Home First Therapist (OT) | Central and North West London NHS Foundation Trust

Home First Occupational Therapist
• To undertake a comprehensive assessment of patients, including those with diverse or complex presentations/multi pathologies.
• To work with the acute Multi-Disciplinary Team & Transfer of Care Hubs to promote an efficient, effective discharge from hospital to the patient’s own home.
• To bring a holistic therapeutic approach to the multi-disciplinary team. Concentrating specifically on admission avoidance strategies and interventions.
• To have a role in the responsibility for the management of patients care pathway through the CIS services
• To be responsible for a designated caseload of patients, where you will implement and evaluate treatment plans, and coordinate interventions within Home First & Urgent Community Response )if required)
• To liaise with health, and adult social care, working in partnership with primary and secondary care, social prescribers, and other external agencies to ensure the delivery of a high-quality service, and facilitate effective discharge from the Home First Service.
• To provide a specialist service to patients in their own home/usual residence
• To communicate effectively with patients and carers and allied agencies to maximise discharge and recovery potential and to ensure understanding of condition
• To be professionally and legally accountable for all aspects of own work, including the management of own patient caseload. To ensure a high level of care, and support more junior staff to do likewise.
• Promote a holistic, supportive, and patient cantered service that facilitates an intervention approach to promote change, acceptance and promotes self-management aiming to optimises functional improvement
• Work with Home First: supporting with triage, patient care pathway, and sharing knowledge related to the discharge to assess and admission avoidance strategies
• Work with patients, carers and families, and other statutory health related services
• Work autonomously and within the MDT team delivering individualised treatment interventions and management programmes
• Be flexible in the approach to delivering treatment and advice, have skills to deliver a variety of treatment interventions
• Have advanced communication skills that would include motivational and emotional support skills

Central and North West London NHS Trust expects all staff to act in a way which shows you understand our core values and are willing to put them into practice with service users, their friends, family, carers, and also other staff members.

As a member of the clinical team, we expect you to show COMPASSION, contribute to a caring and kind environment and recognise that what you do and say helps can make the lives of others better.

We expect you to RESPECTeveryone and acknowledge and welcome people’s differences rather than ignore them or see them as problematic.

We expect you toEMPOWERothers and continually try to provide information, resources and support to help others make their own decisions and meet their own needs.

We expect you to work inPARTNERSHIPand behave in a way that shows that you recognise that commissioners and users of our services are the people who generate and pay for our work.

· Be professionally and legally accountable for all aspects of own work, including the management of your patient clinical episode of care.

· Undertake a comprehensive assessment of patient’s physical needs, while appreciating the psychological and emotional impact in relation to their diagnosis and symptom profile, understand the diverse and complex presentations and multiple pathologies; use advanced clinical reasoning skills to provide an accurate understanding of their condition.

· Formulate accurate prognosis and recommend best course of intervention, developing a self-management discharge plans where appropriate.

· Assess the patient’s understanding of treatment proposals, gain valid informed consent if appropriate and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment.

· Evaluate patient’s adherence to management plans, monitor progress, reassess and modify management plans as appropriate.

· Provide or direct patients to accredited information and supportive literature to assist in their management

· Ensure the Safeguarding of vulnerable adults and children in line with safeguarding policy and procedure.
• To Uphold the Trust's dignity and respect standard

This advert closes on Thursday 28 May 2026

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