Band 6 Specialist Occupational Therapist (Pain and Rehabilitation)

Royal National Orthopaedic Hospital NHS Trust; Greater London; On-site; GBP 44,000 - 53,000; Full time

Job summary

A leading orthopedic health provider is seeking a Band 6 Specialist Occupational Therapist within its multi-disciplinary Rehab and Pain Management team. This role involves assessing and treating patients with chronic complex pain conditions, closely collaborating with various healthcare professionals. Applicants must hold a DipCOT or degree in Occupational Therapy and have at least three years of post-qualification experience. The position offers competitive salary and continuous professional development opportunities, promoting holistic OT skills and patient care.

Benefits

24/7 access to wellbeing support

Employee Recognition platform

Dedicated Staff Wellbeing Hub

Qualifications

• 3 years minimum post-qualification experience, including 6 months working with complex disabilities.
• Evidence of relevant Continuing Professional Development (CPD).
• Teaching experience desirable.

Responsibilities

• Assess and treat patients with complex conditions in collaboration with the MDT.
• Formulate and implement graded treatment plans.
• Manage own clinical caseload effectively.

Skills

Sound knowledge of neurological treatment approaches

Good organization of self and time

Able to communicate with various people

Education

DipCOT/ Degree in Occupational Therapy

Registered with HCPC

Tools

Common adaptive equipment

Specialist equipment relevant to the post

Job description

Band 6 Specialist Occupational Therapist (Pain and Rehabilitation)

Royal National Orthopaedic Hospital NHS Trust

Closing date: 18 January 2026.

We are pleased to be recruiting a dynamic Band 6 Occupational Therapist to work in our specialist multi‑disciplinary Rehab and Pain Management team. Occupational therapy is highly valued and respected within this team and we work closely with our colleagues in physiotherapy, psychology, nursing and consultant teams as well as our valued therapy technicians and administrative staff. You will be able to assess and treat people diagnosed with a variety of chronic complex pain conditions in 1:1 or group sessions. We provide out‑patient sessions and co‑coordinate a unique 3‑week inpatient pain management programme with our MDT colleagues. Training and research opportunities are fully encouraged and supported within RNOH. If you are seeking a job where you can truly use all your holistic OT skills in physical and mental health then this is the team for you.

Main duties of the job

Assesses and treats patients with routine and highly complex conditions and liaises with other members of the RNOH multi‑disciplinary team (MDT) and in other organisations to ensure the best level of care for each individual.

Promotes the OT role within the clinical unit and contributes to the smooth running of the OT service through regular duties and one‑off projects as agreed with senior staff.

About us

At the Royal National Orthopaedic Hospital (RNOH), we are committed to achieving the best staff experience in the NHS. In the 2023 NHS Staff Survey, we proudly:

• Scored above the national average for the People Promises: "We are recognised and rewarded," "We are always learning," "We work flexibly," "We are a team," and for staff engagement.
• Ranked #1 among all Trusts in North and Central London for all People Promises and themes.
• Ranked #1 among all Acute Specialist Trusts for "We work flexibly."

At RNOH, we are committed to being actively anti‑discriminatory and actively inclusive. We recognise our brilliant people do brilliant work, and we offer rewarding careers, no matter what their background. We continue to strive to break down barriers to be the Trust where people come together because what they do matters, makes a difference and where they can thrive.

Joining our organisation means enjoying a wide range of staff benefits, including:

• 24/7 access to wellbeing support through our Employee Assistance Programme.
• A Rewards & Recognition platform, offering opportunities to thank colleagues, send gifts, and access exclusive discounts.
• A dedicated Staff Wellbeing Hub, providing a space to relax and recharge away from the work environment.
• Salary sacrifice schemes for transport (season ticket loans, car and bike), electrical goods, and childcare.

At RNOH, we are more than a workplace— we are committed to patients, to excellence and the wellbeing of our staff.

Job responsibilities

Patient/client care

1. Attains competencies for the safe use of all equipment and techniques before use.

2. Once training period complete, uses evidence based knowledge and clinical reasoning to undertake routine and complex clinical assessment, in a relevant location, eg hospital, nursery, school, work or home, identifying patient needs, treatment aims and goals in collaboration with the individual patient and the MDT. These may be in‑patients, out‑patients or those attending specialist clinics. Assessment and treatment may include splinting, wheelchair adjustment, therapeutic handling / hoisting and discharge planning in a busy and unpredictable environment.

3. Uses professional skills to engage patients with challenging behaviour, psychological and psychiatric needs in purposeful treatment programmes, in collaboration with the MDT, to ensure the provision of holistic care.

