Highly specialist OT/Physiotherapist - Hand Therapy
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Epsom and St Helier University Hospitals NHS Trust Highly specialist OT/Physiotherapist - Hand Therapy
The closing date is 24 September 2026
Job summary
We are looking for a highly skilled, dynamic, enthusiastic and motivated Hand Therapist to join and help lead our wonderful MSK Hand Therapy Team. Experience of working within a Hand Therapy Service is essential, preferably within the NHS and with experience of managing patients from Acute Elective, Acute Trauma, Plastics and Rheumatology.
We have an active In-Service training programme and excellent links with our Consultant Surgical colleagues who also provide training for the team.
The caseload is varied with the majority being acute trauma or post-elective surgery but also includes community referrals from local GPs and FCPs.
The Hand Therapy unit is very busy but the team are very cohesive and supportive of one and other. The Hand Therapy Service is also part of the wider Surrey Downs Health & Care MSK Service.
Main duties of the job
Role Summary
1. To develop and provide effective and efficient specialist hand therapy services to patients within the context of a hand therapy setting, working autonomously and without direct supervision
2. To be responsible for the organisation, management, evaluation and development of the hand therapy service and to deputise for the Operational Lead as required.
3. To educate and train undergraduate and postgraduate healthcare professionals, in the management of hand conditions. To provide expert support and advice to clinical staff within and outside the organisation
4. To identify clinical research, audit, and data collection priorities within area of expertise to drive departmental clinical development strategy, in line with the governance agenda and in conjunction with the multidisciplinary team, using evidence-based practice
About us
Surrey Downs Health and Care deliver care closer to people's own communities through our Primary Care Networks, Community Hospitals, Specialist Services and our innovative partnership of local NHS organisations.
Surrey Downs Health and Care has a track record of providing person centered care that goes beyond organisational boundaries to do what is best for the individual. This partnership includes:
- The three GP federations GP Health Partners, Dorking Health Care and Surrey Medical Network representing practices that operate in the Surrey Downs area
- Epsom and St Helier's University Hospitals NHS Trust
- Surrey County Council
Historically, there have been boundary lines between the organisations that provide care to people in their homes, in GP surgeries and in hospitals, but we have always been united in our mission to provide great care to the people who need us.
It's on those grounds that the Surrey Downs Health and Care was formed - we want local people to receive the care that they need in the right environment. By bringing together our expertise, we can improve patient care and enable local people to access the right support, care and treatment more easily than ever before.
In bringing this partnership together, we are working to the same set of values that will translate into better care for our residents.
Details
Date posted
11 September 2026
Pay scheme
Agenda for change
Band
Band 7
Salary
£51,657 to £58,785 a year pro rata
Contract
Permanent
Working pattern
Part-time
Reference number
343-SDHC-8281920
Job locations
Epsom General Hospital
Dorking Road,
Epsom
KT18 7EG
United Kingdom
Job description
Job responsibilities
Professional
1. To be responsible for the development, implementation, and delivery of Occupational Therapy, within the context of hand therapy including assessment, treatment planning and implementation of treatment for a patient caseload. This caseload may be a combination of adults or paediatrics. To develop and implement treatment programmes and initiate discharge planning. To be skilled in assessing and interpreting a range of complex factors relating to the patients condition, including diagnosis and prognosis.
2. To communicate hand therapy assessment and treatment plans with patients and carers, dealing sensitively with distressing or emotional circumstances and being realistic about patients expectations.
3. To create an environment that promotes effective communication to patients, carers, and colleagues, being an effective communicator and demonstrating skills in empathy, reassurance, and the ability to motivate others.
4. To communicate with patient, carer and colleagues and multidisciplinary team members in relation to patient care, participating in decisions made. This will require communicating complex sensitive diagnostic and prognostic information.
5. To keep up-to-date and accurate clinical records on observations and treatment input to patient caseload within the Codes of Practice and professional guidelines for Occupational Therapy or Physiotherapy and, where appropriate, inform others of the patients clinical status, aims of treatment and ongoing management plan.
6. To be responsible for own learning, knowledge, and skills relevant to hand therapy. To be responsible for initiating access to appropriate training to address these in line with continued professional development (CPD).
7. To be responsible for keeping up to date with mandatory training.
8. To be aware of the current evidence base relating to professional practice and to interpret and apply this specialist knowledge in work.
9. To maintain the highest possible clinical and professional standards and to abide by national guidelines and standards relevant to a clinical caseload within hand therapy
10. To be aware of changing trends in treatments and the need to keep up to date with clinical developments. To be able to provide the highest standard of specialised care to patients in an effective and efficient way.
11. To assess, recommend and where appropriate provide a range of equipment and/or aids for the patients home and or workplace, to facilitate patients rehabilitation and discharge from hand therapy.
12. To supervise, monitor and ensure that staff are knowledgeable and trained in the effective use of Medical Devices inline with the Medical Devices Policy.
13. To provide support and supervision to a range of qualified and unqualified occupational therapy and physiotherapy staff, monitor the standard of treatment; give training and instruction as appropriate. To provide staff with clinical support and advice as necessary to enable the development of their skills.
