Clinical Specialist Occupational Therapist

Job summary
We are looking for a highly motivated Occupational therapist or Physiotherapist to join our multidisciplinary Pro-active Care Hub (PACH) team. This is a new service with an emphasis on proactively helping local people to remain well at home, by ensuring their long term conditions are well managed. The PACH will have a core team of nurses and other health care professionals, who have knowledge and skills in supporting people who have frailty and long term conditions.

Main duties of the job
The post holder will lead on developing the therapy provision for PACH, in collaboration with the multidisciplinary team. They will develop, implement and evaluate a high quality specialist service, ensuring that patients receive the highest standard of care, complying with evidence based practice. The post holder will regularly report progress for clinical governance and audit purposes.

The post holder will be based at Haslemere community hospital and will assess patients in clinic or in their own homes. This may involve lone working.

The post holder will have professional accountability for themselves and those in which they supervise. They will be expected to contribute at Band 7 level to the on-going development of clinical practice, standards, and research in addition to policies, protocols, guidelines and service development.

About us
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5,000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing programme alongside a strong commitment to developing your career. Our diverse and welcoming Royal Surrey family ensures you feel valued from your initial interview and throughout your time with us.

We are clinically led and provide joined-up care by bridging hospital and community services, alongside delivering regional specialist cancer care. Our main acute hospital site is in Guildford, with community sites at Milford, Haslemere and Cranleigh, and services delivered in patients' homes across Guildford and Waverley.

We work in partnership with Ashford & St Peter's Hospitals NHS Foundation Trust through a collaborative Group Model, supporting joined-up services, workforce flexibility and development opportunities.

The Care Quality Commission (CQC) has rated us as Outstanding. We are proud of our achievements and continue to invest in our people and infrastructure.

To learn more about life at Royal Surrey, please watch our short video: Apply through our website

Details
Date posted: 20 July 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £51,657 to £58,785 a year
Per annum pro rate including high cost area supplement
Contract: Permanent
Working pattern: Part-time
Reference number: 384-LG-EMF20892-B7
Job locations: Haslemere Community Hospital, Church Lane, Haslemere, GU27 2BJ, United Kingdom

Job description
Job responsibilities

• In collaboration with MDT colleagues, develop annual plans for the proactive Long term conditions hub, incorporating National Guidelines for service (i.e. NSFs and national guidelines) and ensuring completion of objectives at year-end.
• Support new service developments and business plans providing evidence as required by the service / Trust e.g. activity Data.
• Manage informal complaints within own area; supplying evidence as required to support a trust response.
• Responsible for the clinical supervision of less experienced/unregistered staff providing necessary professional guidance, support, and appropriate delegation of work.
• Participates/leads in relevant planning activities/projects to ensure that the service develops according to patients needs, in liaison with, the Service Managers and in line with the Royal College of Occupational Therapists guidelines.
• Assists in, and undertakes regular clinical audit to review the effectiveness and efficiency of the service and to improve outcomes for patients in line with the Trusts commitment to promoting a culture of continuous learning and improvement.
• Ensure efficient time management to meet performance targets.
• Undertakes any other duties as required by the Service Managers

Clinical

• Demonstrate highly specialist clinical reasoning and assessment and treatment skills for patients living with clinical frailty.
• Provide comprehensive holistic assessment, treatment and advice to a variety of patients with varying clinical needs, in outpatient clinic or in their own homes, as appropriate. This involves a thorough understanding of patients with complex conditions with a range of cognitive, physiological, social and emotional/mental health problems.
• Keep abreast of all developments in Occupational therapy clinical practice within frailty and ensure that these are disseminated/ implemented where applicable.
• Undertake a defined clinical caseload, including more complex patients within the specialty and act as a role model for a high quality service.
• Ensure that all patients give informed consent prior to treatment and work within the legal framework with patients who lack the capacity to give valid consent.
• To complete therapy interventions independently, jointly with other members of the service and also the wider MDT and social care teams, as appropriate.
• Proficient in the assessment and provision of equipment from the community equipment store.
• Provide accurate and personalised information to patients about equipment provision and self -purchase.
• Ensure equipment provided is safe for both patient and carers to use.
• Refer on to other teams as appropriate and complete all paperwork required in a timely manner.

Human Resources

• Make recommendations for relevant skill mix of staff to meet service needs.
• Participate in the recruitment process and interview with an appointing officer.
• Develop a specialist area induction pack for new staff.
• Ensure all new staff are inducted thoroughly to the specific department.
• Conduct appraisals and objective setting for other members of the service.
• Liaise with the service manager to ensure that objectives set in this process support the departments annual plan.
• Recognise and monitor any performance issues of staff.
• Take guidance on the appropriate management from Service manager/Community Matron as required.

