Senior Occupational Therapist

We are looking for a dynamic Occupational Therapist, who has excellent communication and prioritisation skills with a flexible person-centred approach to join our supportive team. Would you like to join a dynamic and successful team that is dedicated to supporting the health and wellbeing of patients within our community? If you are looking for a fresh start or seeking a new challenge, this role offers you the ability to develop a broad range of skills and capabilities across a number of disciplines, leading to further career progression.

Looking for a role where you will be working with some of the city's most vulnerable people. With the Frailty team your role will primarily be providing preventative assessments to support the team in preventing progression of frailty and unnecessary admissions to hospital. Providing short term interventions that will support maintaining safety and independence at home. You will also have the opportunity to work in other areas including expediting early discharges from hospital. You will be working as part of an expanding Frailty HUB which has anticipatory, crisis and discharge arms. We integrate with other services, both primary and secondary care, social services, CVS and YAS.

Interviews are expected to be held on 17 February 2026. Please note: If we receive a high volume of applications, this advert may close earlier than the stated closing date.

Main duties of the job

• To undertake the specialist Occupational Therapy assessment and management of a designated group of patients within the specialty of patients within the Community Frailty Team.
• This will involve working with individuals, groups, carers and relevant others, providing specialist assessment and treatment in the home environment across York City locality.
• To provide support, specialist advice and training to more junior members of staff and students.
• To act as a resource providing information and advice regarding patients within the Community Frailty Team.
• To maintain records as an autonomous practitioner in accordance with legislation, professional and service policy.
• To contribute to the collection of business-related information to inform service development and priorities.
• To work flexibly as a member of the department responding to relevant service needs.
• Provide support to other colleagues when dealing with this group of patients.
• To be responsible for a defined area of service working without direct supervision.
• Clinical work is not routinely evaluated; however clinical work will be evaluated in line with Primary Care and service objectives.
• Access and advice is available from senior professional colleagues if required.
• Development of Occupational Therapist role within Community Frailty Team.

About us

Nimbuscare is a not-for-profit, socially driven organisation within the NHS family. We're collaborative, agile and innovative at our core, working with partners across the system to remove complexity, inspire trust and create person-centred solutions that make healthcare better for everyone.

What we do?

We work towards making a complex system simpler. Creating better, more seamless care closer to home.

How we do it?

By collaborating closely with GP Members, Patient Safety Partners and wider health and care organisations, combining shared insight and expertise to improve outcomes for local people.

Job responsibilities

• To undertake a comprehensive assessment of patients, including those with diverse or complex/multi-pathology presentations.
• Specialist functional assessment of cognitive, perceptual, sensory and motor skills, which may include the use of standardised testing.
• Use advanced clinical reasoning skills and assessment techniques, to provide an accurate treatment plan and to evaluate any intervention.
• To formulate and deliver a specialist, individual, goal-orientated treatment programme based on sound knowledge of evidence-based practice and treatment options using assessment, clinical reasoning skills and knowledge of treatment e.g. treatment techniques and principles, equipment provision and other alternative options.
• To maintain robust working relationships with the wider MDT including social care and voluntary sector colleagues.
• To provide training and advice on changes and adaptations to the patients lifestyle considering the environmental, emotional, physical, spiritual and social needs.
• To address occupational performance and skills deficits enabling the patient in areas of self-maintenance, productivity, education and leisure.
• Take responsibility for organising, triaging, and prioritising own caseload in line with service and patient needs.
• Adapt and readjust plans as situations change or arise, ensuring timely and effective interventions.
• Appropriately delegate duties to other members of staff to support safe, efficient, and high-quality service delivery.
• Motivate and encourage patients to participate in treatment programmes and where necessary alter treatment to maximise potential.
• To include families, carers and support staff in treatment programmes.
• To use a range of verbal and non-verbal communication tools to communicate effectively with patients and relevant others.
• The caseload will include individuals who have difficulties.
• Work in line with the clinical guidelines of the Royal College of Occupational Therapists (RCOT) and the Health and Care Professions Council (HCPC) standards, maintaining a working knowledge of both national and local standards.
• Take responsibility for the quality, effectiveness, and safety of own practice.
• Lead on complex case discussions and act as a point of escalation for clinical queries within the team.
• To undertake the measurement and evaluation of your work and current practices through the use of evidence-based practice projects, audit and outcome measures individually or with colleagues.
• To provide clinical supervision and support to colleagues as required.
• Take responsibility for formal supervision of designated Occupational Therapists, including conducting regular supervision sessions, supporting professional development, and contributing to performance reviews.
• Provide safe and effective training and education on all prescribed equipment, ensuring patients, carers, and relevant professionals are confident and competent in its use.
• To maintain and develop knowledge of current evidence-based practice and develop specialist knowledge of common presentations within frailty.
• To be an active member of the in-service training programme by attendance at, and participation in, and delivery of in-service training programmes, tutorials, individual training sessions, external courses and peer review.
• Deliver structured training sessions and informal learning opportunities for colleagues and students, ensuring best practice and continuous professional development across the team.
• To undertake as directed the collection of data for use in service evaluation, audit and research projects.
• To deputise for senior staff in their absence taking responsibility for operational management of the team.
• To contribute to flexible working practices according to service needs.
• The ability to recognise when a problem/issue should be escalated or referred for specialist investigation because it falls outside of the scope of the role and your professional knowledge.
• Contribute to service improvements by identifying training needs, supporting implementation of best practice, and leading quality improvement initiatives.
• Deputise for Team Lead when required.