14. To actively participate in clinical education and in-service training programmes and promote learning by encouraging all staff to attend and participate in in-service training, tutorials, individual training sessions, external courses, and peer review. To evaluate learning competencies as required.
15. To participate in staff appraisals as an appraisee and as an appraiser. To be responsible for complying with the agreed professional development programme and oversee that of supervisees.
16. As a supervisor assess and contribute to the performance assessment and appraisal of qualified and non-qualified staff.
17. To be responsible for teaching and training student Occupational Therapists to Graduate Level and students from other professions on the role of Occupational Therapy, clinical developments and techniques within the defined clinical area of expertise.
18. To actively participate and take a lead in the clinical audit within hand therapy and to participate in multidisciplinary research programmes as appropriate. To undertake the measurement and evaluation of occupational therapy practice through the use of evidence-based practice projects, audit and outcome measures, within hand therapy and / or the multidisciplinary team.
19. To be actively involved in the peer support and development groups and occupational therapy specialist sections within hand therapy and other professional development activities, as appropriate.
20. To maintain good working relationships with the team, patients, carers, and personnel from other agencies.
Job description
Job responsibilities
Professional
1. To be responsible for the development, implementation, and delivery of Occupational Therapy, within the context of hand therapy including assessment, treatment planning and implementation of treatment for a patient caseload. This caseload may be a combination of adults or paediatrics. To develop and implement treatment programmes and initiate discharge planning. To be skilled in assessing and interpreting a range of complex factors relating to the patients condition, including diagnosis and prognosis.
2. To communicate hand therapy assessment and treatment plans with patients and carers, dealing sensitively with distressing or emotional circumstances and being realistic about patients expectations.
3. To create an environment that promotes effective communication to patients, carers, and colleagues, being an effective communicator and demonstrating skills in empathy, reassurance, and the ability to motivate others.
4. To communicate with patient, carer and colleagues and multidisciplinary team members in relation to patient care, participating in decisions made. This will require communicating complex sensitive diagnostic and prognostic information.
5. To keep up-to-date and accurate clinical records on observations and treatment input to patient caseload within the Codes of Practice and professional guidelines for Occupational Therapy or Physiotherapy and, where appropriate, inform others of the patients clinical status, aims of treatment and ongoing management plan.
6. To be responsible for own learning, knowledge, and skills relevant to hand therapy. To be responsible for initiating access to appropriate training to address these in line with continued professional development (CPD).
7. To be responsible for keeping up to date with mandatory training.
8. To be aware of the current evidence base relating to professional practice and to interpret and apply this specialist knowledge in work.
9. To maintain the highest possible clinical and professional standards and to abide by national guidelines and standards relevant to a clinical caseload within hand therapy
10. To be aware of changing trends in treatments and the need to keep up to date with clinical developments. To be able to provide the highest standard of specialised care to patients in an effective and efficient way.
11. To assess, recommend and where appropriate provide a range of equipment and/or aids for the patients home and or workplace, to facilitate patients rehabilitation and discharge from hand therapy.
12. To supervise, monitor and ensure that staff are knowledgeable and trained in the effective use of Medical Devices inline with the Medical Devices Policy.
13. To provide support and supervision to a range of qualified and unqualified occupational therapy and physiotherapy staff, monitor the standard of treatment; give training and instruction as appropriate. To provide staff with clinical support and advice as necessary to enable the development of their skills.
14. To actively participate in clinical education and in-service training programmes and promote learning by encouraging all staff to attend and participate in in-service training, tutorials, individual training sessions, external courses, and peer review. To evaluate learning competencies as required.
15. To participate in staff appraisals as an appraisee and as an appraiser. To be responsible for complying with the agreed professional development programme and oversee that of supervisees.
16. As a supervisor assess and contribute to the performance assessment and appraisal of qualified and non-qualified staff.
17. To be responsible for teaching and training student Occupational Therapists to Graduate Level and students from other professions on the role of Occupational Therapy, clinical developments and techniques within the defined clinical area of expertise.
18. To actively participate and take a lead in the clinical audit within hand therapy and to participate in multidisciplinary research programmes as appropriate. To undertake the measurement and evaluation of occupational therapy practice through the use of evidence-based practice projects, audit and outcome measures, within hand therapy and / or the multidisciplinary team.
19. To be actively involved in the peer support and development groups and occupational therapy specialist sections within hand therapy and other professional development activities, as appropriate.
20. To maintain good working relationships with the team, patients, carers, and personnel from other agencies.
Person Specification
Qualifications
Essential
- Diploma/Degree in Occupational Therapy or Physiotherapy
- HCPC Registration
- CPD including evidence of reflective practice and clinical experience gained
- BAHT Level 1 Accreditation
Desirable
- Accredited Hand Therapist BAHT or equivalent.
- Fieldwork Educators Course
- Master's equivalent level training in related subject.
