Lewisham and Greenwich NHS Trust

Band 7 OT Emergency Department

The closing date is 15 April 2026

Job summary

Queen Elizabeth Hospitalis committed to high-quality patient care and staff development. We are currently seeking a passionate, dynamicBand 7 Occupational Therapistto join our newly redeveloped Emergency department team.

The Emergency department at QEH is a fast-paced, dynamic department where you will play a key role in providing holistic assessments and interventions for a diverse range of patients. You'll collaborate with consultants, nurses, physiotherapists, and other healthcare professionals to ensure optimal outcomes for patients and support hospital flow.

As a Band 7 Occupational Therapist, you will be responsible for delivering patient-centered therapy and ensuring safe, effective discharge planning. The role involves managing complex caseloads, adopting coaching and mentoring approaches with junior staff, and contributing to service development and quality improvements.

We need an innovative team player to work alongside the service lead and peers, developing this newly established service and guiding the team in its growth. You will also oversee supervision, training, and development for the team, attend clinical governance meetings, and contribute to departmental and Trust improvements.

Learning and personal development are encouraged, with a well-established appraisal system and funding for relevant external and internal courses.

Main duties of the job

    • Clinical Expertise:Provide expert assessment and treatment for patients presenting with acute medical , trauma related, and complex functional needs in the ED. This included rapid functional assessment for patients with conditions such as falls, delirium, frailty syndromes, cognitive impairments, safeguarding concerns and functional decline.
    • Discharge Planning:Formulate and implement timely, patient-centred discharge plans in a high-pressure ED setting. Work closely with patients, carers, and the multidisciplinary team to ensure safe discharge home or onward referral, helping to prevent unnecessary admissions and support effective hospital flow.

    Supervision & Mentorship:Provide clinical supervision, mentoring, and support for staff working in the emergency department and SDEC. Promote reflective practice and ongoing development in a rapidly evolving clinical environment.

    Service Improvement:Actively contribute to the development and refinement of the emergency department occupational therapy service. Participate in quality improvement initiatives, governance activities, and service evaluations to ensure high standards of care and innovative practice.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

  1. Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
  2. Widening access (anchor institution) and employability
  3. Improving the experience of staff with disability
  4. Improving the EDI literacy and confidence of trust staff through training and development
  5. Making equalities mainstream.

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Details

Date posted

01 April 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year per annum plus HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

197-R-UT8090

Job locations

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Job description

Job responsibilities

JOB PURPOSE

The Occupational Therapy Team Lead provides professional and clinical leadership to Occupational Therapy staff in the Medical Team based at the QEH site.

The post holder supervises the day to day running of the medical Occupational Therapy team and is line managed by the Occupational Therapy Site Lead at QEH. To achieve this, the post holder works in close collaboration with the OT Site Lead QEH, and the other Band 7 Occupational Therapy Team Leads.

The Occupational Therapy Team Lead is a highly experienced clinician in medicine particularly neurology who independently manages a significant and highly specialised clinical caseload.

In conjunction with the OT Site Lead, the post holder coordinates a rollingprogramme of education, clinical evaluation, audit and research within the pathway team atQEH.

As part of the senior clinical Occupational Therapy team on the QEH site, the post holder will deputise for the Occupational Therapy Site Lead QEH as required.

The post is based on the Queen Elizabeth site but may at times be asked to work on other sites in order to maintain service levels

7-day working for Therapies is in place within the Trust and the postholder is required to undertake a different working pattern, including weekends, in the future.

KEY RELATIONSHIPS

INTERNAL INCLUDE: Therapy Managers and Therapy leads, own Teams, referring clinicians, MDTs, on ward, therapy administrative team, HR, other Trust Committees and own clinical teams

EXTERNAL INCLUDE: GPs, Community Services, Social services, Local authorities, AHP managers and leads, Voluntary services, College of Occupational Therapists, Health professions council, DoH Networks and Policy Groups, Higher Education Institutes, Colleges and Schools, NHSE.

DUTIES AND RESPONSIBILITIES

Clinical

1. To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with highly complex presentations

2. To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands

3. To be professionally and legally responsible and accountable for all aspects of own work, and of the pathway teams work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist.

