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Central and North West London NHS Foundation Trust
About
Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff who provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent, Surrey and Hampshire.
As a Foundation Trust we involve service users, carers, the public, staff and partner organisations in the way that we are run and our future development. If you are interested in becoming a member of our Foundation Trust please visit: www.cnwl.nhs.uk
(source: Central and North West London NHS Foundation NHS Trust website)
Contact
- Address
- 350 Euston Road
- Regent's Place
- London
- London
- NW1 3AX
- Contact Number
- 02032145700
Occupational Therapist / Lead professional
Accepting applications until: 08-Sep-2026 23:59
Vacancy status: Open
Accepting applications until: 08-Sep-2026 23:59
Key details
Location
- Site
- Westminster CMHT Older Adults
- Address
- 190 Vauxhall Bridge Road
- Town
- London
- Postcode
- SW1V 1DX
- Major / Minor Region
- London
Contract type & working pattern
- Contract
- Permanent
- Hours
- Full time
- Flexible working
Salary
- Salary
- £47,951 - £56,863 per annum inc HCAS (pro rata if P/T)
- Salary period
- Yearly
- Grade
- (NHS AfC: Band 6)
Specialty
- Main area
- Mental health Older adults Occupational Therapist
CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.
Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.
We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.
We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. For more information on these and other benefits of working for us, see our Benefits, Reward and Wellbeing page
Become part of our team. We care for you as much as you care for others.
CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.
Job overview
You will manage a caseload of older clients with complex, severe and enduring mental health needs (including functional and dementia) in the community. You will provide a specialist assessment to meet the needs of individuals referred to the Older Adults Community Mental Health Team, taking into account risk and clients strengths, in order to protect their rights and promote their inclusion, independence and interests.
The service is co-located with the Westminster City Council mental health team to provide a holistic service to our client group. Additionally, we are part of the CNWL project in the implementation of Open Dialogue, an innovative person centred and recovery orientated model of crisis and continuing mental healthcare.
There is a 0.6 wte OT and 0.4 wte care coordination split, depending on service demands. You will use evidence based and recovery principles to assess, plan, implement and evaluate treatment offering a variety of therapeutic interventions.
You will participate in the duty system along with other members of the MDT, carry out initial assessments and attend all relevant clinical reviews. You will provide support and advice to clients, carers and other professionals on mental health issues relating to older people and work closely with primary care and statutory agencies.
You will supervise students on placement and junior staff in the team as appropriate. They will contribute to the learning and development of themselves and others.
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MAIN DUTIES
To act as lead professional for individuals in line with mental health transformation agenda as appropriate to CNWL Trust policy, managing a defined clinical caseload of service users with complex mental health problems living in the community.
To carry out holistic mental health assessments, assessing needs and risks of services users, carers and their families following referral to the service.
To conduct holistic and specialist occupational therapy assessments using relevant tools, treating each person as an individual and respecting their views and wishes.
Plan and implement a range of therapeutic interventions and measure the outcome of these.
To work in partnership with the primary care team, local authority, statutory and voluntary agencies to maintain the health and well being of older people with complex mental health problems.
Together with service users and carers plan appropriate interventions and support plans to meet their needs, maintaining independence and making the most of their living environment.
To participate in the duty service of the Older Adults CMHT.
To supervise band 5 occupational therapist in the OA CMHT if required.
To act as practice placement educator for OT students and to participate in the training of students from other disciplines and support staff.
To maintain own continuing professional development in accordance with HCPC guidelines and CNWL policies and procedures.
Working for our organisation
The Westminster Older Adults and Health Ageing Community Mental Health Team is a dynamic multidisciplinary service providing mental health support to older adults in Westminster with functional disorders and dementia. It is co-located with the Westminster City Council mental health team, offering a holistic approach to care. The team is also involved in the CNWL Open Dialogue project, which promotes person-centred recovery-oriented care.
