
Job summary
Main duties of the job To act as an autonomous, registered practitioner who is legally and professionally accountable for own unsupervised actions guided by the professional code of conduct and Trust guidelines and protocols. Lead complex neurological assessments (stroke, ABI, MS, Parkinsons, MND, complex spasticity) Formulate and adapt highly specialist, evidence-based treatment plans Manage patients with severe physical, cognitive, perceptual and communication impairments Tracheostomy, PEG, NIV, and medically fragile presentations Lead high-level gait re-education, postural management, and upper limb rehabilitation Advanced handling of tone management, spasticity, contracture prevention Seating, wheelchair prescription, splinting, and positioning Perform and interpret formal outcome measures (e.g. BERG, FAC, MAS, TUG, ARAT) Provide expert input into risk management, capacity, and consent issues To be able to perform a competent assessment of patients, motor-skill exercises, mobility training, range-of-motion therapy, using clinical reasoning skills and manual assessment techniques to formulate a diagnosis based on the clinical findings of their condition. To comply with the organisation and departmental guidelines, protocols and policies, whilst adhering to Chartered Society of Physiotherapy (CSP) guidelines and Health Professions Council (HPC) requirements. Assess patient understanding of suggested physiotherapy management/rehabilitation programme, gain valid
Main duties of the job
Detailed job description and main responsibilities To provide a competent standard of physiotherapy assessment and diagnosis, based on clinical findings, develop and implement an individualised treatment programme to maximise patient potential. To be responsible for organising and prioritising own caseload in the day-to-day allocation of work. To deputise when required in your seniors absence and delegate appropriately to support workers and rehabilitation assistants with guidance as appropriate. To have organisational knowledge relating to Trust protocols and procedures and adhere to them, particularly administration of medicine and moving and handling. To be responsible for providing accurate records of information required by the Trust for audit purposes. To ensure effective risk management at team level by accident/incident reporting, assessing and controlling risk and ensuring residual risks Leadership Act as key clinician for complex or high-risk stroke/neuro patients Lead MDT goal-setting and discharge planning Identify deterioration and escalate appropriately Support early discharge planning with safe transfer of care Provide day-to-day clinical leadership to Band 5/6 physiotherapists and assistants Offer formal supervision, mentorship, and preceptorship Support staff with complex clinical reasoning, prioritisation and caseload management Act as a clinical role model promoting best practice To participate in the development of an effective team and
About us
NELFT NHS Foundation Trust provides mental health and community services for over 4.9 million people living in the London Boroughs of Waltham Forest, Redbridge, Barking and Dagenham, Havering, and across Essex. We work to ensure our patients, their friends and family, feel confident that their health needs are well met. With an excellent reputation for research and development, our skilled health professionals are at the cutting edge of evidence-based innovation, opening up the possibilities for better ways of working and delivery of care.
Details
- Date posted: 31 July 2026
- Pay scheme: Agenda for change
- Band: Band 7
- Salary: £49,387 to £56,515 a year
- Contract: Permanent
- Working pattern: Full-time
- Reference number: NDD-000719
- Job locations: Ilford Exchange, Ilford, Essex, IG1 1RS, United Kingdom
Job responsibilities
Job overview
Main duties of the job
To act as an autonomous, registered practitioner who is legally and professionally accountable for own unsupervised actions guided by the professional code of conduct and Trust guidelines and protocols.
Lead complex neurological assessments (stroke, ABI, MS, Parkinson’s, MND, complex spasticity)
Formulate and adapt highly specialist, evidencebased treatment plans
Manage patients with severe physical, cognitive, perceptual and communication impairments
Tracheostomy, PEG, NIV, and medically fragile presentations
Lead highlevel gait reeducation, postural management, and upper limb rehabilitation
Advanced handling of tone management, spasticity, contracture prevention
Seating, wheelchair prescription, splinting, and positioning
Perform and interpret formal outcome measures (e.g. BERG, FAC, MAS, TUG, ARAT)
Provide expert input into risk management, capacity, and consent issues
To be able to perform a competent assessment of patients, motor-skill exercises, mobility training, range-of-motion therapy, using clinical reasoning skills and manual assessment techniques to formulate a diagnosis based on the clinical findings of their condition.
