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Job summary
The Advanced Practice Physiotherapist for Fracture/A&E will operate at an advanced level of clinical practice, providing expert triage, assessment, and management of musculoskeletal (MSK) conditions and undifferentiated symptoms within a virtual setting. This specialist role acts as the Subject Matter Expert (SME) for Urgent Care and A&E pathways, ensuring clinical excellence in the identification and management of acute injuries and fractures.
Main duties of the job
- Clinical Excellence and Subject Matter Expertise
- Urgent Care Leadership and Training
- Governance, Audit and Incident Management
- External Provider and Relationship Management
About us
At HBSUK - Our mission is simple: everything we do is about making healthcare better.
Working in partnership with the NHS, we combine digital, blended, and insourcing services to improve access to care and support elective recovery.
Clinical excellence, patient safety, and collaboration are at the heart of everything we do. Our dedicated operational and administrative teams provide full support, allowing you to focus on delivering outstanding clinical care.
By joining HBSUK, you'll benefit from flexible working opportunities, strong clinical support, and the chance to make a real difference
Details
- Date posted: 14 August 2026
- Pay scheme: Other
- Salary: £1 a year
- Contract: Permanent
- Working pattern: Full-time, Home or remote working
- Reference number: M0010-26-0005
- Job locations: HBSUK – Pure Offices, Lake View Drive, Annesley, Nottingham, NG15 0DT, United Kingdom
Job responsibilities
Main Responsibilities
- Act as the SME for patients presenting with acute MSK injuries, including those potentially requiring A&E or Urgent Care intervention
- Conduct high-level clinical examinations from physiological and psychological perspectives to establish rapid and accurate diagnoses
- Request and interpret radiological investigations (e.g. X-rays, MRI), understanding the sensitivity and specificity required to identify acute pathology
- Expertly manage the interface between virtual assessments and face-to-face (F2F) urgent care or orthopaedic services
- Lead on the development and delivery of urgent care and fracture management training for the wider Advanced Practice team and physiotherapists
- Act as a positive role model and mentor, educating team members on the latest evidence-based acute MSK pathways
- Contribute to and lead the creation of local protocols and standards specifically for urgent care and fracture screening
- Lead on clinical investigations regarding patient complaints and incidents, with a specific focus on missed fractures and acute diagnostic errors
- Utilise structured frameworks to identify learning from near-miss events and implement service-wide changes
- Initiate and lead the audit cycle to monitor the quality of acute care delivery and ensure compliance with national clinical guidance, NICE guidelines and CQC requirements
- Collaborate with clinical leads to deliver a robust clinical governance strategy for virtual MSK services
- Provide specialist subject matter expertise to external physiotherapy providers regarding urgent care and acute injury management as required
- Support external providers with clinical incident investigations or complex case reviews involving acute injuries when requested
- Offer specialist training input to external partners to ensure alignment with HBSUK's acute clinical pathways.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Person specification
Experience
Essential
- Minimum 3 years experience working within a Fracture Clinic, Orthopaedic Service, Urgent Care, or A&E
- Minimum 3 years in an autonomous MSK role as an APP or FCP
- 3 years experience requesting radiological investigations
Desirable
- Experience working in a remote role
- Experience in leading or training other APPs
Qualifications
Essential
- BSc/Grad Dip in Physiotherapy with HCPC registration
- IRMER trained and certified
Desirable
- MSc or evidence of Masters level study in Advanced Clinical Practice
Knowledge and Skills
Essential
- Expert clinical reasoning and the ability to adapt physical exams to a virtual setting.
- Excellent IT skills and interest in health-tech
- SME level knowledge of clinical governance and risk management
- Self-motivated and capable of acting on own initiative without supervision
- Strong communication and presentation skills
Desirable
- Knowledge of clinical governance and CQC requirements
- Interest in data analysis to improve outcomes
- Critical appraisal and data analysis skills for improving outcomes
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Applying for this NHS job
This advert is for Specialist Advanced Physio Practitioner - Fracture/A&E with Healthcare Business Solutions (UK) Limited in HBSUK – Pure Offices, Lake View Drive, Annesley, Nottingham, NG15 0DT, United Kingdom, United Kingdom. It is listed as a Physiotherapist role. The advertised salary is £1.00. The contract type is Permanent. The application deadline is 31 Aug 2026.
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