Band 7 Occupational Therapist, Bolton NHS Foundation Trust, Bolton

Job summary

This is an exciting opportunity to join a well established, integrated learning disability team with a focus on delivering high quality service for adults with learning disabilities whilst supporting and maintaining the wellbeing of staff.

We are looking to appoint an experienced and enthusiastic occupational therapist to work with adults who have a learning disability and complex physical health needs and/or behaviours that challenge services.

The post offers opportunities for the successful applicants to develop skills in meeting the complex needs of clients who may have additional physical, sensory, behavioural/mental health needs. You will be designing interventions to enable clients to develop and maintain independence in a community setting and preventing hospital admissions. You will provide support and advice to carers and staff in their caring role, especially with regard to moving and handling needs and risk management. The clinical role will include housing assessment and adaptations, posture management, assistive technology and equipment provision.

Within this post you will have an opportunity to work with clients transitioning back to Bolton from out of area, and clients transitioning from children’s services into adult services.

You will need to bring creative thinking into your work and use all the skills acquired throughout your previous Occupational Therapy training and experience.

Main duties of the job

To provide clinical leadership to the Occupational therapy discipline under direct supervision of the AHP Lead focusing on quality improvement, clinical governance, and safe delivery of service.

To participate in collation and presentation of data to provide assurance on service delivery.

To support the Occupational therapists to manage their caseloads through supervision and appraisal, ensuring that they maintain an appropriate caseload.

Receive, record and allocate referrals to Occupational therapy within the specified timescales required.

To participate in, clinical audits, effective use and monitoring of outcome measures, key performance indicators (KPI) and other initiatives to provide assurance of quality and value.

To deputise for the AHP lead when appropriate.

To manage a complex caseload, using evidence based, client centred principles to provide highly specialised assessments, implementation and evaluation of Occupational Therapy intervention. Clients with learning disabilities, plus associated physical disabilities, complex health needs, communication difficulties, challenging behaviours, physical health needs, sensory deficits, dual diagnosis and vulnerability.

About us

Bolton’s learning disability health service is integrated into the Community Learning Disability Team, combining the learning disability health services with social care. We have an integrated management structure and a multi-disciplinary and multi-agency approach to meeting client need. The team is based at Farnworth Town Hall located within the Bolton borough. Bolton is within Greater Manchester and has good motorway links.

Job description

Job responsibilities


To be professionally and legally accountable for the management of an individual caseload. To work as an autonomous practitioner within the Disability Team as a member of a multi-disciplinary team of Health and Social Services personnel.

To provide occupational therapy to cover vacancies, sick leave, annual leave, as appropriate.

To prioritise and manage occupational therapy referrals and waiting lists to ensure clients receive appropriate and timely occupational therapy intervention in accordance with KPI objectives.

To be professionally responsible for the planning, co-ordination, delivery and evaluation of occupational therapy within the multi-disciplinary Team, prioritising clinical needs and available resources to provide an effective occupational therapy service.

To undertake highly specialist occupational therapy assessments for clients who have varying degrees of learning disability. The clients may also present with additional complex associated physical disabilities, complex health needs, communication difficulties, challenging behaviour, dual diagnosis and vulnerability.

To identify areas of occupational performance and skill deficit in all functional activities of daily life using a variety of assessment methods both standardised and non-standardised, advanced clinical reasoning skills and have a knowledge of how illness/disease affects function.

To work with clients, families and carers to identify client centred goals and work as part of a multi-disciplinary team to enable the goals to be achieved.

To carry out highly specialised and detailed risk assessments for clients with complex needs using local and national guidelines, professional guidelines and a highly developed knowledge base, taking lead responsibility for the overall safety and risk management of clients who are vulnerable and require on-going and long-term involvement with regard to management of specialised and bespoke equipment provision.

To plan and implement client centred evidence based individual/group interventions. This may include training and advising clients/carers, assessment and provision of specialist therapeutic equipment, providing training on independent living skills, risk assessments, advising and acting on environmental/housing issues and providing specialist occupational therapy knowledge within the team.

To continually monitor and evaluate client treatment in order to measure progress and when necessary modify programmes to ensure effectiveness of intervention.

To provide highly specialised advice and training to clients, relatives and carers regarding illness, disability and lifestyle management in order to maintain or achieve maximum levels of functional independence and well-being.


To be skilled in determining the clients understanding of occupational therapy assessment and intervention, to have the ability to gain informed consent from the client or, within a legal framework, work with clients who lack the ability to consent to treatment.

To be skilled in clear communication within highly charged, complex situations so that clients and their carers work together, make informed choices and be involved at all stages of the intervention process.

To work as part of the Disability Team contributing to the effective sharing of written, electronic and verbal information to ensure the delivery of a co-ordinated multi-disciplinary service.

To work with multi-agency and external agencies such as Housing and Wheelchair Services to ensure that clients with a learning disability can access generic services in line with current legislation and NICE recommendations.

