Job summary
Join Nottingham CityCare's highly regarded MOSAIC Service (Musculoskeletal, Orthopaedic, Spinal Pain and Integrated CFS) as an Advanced Practitioner Physiotherapist.
In this role, you'll deliver advanced MSK assessment, diagnosis, first-line treatment and decision-making, including investigations and referrals. You will contribute to improving patient outcomes, developing the service, and supporting junior clinicians. Opportunities include:
- Orthopaedic triage of secondary-care referrals
- Clinical assessment and treatment planning within ICATS clinics
- Diagnostic referrals (MRI, X-ray, USS)
- Service evaluation and audit
- Regular supervision and structured in-service training
Ideal candidates include:
- Experienced clinicians able to work autonomously and manage complex decision-making across varied settings
OR
- Band 6 MSK physiotherapists seeking career progression in a supportive MDT environment
MOSAIC is a large, friendly and innovative MDT including physiotherapists, OTs, pain consultants, and rehab practitioners. We deliver high-quality, adaptable care for Nottinghams communities, with strong research links to the University of Nottingham. We are committed to patient-centred care, continuous development and supporting you to shape your career.
Ability to travel between clinic sites is essential.
Working hours are 07:4518:00, Monday to Friday, with flexible working considered.
For further information, please contact:
Adam Scott, Clinical Services Manager on 0115 883 8300.
Main duties of the job
- MSK Triage assessment clinics.
- Orthopaedic Hip and Knee OA Pathway
- MSK Hands Clinic
- Supervision of junior staff
- Contributing to implementation of specific changes to practice and service protocols.
- The ability to travel between clinic bases.
About us
We are a
provider of NHS Community Health Services, CityCare exists to support the
health and wellbeing of all local people, working alongside other health and
care partners to achieve this. We are a value driven, people business with a
passion for excellence. Our vision and social purpose is to make a difference
everyday to the health & wellbeing of our communities and our values of
kindness, respect, trust and honesty lie at the heart of everything we do,
guiding how we work together with partners and each other to consistently
deliver high quality compassionate care. As a social enterprise we aim to add
social value by investing in the future of our local communities and helping to
make a difference in peoples lives.
CityCare value
the benefits of a diverse and inclusive workforce. We encourage applications
from candidates who identify as disabled, LGBT+ or from a Black, Asian or
Minority Ethnic (BAME) background, as they are currently under-represented
within our organisation.
We are proud to be a forces-friendly
organisation and are dedicated to supporting Veterans, Service Leavers, Reservists, and
military spouses/partners. We value the unique skills and contributions you
bring.
CityCare is an
equal opportunities employer. We are positive about employing people with
disabilities. If you require your application in a different format please
contact People Services on 0115 8839418. CityCare is committed to the
protection of vulnerable adults and children.
Job description
Job responsibilities
Job Purpose
- Provide clinical expertise undertaking the assessment, planning and development of treatment programmes for clients with a wide variety of complex physical needs in a clinic setting.
- Progress and request investigations to facilitate diagnosis and choice of treatment regime, understanding the information limitations derived from these and the relative sensitivity and specificity of particular tests diagnostic services such as x-rays and blood test, and interpret and act on results to aid diagnosis and the management plans of patients.
- Deliver programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' physical activity, mobility, fulfilment of personal goals and independence, and that minimise the need for pharmacological interventions
- Be responsible for continuing the on-going development of high standards of clinical practice and expertise within the service, contributing to implementation of specific changes to practice and service protocols.
Dimensions
- To be responsible for the delivery of the MOSAIC service for clients referred by GPs, other health professionals, social services and self-referral.
- To supervise less experienced physiotherapists, support staff, and students. To supervise, educate and assess the performance of undergraduate physiotherapy students as required, ensuring to the standard of practice and teaching meets the standards set by the degree level qualification.
