CNWL NHS Foundation Trust • London SW1V 1DX
About this role
Westminster Community Mental health hubsare seeking a motivated and experienced Band 6 Occupational Therapist to join our new assertive outreach pathway.
This is an excellent opportunity for a therapist who is ready to take the next step in their career and develop their Occupational Therapy skills in a assertive outreach pathway in a community mental health setting.We are looking for someone who is passionate about delivering high‑quality care, proactive, engaged, and committed to supporting people in their mental health recovery.
The successful candidate will join an Occupational Therapy service that prides itself on innovation, excellent service delivery and continued learning.
This post is based in the West End Community Mental Health Hub, but you will be required to visit patients across the Boroughs depending on service demand.
We operate a five‑day service and working hours run from 9 am to 5 pm.
View this webpage and video for more information about Occupational Therapy in CNWLOccupational Therapy :: Central and North West London NHS Foundation Trust
CNWL Occupational Therapy Recruitment (FINAL) | Videos & Movies on Vimeo
The post holder will manage a small, high-intensity caseload, delivering time-limited interventions through proactive and persistent engagement. Practice will be guided by Assertive Outreach principles, including flexibility, collaborative risk management, and a strong focus on sustaining engagement and reducing barriers to care.
Working with individuals with high levels of complexity, the post holder will address issues such as disengagement, medication non-adherence, recent admissions, housing instability, substance misuse, and escalating risk. Interventions will be occupationally focused, strengths-based, and trauma-informed, supporting activity, participation, and recovery.
The role includes delivering interventions flexibly across settings, including home visits, community environments, and remote contact, requiring adaptable and responsive working patterns.
We are looking for an experienced and motivated Occupational Therapist with strong clinical skills in complex mental health. The ideal candidate will demonstrate confidence in risk management, outreach working, and engaging individuals who may be ambivalent about services. They will work autonomously within a multidisciplinary team and be committed to delivering recovery-focused, outcome-driven care within a structured outreach model, including clear goal setting, outcome measures, and planned step-down to routine CMHH care.
Are you passionate about helping others live meaningful lives? Join us as an Occupational Therapist at CNWL.
At the West End Community Mental Health Hub, based close to Victoria Station, we are committed to creating a supportive, inclusive and reflective working environment where people feel valued, listened to and able to do their best work. You will be part of a multidisciplinary team that prioritises recovery-focused, person-centred care and values collaboration, curiosity and compassion.
We recognise that high-quality care depends on staff wellbeing and support this through flexible working, regular supervision and protected reflective space. We are committed to developing our Occupational Therapists, offering role-relevant training, leadership development and opportunities to broaden or specialise practice within community mental health.
As part of CNWL, you will also benefit from a wide range of staff wellbeing resources, award-winning staff networks, and an extensive NHS benefits package designed to support your work–life balance and overall wellbeing.
See attached Job description and Person Specification for further information on the job role requirements.
Key Responsibilities
Clinical
- deliver specialist occupational therapy assessment and intervention for individuals with complex mental health needs
- provide assertive outreach interventions, including intensive and time-limited support during periods of risk or disengagement
- use proactive and persistent engagement approaches to maintain contact with individuals who are difficult to engage
- plan and deliver interventions with clear goals, outcome measures and structured transition planning
- contribute to risk assessment and management, balancing positive risk-taking with safety
- manage referrals and hold a small, high-intensity caseload within the multidisciplinary team
- prioritise work load and delegate appropriately to support staff
- apply occupational therapy models (e.g. MOHO) to inform clinical reasoning and interventions
- use outcome measures to evaluate effectiveness and inform care planning
- place service users at the centre of goal setting and involve carers where appropriate
- deliver culturally responsive and inclusive care
- prescribe equipment to support occupational performance in line with Trust policy
This advert closes on Monday 15 Jun 2026
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