Specialist Occupational Therapist - Cardiorespiratory

Highly Specialist Occupational Therapist - Cardiorespiratory

Closing date: 18 January 2026

A fabulous opportunity to work as a clinical specialist cardio‑respiratory OT at The Royal Brompton Hospital. This post will include inpatient rehab within Critical Care, Cardiothoracic surgery and Respiratory Medicine spanning both NHS and Private Inpatient services and will work closely with other Allied Health Professionals within a multi‑disciplinary team model.

The successful postholder will work alongside Occupational Therapists within the HLCC clinical care group, managing a variable and complex clinical caseload with a high proportion of complex surgical and critical care conditions.

The post holder will need excellent communication and leadership skills.

As part of Guys and St Thomas Trust, we care about our staff.

We offer:

10 days of study leave a year and excellent opportunities in research and quality improvement, a comprehensive health and well‑being service.

To provide high quality occupational therapy interventions to a specialist caseload of in and outpatients including high dependency environments, inpatient wards (cardiac and respiratory), private inpatients and outpatient services including Pulmonary Rehab (PR) at Royal Brompton.

To provide highly specialist Occupational Therapy interventions using advanced clinical reasoning, critical thinking, reflection and analysis to support assessments using a client centred approach to adult patients within the service.

To be a key senior member of the Adult Heart and Adult Lung Therapies Team at RBH.

To assist junior staff in the management of complex cases requiring advanced clinical reasoning.

To manage a caseload of patients with highly complex needs, using evidence‑based and client‑centred principles to assess, plan and implement interventions demonstrating high‑level problem solving and clinical reasoning skills.

To provide leadership for staff, through regular supervision and annual appraisal.

The post holder will be base at The Royal Brompton Hospital but may be required to work at other GSTT sites.

• Receive referrals from adult wards and document all referrals in accordance with departmental and professional standards.
• Prioritise all new referrals to ensure that the response time reflects the departmental standard.
• Assess all newly referred patients within the time frame specified and keep the ward and multidisciplinary team (MDT) updated of the progress towards discharge.
• Provide the most complex individual and group client centred assessments to Pulmonary Rehabilitation (PR) and Respiratory patients.
• Manage the most complex cases addressing the occupational performance skills, patterns, contexts and activity demands in collaboration with patients and carers.
• Undertake Occupational Therapy specialist multi‑needs assessments using complex and advanced clinical reasoning demonstrating critical thinking, reflection and analysis to develop individual and group goal and task oriented treatment plans.
• Carry out specialist complex, physical and functional assessments and treatments using dexterity, coordination, manual and sensory skills to facilitate and promote functional independence.
• Prepare and disseminate reports and data including highly sensitive information regarding clinical examination and prognostic indicators for functional performance to vulnerable patient groups.
• Act as a source of clinical expertise and advice providing clinical leadership and a resource for other teams as appropriate.
• Develop collaborative treatment plans with patients, carers and colleagues both in the hospital and patients home environment, demonstrating ethical clinical reasoning and problem solving techniques to determine agreed outcomes across health and social care.
• Adapt treatment programmes according to the patient’s medical progress, following the patient between the critical care and high dependency unit to the wards.
• Assess and treat patients on the neurological pathway following the NICE guidelines for Stroke as well as the Trust and departmental standards.
• Ensure safety for self and others during all occupational therapy…