To comply with the organisation and departmental guidelines, protocols and policies, whilst adhering to Chartered Society of Physiotherapy (CSP) guidelines and Health Professions Council (HPC) requirements.
Assess patient understanding of suggested physiotherapy management/rehabilitation programme, gain valid informed consent and to have the capacity to work within a legal framework with patients who are unable to consent to treatment.
To develop and provide an individual physiotherapy treatment programme based on best evidence-based practice, the treatment options may include the use of manual techniques, exercise classes, electrotherapy techniques and other alternate options.
Continuing evaluation and reassessment of patient progress and the altering of treatment programmes if required.
To be responsible for maintaining accurate and evaluative / comprehensive patient records in accordance with the Service / organisation standards on record keeping, and in line with CSP standards of practice.
To assist more junior staff in the guidance of student Physiotherapists to adhere to best practice.
To participate in weekend working rotas where appropriate.
To provide a competent standard of physiotherapy assessment and diagnosis, based on clinical findings, develop and implement an individualised treatment programme to maximise patient potential.
To be responsible for organising and prioritising own caseload in the day-to-day allocation of work.
To deputise when required in your senior’s absence and delegate appropriately to support workers and rehabilitation assistants with guidance as appropriate.
To have organisational knowledge relating to Trust protocols and procedures and adhere to them, particularly administration of medicine and moving and handling.
To be responsible for providing accurate records of information required by the Trust for audit purposes.
To ensure effective risk management at team level by accident/incident reporting, assessing and controlling risk and ensuring residual risks
Please see the attached JD for more details
Person specification
Other
Essential
- To be able to travel efficiently throughout the area
Skills
Essential
- Basic awareness of IT and IT skills
- Specialist Community care PT skills
- Effective problem-solving skills
- Demonstrates strong leader Ability to identify and assess the potential risks involved in work activities and processes for self and others ship skills
- Understanding of the legal responsibilities of the profession
- Good analytical & organisational ability
Knowledge
Essential
- In‑depth specialist knowledge of: Stroke and neurological conditions, Neurological assessment and treatment approaches
- Strong understanding of: Evidence‑based practice in stroke/neuro rehabilitation, National stroke and neuro rehabilitation guidelines
- Knowledge of safeguarding, clinical governance, and risk management
- Understanding of MDT working in community settings
- Knowledge of service development and quality improvement activities
Desirable
- Awareness of current research and emerging neuro-rehabilitation techniques
Experience
Essential
- To have a minimum of 3 years’ experience working as a band 6 as Physio with community care experience
- Significant experience working with Stroke patients, Complex neurological conditions
- Proven ability to manage highly complex patients with physical, cognitive and perceptual deficits
- Experience of advanced assessment, treatment planning, and outcome measurement
- Ability to manage complex caseloads independently
- Strong clinical decision-making and prioritisation skills
- Experience of MDT discharge planning and community liaison
- Experience of supervising band 5/6 staff, assistants and students
- Experience of successfully leading and implementing service improvement and change projects
Desirable
- Experience working at Band 7 level or acting up in a senior role
- Experience across acute, rehabilitation, and community neuro pathways
- Involvement in specialist clinics (e.g. spasticity, seating, mobility)
Qualifications
Essential
- Degree in Physiotherapy or working towards MSc
- HCPC registration as a Physiotherapist
- Evidence of Continuous Professional Development (CPD)
- Member of the Chartered Society of Physiotherapy (CSP)
Desirable
- Relevant postgraduate training in neurology or stroke rehabilitation
- Training in specialised neuro interventions (e.g. spasticity management, advanced handling)
- Leadership, management or education qualification
Demonstration of Trust Values
Essential
- We are kind
- We are respectful
- We work together with our communities
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This advert is for Physiotherapist Band 7 stroke and Neuro with North East London NHS Foundation Trust in Rainham, London, England. It is listed as a Band 7 Physiotherapist role. The advertised salary is £49387.00 to £56515.00. The contract type is Permanent. The application deadline is 12 Aug 2026.
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