4. Determines patients level of understanding of treatment plan to ensure valid patient consent and works within legal framework with patients who lack capacity to consent.

5. Documents findings according to Trust policy and department procedure.

6. Uses recognised outcome measures and goal setting measures to motivate challenging clients.

7. Formulates and implements graded treatment plans.

8. Oversees treatment plans delegated to support staff, maintaining responsibility for overall care of patient.

9. Analyses patients progress and adjusts treatment programmes as appropriate.

10. Manages clinical risk within own patient caseload and in own work area.

11. Plans and leads group and individual specialist education, advice and support sessions for up to 15 patients / carers.

12. Makes referrals, reports and recommendations verbally and in writing to the MDT, external agencies and employers as required.

13. Prioritises and manages own clinical caseload, delegating as appropriate.

14. Attends ward rounds, case conferences and other patient reviews and reports both verbally and in writing.

15. Maintains and develops knowledge of evidence based practice and own competencies through CPD activities (e.g. peer review, in‑service training, journal club, external courses), maintaining a portfolio, which reflects personal development.

16. Works within established standards of practice and procedures of the department and clinical unit and makes suggestions for changes in work practice in own area.

17. Assists senior staff in evaluating the OT service and implements changes in liaison with senior staff.

18. Discusses issues brought to the peer support group and feeds back as appropriate.

Financial and physical resources

19. Monitors stock levels of equipment and materials for own clinical area and initiates ordering process as required.

20. Checks OT equipment is in working order within manufacturers guidelines and reports need for repair if required.

21. Carries out or delegates maintenance and cleaning of equipment as appropriate.

22. Ensures equipment is issued appropriately and processes cash donations as per department policy.

Human resources

23. Participates in staff appraisal scheme as an appraisee and is responsible for complying with agreed personal development plan to meet required knowledge and competencies.

24. Inducts, supervises and educates an allocated member of staff according to their learning needs.

25. Conducts appraisal of an allocated member of staff with guidance from own supervisor.

26. Prepares for fieldwork placements as allocated and directly supervises undergraduate and post‑graduate OT students, completing assessments and reports for the Higher Education Institution.

27. Assists senior staff in presenting educational sessions to the MDT.

28. Prepares and delivers in‑service training sessions to groups of 5‑30 OT staff in rotation with other staff members as required.

29. Provides specialist advice and education to OTs in other organisations who may be specialists in the field and discusses the most complex queries with peers and senior staff as appropriate.

30. Shares good practice with all grades of staff, internal and external to the organisation.

Information resources

31. Maintains statistics according to department procedure.

32. Maintains resource files and contact details for relevant external organisations.

33. Monitors current patient information and updates as agreed with senior staff.

Research and Development

34. a) Undertakes measurement and evaluation of current practice through use of projects, audit and outcome measures as agreed with senior staff and shares findings within the Trust.

b) Where post is part‑funded by research monies, the post holder initiates and undertakes measurement and evaluation of current practice through use of projects, audit and outcome measures with approval of Head Occupational Therapist and RNOH Research & Development Committee.

35. Uses a range of research methodologies and collects required data as part of research and audit initiatives.

36. Documents projects undertaken, submitting papers for publication and presentation to special interest groups and conferences.

Freedom to act

37. Maintains professional and legal responsibility for all aspects of own work, including the management of patients within own clinical caseloads and those of staff & students under their supervision.

38. Works within the Trust and College of Occupational Therapists (COT) standards of practice and procedures and national guidelines and monitors own quality of practice and that of staff & students under their supervision.

39. Maintains responsibility for own time management to meet caseload and service priorities.

40. Management of workload is via staff meetings, one to one meetings with supervisor and informal updates with supervisor and/or peers.

41. Seeks assistance from senior staff or peers as appropriate.

Person Specification

Qualifications

• DipCOT/ Degree in Occupational Therapy
• 3 years minimum post‑qualification experience, including 6 months working with people with complex disabilities.
• Registered with HCPC
• Evidence of relevant CPD
• Member of relevant special interest group.

Experience

• Teaching experience
• Experience working in MDT
• Experience in Mental Health OT
• Experience with clinical audit and outcome measures

Knowledge and skills

• Sound knowledge of neurological treatment approaches
• Working knowledge of common adaptive equipment
• Able to communicate with a variety of people, occasionally in emotional distress.
• Good organisation of self and time
• Working knowledge of some specialist equipment relevant to the post.

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.

Royal National Orthopaedic Hospital NHS Trust

£44,485 to £52,521 a year per annum including HCAs