- Leadership qualification
Experience
Essential
- Comprehensive post registration experience, of which a sufficient amount must be in Hand Therapy
- Comprehensive splinting experience
- Experience of standardised assessments relevant to hand therapy
- Experience and proficiency with treatment modalities used in hand therapy
- Clinical teaching of OT's/PT's and MDT in local setting
- Experience of supervising / appraising therapy staff and students
Desirable
- Experience in assessment and treatment of paediatric patients
- Experience with exercise programmes / joint mobilisations
- Experience of wound management
- Participation in clinical research
- Recruitment and selection experience
- Team leadership experience
- Experience in therapies service development including clinical services
Skills
Essential
- Good clinical reasoning skills
- Ability to organise, prioritise and delegate
- Ability to document legible and accurate notes in English using the SOAP note writing system
- Excellent written and verbal communication skills in the English language
- Experience of standardised assessments relevant to hand therapy
- Proficiency with treatment modalities used in hand therapy
- Group work skills
- Ability to work under pressure
- Team leadership skills
- Experience of operational and staff management
- Good presentation skills
- Competent IT skills
Desirable
- UK Driver license and access to a car
Knowledge
Essential
- Clear demonstrable understanding of the therapies process
- Clear understanding of Evidence Based Practice.
- Working knowledge of hand assessments
- Working knowledge of hand anatomy
- Working knowledge and understanding of hand therapy protocols/treatment guidelines
- Understand the legal responsibilities of the working as a healthcare professional
- Have an understanding of Clinical Governance and implications for allied health services including experience of quality issues and audit
- Able to work within Trust's policies of data protection, equal opportunities and Health and Safety to meet the needs of the patients
Desirable
- Knowledge of current OT/PT and Government initiatives.
other
Essential
- Commitment to personal, professional and service development
- Professional approach and appearance
- Flexible, reliable and a team worker
Desirable
- BAHT Member
- RCOT or CSP Member
Qualifications
Essential
- Diploma/Degree in Occupational Therapy or Physiotherapy
- HCPC Registration
- CPD including evidence of reflective practice and clinical experience gained
- BAHT Level 1 Accreditation
Desirable
- Accredited Hand Therapist BAHT or equivalent.
- Fieldwork Educators Course
- Master's equivalent level training in related subject.
- Leadership qualification
Experience
Essential
- Comprehensive post registration experience, of which a sufficient amount must be in Hand Therapy
- Comprehensive splinting experience
- Experience of standardised assessments relevant to hand therapy
- Experience and proficiency with treatment modalities used in hand therapy
- Clinical teaching of OT's/PT's and MDT in local setting
- Experience of supervising / appraising therapy staff and students
Desirable
- Experience in assessment and treatment of paediatric patients
- Experience with exercise programmes / joint mobilisations
- Experience of wound management
- Participation in clinical research
- Recruitment and selection experience
- Team leadership experience
- Experience in therapies service development including clinical services
Skills
Essential
- Good clinical reasoning skills
- Ability to organise, prioritise and delegate
- Ability to document legible and accurate notes in English using the SOAP note writing system
- Excellent written and verbal communication skills in the English language
- Experience of standardised assessments relevant to hand therapy
- Proficiency with treatment modalities used in hand therapy
- Group work skills
- Ability to work under pressure
- Team leadership skills
- Experience of operational and staff management
- Good presentation skills
- Competent IT skills
Desirable
- UK Driver license and access to a car
Knowledge
Essential
- Clear demonstrable understanding of the therapies process
- Clear understanding of Evidence Based Practice.
- Working knowledge of hand assessments
- Working knowledge of hand anatomy
- Working knowledge and understanding of hand therapy protocols/treatment guidelines
- Understand the legal responsibilities of the working as a healthcare professional
- Have an understanding of Clinical Governance and implications for allied health services including experience of quality issues and audit
- Able to work within Trust's policies of data protection, equal opportunities and Health and Safety to meet the needs of the patients
Desirable
- Knowledge of current OT/PT and Government initiatives.
other
Essential
- Commitment to personal, professional and service development
- Professional approach and appearance
- Flexible, reliable and a team worker
Desirable
- BAHT Member
- RCOT or CSP Member
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).
Additional information
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
Epsom and St Helier University Hospitals NHS Trust
Address
Epsom General Hospital
Dorking Road,
Epsom
KT18 7EG
United Kingdom
Employer's website
https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)
Employer details
Employer name
Epsom and St Helier University Hospitals NHS Trust
Address
Epsom General Hospital
Dorking Road,
Epsom
KT18 7EG
United Kingdom
Employer's website
https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)
Employer contact details
For questions about the job, contact:
MSK Operational Manager
James Bowbrick
0792703933
Details
Date posted
11 September 2026
Pay scheme
Agenda for change
Band
Band 7
Salary
£51,657 to £58,785 a year pro rata
Contract
Permanent
Working pattern
Part-time
Reference number
343-SDHC-8281920
Job locations
Epsom General Hospital
Dorking Road,
Epsom
KT18 7EG
United Kingdom
Supporting documents
Privacy notice
Epsom and St Helier University Hospitals NHS Trust's privacy notice (opens in a new tab)
Support links
© Crown copyright
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