Students

• Undertake the clinical supervision of undergraduate OT students whilst on a 4-6 week placement.
• Plan numbers and times of student placements for the team.
• Ensure the students are provided with the relevant experience required by the universities to meet the placement standards.
• Countersign all student assessment and treatment documentation.
• Complete the students final evaluation and assessment, complete the universities required documentation.
• Liaise with the university tutor re any difficulties in the student placement.
• Support other staff when they are undertaking clinical supervision of students.
• Attend university training days to ensure up to date information regarding student placements.

Delegation and Supervision

• Provide clinical supervision to less experienced staff working within the Proactive Long Term conditions Hub. This includes the planning of caseloads/ workloads.
• Delegate non-clinical tasks appropriately to staff including the checking of equipment, administrative tasks, and ensure that these are performed to the required standards.

CPD/ Training

• Consolidate skills learnt at senior level and continue clinical and personal development.
• Develop current knowledge of evidence-based practice in Frailty and to integrate into the standards and policies as appropriate.
• Identify and organise team in service training and briefing meetings.
• Attend and contribute to all department general in service training
• Complete relevant equipment competencies.
• Provide appropriate team training, supervision and competency assessments, plus signing off for competence achieved for staff they line manage
• Responsible for training to the Multi Professional Team and contribute to multi- educational events as required.

Resources/Financial

• Identify and advise on stock and equipment needs/ levels when low.
• Advise on equipment purchase and research best options.
• Ensure correct prescription and issuance of aids to patients.
• Be responsible for equipment purchase/ loans/deposits up to £50.
• Safe and secure deposit of cash and accurate recording.
• Monitor stock control.
• Advise regarding service contracts on items of OT equipment.

Communication

• Have regular meetings with professional/ service manager to discuss any issues.
• Attend/ lead multi-disciplinary team meetings on ward as required.
• Liaise with referrers re any inappropriate referrals.
• Identify and communicate Physiotherapy referral criteria.
• Communicate effectively, sensitively and appropriately with patients (and their carers) who may have a variety of medical, psychological and social needs including those with impaired cognitive functions and decreased verbal communication.
• Ensure that patient and staff motivation is achieved and maintained.
• Liaise with all multi-disciplinary team members, both internally and externally in order to provide an efficient and timely discharge process for patients.
• Ensure handovers and referrals are completed to a good standard.
• Expected to communicate with any relevant regional network.
• Ensure that the team meeting minutes are recorded and chair these meetings.
• Attend relevant meetings as requested by professional/ service manager including business meetings and feedback information.

Clinical Governance

• Develop an annual clinical governance calendar for the team, discuss with line manager to ensure meets Departments objectives.
• Ensure that all own documentation, patient notes, patient information and exercise sheets fulfil professional, departmental and legal standards.
• Develop and implement clinical standards, guidelines, protocols and pathways to be used based on evidence based practice (EBP).
• Ensure in the updating/ review of existing ones on an annual basis.
• Monitor the discrete evidence based projects or audit by junior staff to support the teams clinical governance calendar.
• Compile the teams monthly report for the superintendents and service manager.
• Responsible for safe use of equipment in team and annual maintenance is requested.
• Develop team policies, and on-going review of the teams scope of service.
• Provide guidance to heads of physiotherapy to support new service developments and business cases.
• Endorse time sheets of bank and agency staff.
• Understand implications of budget within the clinical area.
• Undertake clinical audit, and ensure completion of the audit cycle.
• Provide practical help to staff in their audit objectives.
• Participate/Initiate in research programmes as required.
• Develop methods to measure and record outcomes of treatment and effectiveness.
• Ensure all staff comply with Department and RCOT documentation standards.
• Ensure all patient information and exercise sheets fulfil Trust and Department standards.

IT

• Have a good working knowledge of relevant computer system APAS/ EMIS/ Cerner and ensure staff participate in relevant training.
• Be computer literate in order to complete objectives such as the presentation of audits and analysis of data.

Health and Safety

• Determine safe staffing protocol in agreement with professional/ service manager with appropriate and relevant escalation.
• Ensure all staff undertake appropriate clinical risk assessments in line with trust and service policy as part of the overall risk management strategy.
• Report all incidents to professional/ service manager via Datix where appropriate.
• Ensure all comply with all Trust and department policies.
• Attend all mandatory Trust training and maintain up to-date department records.

General

• HCPC membership must be kept up to date and competence to practice maintained.
• Adhere to the RCOTs professional code of conduct.
• Adhere to confidentiality guidelines as per RSCH Confidentiality Code of Conduct.

