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Extended Scope Physiotherapist/Advance Practice Physiotherapist
| Posting date: | 12 November 2025 |
|---|---|
| Salary: | £64,156.00 to £71,148.00 per year |
| Additional salary information: | £64156.00 - £71148.00 a year |
| Hours: | Full time |
| Closing date: | 26 November 2025 |
| Location: | London, N1 5LZ |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | C9293-25-0571 |
Summary
Clinical Duties: Assess musculoskeletal patients where it appears they will require investigations or interventions beyond the core skills of physiotherapy. These patients will comply with the protocols for patients to be seen by ESPs under the Locomotor service. Request appropriate routine x-rays, MRI, ultrasound imaging, haematological and biochemistry investigations as agreed under the Locomotor service protocols. Use the results of these investigations to determine the appropriate course of management for musculoskeletal patients. Refer patients directly to the appropriate secondary care specialist, Rheumatology, Orthopaedics, and Neurology in lines with best practice and agreed Locomotor service protocols. Act as an autonomous practitioner within the bounds of competency seeking advice when appropriate from peers, or advanced members of the multidisciplinary healthcare team, such as Consultants and GPs. Autonomous practitioner via assessment diagnosis and treatment of patients with a high degree of skill, via manual therapy, gym based programs, referral to a departmental class, external class, or a combination of these. To provide extended skills treatments such as injections, ultrasound diagnosis, ultrasound guided injections. To jointly lead and supervise the process of screening of musculoskeletal referrals received by the trust. To provide expertise in the management of Chronic Pain Patients and able to apply biopsycho-social model of care to patients with complex presentations Identification of those patients appropriate for multidisciplinary intervention based on a biopsychosocial approach, and providing assistance for other staff members in doing the same. Prescribe medicines and development of supplementary prescribing as appropriate Service delivery: Contribute to the development of policy and procedures for efficient delivery of the service to ensure that the appropriate resources are utilised in all episodes of patient care as per the aims of the Locomotor service. Liaise with consultants, GPs, First Contact Practitioners and work closely with A&E staff and other key stakeholders to improve service delivery. To lead audit of service delivery and implement appropriate reasoned change. Provide a clinical perspective on service delivery to identify potential risk to service standards and assist in service development. To act as a lead for departmental queries in relation to the triage or screening of musculoskeletal referrals so that patients are seen in the appropriate department in line with service protocols and policies. Managerial Duties: To assist in the development of the extended skills physiotherapists role. Dealing with challenging patients. Ensuring that CPD components recommended by the professional body are factored into the work schedule of all therapists within the department. Supervise and manage Band 7, Band 6 and Band 5 physiotherapists within the Locomotor Service. Facilitating the personal and professional development of staff. This involves identifying training and development needs, providing suitable development opportunities and evaluating development actions in accordance with the Trusts appraisal and training procedures. Monitor the level and standard of work undertaken by your staff and to guide, coach and advise them as appropriate. Effectively induct new staff into the Trust/department in accordance with the Trusts induction programme. Administrative: Responsible for dissemination of information throughout the department relating to professional issues, education, trust initiatives. Maintain records of ESP clinics and recording actions and activity resulting from patient contact and investigations Provide relevant statistics required by the department and trust. Be responsible for maintaining accurate and comprehensive patient records in line with CSP standards of Practice using POMR. Complete MRI, ultrasography, X-ray and blood test request as appropriate, handle medical records and reports with care and in line with trust guidelines on information governance Professional: Be professionally and legally responsible and accountable for all aspects of your own work as per the standards established by the professional body (CSP). Educate other staff to ensure the CSP standards are met. Ongoing evaluation of competency of core physiotherapy and extended scope of practice skills. A commitment to evidence based practice individually and sharing a responsibility to promote this within the department. Act as an senior appraiser of Junior members of staff. Collaborative input into formulating teaching programs for less experienced members of the department. To be an active member of the in-service training program by the attendance of,and presentation of, departmental teaching sessions. Attending external courses appropriate to the post and ongoing professional development. Undertake the measurement and evaluation of work and current practices through the use of evidence based projects, audit and outcome measures, either individually or departmental liaison with senior members of staff. Make recommendations for change. Demonstrate a sound understanding of all components of Clinical Governance and Risk Management and apply to work situation. Assist with education on musculoskeletal assessment and management of other professions, including qualified medical staff. Be actively involved in professional and clinical groups, such as the Departmental Journal Club, CSP Clinical Interest Groups, Peer Review Groups and other professional development activities. Maintain accurate and legible patient records in line with CSP standards.