Residential Care employment contract

OT PT Therapy Assistant Employment Contract UK

Define safe delivery of delegated occupational therapy and physiotherapy activities while reserving assessment, prescription and programme redesign to therapists.

Watercolour illustration showing Therapy Assistant (OT/PT) at work in Residential Care on a pale sage background
This contract includes Deliver therapy activities delegated and signed off by the responsible therapist. Prepare the person, environment and equipment for each planned session. Support mobility and functional practice using assessed techniques. Preview before payment PDF and editable DOCX files after checkoutBuilt for UK employers

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This page is maintained for UK employers creating therapy assistant (ot/pt) contracts for residential care. HRHeaven uses a legally validated and solicitor-approved self-service contract framework, with wording for role duties, confidentiality, notice, holiday, probation and practical workplace expectations. It does not replace individual legal advice for complex or disputed circumstances.

Last updated
19 June 2026
Content owner
HRHeaven employment documentation team
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UK employer template review, versioned clause logic and preview before payment

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What's included in your contract

Job description

Clear role overview and key responsibilities.

Probation period

Clear probation terms for the selected arrangement.

Role-specific duties

Maintained responsibilities, records and authority boundaries for the selected role.

Working hours

Standard and flexible working arrangements.

Holiday entitlement

Holiday terms explained for the selected arrangement.

Confidentiality

Client and company confidentiality.

Disciplinary process

Clear process and employee rights.

Notice periods

Notice terms explained for both parties.

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Before you create it

Use this Therapy Assistant (OT/PT) contract with confidence

Practical checks to help an employer choose the right starting point and prepare the information the document needs.

When to use this contract

Maintain consistent delegated therapy sessions, produce accurate observation of function and response, and deliver prepared and safely used therapy equipment.

Workplace context: Care home, community care, client home or agreed care settings.

What makes this role different

Follow the Employer's documented arrangements covering professional supervision. Follow the Employer's documented arrangements covering delegated competency. Follow the Employer's documented arrangements covering equipment and moving support. Follow the Employer's documented arrangements covering clinical records and escalation. Follow the Employer's documented arrangements covering CQC requirements where applicable.

Not a fit / obtain specialist advice

Recheck the role or obtain appropriate advice if the work would exceed these maintained authority boundaries: The assistant may deliver activities signed off within competence. Assessment, diagnosis, equipment prescription, goal change and discharge require the responsible therapist or clinical team. Obtain approval before committing expenditure, changing contractual commitments or making regulated or staffing decisions outside the assigned role.

What to prepare before you issue it

  • whether duties support occupational therapy, physiotherapy or both
  • the resident group, settings and delegated activities covered
  • the supervision frequency and named therapist contacts
  • the moving, equipment and clinical-record competencies required
  • the shift, appointment and travel arrangements
  • the limits on progression, equipment adjustment and unsupervised practice

Day-to-day operating brief

What Therapy Assistant (OT/PT) work looks like in practice

An OT/PT therapy assistant delivers delegated rehabilitation activities, prepares equipment and reports response to occupational therapists or physiotherapists. The contract should define supervision, competency and the difference between carrying out a plan and independently assessing or redesigning treatment.

Responsibilities reflected in the contract

  • Deliver therapy activities delegated and signed off by the responsible therapist.
  • Prepare the person, environment and equipment for each planned session.
  • Support mobility and functional practice using assessed techniques.
  • Observe and record performance, assistance, symptoms and response accurately.
  • Stop sessions and escalate pain, dizziness, deterioration or equipment concerns.
  • Clean, store and check therapy equipment under local procedures.

A realistic working scenario

A resident becomes dizzy during a mobility practice that was previously tolerated. The assistant stops, makes the person safe, records the response and contacts the therapist or nurse rather than reducing the aid or changing the exercise independently.

Outputs to agree

  • consistent delegated therapy sessions
  • accurate observation of function and response
  • prepared and safely used therapy equipment

Records and evidence

  • Delegated session and goal.
  • Assistance level and response.
  • Equipment check and issue.
  • Adverse response and therapist handover.
  • Care plans.
  • Care notes.

Reporting relationship

Typically reports to Registered Manager, Service Manager, Team Leader or Care Coordinator. Confirm the employer's actual reporting structure in the builder.

Authority and escalation

  • The assistant may deliver activities signed off within competence. Assessment, diagnosis, equipment prescription, goal change and discharge require the responsible therapist or clinical team.
  • Obtain approval before committing expenditure, changing contractual commitments or making regulated or staffing decisions outside the assigned role.