Job description
Job responsibilities

• In collaboration with MDT colleagues, develop annual plans for the proactive Long term conditions hub, incorporating National Guidelines for service (i.e. NSFs and national guidelines) and ensuring completion of objectives at year-end.
• Support new service developments and business plans providing evidence as required by the service / Trust e.g. activity Data.
• Manage informal complaints within own area; supplying evidence as required to support a trust response.
• Responsible for the clinical supervision of less experienced/unregistered staff providing necessary professional guidance, support, and appropriate delegation of work.
• Participates/leads in relevant planning activities/projects to ensure that the service develops according to patients needs, in liaison with, the Service Managers and in line with the Royal College of Occupational Therapists guidelines.
• Assists in, and undertakes regular clinical audit to review the effectiveness and efficiency of the service and to improve outcomes for patients in line with the Trusts commitment to promoting a culture of continuous learning and improvement.
• Ensure efficient time management to meet performance targets.
• Undertakes any other duties as required by the Service Managers

Clinical

• Demonstrate highly specialist clinical reasoning and assessment and treatment skills for patients living with clinical frailty.
• Provide comprehensive holistic assessment, treatment and advice to a variety of patients with varying clinical needs, in outpatient clinic or in their own homes, as appropriate. This involves a thorough understanding of patients with complex conditions with a range of cognitive, physiological, social and emotional/mental health problems.
• Keep abreast of all developments in Occupational therapy clinical practice within frailty and ensure that these are disseminated/ implemented where applicable.
• Undertake a defined clinical caseload, including more complex patients within the specialty and act as a role model for a high quality service.
• Ensure that all patients give informed consent prior to treatment and work within the legal framework with patients who lack the capacity to give valid consent.
• To complete therapy interventions independently, jointly with other members of the service and also the wider MDT and social care teams, as appropriate.
• Proficient in the assessment and provision of equipment from the community equipment store.
• Provide accurate and personalised information to patients about equipment provision and self -purchase.
• Ensure equipment provided is safe for both patient and carers to use.
• Refer on to other teams as appropriate and complete all paperwork required in a timely manner.

Human Resources

• Make recommendations for relevant skill mix of staff to meet service needs.
• Participate in the recruitment process and interview with an appointing officer.
• Develop a specialist area induction pack for new staff.
• Ensure all new staff are inducted thoroughly to the specific department.
• Conduct appraisals and objective setting for other members of the service.
• Liaise with the service manager to ensure that objectives set in this process support the departments annual plan.
• Recognise and monitor any performance issues of staff.
• Take guidance on the appropriate management from Service manager/Community Matron as required.

Students

• Undertake the clinical supervision of undergraduate OT students whilst on a 4-6 week placement.
• Plan numbers and times of student placements for the team.
• Ensure the students are provided with the relevant experience required by the universities to meet the placement standards.
• Countersign all student assessment and treatment documentation.
• Complete the students final evaluation and assessment, complete the universities required documentation.
• Liaise with the university tutor re any difficulties in the student placement.
• Support other staff when they are undertaking clinical supervision of students.
• Attend university training days to ensure up to date information regarding student placements.

Delegation and Supervision

• Provide clinical supervision to less experienced staff working within the Proactive Long Term conditions Hub. This includes the planning of caseloads/ workloads.
• Delegate non-clinical tasks appropriately to staff including the checking of equipment, administrative tasks, and ensure that these are performed to the required standards.

CPD/ Training

• Consolidate skills learnt at senior level and continue clinical and personal development.
• Develop current knowledge of evidence-based practice in Frailty and to integrate into the standards and policies as appropriate.
• Identify and organise team in service training and briefing meetings.
• Attend and contribute to all department general in service training
• Complete relevant equipment competencies.
• Provide appropriate team training, supervision and competency assessments, plus signing off for competence achieved for staff they line manage
• Responsible for training to the Multi Professional Team and contribute to multi- educational events as required.

Resources/Financial

• Identify and advise on stock and equipment needs/ levels when low.
• Advise on equipment purchase and research best options.
• Ensure correct prescription and issuance of aids to patients.
• Be responsible for equipment purchase/ loans/deposits up to £50.
• Safe and secure deposit of cash and accurate recording.
• Monitor stock control.
• Advise regarding service contracts on items of OT equipment.

Communication

• Have regular meetings with professional/ service manager to discuss any issues.
• Attend/ lead multi-disciplinary team meetings on ward as required.
• Liaise with referrers re any inappropriate referrals.
• Identify and communicate Physiotherapy referral criteria.
• Communicate effectively, sensitively and appropriately with patients (and their carers) who may have a variety of medical, psychological and social needs including those with impaired cognitive functions and decreased verbal communication.
• Ensure that patient and staff motivation is achieved and maintained.
• Liaise with all multi-disciplinary team members, both internally and externally in order to provide an efficient and timely discharge process for patients.
• Ensure handovers and referrals are completed to a good standard.
• Expected to communicate with any relevant regional network.
• Ensure that the team meeting minutes are recorded and chair these meetings.
• Attend relevant meetings as requested by professional/ service manager including business meetings and feedback information.

