Highly Specialist Occupational Therapist


Company:	NHS Jobs
Salary:	£49,387 to £56,515 a year
Hours:	Full-time
Location:	Warrington, WA2 9HY
Job type:	Permanent
Posting date:	29 Sept 2026
Closing date:	11 Oct 2026

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Summary

Duties and Responsibilities: Clinical Leadership: To provide clinical leadership for staff in the specialist area, including supporting across Bridgewater when required. To work in conjunction with other specialists in OT, PT and SLT in developing services. When required for service needs and in conjunction with team leader, to lead service development / policy development in specialist area. Clinical: To act as a source of expertise and demonstrate advanced knowledge skills and experience in the management of complex caseloads including managing own designated caseload and supervising caseload of band 6 and 5 and Assistant OTs To provide education, training, monitoring to carers, relatives, junior grade staff, assistants, occupational therapy students, health / social care and education colleagues as required. To provide supervision, mentorship, training, emotional support and support for colleagues and newly qualified therapists and assistants as per professional guidance To manage a highly specialist complex caseload, within an inter-disciplinary / multi-agency setting, acting as an autonomous professional and lone worker in the community To support less experienced staff in supporting complex cases ensuring they deliver high quality interventions. To ensure that clients / parents / teachers are involved in the planning and implementation of treatment programmes. Take the lead role in the day-to-day clinical management and development of the highly specialist area for the service, working as a lone practitioner with a high degree of autonomy and clinical freedom. To determine clinical diagnosis and Occupational Therapy treatment plan indicated, based on highly specialist skills and knowledge, measuring and evaluating outcomes. To maintain clinical records as an autonomous practitioner To promote and provide best practice via highly specialised assessment and treatment using a variety of principals and techniques as appropriate for children with a variety of complex needs (including chronic, disabling and life limiting conditions) working in collaboration with the child, family and carers / involved agencies To assess a childs occupational therapy needs using complex and advanced clinical reasoning and provide training and advice on lifestyle changes and adaptations to their social and physical environment. To work as an autonomous practitioner being professionally and legally responsible and accountable for all aspects of your own work. To accept clinical responsibility for a highly specialist caseload ensuring a high standard of clinical care, organising work in line with identified service priorities, clinical priorities, and managing own time. To contribute to accurate clinical diagnosis as part of a childs overall assessment and assist in the breaking / Sharing the News process for families with other inter-disciplinary members of the child and family services team. To identify Occupational Therapy goals and priorities as part of a childs overall care plan using highly specialised assessment tools and advanced level treatment interventions, in collaboration with clients, carers and involved agencies / professionals. To develop multi-agency working with health colleagues and partner agencies e.g. Social Services and the Local Education Authority. To contribute to legal documents such as Education Health and Care Plans and Annual Reviews, as appropriate To deal with initial complaints sensitively, avoiding escalation where possible, in line with trust policy To plan and implement client centred individual and/or group interventions, evaluating treatment to measure progress, outcomes and ensure clinical effectiveness. To deliver highly specialist Occupational Therapy services in a variety of community settings i.e. child development centre, nurseries, mainstream/special schools, childs own home or elsewhere, as appropriate. To carry out highly specialist assessments and interventions, e.g. orthotics independently or jointly with other health or partner agency colleagues, as appropriate. To attend case conferences, reviews and meetings as required by clinical or managerial responsibility. To assist in the transition planning process at various stages of a childs life as required by clinical responsibility and in collaboration with appropriate agencies. To maintain communication networks with clients, carers, other health colleagues and partner agencies. To remain aware of and up to date with legislation and policies affecting Occupational Therapy and childrens service practice and plan for the effects on designated service area. Analyse and interpret complex assessment information in order to develop specialist interventions, ensuring advanced levels of treatment are provided, outcomes are recorded and evaluated to determine clinical effectiveness. To provide, highly specialist Occupational Therapy reports relevant to the practice setting. To maintain up to date written/electronic records and statistical data, documenting /registering these in line with professional and local requirements. To represent the Trust externally (locally and regionally) regarding Occupational Therapy services provided to patients in the community. To demonstrate highly developed dexterity, co-ordination and palpatory skills to enable accurate assessment of patient condition and deliver effective treatment. To provide highly specialist advice to other members of the MDT regarding the Occupational Therapy management of patients with complex problems to ensure holistic care. To represent at health panels where required To be responsible for under-graduate Occupational Therapy students and the assessment of their clinical practice (physical and theoretical) to ensure that it is of degree standard in the assessment and training that they undertake. To assess capacity, gain valid informed consent and have the ability to work within a legal framework regarding consent to treatment. To have highly developed knowledge and be competent in the administration and interpretation of standardised clinical assessment tools to diagnose level of function and cognitive performance. To assess for, prescribe and authorise requests for minor adaptations for the patients home / school environment, and specialist equipment, balancing the complex interactions of functional need, independence, risk, safety, patient choice, areas of conflict, eligibility and cost effectiveness. To routinely handle patients with unpredictable movements, providing physical support and ensuring safety. Daily moving and handling of patients and equipment including frequent changing of positions from standing to sitting/crawling whilst facilitating the patient to do such. To discharge appropriately agreeing a point of closure with the parents and child and informing other professionals as appropriate. Responsibility for Client Care and Contact with Carers To work within infection control and health and safety guidelines in order to deal appropriately with unpleasant conditions related to client contact as they arise: for example exposure to body fluids, infectious conditions, encountered on a regular basis. Please see attached full job description.

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