Tools and systems

  • Care record systems.
  • Rostering systems.
  • Medication records where authorised.
  • Moving and handling equipment where trained.
  • Secure communication tools.

Workplace context

  • Care home, community care, client home or agreed care settings.

Training and certification

  • Complete employer-required safeguarding training.
  • Complete employer-required health and safety training.

Contract priorities

  • professional supervision
  • delegated competency
  • equipment and moving support
  • clinical records and escalation

Information the employer should prepare

  • whether duties support occupational therapy, physiotherapy or both
  • the resident group, settings and delegated activities covered
  • the supervision frequency and named therapist contacts
  • the moving, equipment and clinical-record competencies required
  • the shift, appointment and travel arrangements
  • the limits on progression, equipment adjustment and unsupervised practice

Individually written and reviewed against the maintained role record.

Maintained role evidence

The facts this Therapy Assistant (OT/PT) contract is built around

These role-pack details give an employer something concrete to check before using the contract for residential care work.

Work setting

Care home, community care, client home or agreed care settings.

Primary duties

  • Deliver therapy activities delegated and signed off by the responsible therapist.
  • Prepare the person, environment and equipment for each planned session.
  • Support mobility and functional practice using assessed techniques.
  • Observe and record performance, assistance, symptoms and response accurately.

Tools and training to confirm

  • Care record systems.
  • Rostering systems.
  • Medication records where authorised.
  • Moving and handling equipment where trained.

Governance focus

CQC context where applicable. Follow the Employer's documented arrangements covering professional supervision. Follow the Employer's documented arrangements covering delegated competency. Follow the Employer's documented arrangements covering equipment and moving support.

Contract builder output

Therapy Assistant (OT/PT) clauses and builder inputs

HRHeaven builds the contract from the employer's answers, the selected industry, and the role-specific wording for this job.

Role wording

Therapy Assistant (OT/PT) duties

Maintain consistent delegated therapy sessions, produce accurate observation of function and response, and deliver prepared and safely used therapy equipment.

Deliver therapy activities delegated and signed off by the responsible therapist. Prepare the person, environment and equipment for each planned session. Support mobility and functional practice using assessed techniques. Observe and record performance, assistance, symptoms and response accurately. Stop sessions and escalate pain, dizziness, deterioration or equipment concerns.

Builder answers

What the contract builder captures

Employer and employee details Role title and reporting line Pay, hours and working pattern Holiday, probation and notice Workplace and site rules Company branding and e-sign

Preview before purchase

Complete the builder, check the document output, then pay only when you are ready to download.

Specific clauses

What is added to the finished contract

The assistant may deliver activities signed off within competence. Assessment, diagnosis, equipment prescription, goal change and discharge require the responsible therapist or clinical team.

Obtain approval before committing expenditure, changing contractual commitments or making regulated or staffing decisions outside the assigned role.

Follow the Employer's documented arrangements covering professional supervision.

Follow the Employer's documented arrangements covering delegated competency.

£19.99 one-off contractPreview before payment, then download the branded PDF and send for signature.

Employee handbook bundle

Therapy Assistant (OT/PT) Contract + Employee Handbook Bundle

Pair the contract with a fully customisable employee handbook and keep the role wording, workplace rules, branding and policies aligned from day one.

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After the contract

Run the employee lifecycle with HR Actions

Once the Therapy Assistant (OT/PT) contract is created, HR Actions help residential care employers manage the next HR steps: recruitment, probation, performance, absence, disciplinary, grievance and offboarding.

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Frequently asked questions

Can a therapy assistant change an exercise programme?

Not substantively unless the responsible therapist has delegated a defined progression. New goals or techniques require therapist review.

What should be recorded after a session?

Record the planned activity, support given, measurable response, difficulty, equipment and any reason for early stop or escalation.

Can an OT/PT Therapy Assistant assess a new resident?

They may gather delegated observations, but independent assessment, diagnosis, goals and treatment planning remain with the appropriately registered therapist.

May the assistant progress an exercise when it looks easy?

Only within a progression expressly delegated and supported by competence; otherwise the response should be recorded and referred to the responsible therapist.

Who can alter prescribed mobility equipment?

The assistant should report fit, function or safety concerns, while prescription and material adjustment belong to the authorised therapist or equipment service.

What if a resident becomes dizzy during practice?

Stop the activity, make the person safe, follow the clinical escalation route and document the activity, observable response and action taken.

Can therapy sessions take place in the community?

Yes where the plan, staffing, travel, lone-working, equipment and emergency arrangements support that location and activity.

How should assistance during a therapy session be recorded?

State the planned task, setup, prompts or physical support, measurable performance, symptoms, equipment and any variation or early stop.

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