- To monitor and maintain performance of clinical sub-team of physiotherapists
- To work in an extended scope including but not exclusive to:
- Orthopaedic triage of secondary care referrals
- Low Back Pain triage of secondary care referrals
- Clinical assessment and treatment planning in Integrated Clinical Assessment and Treatment (ICATS) clinics
- Referral for diagnostic examinations (MRI scan, x-ray)
- Administering and evaluating outcome of injection therapy
Key Responsibilities
Clinical
- To be professionally and legally responsible and accountable for all aspects of your work, including the management of clients in your care and to support more junior staff to do likewise.
- To undertake general office procedures including photocopying, faxing, and the distribution of mail as required.
- To work effectively as part of a team to provide cover for other administration staff when required and to be flexible regarding working hours to meet the needs of the service.
- To be customer focused on behalf of the service and ensure that the reception people are given is welcoming and helpful.
- To have a lead role and determine by assessment and liaison with other relevant agencies the advice, education and treatment requirements of each client.
- Accountable for decisions and actions via HCPC registration, supported by a professional culture of peer networking/review and engagement in evidence-based practice
- To undertake the comprehensive, advanced assessment of clients including those with complex and/or chronic presentation using investigative and analytical skills and to formulate the individualised management and treatment plans, using clinical reasoning, a wide range of treatment skills and options to devise a specialised, individualised programme of care.
- Streamlines pathway of care by providing a responsive service so that patients receive timely access to care
- To accept clinical responsibility for a designated caseload of patients and to organise this effectively and efficiently, with regard to clinical priorities and time management.
- To provide highly specialised advice, teaching and training to other members of the primary health care team regarding physiotherapy management of clients with problems related to rehabilitation, ageing and obesity.
- To educate, supervise and manage less experienced members of the team along with support staff and students. Using appropriate documentation.
- To assess capacity, gain informed consent and work within a legal framework with clients who lack the capacity to make informed decisions.
- To provide spontaneous and planned advice, teaching and instruction to patients, carers and other professionals to promote an understanding of the aims of physiotherapy and ensure a consistent approach to client care.
- Uses a range of clinical skills which may include:
- non-medical independent prescribing
- joint / soft tissue injections
- joint aspirations
- Exercises professional judgement, making, justifying and taking responsibility for decisions in unpredictable situations, including in the context of incomplete/contradictory information.
- Manages interactions in complex situations, including with individuals with particular psychosocial and mental health needs and with colleagues across the primary care team, sectors and setting
- Works with MDT to develop more effective and streamlined clinical pathways and services
- Provides learning opportunities for the whole multi professional team within primary care.
Professional
- To participate in the development of good practice for physiotherapists within Nottingham CityCare Partnerships under the guidance of the professional lead for physiotherapist.
- To participate in the services marketing strategy internally and externally, developing local and regional networks.
- Demonstrate a commitment to evidence-based practice and make recommendations for change.
- To be responsible for your own continued professional development, attend training events, conferences and study days as highlighted within the organisations training strategy and your own professional and personal development.
- To demonstrate sound knowledge of clinical Governance and risk management and its application to the workplace.
- To participate in the staff appraisal scheme and personal development plans as both supervisor and supervisee.
Organisational
- To support the team in implementing targets and objectives, to assist in on-going developments, to participate in service evaluation and highlight to the team manager the needs of the local population.
- To be responsible for delegated management duties when requested by the team manager.
- To liaise effectively with other professionals and agencies to enhance the rehabilitation of the client population within the boundaries of Nottingham CityCare Partnerships.
- To ensure the health and safety of staff and clients at all times in accordance with health and safety legislation and the organisations policies and procedures
- To participate in identified data collection and statistics and to maintain clear concise and timely records in line with policy.
- To undertake any other duties which reasonably be required
External
- To communicate effectively with clients to agree treatment goals and maximise rehabilitation and to ensure understanding of their condition.
- Communication skills of persuasion, motivation, explanation and gaining informed consent will be used with a variety/ considerable number of clients. Barriers to effective communication will regularly evident. E.g. loss of hearing, language barriers, pain and fear. Some clients will lack the capacity to consent to treatment.
