Overview
An exciting opportunity has arisen for an enthusiastic and motivated Physiotherapist or Occupational Therapist to join our expanding Admission Avoidance and Discharge Service (AADS) at East London NHS Foundation Trust. This role will provide a successful applicant with the opportunity to work in the Emergency Department (ED) at The Royal London Hospital (RLH) as part of the Admission Avoidance Team (AAT), and to work flexibly across the wider AADS pathways to take part in Rapid Response, Intermediate Care, and the newly launched Falls Pick‑Up Service. The specialist role is based between RLH and Mile End Hospitals, and in the community in the borough of Tower Hamlets, and is part of the Admission Avoidance & Discharge Service (AADS). This consists of a team of multidisciplinary professionals that work across the community and hospital to facilitate early discharge and prevent unnecessary hospital admission. The service uses the discharge to assess model and works closely with our social care partners, and will soon be integrating with the Reablement service.
Contact
For further details and informal visits contact: Eleanor.mata@nhs.net (Deputy Head Unplanned Care and Therapies) and Ayo.Ajabade@nhs.net (Clinical Lead, UCR)
About the role
We are looking for a highly motivated, innovative, and flexible Occupational Therapist to join our team in working with patients across a variety of clinical areas. Applicants must have a strong clinical skillset as well as the ability to manage complex cases independently, providing a comprehensive therapy assessment and intervention, evidencing problem solving and clinical reasoning skills in line with evidence‑based practice. The team has an excellent working relationship with hospital staff, GPs, the extended primary care teams, Ambulance crews, the Physician Response Unit, care home staff and other community services.
Responsibilities
* Support the multidisciplinary team across the service as well as deputising for the team lead when required.
* Work alongside other specialised therapists, nurses, and social workers in the team, as well as other therapists in the hospital and wider trust and will have access to regular supervision.
* Identify, assess, and coordinate admission avoidance and discharge for patients in the Emergency Department (ED) and Clinical Decision Unit (CDU) at The Royal London Hospital.
* Provide specialist assessment and treatment for patients with a wide range of complex physical, sensory, perceptual and cognitive problems within the ED or patient’s home to prevent unnecessary admission to hospital.
* Respond to patients referred to the service within 24 hours.
* Work within the Rapid Response Team to reduce unplanned hospital admissions by responding to referrals from community practitioners, for example GPs, and supporting clients in their own homes.
* Provide specialist client‑centred intervention, enabling clients to maximise their independence and return to their own homes safely and in a timely way.
* Rotate across the service pathways and provide follow‑up in the community as part of the Urgent Community Response covering Rapid Response, Falls Pick‑up, and Intermediate Care Teams.
Qualifications & Experience
Applicants must have a strong clinical skillset and the ability to manage complex cases independently, providing a comprehensive therapy assessment and intervention, evidencing problem solving and clinical reasoning skills in line with evidence‑based practice.
Values
* We Care
* We Respect
* We are Inclusive
Benefits
We are committed to improving lives and reducing health inequalities through innovative and integrated care. The Trust has a well‑established training and education programme, along with a robust personal development review programme to support you in the development of both your clinical and managerial skills.
Closing date
This advert closes on Sunday 22 Mar 2026.
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