Neuro Rehab Occupational Therapist | Central and North West London NHS Foundation Trust

Posting date:	23 July 2025
Salary:	Not specified
Additional salary information:	£44,485 - £52,521 pro rata per annum incl. HCAS
Hours:	Part time
Closing date:	22 August 2025
Location:	Southall, UB1 2SH
Company:	CNWL NHS Foundation Trust
Job type:	Contract
Job reference:	7355151/333-G-ECP-0626

Summary

Are you an innovative, organised, enthusiastic and motivated occupational therapist with a strong interest in neurology? Would you like to work in a friendly and supportive environment with a focus on CPD and further learning? We have an exciting opportunity for a Band 6 occupational therapist to join our specialist multidisciplinary community neuro rehabilitation service. The post includes the stroke pathway for clients recently discharged from stroke units and also the long term neurological conditions pathway for either progressive or acquired neurological conditions.

You have a role in actively developing your occupational therapy practice and delivering evidence based assessment and rehabilitation with a focus on complex caseload management, time management and liaison.

We will support you in developing your clinical, supervisory and management skills.
• To provide an evidence-based assessment, treatment and advisory service to clients with neurological conditions both progressive and acquired.
• To work flexibly with all other members of the ENABLE team to provide an integrated rehabilitation service to clients in accordance with the philosophy and operational policies of the team
• To manage a varied caseload comprising clients with a range of neurological diagnosis causing neurological impairments that often include musculoskeletal, orthopaedic, cognitive and communication impairments.
• To prevent hospital admission and facilitate discharge from acute and rehabilitation hospitals.
• To participate in departmental continuous professional development, education and training, audit and research projects.
• To manage a complex caseload using evidence-based clinical reasoning, critical thinking, reflection and analysis.
• To use a client centred, goal-orientated rehabilitation approach.
• To participate in departmental clinical supervision that is responsive and personalised whichcan take the form of formal training, clinical reasoning, peer review, case reviews and reflective practise.
• To work flexibly & support other community therapy teams if required.

The Ealing Enable team is a valued part of the maximising independence team within Ealing Community Partners.

We are a dynamic and innovative team, who is also passionate about working with patients living with neurological conditions. Team members base themselves from either EDTC in Southall or Clayponds Hospital in South Ealing, flexible working is supported.

We have a strong professional structure with a Clinical Lead (Band 8A) and Band 7 Occupational therapist to support you in your development. Physiotherapists, Occupational Therapists, Speech therapists and the clinical psychologist work closely together with support of the MS Nurse. Regular CPD programmes and supervision structures are in place. This is a team with career progression opportunities.

This is an Ealing Community Partners role through Central North West London (CNWL) Trust.

1. To be professionally and legally accountable for all clinical work undertaken. To work within the standards and guidelines of the team, the Trust, and professional organisations.



2. To undertake a range of routine and specialist assessments as an autonomous practitioner (on an individual or group basis) which is evidence based and uses standardised assessments and outcome measures where appropriate.



3. To have a comprehensive knowledge of anatomy, neuro-anatomy, and links with impairments and how they can impact on function. To educate others when required. E.g. post stroke impairments and impact on function



4. To use clinical reasoning skills to interpret and analyse clinical and non-clinical facts to form an accurate diagnosis and with patient involvement determine an appropriate care plan based on knowledge of current professional opinion, clients’ prognosis, priorities and other physical, social, emotional and mental health issues.



5. To formulate and negotiate patient centred goals/ clinical objectives with clients, carers relatives, and other health professionals and ensure that these are reviewed and modified as appropriate.



6. To deliver evidence based treatment programmes within a team approach in a variety of settings ensuring that manual handling, therapeutic handling, patient education, exercise prescription and self-management resources comply with current national and local guidelines and are communicated appropriately.



7. To devise and manage a treatment plan tailor-made to the patient’s presenting condition through, for example:

· Functional rehabilitation ie ADLs & PADLs

· Vocational rehabilitation

· Equipment provision

· Orthotic assessment

· Community-based activities e.g. graded outdoor mobility programme

· Cognitive/memory ax & treatment

· Education

· Health Promotion

· Addressing relevant psychosocial issues

· Other treatment options.





8. To work collaboratively within a multidisciplinary team and routinely support an extensive range of sign-posting activities across multiple statutory and voluntary organisation e.g. referrals for further investigations, referrals within the team and referrals to other community services.



9. To manage a caseload of clients with complex needs with supervision and guidance as necessary from senior staff. To successfully monitor, evaluate and review physiotherapy treatment/interventions within a multi-disciplinary framework and to modify as necessary, taking a key worker role as indicated.



10. To ensure that the client understands the clinical reasoning process and the management plan and is supported to engage in self-management activities where possible.



11. Act as an advocate on behalf of clients and carers by adopting a client centred approach to support meaningful participation in life roles within Ealing.





12. To advise and teach the relevant carers/health workers to participate in on-going therapy/rehabilitation care programmes for clients, as appropriate



13. To modify the client’s therapy treatment/management plan as appropriate following ongoing re-assessment, risk assessment and evaluation of progress.





14. To support with discharge planning activities and risk assessments e.g. making recommendations for follow up therapy, determining equipment needs, determining care needs after your input has concluded.



15. To use knowledge of other multi-disciplinary roles and external agencies to ensure appropriate referrals are made as part of the seamless transfer of care to other services and allow patients to self manage their condition.



16. To represent the occupational therapy service at multi-disciplinary team meetings. This will involve providing information on clinical progress, risk assessments and engaging in team discussions to determine appropriate transfer of care options.



17. To actively participate in health promotion & health education initiatives and programmes in the locality.



18. To manage clinical risk within own and team caseload and delegate effectively to rehabilitation assistants with appropriate support from senior staff.



19. To be confident in the safe use and application of all equipment used in patient care and rehabilitation including the use of specialist equipment.


This advert closes on Monday 4 Aug 2025

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