Highly Specialist Occupational Therapist | Guy's and St Thomas' NHS Foundation Trust

Guys and St Thomas NHS Foundation Trust; Greater London; On-site; GBP 42,000 - 54,000; Full time

Benefits offered by this job

Collaborative Environment

Continuous Growth

Career development

Meaningful impact

Supportive Leadership

Job summary

Guys and St Thomas’ NHS Foundation Trust invites applications for a Highly Specialist Occupational Therapist (0.8 WTE, fixed-term 9-month maternity leave cover). You will lead urgent community response, manage complex cases, and provide advanced assessment and risk management in patients' homes across Lambeth and Southwark.

As a senior member of the @home team, you will supervise junior staff, deliver person-centred care, contribute to service development, and participate in professional

Qualifications

• Advanced assessment and risk management skills are required.
• Experience in urgent community care and home-based assessment is preferred.
• Leadership and supervision of junior staff is expected.

Responsibilities

• Provide Occupational Therapy assessment, intervention, and care planning in the community.
• Lead as Therapist in Charge, supervise therapy caseloads and support teams.
• Triage referrals, prioritise resources, and ensure timely care delivery.
• Contribute to service development, audits, and evidence-based practice.

Skills

Urgent response experience

Clinical leadership

Autonomous decision-making

Community healthcare

Job description

Highly Specialist Occupational Therapist | Guy's and St Thomas' NHS Foundation Trust

Company:

Company: Guys and St Thomas NHS Foundation Trust

0.8 WTE | Fixed-Term 9-Month Contract (Maternity Leave Cover)

Are you an experienced Band 7 Occupational Therapist or Physiotherapist with a background in urgent response, admission avoidance, acute medicine, or emergency care? Do you enjoy autonomous decision-making, managing clinical complexity, and demonstrating leadership within dynamic multidisciplinary team?

The@home Service is at the forefront of community healthcare transformation, delivering rapid assessment and intervention to support people with complex and urgent health and social needs to remain safely at home. Working in line with the NHS vision for integrated community care, we provide responsive, high-quality care that reduces unnecessary hospital admissions.

We are seeking a highly skilled and motivated clinician with advanced assessment, clinical reasoning, and risk management skills.

As a senior member of the team, you will demonstrate advanced assessment and clinical reasoning, provide clinical leadership, contribute to service development, and support colleagues through shared learning and professional expertise.

This role is ideally suited to an ambitious clinician who is passionate about innovative community practice and thrives in a fast-paced environment. If you are looking for an opportunity to make a real impact and utilise your clinical and leadership skills within a forward-thinking urgent community response service, we would love to hear from you.

Provide Occupational Therapy/Physiotherapy assessment, intervention, and care planning for patients in the community, delivering high-quality, person-centred care within professional scope.

Work both autonomously and collaboratively with colleagues acrosshealth and social care to ensure seamless, coordinated care and positive patient experiences in patients’ homes.

Demonstrate strong clinical judgement in triaging referrals, prioritising resources, and ensuring timely allocation of care based on clinical need.

Undertake the Therapist in Charge role, providing clinical leadership, oversight of the therapy caseload, and supporting safe, effective service delivery.

Supervise and line manage junior therapists and support workers, offering professional support, clinical guidance, and student mentorship.

Act as a senior therapy resource, supporting complex case management, shared learning, and workforce development.

Contribute to service improvement, audit, research, and evidence-based practice initiatives to enhance quality and outcomes.

Maintain ongoing professional development across the four pillars of practice through supervision, reflection, and multidisciplinary working.

GSTT @home is an innovative hospital-at-home service, bringing together health and social care professionals to deliver responsive, multidisciplinary care in patients' homes, reducing the need for hospital admission while supporting people to remain independent.

The service operates seven days a week, with therapists participating in a four-week rota that includes weekend working. This 0.8 WTE fixed-term role would be expected to work predominantly between 08:00 and 18:30 as a guide. We recognise the importance of work-life balance and are happy to discuss flexible working arrangements to support individual needs where possible.

What we offer:

• Collaborative Environment: Work alongside passionate health and social care professionals, committed to patient-centred care
• Continuous Growth: Contribute to expanding and improving urgent community response services within Lambeth and Southwark
• Career development:Access opportunities for professional and personal development within a supportive team
• Meaningful impact: Make a real difference to people with urgent and complex needs
• Supportive Leadership: Benefit from the guidance and mentorship of experienced therapy leads

Please refer to the full job description for a comprehensive summary of the essential and desirable criteria for this role. Main headings include:

• Professional and clinical responsibilities
• Staff management and Leadership
• Education and Training

Personal and professional development key relationships include Deputy Head of Nursing, Deputy Chief AHP, Therapy Lead Practitioners, Service Lead and Deputy Service Leads and Matrons, Clinical Nurse Specialists and Practitioners, Allied Health Professionals, @home GPs, Consultants and Junior Medical Staff, Social Workers and Social Services, Nursing and Rehabilitation Support Workes, Practice Development Nurses, and various community and acute therapy and nursing teams.

General points to note:

This job may involve frequent exposure to unpleasant working conditions, e.g. bodily fluids, unpleasant smells, exposure to variant weather conditions, and within a fast-paced environment.

Being community-based, you will visit patients in their own homes across Lambeth and Southwark. Travel within the boroughs can be achieved by public transport and/or trust-provided or your personal vehicle for those holding a valid UK driving licence.

This advert closes on Wednesday 28 Oct 2026