Static Occupational Therapist - Medical Rehabilitation Team

NHS; Greater London; On-site; GBP 46,000 - 56,000; Full time

Job summary

A leading healthcare institution is seeking a Static Occupational Therapist for the Medical Rehabilitation Team. The successful candidate will provide advanced clinical expertise, oversee junior staff, and manage a caseload of patients requiring occupational therapy assessment and treatment. They will contribute to service development and may need to work weekends as part of a 7-day service. The role requires a minimum of a BSc in Occupational Therapy and relevant registrations, with a salary ranging from £46,419 to £55,046 annually.

Qualifications

• Must have significant clinical experience in rehabilitation settings.
• Experience supervising junior staff and students.
• Knowledge of current OT practices and guidelines.

Responsibilities

• Conduct assessments and develop treatment plans for clients.
• Supervise junior staff and provide support.
• Participate in the 7-day service rota as required.

Skills

Communication skills

Time management

Knowledge in OT best practices

Ability to manage complex situations

Presentation skills

Education

BSc or Diploma in Occupational Therapy

HCPC Registration

RCOT Registration

Job description

Chelsea and Westminster Hospital NHS Foundation Trust

Static Occupational Therapist - Medical Rehabilitation Team

The closing date is 07 January 2026

The post holder will be considered a senior clinical staff and be part of the Inpatient Medical Rehabilitation Therapy Team. The post holder will need to have significant clinical experience, provide advance clinical expertise to their team and more junior staff, and coordinate and deliver high quality care, as well as work as an autonomous practitioner in providing Occupational therapy assessment, treatment and management to own caseload of patients. There will be also opportunity to develop specialist knowledge and skills required to work across the older adult pathway.

Main duties of the job

The post holder will be a role model for expert clinical care, and lead on specific projects / service developments and management functions as delegated by the Band 7 or Clinical Lead Therapist. They will role model the Trust values at all times and follow all Trust and Department policies and procedures.

The post holder will provide supervision, in-service training, teaching and support to more junior staff, therapy assistants and students on placement.

The Post holder will actively be part of a 7-day service rota, which will include weekend and Bank Holiday cover as required.

About us

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Job responsibilities

Key responsibilities

Clinical Responsibilities

To carry out appropriate assessments for a designated caseload, addressing occupational performance and skills for clients with multiple/complex needs.

To work with clients to identify and agree treatment goals based on assessment outcomes, which balance the complex interaction of risk, safety, client choice, independence, areas of conflict and eligibility for services.

To use communication, reasoning and negotiation skills to establish a therapeutic relationship in complex cases, managing basic barriers to communication.

To plan and implement individual/group interventions using graded activities to address therapeutic goals and optimise clients functional independence.

To address all areas of risk associated with individual clients ability to function independently and minimise the effects of disability within their chosen environment, including planning and carrying out home assessments and discharge to assess visits and being responsible for the clients health and safety during this assessment.

To monitor, evaluate and modify interventions in order to measure client progress and treatment effectiveness.

To demonstrate and apply a broad level of understanding of the effects of disability to own caseload management and to inform others practice.

To supervise the caseload management of Band 5 OT plus supervise day to day activity of therapy assistants and students as designated.

To represent the OT Department within the multi‑disciplinary team and participate in relevant team/network meetings and ward rounds to contribute to the discussion and planning of client care. To use these forums to seek opinion from the team to inform own caseload analysis and reasoning as appropriate.

To liaise with families/carers and statutory and voluntary agencies to contribute to the discussion and planning of client care and seeking opinion from others to inform own caseload analysis and reasoning as appropriate.

To assess for, facilitate provision and education in use of equipment.

To ensure that all documentation and activity recording is maintained according to Trust and College of Occupational Therapists Guidelines.

To comply with College of Occupational Therapists Code of Ethics and Professional Conduct and all other relevant national and local policies and procedures.

To demonstrate the ability to reflect on ethical issues and provide guidance to junior staff as necessary.

To respect the individuality, values, cultural and religious diversity of clients and contribute to provision of a service sensitive to these needs.

To progress the client intervention to a satisfactory closure as MDT member. This may include evaluating outcomes, setting up reviews and/or arranging appropriate transfer of care as appropriate.

To provide moving and handling advice for other therapy team members as required.

To participate in the 7 day rota of flexible working within the designated therapy team.

Professional Development

To review and reflect on practice and identify areas for self‑development through participation in the annual appraisal system and regular clinical and professional supervision.

To plan, actively participate in and contribute to the in‑service education programme.

To undertake supervision and appraisals of junior staff as delegated by a senior member of staff.

To regularly take responsibility for the supervision and education of OT students on clinical placement within the Trust.

To demonstrate a basic level of leadership skills through management of designated projects.

To maintain a professional portfolio for CPD, recording learning outcomes and reflections through daily practice, internal and external development opportunities.

To attend post‑graduate lectures and courses to enable achievement of appraisal objectives and to share this knowledge with peers on return.

To plan and implement induction and education programmes for new staff, OT students and work experience students.

To attend and actively participate in the OT Clinical Governance Group and other relevant meetings.

To demonstrate the ability to critically evaluate current research, apply to practice and disseminate findings to local colleagues.

To deputise for the Band 7 OT in their absence.

Organisational Duties

To exercise good personal time management, punctuality and consistent reliable attendance.

To broaden research and development skills through participation in the planning, evaluation and audit/research of practice, clinical pathways and protocols.

To participate in the planning and delivery of the service business and clinical governance plans and delivery of the Trust business and clinical governance plans.

To demonstrate an understanding and application of national guidelines and health legislation (e.g. National Clinical Guidelines, NSFs).

Undertake any other relevant duties as required by the Band 7 Occupational Therapist, Clinical Services Manager.

This job involves regular exposure to unpleasant working conditions eg body fluids including urine, faeces and sputum and occasional exposure to verbal and physical aggression.

This job involves regular weekend working. The provision of 7 day services and extended hours working is currently being reviewed across the Department.

This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager.

All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.

Person Specification

Education and qualifications

• BSc or Diploma in Occupational Therapy
• HCPC Registration
• Evidence of ongoing CPD since qualification
• RCOT Registration
• Member of relevant clinical interest group

Experience

• Postgraduate experience in acute and rehabilitation physical settings
• Experience with supervising students and junior staff
• Recent experience within the NHS
• Experience of patients with mental health
• Experience of working in the community
• Experience of research and audit

Skills and knowledge

• Broad knowledge of current best practice in OT
• Understanding of OT process to patients needing acute rehabilitation and discharge planning
• Understanding of clinical and information governance
• Understanding of professional ethics, national guidelines and health legislation
• Ability to manage own time and determine priorities
• Ability to manage complex situations and risk
• Knowledge of standardised and specialist assessments, treatment techniques and outcome measures
• Training and presentation skills
• Ability to work as an effective team member and demonstrate a non‑discriminatory approach
• Ability to recognise and manage conflict and complex situations
• Commitment to personal and team development and learning
• Ability to work flexible hours including weekend working
• Ability to reflect critically and appraise own performance

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.

Chelsea and Westminster Hospital NHS Foundation Trust

£46,419 to £55,046 a year incl. HCAS