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Occupational Therapist

NHS AfC: Band 5

Main area
Occupational Therapist
NHS AfC: Band 5
Full time - 37.5 hours per week
Job ref
£27,055 - £32,934 per annum
Salary period
13/02/2023 23:59
Interview date

At East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care.  We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work.

Job overview

We are seeking to appoint exceptionally motivated band 5 Occupational Therapists to join our friendly and dynamic teams on our rotational scheme. We are looking for people already qualified or those due to graduate.

You will be treating patients with a variety of medical, orthopaedic and neurological conditions. Excellent communication skills and the ability to work as part of a multidisciplinary team are essential. We are also seeking candidates with a flexible approach and the ability to respond to the demands of rapidly changing clinical environments.

The placements are currently for a six or twelve month period depending on the rotational area. These are designed so that there is enough time to develop and gain clinical experience within each clinical service.

Please note that some of the rotations are within teams that cover extended hours (8.00am until 6.00pm) and that we offer a 7 day service.

The rotational placements are based within Community Hospitals, a neuro-rehabilitation unit, Community Integrated Therapy teams, and in Acute teams within Royal Blackburn Hospital and Burnley General Hospital. 

Main duties of the job

This post will involve carrying a defined caseload of patients that require core Occupational Therapy skills.  The post holder will implement the Occupational Therapy process with patients presenting with a variety of needs arising from occupational dysfunction. You will be expected to maintain a high standard of clinical work when carrying out these responsibilities.

It is essential you hold a Degree in Occupational Therapy and are registered with the HCPC at the time of appointment. You should have up-to-date knowledge of current best practice in Occupational Therapy and have good communication and interpersonal skills to enable you to work effectively as part of the team.  We are also looking for enthusiasm to develop skills and experience in a range of settings.        

It is essential that you are a car driver with access to a vehicle for work purposes. 

Please ensure that you clearly indicate this within your application.

Working for our organisation

Established in 2003 East Lancashire Hospitals NHS Trust (ELHT) is a large integrated health care organisation providing high quality acute secondary healthcare for the people of East Lancashire and Blackburn with Darwen. 


Our vision is to be widely recognised for providing safe, personal and effective care.  We currently provide high quality services and treat over 700,000 patients a year from the most serious of emergencies to planned operations and procedures. We employ over 8,000 staff, many of whom are internationally renowned and have won awards for their work and achievements.


The Band 5 Occupational Therapy Rotational posts sit within the Therapies and Orthotics Directorate of the East Lancashire Hospitals NHS Trust.  We are part of a large AHP service for people who live in East Lancashire and Blackburn with Darwen.

This vacancy would suit a newly qualified Occupational Therapist or someone recently qualified, who is looking to work for a Trust that can provide a high level of mentoring and support on an on-going basis. We run a preceptorship programme for newly qualified practitioners, those within their first year of practice and those returning to practice.


The Directorate can also offer a wide range of in-service training in addition to mandatory training relevant to the rotational placement areas.

Detailed job description and main responsibilities

The post holder will be responsible for the provision of an Occupational Therapy Service for the designated area.

This post will involve carrying a defined caseload of patients that require core Occupational Therapy skills.  The post holder will implement the Occupational Therapy process with patients presenting with a variety of needs arising from occupational dysfunction.  Patients will have chronic, complex, disabling, life limiting or challenging conditions.

The post holder will be responsible for providing general Occupational Therapy advice to other multi agency professionals, junior staff and Occupational Therapy students.

The Occupational Therapist will have responsibility for monitoring, organising and supervising Therapy Support staff and Clinical Support Workers with support from a senior Occupational Therapist.

The post holder will often work in the community as a lone worker, in line with the organisational lone worker policy.

The post holder will need to be flexible and change base in line with service need and demand.



  1. Undertake a comprehensive Occupational Therapy assessment with individuals allocated to your caseload. This may involve the selection and application of standardised and non-standardised assessments addressing occupational performance.
  2. Interpret and analyse clinical and non-clinical factors including physical, environmental, psychosocial, mental, spiritual, political and cultural aspects of the patient’s life, in order to identify occupational performance deficits, and provide advice and intervention to facilitate an optimum level of function. This will require the post holder to consider a range of options, some of which may conflict and require negotiation, having to consider the needs of individuals, families and carers.
  3. Formulate goals in partnership with the patient, clearly communicating your clinical reasoning in order to justify your recommendations, and utilising most appropriate treatment/intervention for the patients’ needs.
  4. Implement a variety of evidence based Occupational Therapy interventions according to the needs of the individual patient.
  5. Evaluate and modify the treatment programme as appropriate.
  6. Independently manage a varied caseload, organising this effectively and efficiently with regard to clinical priorities and use of time.
  7. Advise, support, and educate patients, carers and other professionals in the self-management of the patient’s condition.
  8. Initiate and organise case reviews involving multi-disciplinary and multi- agency staff. The post holder may be required to take the key worker role.
  9. Develop and demonstrate skills relating to clinical area, which are underpinned by theory, research and practical experience.
  10. Responsible for assessing and recommending minor adaptations and undertaking complex major adaptation work under direct supervision from a senior Occupational Therapist. This will involve developing an understanding of the process of eligibility for disabled facilities grants and being able to explain the process to others.
  11. Assess for and provide standard and specialist assistive technology for patients in accordance with local criteria and pathways for provision.
  12. Advise, instruct, and educate patients, carers and other professionals in the use of standard and specialist assistive technology, and environmental adaptation where appropriate.
  13. Undertake risk assessments, and manage and document risk.
  14. Work as an autonomous practitioner in a variety of settings (hospital ward, patient’s own home, care home, etc.) where there is a requirement to make decisions spontaneously.
  15. Work across agencies and have a working knowledge and understanding of the systems within Health, Housing and Social Services in order to facilitate the recommendation of treatment approach, equipment, access, and adaptation issues.
  16. Understand and demonstrate a working knowledge of national guidelines and legislation relating to Health and Social Care relevant to Occupational Therapy.
  17. Record patient contact statistics.
  18. Monitor, organise and supervise the work of junior staff as appropriate.
  19. Assist with the day to day running of the department.
  20. Deputise for senior staff in the day to day running of the department as required.
  21. Is a member of the team and shares information as required.
  22. Demonstrate, maintain and develop core Occupational Therapy skills within your work area.
  23. Maintain treatment areas and equipment used to an appropriate standard in accordance with health and safety, infection control, and other relevant guidance.
  24. Assess capacity of patients in order to gain valid informed consent for intervention and work within organisational policy with patients who lack capacity.

Person specification


Essential criteria
  • HCPC registration
  • Diploma/degree in Occupational Therapy
  • IT skills


Essential criteria
  • Individual and group treatment skills
  • Use of a variety of assessments/interventions
Desirable criteria
  • Supervision skills.
  • Workload management skills.


Essential criteria
  • Understanding of professional ethics and their application to practice
  • Variety of work experience across various settings

Employer certification / accreditation badges

Happy to Talk Flexible WorkingPositive about disabled peopleInvestors in PeopleCare quality commission - GoodDisability confident committedStep into health

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Amanda Kirk
Job title
Professional Development Lead
Email address
Telephone number
07951 912481
Additional information

Business Support Administrator Tina Dobson -  01254 736056