4. To assess patients capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient

5. To undertake the comprehensive assessment and accurate diagnosis of patients, including those with an extremely complex presentation, using investigative, palpatory, analytical and clinical reasoning skills

6. As appropriate to the job role, to request diagnostic procedures that will inform clinical decision making

Please read attached Job description for full details

All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies.

Job description

Job responsibilities

JOB PURPOSE

The Occupational Therapy Team Lead provides professional and clinical leadership to Occupational Therapy staff in the Medical Team based at the QEH site.

The post holder supervises the day to day running of the medical Occupational Therapy team and is line managed by the Occupational Therapy Site Lead at QEH. To achieve this, the post holder works in close collaboration with the OT Site Lead QEH, and the other Band 7 Occupational Therapy Team Leads.

The Occupational Therapy Team Lead is a highly experienced clinician in medicine particularly neurology who independently manages a significant and highly specialised clinical caseload.

In conjunction with the OT Site Lead, the post holder coordinates a rollingprogramme of education, clinical evaluation, audit and research within the pathway team atQEH.

As part of the senior clinical Occupational Therapy team on the QEH site, the post holder will deputise for the Occupational Therapy Site Lead QEH as required.

The post is based on the Queen Elizabeth site but may at times be asked to work on other sites in order to maintain service levels

7-day working for Therapies is in place within the Trust and the postholder is required to undertake a different working pattern, including weekends, in the future.

KEY RELATIONSHIPS

INTERNAL INCLUDE: Therapy Managers and Therapy leads, own Teams, referring clinicians, MDTs, on ward, therapy administrative team, HR, other Trust Committees and own clinical teams

EXTERNAL INCLUDE: GPs, Community Services, Social services, Local authorities, AHP managers and leads, Voluntary services, College of Occupational Therapists, Health professions council, DoH Networks and Policy Groups, Higher Education Institutes, Colleges and Schools, NHSE.

DUTIES AND RESPONSIBILITIES

Clinical

1. To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with highly complex presentations

2. To work at an advanced level and to be professionally and legally accountable for a highly-specialised patient caseload and to decide priorities for own work area, balancing other patient related and professional demands

3. To be professionally and legally responsible and accountable for all aspects of own work, and of the pathway teams work. This will include the management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist.

4. To assess patients capacity, gain valid informed consent to treatment and where such capacity is lacking/absent to work within a legal framework in the management of the patient

5. To undertake the comprehensive assessment and accurate diagnosis of patients, including those with an extremely complex presentation, using investigative, palpatory, analytical and clinical reasoning skills

6. As appropriate to the job role, to request diagnostic procedures that will inform clinical decision making

Please read attached Job description for full details

All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent in line with guidance from their professional bodies.

Person Specification

Education and Qualifications

Essential

  • Diploma / Degree in Occupational Therapy.
  • HCPC registration
  • Working at M level (e.g. module) or equivalent experience/qualification
  • Undertaken a range of relevant postgraduate courses
  • Undertaken clinical educators training

Desirable

  • Member of Special interest Group
  • MSC in related subject
  • Undertaken appropriate managerial training

Skills and Attributes

Essential

  • The ability to discuss advanced clinical reasoning in the management of highly complex cases
  • The ability to identify and act upon adverse clinical signs Able to communicate at advanced level including complex information to patients, Carers, team and other health professionals.
  • Excellent ability to work effectively in a team environment Excellent time management skills with ability to organise, prioritise and delegate.
  • Ability to self direct learning, be critical and evaluate own learning needs, demonstrated in a CPD portfolio.
  • Demonstrates excellent leadership ability and motivational skills Able to provide a high standard of clear concise, written and verbal reports in English
  • Ability to collect and present data for service performance information Excellent teaching and presentation skills IT skills, including using hospital data bases, word processing, excel, email and power point
  • Ability to manage own stress and work in a stressful and unpredictable environment.
  • To show empathy and fairness to give support to others

Desirable

  • IT skills - Ability to create and/or format data and/or complex spreadsheets using computerised systems

Experience

Essential

  • Wide ranging post graduate Occupational Therapy experience including having held senior position in relevant speciality
  • Significant experience of relevant specialist pathway Experience of working autonomously and unsupervised Experience in managing limited resources and high workloads
  • Experience in leading and completing audit and evidence based projects
  • Experience of supervision and appraisal of Occupational Therapy staff and students with ability to give constructive feedback and performance management when necessary
  • Evidence of actively participating in in-service training and presenting to large MDT groups, undergraduate and postgraduate staff and evaluating effectiveness of training
  • Experience and ability to work collaboratively within MPT
  • Evidence of leading change management and innovation in clinical practice