Business responsibilities:

• Act as a senior role model supporting team development.
• Maintain ethos and culture of Nimbuscare Limited.
• Positively promote Nimbuscare Limited both in and out of the workplace.
• Adhere to Health & Safety and educate staff within your role.
• Attend educational and staff meetings as requested.
• To support the introduction of new working processes to optimise quality.
• To build and maintain relationships with relevant personnel.
• Apply Nimbuscare policies, standards and guidance.

Safeguarding:

Everyone within Nimbuscare has a responsibility for, and is committed to, safeguarding and promoting the welfare of Adults-at-risk (vulnerable adults), children and young people and for ensuring that they are protected from harm. Be fully aware of and understand your duties and responsibilities arising from the Children's Act 2004 and Working Together to Safeguard Children 2018, in relation to child protection and safeguarding children and young people. Be fully aware of and understand your duties and responsibilities arising from the DOH Policy No Secrets (2000), and the principles of safeguarding as they apply to Adults-at-risk (vulnerable adults) in relation to your work. Recognise the types and signs of abuse and neglect. Ensure the Nimbuscare Safeguarding Lead is alerted to, and kept fully informed of, any concerns you may have in relation to safeguarding adults, children and young people. Adhere to Nimbuscare and local Child Protection and Safeguarding Adult policies and procedures.

Learning and development:

You will participate in any training programme implemented by Nimbuscare Limited as part of this employment, such training to include:

• Participation in individual performance reviews, including maintaining a record of own personal and/or professional development.
• Make effective use of learning opportunities within and outside the workplace.
• Undertake mandatory and statutory training as required.
• Disseminate learning and information gained to other team members in order to share good practice and inform others about current and future developments.
• Understand own role and scope in the organisation and identify how this may develop over time.
• Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working.
• Accept delegation from senior staff, prioritise own workload and ensure effective time management strategies are embedded in own practice.
• Participate in team activities that create opportunities to improve patient care.
• Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team's performance.

Confidentiality:

Information relating to customers, carers, colleagues, other healthcare workers or the business of Nimbuscare may only be divulged to authorised persons in accordance with Nimbuscare policies and procedures relating to confidentiality and the protection of personal and sensitive data. Be aware of your responsibilities under the General Data Protection Regulations (GDPR).

Health & Safety:

You will assist in promoting and maintaining their own and others health, safety and security as defined in the Nimbuscare Health & Safety Policy, to include:

• Using personal security systems within the workplace according to guidelines.
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
• Making effective use of training to update knowledge and skills.
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.

Equality and Diversity:

You will support the equality, diversity and rights of customers, carers and colleagues, to include:

• Acting in a way that recognises the importance of people's rights, interpreting them in a way that is consistent with Nimbuscare procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of customers, carers and colleagues.
• Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Quality:

You will strive to maintain quality within Nimbuscare, and will:

• Alert other team members to issues of quality and risk.
• Assess own performance and take accountability for own actions, either directly or under supervision.
• Effectively manage own time, workload and resources.
• Work within own limitations and experience.
• Be aware of and co-operate with audit.
• Work effectively with individuals in other agencies to meet patients needs.
• Portray a professional image at all times.

Communication:

You should recognise the importance of effective communication within the team and will strive to:

• Communicate effectively with colleagues, patients and external parties.
• Recognise and have awareness of people's needs for alternative methods of communication and respond accordingly.

Other:

The job description is provided as an outline of the key tasks and responsibilities and is not intended to be an exhaustive list. The job will evolve over time to reflect the changing needs of Nimbuscare and its services as well as the personal development of the post-holder.

Person Specification

Qualifications

• BSc/MSc in Occupational Therapy (HCPC) registered.
• Membership of Royal College of Occupational Therapists (RCOT).
• Postgraduate training in frailty management, dementia care, falls prevention, or palliative care.
• Training in mentorship, or clinical supervision.

Teamwork: Works effectively as part of a multidisciplinary team, demonstrating flexibility and willingness to support colleagues across urgent care, surgery, and wider clinical teams.

Autonomy: Makes sound clinical decisions independently, drawing on professional knowledge and judgement while recognising professional boundaries.

Time & Workload Management: Manages unpredictable and fluctuating caseloads effectively, adapting to changing priorities and using appropriate communication methods.

Problem-Solving: Recognises when issues require escalation or referral to specialist services, ensuring safe and effective care delivery.

Resilience and Positive Attitude: Responds to challenges constructively with a commitment to learning, improvement, and service development.

Patient Focus: Maintains high standards of patient and stakeholder care, striving to deliver an excellent and continuously improving service.

Results-Orientated: Works efficiently to deadlines, demonstrating motivation to achieve personal and team objectives.

Confidentiality: Consistently adheres to organisational policies regarding confidentiality and data protection.

Organisation and Prioritisation: Plans and prioritises workload effectively, balancing competing demands with consideration for urgency and importance.

Other

• Holds a valid driving licence and has access to a vehicle for work-related travel.

Experience

• Experience of working in an OT role.
• Experience of supervising junior staff or students within a clinical setting.
• Demonstrated ability to lead on complex cases and provide clinical guidance to peers.
• Experience of contributing to service improvement projects.

Skills and Abilities

Communication Skills: Able to calmly, professionally, and efficiently identify and respond to patients and internal stakeholders needs. Demonstrates warmth, reassurance, and professionalism when delivering care or support. Skilled in signposting and referring patients appropriately to ensure they receive timely, effective interventions.

IT Skills: Competent in Microsoft Office applications and confident in learning new clinical systems. Able to accurately input, interrogate, and manage data with strong attention to detail. Demonstrates understanding of data confidentiality, processes, and procedures.

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.

£38,880.72 to £41,033.12 a year depending on experience.