The team operates using a case management, intervention-led and recovery-focused model, offering multidisciplinary assessments and interventions for service users with complex needs, as well as their families and carers. Regular multidisciplinary meetings facilitate case discussions, initial assessments, and reflective practice. A key feature of the service is the integrated older adults home treatment team, which delivers intensive support, crisis management, admission prevention, and helps ensure timely hospital discharges. The CMHT and HTT teams collaborate closely, offering a responsive and flexible service to meet the needs of service users. Coordination with older adults’ inpatient services allows smooth transitions of care.
The service promotes a friendly, respectful work environment where staff receive professional development, including supervision and appraisals. Involvement of service users and carers is a core element of the service's design and delivery.
Detailed job description and main responsibilities
To undertake holistic assessments of service users utilising risk assessment tools and mental state examination in order to provide a high standard of care to service users in the community.
To clinically manage a defined caseload of service users with complex mental health problems in a community setting including service users and in line with the Mental Health transformation agenda.
To formulate individualised Care Plans that include recovery goals, with service users and their carers which aims to address their psychological, physical, spiritual & social needs.
To deliver appropriate therapeutic interventions to service users utilising a range of evidence-based therapies e.g. graded activity, anxiety management, and problem solving techniques
To respond to urgent and unplanned clinical events involving service users known to the CMHT and on own clinical caseload, utilising analytical and problem solving skills to ensure the situation is managed effectively.
To have an in-depth understanding of mental health pathology to manage service users with complex mental health problems.
To monitor service users who are being treated with psychotropic medications, observing efficacy and monitoring any adverse reactions. To report and act on any adverse reaction observed in conjunction with the General Practitioner or Consultant Psychiatrist, as appropriate.
To alert the line manager to any increase in risks to individual service users on a regular basis or immediately as required and seek advice on appropriate action.
To be aware of and sensitive to the safeguarding needs of the client and those associated with them. To have an understanding of potential indicators of abuse or neglect and about what to do if they had concerns.
To regularly attend and participate in CMHT clinical reviews.
To have a sound understanding and knowledge of current legislation and its application to service users with mental health problems e.g. Mental Health Act, Mental Capacity Act, Care Act, Human Rights Act, Freedom of Information Act, and Data Protection Act.
SUPERVISORY & MANAGEMENT RESPONSIBILITIES:
To participate actively in clinical supervision, as well as in management supervision and annual appraisal with line manager, and to pursue further professional development and training appropriate to the age range covered by the team, according to a Personal Development Plan and the requirements of the professional body.
To maintain up-to-date knowledge through networking, training and reading, and to comply with professional requirements for the maintenance of professional registration.
To act as practice educator for occupational therapy students on placement and support the learning of other students in the team. If appropriate provide line management to junior staff or support workers providing regular supervision and annual appraisal.
To participate in, and occasionally take responsibility for the recruitment of junior staff.
To deputise for the Senior Practitioner as needed.
To provide treatments interventions and plan support plans within the resource limitations
The post holder will take action to ensure that the team’s expenditure is within budget parameters by notifying line manager of situations where costs may escalate.
The post holder will ensure that all financial transactions are authorised and recorded in line with Departmental and /or Trust procedures.
To assist as required in the development of the CMHT service in accordance with research and evidenced based practice to ensure a modern and exemplary service is delivered.
To assist the CMHT management in developing processes that prevent inappropriate admissions, facilitate timely discharge and provide appropriate mental health care and support to service users and carers within the community.
To engage with service users, carers and other agencies advocating for these groups to ensure they are fully involved in service evaluation, monitoring and development.
To promote user empowerment, carer involvement and anti-discriminatory practices in the delivery of mental health care, at all times.
To keep abreast of changing occupational therapy clinical practice and mental health practice, new developments, evidence-based practice and research.
To contribute to activities, which continue to build on a culture of, shared learning and evidence based practice.
To ensure timely booking and attendance of mandatory and statutory training. Failure to do this may preclude further learning and development opportunities.
To participate in local and trust wide OT service and activities that promote and contribute to the building of knowledge and evidence base for the benefit of the professional body of occupational therapy e.g. participation in clinical networks.