Desirable

  • Previous experience at band 7 Level Research experience including publication in recognised journal
  • Presented at national level or external courses relevant to subject area Actively involved in developing research links with other academic institutions
  • Evidence of presenting to MDT groups, undergraduate and postgraduate staff

Knowledge

Essential

  • Extensive specialist knowledge of evidenced based Occupational Therapy for designated specialist pathway
  • In depth knowledge of national guidelines and standards pertaining to specialist pathway and Occupational Therapy
  • Robust understanding of clinical governance and its implication for Occupational Therapy
  • Awareness and understanding of NHS structure, current issues and developments
  • Understanding of the legal responsibilities of the profession

Additional

Essential

  • Self motivated with a clear vision of role / commitment to speciality
  • Demonstrate professional independence Work in a flexible manner and adapt to changing environments
Person Specification

Education and Qualifications

Essential

  • Diploma / Degree in Occupational Therapy.
  • HCPC registration
  • Working at M level (e.g. module) or equivalent experience/qualification
  • Undertaken a range of relevant postgraduate courses
  • Undertaken clinical educators training

Desirable

  • Member of Special interest Group
  • MSC in related subject
  • Undertaken appropriate managerial training

Skills and Attributes

Essential

  • The ability to discuss advanced clinical reasoning in the management of highly complex cases
  • The ability to identify and act upon adverse clinical signs Able to communicate at advanced level including complex information to patients, Carers, team and other health professionals.
  • Excellent ability to work effectively in a team environment Excellent time management skills with ability to organise, prioritise and delegate.
  • Ability to self direct learning, be critical and evaluate own learning needs, demonstrated in a CPD portfolio.
  • Demonstrates excellent leadership ability and motivational skills Able to provide a high standard of clear concise, written and verbal reports in English
  • Ability to collect and present data for service performance information Excellent teaching and presentation skills IT skills, including using hospital data bases, word processing, excel, email and power point
  • Ability to manage own stress and work in a stressful and unpredictable environment.
  • To show empathy and fairness to give support to others

Desirable

  • IT skills - Ability to create and/or format data and/or complex spreadsheets using computerised systems

Experience

Essential

  • Wide ranging post graduate Occupational Therapy experience including having held senior position in relevant speciality
  • Significant experience of relevant specialist pathway Experience of working autonomously and unsupervised Experience in managing limited resources and high workloads
  • Experience in leading and completing audit and evidence based projects
  • Experience of supervision and appraisal of Occupational Therapy staff and students with ability to give constructive feedback and performance management when necessary
  • Evidence of actively participating in in-service training and presenting to large MDT groups, undergraduate and postgraduate staff and evaluating effectiveness of training
  • Experience and ability to work collaboratively within MPT
  • Evidence of leading change management and innovation in clinical practice

Desirable

  • Previous experience at band 7 Level Research experience including publication in recognised journal
  • Presented at national level or external courses relevant to subject area Actively involved in developing research links with other academic institutions
  • Evidence of presenting to MDT groups, undergraduate and postgraduate staff

Knowledge

Essential

  • Extensive specialist knowledge of evidenced based Occupational Therapy for designated specialist pathway
  • In depth knowledge of national guidelines and standards pertaining to specialist pathway and Occupational Therapy
  • Robust understanding of clinical governance and its implication for Occupational Therapy
  • Awareness and understanding of NHS structure, current issues and developments
  • Understanding of the legal responsibilities of the profession

Additional

Essential

  • Self motivated with a clear vision of role / commitment to speciality
  • Demonstrate professional independence Work in a flexible manner and adapt to changing environments

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).

Additional information

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

Lewisham and Greenwich NHS Trust

Address

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Lewisham and Greenwich NHS Trust

Address

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Employer's website

https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Head of Adult OT

Emma Tilley

emma.tilley1@nhs.net

07788566176

Details

Date posted

01 April 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year per annum plus HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

197-R-UT8090

Job locations

Queen Elizabeth Hospital

Stadium Road

London

SE18 4QH


Supporting documents

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