MSK Advanced Physiotherapy Practitioner

We have an exciting opportunity for a Band 8A Advanced Practice Physiotherapist (APP)to join our establishedAdult Musculoskeletal (MSK) Assessment Service.We are a community-based service accepting a broad range of MSK referrals from local General Practitioners (GPs) to provide enhanced assessment, facilitating onward referral and management.

We are seeking a dynamic and passionate clinician with extensive experience in the assessment, management, and treatment of MSK conditions. This role is ideal for someone who thrives in a collaborative environment and is committed to delivering high-quality, patient-centered care.

You will play a pivotal role in advanced clinical decision-making, supporting service development, and fostering strong relationships with key stakeholders. In return, we offer excellent opportunities forContinuing Professional Development (CPD) and broad personal growth.

Main duties of the job

• Comprehensive Assessment & Diagnosis:Undertake detailed assessments of patients with a wide range of physical and emotional needs.
• Clinical Decision-Making:Order and interpret diagnostic tests where appropriate and manage onward referrals.
• Triage & Case Management:Review referrals from GPs, including those with complex medical issues, and ensure timely, effective triage.
• Multi-Disciplinary Collaboration:Present cases succinctly at MDT meetings and liaise closely with consultant colleagues to facilitate onward care.
• Injection Therapy:Ideally contribute to the injection therapy service, administering corticosteroid injections for common MSK presentations.
• Teaching & Supervision:Provide clinical leadership, teaching, and supervision to the MSK Physiotherapy Service and support students and junior staff.
• Service Development:Promote a positive and dynamic culture, building productive relationships with local GPs and other stakeholders.
• Pain Service Liaison:Work closely with the Enfield Pain Service, a community-based multidisciplinary team with strong links to our service.

We are committed to supporting your professional development and offer opportunities to enhance your advanced practice skills.

About us

North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London's busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond.

Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients' wellbeing.

We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families.

For more information, please access the following link:

Job responsibilities

The post holder is part of the MSK physiotherapy team providing high quality physiotherapy services to meet the needs of a multicultural and diverse population of the London Borough of Enfield.

As one of the most senior members of the musculoskeletal physiotherapy service and as an Advanced Physiotherapy Practitioner (APP), your role will include screening, filter referrals and manage the care of those patients who otherwise would have been referred to and seen by a hospital Consultant. To achieve this the post=holder will work outside the normal scope of physiotherapy practice, facilitating Role Redesign and Service Modernisation across Primary and Secondary care.

To provide the highest level of expertise on musculoskeletal conditions within the physiotherapy service, providing expert advice to other services and professionals including GPs and hospital medical staff.

Participate actively in the senior management of the Physiotherapy service contributing to its wider support and development.

Person Specification Education / Qualification

• Degree/Diploma Physiotherapy.
• MSc in Physiotherapy Degree/degree equivalent.
• HCPC Registered
• Recognised/validated orthopaedic MSK postgraduate training.
• Relevant evidence of CPD
• Non Medical Prescriber
• Any relevant leadership and management training, e.g. process mapping and redesign; demand and capacity.
• US qualification and Injection Therapy qualification

Previous Experience

• Minimum of 9 years post grad experience of which 5 years at Senior level in MSK outpatients including GP direct access work and the management of complex and chronic conditions.
• Evidence of organisational and supervisory experience.
• Experience of working at an APP level in Primary Care.
• Experience in teaching at regional level.

Skills and Aptitudes

• Able to process manage and communicate highly complex information to colleagues and patients who may be emotional distressed or antagonistic.
• Advanced level of expertise in the management of MSK problems and up to date clinical skills across a broad spectrum of approaches to the management of musculoskeletal problems, utilising advanced manual assessment and treatment and therapeutic handling skills.
• Ability to performance manage and develop staff
• Ability to interpret investigations and present cases clearly at MDT
• Participation in peer network for personal support and development.

Knowledge Awareness and Understanding

• Understanding of own personal development and learning needs.
• Awareness of the modernisation agenda in relations to musculoskeletal services.
• Advanced grasp of the management of complex pain and chronic conditions underpinned by a broad base

Other Essential Factors

• Excellent working knowledge of NHS systems of care, processes and relationships.
• Ability to meet the demands of the post including travel

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

£61,631 to £68,623 a yearper annum, pro rata, inclusive of outer London HCAS