Advanced Occupational Therapist


Company:	NHS Jobs
Salary:	£55,524 to £62,652 a year
Hours:	Full-time
Location:	Uxbridge, UB8 1QG
Job type:	Permanent
Posting date:	5 Oct 2026
Closing date:	19 Oct 2026

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Summary

Be professionally and legally accountable for the full management of the patients UCR / H@H clinical episode of care, from step-up admission through to discharge. Undertake specialist occupational therapy assessment of patients functional, cognitive, environmental, and psychosocial needs within the H@H caseload, understanding diverse and complex presentations including frailty syndromes, acute medical exacerbations, delirium, end-of-life care, and post-discharge reablement needs. Apply advanced clinical reasoning to analyse complex clinical and social information from multiple sources (SystmOne record, EMIS, MDT discussion, patient and carer interview, environmental assessment) to identify significant health changes warranting clinical intervention and to recommend the best course of occupational therapy management. Formulate and deliver individualised OT treatment and goal-directed management programmes, using a wide range of evidence-based approaches including Comprehensive Geriatric Assessment (CGA) components, cognitive rehabilitation, graded functional activity, occupational adaptation, and carer training. Assess the patients understanding of treatment proposals; gain valid informed consent; and work within a legal and ethical framework for patients who lack capacity to consent, in line with the Mental Capacity Act 2005, DoLS, and relevant CNWL policies. Evaluate patient progress against the H@H care plan and daily C2R criteria; reassess and modify plans in response to clinical change; and determine discharge readiness in conjunction with the SCDM at the daily morning MDT.

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