To maintain a professional knowledge base and act as a resource to others regarding specialist areas of expertise i.e. occupational therapy, health promotion, recovery and social inclusion.
To participate, along with other members of the CMHT in audit, Quality Improvement and research activities that contribute to improvements in the delivery of care within the CMHT.
To ensure that own professional practice is maintained in accordance with guidelines from your relevant professional body, local procedures and CNWL policy.
To adhere to all policies and procedures in the prevention and management of areas of risk e.g. Risk Management, Fire Safety, Health and Safety, Lone Worker policy.
To maintain effective communication links with CMHT team members and relevant external agencies ensuring that service users receive high quality and coordinated service.
To maintain up-to-date clinical records and documentation in line with the CNWL policy and professional guidelines. Producing detailed occupational therapy reports as required.
To have a high level of interpersonal and communication skills to deal with a range of highly sensitive and emotive situations e.g. dealing with crisis situations or high expressed emotions from service users and their carers.
To develop and promote effective communication and liaison with GPs, other primary care professionals, Social Services and voluntary organisations.
Use of Artificial Intelligence (AI)
AI can be used as a support tool, not a replacement for the applicant’s own work. Applications must remain personal, accurate, and reflective of the candidate’s real experience. AI-generated content must not misrepresent skills, qualifications, or experience. Over reliance on AI-generated content is discouraged and may diminish the applicant's chances of success.
We monitor applications for any behaviour that could create an unfair advantage, and we check all references carefully. You are likely to be tested on your experience at interview, so be honest and make sure all the information in your application is correct. Please note that the use of Artificial Intelligence (AI) is prohibited during the interview process.
Vaccination
The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
- Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
- Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system
- Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.
- If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.
Applicant requirements
Person specification
Education and qualifications
Essential criteria
- OT Diploma/Degree
- Evidence of continued professional development
- Post-registration qualifications
Desirable criteria
- A post registration qualification relevant to the post.
- Trained in Open Dialogue or willingness to train.
Experience
Essential criteria
- Experience of working in mental health field as a qualified OT.
- Experience of working as member of a Multi –disciplinary team
- Experience of working with older adults
Desirable criteria
- Experience of managing/supervision of staff.
- Experience of working in a community setting
Knowledge
Essential criteria
- Knowledge of risk assessments and risk Management processes.
- Knowledge of a range of appropriate assessment tools.
- Knowledge and understanding of the rights of service users and their carers.
- Knowledge of ethical/legal requirements within mental health care.
- Knowledge and understanding of legislation relating to the care of Older Adults with Mental Health problems in the community
Skills and Attributes
Essential criteria
- Effective communication skills both verbally and through written reports.
- Effective leadership skills
- Ability and skills to carry out comprehensive needs assessments.
- Ability to take responsibility for managing a caseload
- Ability to manage complex decision making situations.
- Ability to organize and prioritise own workload.
- Ability to supervise junior staff and students
- Teaching and assessing skills.
- Ability to reflect and critically appraise own performance.
- Ability to work effectively in stressful and emotionally charged situation
- Able to manage personal stress.
- Previous experience of audit and/or research.
Other Requirements
Essential criteria
- IT skills i.e. Microsoft word, Email, Internet
- Motivated and able to motivate others.
- Assertive and enthusiastic.
Documents
- Job Description (PDF, 184.6KB)
- Person Specification (PDF, 176.4KB)
- Accommodation Information for New Starters (PDF, 120.6KB)
- CNWL Staff Networks (PDF, 320.0KB)
- CNWL Values (PDF, 182.9KB)
- CNWL Reward and Wellbeing Handbook 2020 (PDF, 1.1MB)
- CNWL Staff Charter (PDF, 684.7KB)
- CNWL Culture SCARF Behaviour Framework (PDF, 710.2KB)
Further details / informal visits contact
- Name
- Grant Malyn
- Job title
- Westminster CMHT Older Adult Clinical Lead
- Email address
- [email protected]
- Telephone number
- 0207 854 4105
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