Advanced Occupational Therapist

Job Advert Skip to main content Cookies on NHS Jobs We've put some small files called cookies on your device to help us make improvements to our site. To improve our site we'd also like to use cookies which will send information to Google Analytics. You can read more about our cookies before you choose. Accept analytics cookies Do not accept analytics cookies Jobs Menu Sign in Create an account English Cymraeg Menu Close menu Search Sign in Create an account Display in Welsh (Cymraeg) Search Sign in Create an account Display in Welsh (Cymraeg) BETA Your feedback will help us to improve this service. Central and North West London NHS Foundation Trust Advanced Occupational Therapist The closing date is 19 October 2026 Apply for this job Job summary The Hospital at Home (H@H) service is an adjunct pathway to Urgent Community Response (UCR), delivering hospital-level monitoring and clinical intervention to acutely unwell adults in their own homes across the London Borough of Hillingdon. Operating 08:00-20:00, seven days per week, H@H provides an integrated step-up (admission avoidance) and step-down (early supported discharge) model in accordance with the NHS England Virtual Wards Operational Framework and the Hillingdon Health and Care Partnership Borough-wide Reactive Care Service. The Band 7 Advanced Occupational Therapist is a senior clinical role at the heart of the UCR and H@H MDT. As the most senior therapy clinician on the H@H establishment, the post holder is the primary OT lead for the service, providing expert occupational therapy assessment, intervention, clinical reasoning, and discharge planning for complex, frail, and acutely unwell patients in their own homes. The role encompasses autonomous clinical practice, H@H Initial Visits, clerking of step-up patients, caseload prioritisation, and senior clinical oversight of therapy delivery within the team. The post holder must be able to work flexibly over a 7-day week including weekday and weekend shifts and will frequently work as a lone practitioner in community settings. Main duties of the job o Be professionally and legally accountable for all aspects of own clinical work, managing an autonomous and complex caseload of UCR and H@H patients in accordance with HCPC standards and the RCOT Code of Ethics and Professional Conduct. Ensure a high standard of care and support more junior staff to do likewise. o Perform the UCR / H@H Initial Visit for patients stepped up to H@H following the 48-hour C2R review, within 4 hours of the MDT decision - including OT-specific components of the clinical clerking, functional status, environmental risk, equipment, and advancing goal setting. o Conduct advanced occupational therapy assessment for patients with acute illness, frailty, cognitive impairment, complex multi-morbidity, and diverse psychosocial needs, using validated tools (Rockwood Clinical Frailty Scale, Barthel Index, 6CIT, MUST, FRAT, environmental and manual handling risk assessment, seating and postural assessment) and applying higher-level clinical reasoning to formulate accurate occupational profiles and intervention plans. o Deputise for the UCR / H@H Clinical Lead as needed in the day-to-day clinical leadership of the H@H pathway, including triage and prioritisation of referrals, chairing the morning MDT in the Clinical Lead's absence, and supporting the H@H COD in complex case management and caseload prioritisation by acuity. About us There are over 300 Occupational Therapists (OTs) in CNWL. We work in many different teams in both physical and mental health, as well as a number of specialist areas. There are plenty of opportunities to develop your career with us and maintain your dual skills. OT in CNWL is very fortunate in having an established professional structure including an AHP director, Trust wide Professional Head of OT, borough and specialist Head OTs. This has the huge benefit of ensuring representation of our profession at all levels - both strategically