Overview
The Transition Senior Support Worker will play a key role within the multidisciplinary team of the AMHS service, focusing on delivering expert occupational therapy support to individuals following discharge from acute mental health care. This position is dedicated to patients with frequent admissions, aiming to reduce the risk of future readmissions through comprehensive, person-centred occupational therapy interventions.
In this role, you will ensure a seamless transition into the community by providing integrated, person-centred care that upholds continuity of support. Working under the guidance of the Clinical Lead and Transition team, you will develop and implement tailored occupational therapy assessments, treatment plans, and interventions. Your approach will be solution‑focused, addressing the specific needs and preferences of each individual.
You will collaborate closely with AMHS and partner agencies to deliver a holistic and coordinated care pathway, helping service users access relevant local resources and opportunities that support their well‑being and recovery. By fostering a supportive environment, you will enable individuals to engage in meaningful activities that promote choice, empowerment and self‑determination. This role is essential in reducing readmissions and offers the opportunity to enhance your skills across healthcare, social care and community engagement.
Key Responsibilities
* Ensure a seamless transition into the community by providing integrated, person‑centred care that upholds continuity of support.
* Develop and implement tailored occupational therapy assessments, treatment plans and interventions under the guidance of the Clinical Lead and Transition team.
* Adopt a solution‑focused approach that addresses the specific needs and preferences of each individual.
* Collaborate closely with AMHS and partner agencies to deliver a holistic and coordinated care pathway.
* Help service users access relevant local resources and opportunities that support their well‑being and recovery.
* Foster a supportive environment to enable individuals to engage in meaningful activities that promote choice, empowerment and self‑determination.
* Verbalise and document any immediate concerns regarding service users in the appropriate medical/MDT files.
* Provide information, advice and guidance to service users, carers, families and other health and care professionals; conduct personalised discussions, communicate complex or challenging information and undertake social prescribing where required.
* Refer service users to additional services as appropriate.
Professional Expectations
* All interactions with service users should be underpinned by empathy and a clear understanding of the effects of disability in the areas of productivity, leisure and activities of daily living (ADL).
* All interactions should be sensitive and responsive to the service users’ ethnic, cultural and social background, using a range of communication and engagement skills as appropriate to the context.
About West London NHS Trust
West London NHS Trust is one of the most diverse providers of mental health, community and social care in the UK. With 3,982 staff caring for more than 800,000 people across the London boroughs of Ealing, Hammersmith & Fulham and Hounslow, we deliver services in the community (at home, in GP surgeries and care homes), hospital, specialist clinics and forensic (secure) units. We are rated good overall by the Care Quality Commission (CQC) and are committed to promoting hope and well‑being for all the people we serve.
We are keen to ensure that our workforce reflects the community it serves, particularly in terms of ethnicity, gender, disability, LGBTQ+ and experience of mental illness.
Candidate Pack & Person Specification
The candidate pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view the attached documents.
The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.
Application Deadline
This advert closes on Friday 2 Jan 2026.
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