Occupational therapist at Guy's and St Thomas' NHS Foundation Trust

The job at Guy's and St Thomas' NHS Foundation Trust

Occupational therapists help people do the everyday activities that matter to them when illness, injury, disability or ageing gets in the way. They assess what someone needs and wants to do, then grade tasks, teach new techniques, recommend equipment and adaptations and change the environment so the activity becomes possible again. Work ranges from discharge planning and home visits on an acute ward to hand therapy, mental health recovery groups, school-based paediatrics, vocational rehabilitation and social services housing assessments. People of all ages recovering from surgery, stroke or injury, and people living with mental illness, learning disability, dementia, long-term conditions or physical disability who want to live more independently.

At an acute trust such as Guy's and St Thomas' NHS Foundation Trust, that work means an acute hospital caseload — inpatients on the wards, emergency and critical care, theatres and diagnostics, and hospital outpatient clinics, with the working day shaped by admissions, ward rounds and discharge planning. Newly qualified posts here are usually rotational: four to six months at a time in a different clinical area, which is how you find out what you want to specialise in before you commit. Across the profession as a whole, occupational therapists work in settings including NHS acute trust, community rehabilitation team, NHS mental health trust, social services and local authority and schools and children's services — an organisation of this type will run some of those services and not others, which is why two posts with the same job title in the same city can be very different jobs.

Pay is not an employer decision. Agenda for Change is negotiated nationally and set separately in each of the four nations, so Guy's and St Thomas' NHS Foundation Trust pays band 5 exactly what every other NHS employer in England pays it: £32,073 at the bottom of the band on the 2026/27 scale. For context, median full-time pay across all occupations in London was £49,692 in 2025. What genuinely differs between two employers is the caseload, how rotations are structured, how much protected time you get for supervision and continuing professional development, how much band 6 progression is built into the establishment, and how far you travel between sites. Those are the questions worth asking at interview.