Job overview
To work as a Musculoskeletal Advanced Physiotherapist Practitioner in a community setting that is delivering an MSK Single Point of Access service.
To provide an expert and highly developed musculoskeletal assessment, diagnosis and appropriate onward management of patients presenting with chronic and acute musculoskeletal problems to the service referred via their GP, self-referral or MSK physiotherapists.
Triage orthopaedic, pain and rheumatology secondary care referrals independently on electronic referral management systems.
Make onward appropriate consultant and/or physiotherapy referrals and to discharge patients directly from the clinic.
To use expert clinical reasoning skills to provide specialist support and advice to other musculoskeletal staff whilst maintaining a case load as an autonomous practitioner which includes highly complex patients.
Responsible for the operational management and the planning, co-ordinating, delivering and evaluating of the Hounslow and Richmond Secondary Care Referral Triage Musculoskeletal 2
Responsible for leadership in maintaining and improving all aspects of clinical governance, evidence-based practice and quality assurance in collaboration with the Consultant Physiotherapist in the HCH NHS Trust musculoskeletal service.
To develop in conjunction with other agencies evidence based clinical care pathways for assessment and management of patients with neuro-musculoskeletal pain across primary and secondary healthcare settings.
Main duties of the job
To assist the musculoskeletal service manager in the operational management and the planning, co-ordinating, delivering and evaluating of the HCH NHS Trust musculoskeletal physiotherapy service.
Take a lead clinical and managerial role in the supervision, teaching and appraisal of Band 7, 6 & 5 Physiotherapists, technical instructors and assistant Physiotherapists, Physiotherapy students and other members of the multi-disciplinary team as appropriate.
To assist the Hounslow Planned Care Divisional Manager, Musculoskeletal Service Clinical Manager, Consultant Physiotherapist, and other lead physiotherapists in the provision of the Musculoskeletal service as necessary.
To advise other health professionals and provide expert specialist advice regarding type of intervention and its impact related to pathology
To be a key contributor to development of new services through membership of multidisciplinary steering group and propose changes, develop protocols and procedures which impact on other professions working in specialist area.
To undertake audit/research projects related to the post and service, and within the Musculoskeletal Service.
Comply with the Chartered Society of Physiotherapy Guidelines and Health Professions Council Code of Professional Conduct and all other relevant national and local policies and procedures. 3
Detailed job description and main responsibilities
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 as attached
The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.
Person specification
Knowledge
Essential
- Underpinning and advanced knowledge to assess and diagnose a range of highly complex conditions using holistic assessment; identifying risk factors; mental health assessments; requesting, undertaking and/or interpreting diagnostic tests; providing appropriate advanced treatment options
- Advance knowledge of anatomy and physiology underlying MSK injuries
- Good knowledge of complex pain syndromes
Desirable
- Understanding of local population health needs, agencies and networks
Experience
Essential
- Significant experience in musculoskeletal speciality of Physiotherapy, including experience at band 7 (ACP) level or equivalent.
- Expert clinical skills in MSK conditions and ability to work outside traditional boundaries
- Collaborative working with a range of multi-agency and inter professional resources
- Ability to influence and enhance patient care in highly complex circumstances and where information on life changing or limiting conditions/impacts are involved
- Evaluation, audit and improvement of own and others’ clinical practice
- Experience of operational team management
Desirable
- Evidence of publication or ability to write to this standard
- Evidence of teaching at an advanced level
- Experience of developing and implementing care pathways and protocols, policies and procedures
- Leading new clinical practice and service redesign solutions with a focus on productivity, efficiency and clinical impact
- Continually developing practice in response to changing population health needs, changing commissioner requirements and future developments
- Building capacity and capability through work based and inter-professional learning
- Disseminating best practice research findings and quality improvement projects through appropriate media and fora
- Experience of operational team management
- Facilitating collaborative links between clinical practice and research
- Experience of managing employee relations issues e.g. disciplinary, grievance
- Experience of investigating complaints and incidents with recommendations for improvement
Qualifications
Essential
- Degree or equivalent in Physiotherapy
- HCPC registration
- Master’s degree in advanced clinical education, or equivalent level 7 education or training relevant to role
- Supervision / Coaching / Mentoring
- Formal management training or willing to undertake training within 6 months
- IELTS Level 7 (Overseas candidates only)
Desirable
- IMER qualification
- Relevant injection therapy qualification, or willing to undertake training within 6 months
- Relevant prescribing qualification or willing to undertake training within 6 months
- Member of the Musculoskeletal Association of Chartered Physiotherapists / Relevant special interest group membership
Skills and Abilities
Essential
- Good IT skills, including use of Excel, presentation software, electronic patient record systems and digital health solutions
- Able to organise, chair and facilitate meetings
- Patient focused and person-centred approach, working in partnership with individuals, families and carers
- Using expertise and decision-making skills to inform advanced clinical reasoning approaches, synthesising information from multiple sources to make appropriate, evidence-based judgements and/or diagnoses
- Willing and able to take personal responsibility
- Critical reflection on own practice, self-awareness, emotional intelligence, and openness to challenge and change
- Excellent organisation skills and ability to multitask, prioritise effectively and meet delivery standards
- Working across boundaries and broadening sphere of influence.
- Ability to undertake risk assessment and risk management especially with complex and unpredictable events; implementing solutions to immediate problems
- Use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service.
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Applying for this NHS job
This advert is for MSK Advanced Practitioner with West London NHS Trust in Southall, London, England. It is listed as a Band 8 Nurse practitioner role. The advertised salary is £63,665 - £70,887 per annum inclusive. The contract type is Fixed term: 12 months (Business Development). The application deadline is 25 Jun 2026.
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