Occupational Therapist

Job summary

Be the Occupational Therapist Patients Need - Driving Proactive Frailty Care in Primary Care

Are you passionate about delivering proactive, preventative care that keeps people well and independent in their communities?

We are looking for a dedicated Occupational Therapist to join our forward-thinking, multidisciplinary primary care team on a fixed term contract until 31/03/2027.

In this role, you'll deliver home-based functional assessment and intervention, focused on independence, home safety, and preventing deterioration in people living with frailty. As the role includes home visits, you'll need to be a car driver with access to a vehicle.

The successful candidate will deliver home-based assessment and intervention for patients living with frailty, focusing on functional independence, activities of daily living (ADLs), and environmental risk management.

The role centres on improving a patient's ability to safely manage at home, through targeted intervention addressing functional decline, cognitive challenges, and environmental barriers.

Working as part of the Primary Care Network multidisciplinary team, the Occupational Therapist will support proactive frailty management, contributing to shared care planning and coordinated, person-centred care across primary, community, and social care services.

Main duties of the job

This role plays a key part in reducing avoidable demand across primary and secondary care through early intervention, functional rehabilitation, and prevention of crisis related to loss of independence.

This role involves regular home visiting across the PCN footprint and therefore requires travel between patient locations. The successful candidate will play a key part in enabling the PCN to move from identifying high-risk patients to actively managing them within the community.

By working proactively across home, care home and community settings, the Occupational Therapist will target patients identified through frailty registers and risk stratification tools, deliver early intervention to prevent functional decline and crisis and reduce unplanned hospital admissions and avoidable A&E attendances. The successful candidate will support safe discharge and reduce readmissions, improve patient independence, safety and quality of life at home and contribute to improved system flow across primary, community and acute services

You will support the PCN to prevent avoidable hospital admissions, improve functional independence and ability to manage at home, reduce falls risk through environmental and behavioural intervention, support safe discharge and recovery at home and reduce GP workload through specialist functional assessment.

About us

Founded in August 2020 as Primary Care Physio; we grew rapidly to one of the fastest-growing fully managed First Contact MSK Physiotherapy clinical service providers in the UK. Underpinned by our reputation for delivering quality and sustainable care we established ourselves as England's largest national specialist ARRS clinical service provider; focused on supporting Primary Care Networks (PCNs) and their GP practices to deliver high-quality, tech-enabled NHS primary care clinical services.

Promni Health marks a new chapter. Built on the foundations of Primary Care Physio, it reflects who we are today; a fully managed clinical service provider working exclusively with the NHS to deliver high-quality diverse clinical service solutions aligned to local needs; delivering across primary care, community and neighbourhood health systems.

Our services are recognised as best-in-class for our industry, recently winning the 'Best in Primary Care & Diagnostics' Laing Buisson Awards in 2023 and 2025 awards. HSJ Independent Healthcare Provider Finalists in 2025 and 2026; including our Outstanding Contribution to Preventative Care. Health Investor award finalists 2026.

We directly employ over 400 talented clinicians serving 1000+ GP practices and a patient population of over 9 million. We conduct over 1 million patient consultation appointments per year.

Voted UKs best workplaces/best for development/best for women with a clinical staff retention rate of over 80%.

Job description

Job responsibilities

In this role, you will provide specialist occupational therapy assessment and intervention for patients within primary care, including:

• Functional assessments focusing on activities of daily living (washing, dressing, meal preparation, mobility within the home)
• Frailty assessments and proactive case management of high-risk patients
• Falls risk assessment and prevention strategies, including environmental modification
• Assessment of the home environment to identify risks and support safe independence
• Provision of equipment, adaptations, and practical strategies to support daily living
• Supporting patients and carers with behavioural strategies and routines to maintain independence
• Cognitive and functional assessment where appropriate (e.g. impact on safety and daily function)
• Individualised intervention plans to improve safety, independence, and confidence at home
• Supporting safe discharge from hospital and reducing readmission risk

You will work with patients to develop person-centred goals and care plans that focus on improving independence, safety, and quality of life.

Typical Working Pattern

The role is predominantly community-based and home visiting. A typical working week may include:

• Delivering approximately 46 home visits per day, depending on patient complexity and travel requirements
• Participation in MDT meetings and case discussions
• Time allocated for documentation, care planning, and coordination with MDT colleagues
• Supporting proactive case management of frailty cohorts
• Care home visits and remote consultations where appropriate

Multidisciplinary Working

The Occupational Therapist will work as part of the Primary Care MDT, collaborating with:

• GPs
• Advanced Nurse Practitioners
• Physiotherapists / First Contact Practitioners
• Social Prescribers
• Care Coordinators
• Community therapy teams
• Social care teams
• Voluntary sector services

The post holder will contribute to MDT discussions and care planning for complex patients.

Care Home and Community Support

The role will include assessing and supporting:

• Residents of care homes linked to the PCN
• Patients recently discharged from hospital in their homes
• Patients identified through PCN frailty registers or risk stratification tools
• Patients experiencing functional or cognitive decline impacting independence

This may involve home visits, care home visits, remote consultations and collaborative working with community MDT teams.

Service Development and Quality Improvement

You will contribute to improving local frailty services by:

• Supporting development and integration of occupational therapy pathways within primary care
• Participating in audit, evaluation and quality improvement initiatives
• Helping the MDT improve understanding of functional independence, home safety, and environmental risk
• Contributing to service evaluation and reporting outcomes

Professional Responsibilities

The Occupational Therapist will:

• Maintain professional registration with the Health and Care Professions Council (HCPC)
• Work in accordance with Royal College of Occupational Therapists (RCOT) professional standards
• Participate in clinical supervision and continuing professional development
• Maintain accurate patient records using appropriate clinical systems
• Follow safeguarding, governance and data protection policies

Typical Patient Groups

You will commonly support patients who:

• Are living with frailty or multiple long-term conditions
• Have declining function or mobility
• Are struggling to manage daily activities at home
• Have experienced falls or are at risk of falling
• Require support following hospital discharge
• Need environmental adaptations or rehabilitation to remain independent

Supervision and Governance

The Occupational Therapist will receive:

• Clinical supervision
• Professional support aligned with HCPC and RCOT standards
• Access to continuing professional development opportunities

Why This Role Matters in Primary Care

Occupational therapy in primary care enables earlier intervention for patients experiencing functional decline. By focusing on independence, rehabilitation and environmental support, OTs help patients remain safely in their homes while reducing demand on urgent and hospital services.

Person Specification

Experience

Essential

• Experience working with older adults or people living with frailty, including functional decline and loss of independence, activities of daily living (ADL) impairment, falls risk and home safety and cognitive or behavioural factors impacting independence
• Post-hospital discharge support: Experience of functional assessment and rehabilitation, strong communication and MDT working skills, ability to work autonomously within a community setting
• Full clean driving licence and access to own vehicle

Desirable

• Experience working in primary care or community services
• Experience working with care homes or frailty pathways
• Knowledge of NHS primary care systems and MDT working

Qualifications

Essential

• Degree or MSc in Occupational Therapy
• HCPC registered
• RCOT membership

Desirable

• Postgraduate training in frailty, rehabilitation or advanced practice

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).

Employer details

Employer name

Promni Health

Address

St. Clements Surgery, Churchgate Way

Terrington St. Clement

King's Lynn

Norfolk

PE34 4LZ

United Kingdom

Employer's website

https://www.promnihealth.co.uk (Opens in a new tab)

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