About this role
Job summary
Band 6 Specialist Occupational Therapist - Home 1st Therapy Service
Join Home 1st interdisciplinary team and help people regain independence where it matters most - at home.
Home 1st is a dynamic community based rehabilitation service focused on promoting independence, preventing unnecessary hospital admissions, and reducing hospital length of stay. We work across a range of settings including patients' homes, inpatient units, hospitals, and community venues.
You will be part of a supportive multidisciplinary team, working alongside physiotherapists, occupational therapists, nurses, and rehabilitation support workers to deliver high-quality, patient-centred care.
Main duties of the job
As a Band 6 Specialist Occupational Therapist, you will manage your own caseload and deliver evidence-based, personalised rehabilitation. You'll support people with a wide range of conditions, including post-surgical recovery, post-critical care rehab, frailty and falls, stroke and neurological conditions, COPD and respiratory issues, dementia, musculoskeletal needs, and palliative care. The role offers the chance to build broad clinical experience and a strong professional foundation.
You will assess, plan, and deliver individualised treatment programmes, working autonomously with support from experienced clinicians and the wider MDT. You'll help maintain a high-quality, efficient therapy service and uphold CNWL values of compassion, respect, empowerment, and partnership. Responsibilities include providing OT assessments, delivering person-centred rehabilitation, working flexibly across Home 1st pathways, supporting admission avoidance and early supported discharge, collaborating effectively with multidisciplinary teams and external agencies, acting as a Trusted Assessor, and contributing to integrated pathway development.
About us
Development & Support
We are committed to your professional development. You will:
Receive regular supervision from senior clinicians Work closely with clinical leads to develop your clinical, practice educator, and professional skills Participate in training, competency development, and observed practice Be encouraged to grow as both a clinician and a future clinical educator Why Join Us?
Varied and rewarding clinical experience across community and inpatient settings Strong multidisciplinary teamwork Structured support and career development pathways Opportunity to make a real impact on patient independence and quality of life
Job description Job responsibilities
Clinical Responsibilities
Be professionally and legally accountable for all clinical work and patient management. Use specialist clinical knowledge, evidencebased practice, and sound clinical reasoning to assess, diagnose, and treat patients. Obtain informed consent and work within legal frameworks for patients lacking capacity. Involve families and carers in decisionmaking and goal setting. Communicate effectively using appropriate verbal and nonverbal methods, including with patients who have communication difficulties. Manage clinical risk and ensure safe, competent use of equipment. Work collaboratively with the multidisciplinary team on discharge planning. Maintain accurate, timely electronic patient records. Professional Responsibilities
Adhere to HCPC and Royal College of Occupational Therapy standards.
Maintain professional competence through CPD and keep an uptodate development portfolio. Participate in supervision, appraisal, and inservice training. Evaluate and audit clinical practice with support from the Lead Occupational Therapist. Plan and prioritise your own caseload effectively. Understand and follow CNWLMK clinical and HR policies. Supervise designated staff and complete appraisals with accurate documentation. Personal Responsibilities
Demonstrate good time management, punctuality, and reliable attendance. Maintain personal development through CPD. Perform assessments and manual treatments requiring moderate physical effort daily. Follow manual handling policies and ensure safe working practices. Report incidents promptly and comply with health and safety legislation. Complete all mandatory training. Respect and support equality, diversity, and cultural needs. Follow clinical governance policies when handling sensitive information. Apply infection prevention and control procedures, including when exposed to bodily fluids or unsanitary environments.
Person Specification
Qualifications Essential
Degree qualification in Occupational Therapy HCPC registered Car driver with access to a car for work Demonstrate /evidence of recent continuing professional development Membership of recognised and relevant professional body
Experience Essential
Previous substantial experience of working in the NHS Ability to manage own workload, determine priorities and make autonomous decisions Experience post registration in Community/ Acute /Stroke/ Rehabilitation / Frailty settings
Key Skills/Abilities Essential
Effective written and oral communication skills Planning and coordination of treatment packages Ability to hold and manage delicate conversations
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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Central and North West London NHS Foundation Trust
Address Home 1st Therapy, The Open University
Walton Hall
Milton Keynes
MK7 6AA
United Kingdom
Employer's website https://www.cnwl.nhs.uk/work (Opens in a new tab)