Clinical Governance

• Develop an annual clinical governance calendar for the team, discuss with line manager to ensure meets Departments objectives.
• Ensure that all own documentation, patient notes, patient information and exercise sheets fulfil professional, departmental and legal standards.
• Develop and implement clinical standards, guidelines, protocols and pathways to be used based on evidence based practice (EBP).
• Ensure in the updating/ review of existing ones on an annual basis.
• Monitor the discrete evidence based projects or audit by junior staff to support the teams clinical governance calendar.
• Compile the teams monthly report for the superintendents and service manager.
• Responsible for safe use of equipment in team and annual maintenance is requested.
• Develop team policies, and on-going review of the teams scope of service.
• Provide guidance to heads of physiotherapy to support new service developments and business cases.
• Endorse time sheets of bank and agency staff.
• Understand implications of budget within the clinical area.
• Undertake clinical audit, and ensure completion of the audit cycle.
• Provide practical help to staff in their audit objectives.
• Participate/Initiate in research programmes as required.
• Develop methods to measure and record outcomes of treatment and effectiveness.
• Ensure all staff comply with Department and RCOT documentation standards.
• Ensure all patient information and exercise sheets fulfil Trust and Department standards.

IT

• Have a good working knowledge of relevant computer system APAS/ EMIS/ Cerner and ensure staff participate in relevant training.
• Be computer literate in order to complete objectives such as the presentation of audits and analysis of data.

Health and Safety

• Determine safe staffing protocol in agreement with professional/ service manager with appropriate and relevant escalation.
• Ensure all staff undertake appropriate clinical risk assessments in line with trust and service policy as part of the overall risk management strategy.
• Report all incidents to professional/ service manager via Datix where appropriate.
• Ensure all comply with all Trust and department policies.
• Attend all mandatory Trust training and maintain up to-date department records.

General

• HCPC membership must be kept up to date and competence to practice maintained.
• Adhere to the RCOTs professional code of conduct.
• Adhere to confidentiality guidelines as per RSCH Confidentiality Code of Conduct.

Person Specification
Qualifications
Essential

• HCPC Registration
• Member of the Royal College of Occupational Therapy
• BSc Occupational therapy (or above)

Desirable

• Member of specific interest group

Knowledge and Experience
Essential

• Specialist clinical experience working with complex patients who have a wide variety of conditions, including patients who have a history of falls and diagnoses of dementia,orthopaedic and MSK conditions, in a rehabilitation setting
• Experience of working autonomously at an advanced level within relevant service (e.g. Frailty or Community Setting) delivering effective patient focused care
• Experience of working autonomously assessing and treating patients living with long term conditions.
• Proven evidence of advanced organisational/leadership skills and autonomous practice.
• Experience of audit, research & evidence based care
• Experience of delivering change management both personally and as a facilitator
• Community Therapy/primary care/inpatient experience
• Post registration experience across a variety of clinical areas within the NHS
• Experience of working in a multidisciplinary team and contributing to team decisions
• Experience and understanding of treatment approaches and a range of therapeutic assessments
• Experience of use of audit and its use to improve interventions/service
• Experience of managing own caseload and prioritisation.
• Experience of delegating to junior staff.
• Experience of teaching junior staff, therapy assistants, students and other members of the team
• Experience of assessing clinical ability of staff and support personal development
• Involvement in appraisal system.
• Demonstrate knowledge of clinical governance agenda

Person Specification
Qualifications
Essential

• HCPC Registration
• Member of the Royal College of Occupational Therapy
• BSc Occupational therapy (or above)

Desirable

• Member of specific interest group

Knowledge and Experience
Essential

• Specialist clinical experience working with complex patients who have a wide variety of conditions, including patients who have a history of falls and diagnoses of dementia,orthopaedic and MSK conditions, in a rehabilitation setting
• Experience of working autonomously at an advanced level within relevant service (e.g. Frailty or Community Setting) delivering effective patient focused care
• Experience of working autonomously assessing and treating patients living with long term conditions.
• Proven evidence of advanced organisational/leadership skills and autonomous practice.
• Experience of audit, research & evidence based care
• Experience of delivering change management both personally and as a facilitator
• Community Therapy/primary care/inpatient experience
• Post registration experience across a variety of clinical areas within the NHS
• Experience of working in a multidisciplinary team and contributing to team decisions
• Experience and understanding of treatment approaches and a range of therapeutic assessments
• Experience of use of audit and its use to improve interventions/service
• Experience of managing own caseload and prioritisation.
• Experience of delegating to junior staff.
• Experience of teaching junior staff, therapy assistants, students and other members of the team
• Experience of assessing clinical ability of staff and support personal development
• Involvement in appraisal system.
• Demonstrate knowledge of clinical governance agenda

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).