To provide support and empathy to clients and carers whilst having difficult conversations which enable them to manage complex lifestyle changes.

To communicate effectively with clients and carers using a range of verbal and non-verbal communication tools to gain an understanding and consent with treatment programmes. This may include individuals who may have difficulty understanding or communicating e.g. sensory, cognitive, learning and language difficulties.

To clearly convey information on diagnosis, prognosis, and treatment plans in order that clients and their carers can understand.

To establish therapeutic relationships with clients and carers using negotiating and reasoning skills to facilitate their participation in the therapy process.


To maintain accurate and comprehensive client treatment records in line with NHS Bolton Policies, Council Policies, Disability Team Guidelines, College of Occupational Therapy Standards of Practice and the standards from the Occupational Therapy Learning Disability Special Interest Section (COTSSPLD).

To assist in ensuring that Assistant Practitioners adhere to current guidelines and policies.

To contribute to the audit of client records to ensure records are maintained in accordance with the College of Occupational Therapy and local standards and policies.

To produce accurate and complex clinical reports to referring clinicians, consultants, other professional and external agencies either verbally, electronically or in writing. Information may contain contentious and conflicting advice and will need to be presented in a highly skilled way.

Professional Ethics

To adhere to the required professional occupational therapy standards and ethics, and Health and Care Professions Council Guidance.

To be professionally and legally accountable for all aspects of own work, and maintain responsibility for client care, in individual cases, delegated to other managed staff to ensure high quality service.

To follow national, Foundation Trust, Local Authority, Occupational Therapy standards, policies, procedures and guidelines to ensure a high quality service.

To respect the individuality, choice, privacy, dignity, values, cultural and religious diversity of clients and carers to contribute to the provision of a service sensitive to these needs.

Service Development and Delivery

To identify, initiate and implement service developments to ensure best service delivery.

To independently plan, produce, evaluate and audit practice, clinical pathways and protocols within the multi-disciplinary Team to improve service provision, and contribute to evidence based practice.

To promote awareness of the role of the Occupational Therapist within the Learning Disability Team, external agencies, and the general public, to facilitate informed shared working practices.

To demonstrate understanding of national and local guidelines and legislation relating to Health and Social Care and their impact on service delivery.

Personnel and Service Resources

To induct, appraise and train Assistant Practitioners and Occupational Therapy staff to ensure a quality service provision.

To supervise and monitor performance of Assistant Practitioner and Occupational Therapy staff to ensure they are safe and effective in their treatment practice.

To identify deficits and defects in resources, materials and equipment required to carry out occupational therapy intervention, and action changes needed to ensure safe and effective practice.

To understand and implement procedures in relation to security and safety within the working environment to ensure safe working practice.

To exercise good personal time management, punctuality and consistent, reliable attendance to develop good and effective working practice.

To contribute to efficient use of resources by following policies and guidelines.

To deliver on request the induction and training of joint team members and outside agencies to enable a multi-professional approach to staff training.

To be responsible for the induction, supervision, training and evaluation of occupational therapy students to graduate level on fieldwork placements, thereby contributing to the education of future occupational therapists.

To participate in the recruitment and selection process of potential occupational therapy staff to maintain/develop existing workforce.

Professional Development

To actively source and implement current evidence based practice in learning disabilities in order to deliver best practice.

To be responsible for maintaining own competency to practice through Continuing Professional Development (CPD) and for maintaining a professional portfolio of evidence which reflects personal development, experiential learning, reflective practice and any relevant training or experience.

To participate in the staff appraisal scheme as an appraisee and be responsible

for complying with your agreed Personal Development Plan (PDP) to meet knowledge and skill competencies.

To review and reflect on clinical practice and performance through effective use of formal documented professional and operational supervision and appraisal so that ongoing training needs can be identified and competency to practice is maintained.

To actively participate in group clinical supervision sessions and provide clinical support to other occupational therapy clinicians.

To undertake the measurements and evaluate of your work and current practices through the use of evidence based practice projects, audit and outcome measures.

Person Specification



  • Diploma or Degree in Occupational Therapy
  • Current registration with HCPC
  • Evidence of Post Graduate study/Development with Occupational Therapy


  • Training in specialist assessments



  • Multi-disciplinary working across health and social care
  • Experience of working as an autonomous practitioner with a community caseload



  • Well developed, excellent communication skills.


  • Experience of working with service users with complex needs

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).

For more information about this job vacancy please contact Carol Royle, Allied Health Professional Clinical Lead,, 01204337709.

Connect with Bolton NHS Foundation Trust on Workforce Connect

Bolton NHS Foundation Trust, Farnworth Health Centre, Frederick Street, Bolton, BL4 9AH (view map). For more information about the practice please visit

Closing date: 25/04/2023Job type: PermanentStaff group: Allied Health ProfessionalsJob location: BoltonEmployer: Bolton NHS Foundation TrustAfC pay band: Band 7