protection Regulations (GDPR) and the Data Protection Act 2018. Employees are required to be conversant with the Trusts policy and procedures on records management and to seek advice if in doubt.

Take responsibility for his/her own ongoing learning and development, in order to maximise his/her potential and continue to meet the demands of the post. Represent the Trust's commitment to providing the highest possible standard of service to patients/clients and members of the public, by treating all those with whom he/she comes into contact in the course of work, in a pleasant, courteous and respectful manner.

The HSC Code of conduct sets out the standards of conduct expected of all staff in the Western Health & Social Care Trust and presents standards of conduct and behaviours required during and after employment with the Trust. Professional staff are expected to follow the code of conduct for their own professions as well as this code.

Staff members are expected to involve patients, clients, carers and the wider community where relevant, in developing, planning and delivering our services in a meaningful and effective way, as part of the Trust's ongoing commitment to Personal and Public Involvement (PPI).

Employees must, at all times, abide by Trust policies and procedures and the terms of their contract of employment. They must conduct themselves with impartiality, integrity, objectivity and honesty and maintain high standards of personal and professional accountability.

Employees are expected to demonstrate commitment to the Trust by ensuring regular attendance at work and efficient completion of duties.

Employees must ensure that they comply with any risk management responsibilities specific to their post, and as set out in the Trust's Risk Management Strategy.

The Trust is committed to the development and implementation of systems under Integrated Governance to ensure continuous improvement in the quality of services provided. Employees will be expected to co-operate and work with such systems.

All information concerning patients and staff must be held in the strictest confidence and may not be divulged to any unauthorized person.

Employees must ensure that equality and human rights issues are addressed within the post holder's area of responsibility in accordance with the Trust's Equality Scheme.

This Job Description will be subject to review in the light of changing circumstances and is not intended to be rigid and inflexible but should be regarded as providing guidelines within which the individual works. Other duties of a similar nature and appropriate to the grade may be assigned from time to time.

It is a standard condition that all Trust staff may be required to serve at any location within the Trust's area, as needs of the service demand.

Essential criteria: 5 years post graduate experience, 3 years of which at band 6 or above in a neuro rehabilitation setting. Diploma or Degree in Occupational Therapy. Registered with HCPC. Current full UK driving licence and access to a car (waivable for disability with Trust-approved transport).

The Trust is an Equal Opportunities Employer. Successful applicants may be required to attend for a Health Assessment and an Enhanced Disclosure Check through Access NI before any appointment to this post can be confirmed.