Job description
Job responsibilities
Job Purpose
- Provide clinical expertise undertaking the assessment, planning and development of treatment programmes for clients with a wide variety of complex physical needs in a clinic setting.
- Progress and request investigations to facilitate diagnosis and choice of treatment regime, understanding the information limitations derived from these and the relative sensitivity and specificity of particular tests diagnostic services such as x-rays and blood test, and interpret and act on results to aid diagnosis and the management plans of patients.
- Deliver programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' physical activity, mobility, fulfilment of personal goals and independence, and that minimise the need for pharmacological interventions
- Be responsible for continuing the on-going development of high standards of clinical practice and expertise within the service, contributing to implementation of specific changes to practice and service protocols.
Dimensions
- To be responsible for the delivery of the MOSAIC service for clients referred by GPs, other health professionals, social services and self-referral.
- To supervise less experienced physiotherapists, support staff, and students. To supervise, educate and assess the performance of undergraduate physiotherapy students as required, ensuring to the standard of practice and teaching meets the standards set by the degree level qualification.
- To monitor and maintain performance of clinical sub-team of physiotherapists
- To work in an extended scope including but not exclusive to:
- Orthopaedic triage of secondary care referrals
- Low Back Pain triage of secondary care referrals
- Clinical assessment and treatment planning in Integrated Clinical Assessment and Treatment (ICATS) clinics
- Referral for diagnostic examinations (MRI scan, x-ray)
- Administering and evaluating outcome of injection therapy
Key Responsibilities
Clinical
- To be professionally and legally responsible and accountable for all aspects of your work, including the management of clients in your care and to support more junior staff to do likewise.
- To undertake general office procedures including photocopying, faxing, and the distribution of mail as required.
- To work effectively as part of a team to provide cover for other administration staff when required and to be flexible regarding working hours to meet the needs of the service.
- To be customer focused on behalf of the service and ensure that the reception people are given is welcoming and helpful.
- To have a lead role and determine by assessment and liaison with other relevant agencies the advice, education and treatment requirements of each client.
- Accountable for decisions and actions via HCPC registration, supported by a professional culture of peer networking/review and engagement in evidence-based practice
- To undertake the comprehensive, advanced assessment of clients including those with complex and/or chronic presentation using investigative and analytical skills and to formulate the individualised management and treatment plans, using clinical reasoning, a wide range of treatment skills and options to devise a specialised, individualised programme of care.
- Streamlines pathway of care by providing a responsive service so that patients receive timely access to care
- To accept clinical responsibility for a designated caseload of patients and to organise this effectively and efficiently, with regard to clinical priorities and time management.
- To provide highly specialised advice, teaching and training to other members of the primary health care team regarding physiotherapy management of clients with problems related to rehabilitation, ageing and obesity.
- To educate, supervise and manage less experienced members of the team along with support staff and students. Using appropriate documentation.
- To assess capacity, gain informed consent and work within a legal framework with clients who lack the capacity to make informed decisions.
- To provide spontaneous and planned advice, teaching and instruction to patients, carers and other professionals to promote an understanding of the aims of physiotherapy and ensure a consistent approach to client care.
- Uses a range of clinical skills which may include:
- non-medical independent prescribing
- joint / soft tissue injections
- joint aspirations
- Exercises professional judgement, making, justifying and taking responsibility for decisions in unpredictable situations, including in the context of incomplete/contradictory information.
- Manages interactions in complex situations, including with individuals with particular psychosocial and mental health needs and with colleagues across the primary care team, sectors and setting
- Works with MDT to develop more effective and streamlined clinical pathways and services
- Provides learning opportunities for the whole multi professional team within primary care.
Professional
- To participate in the development of good practice for physiotherapists within Nottingham CityCare Partnerships under the guidance of the professional lead for physiotherapist.
- To participate in the services marketing strategy internally and externally, developing local and regional networks.
- Demonstrate a commitment to evidence-based practice and make recommendations for change.
- To be responsible for your own continued professional development, attend training events, conferences and study days as highlighted within the organisations training strategy and your own professional and personal development.
- To demonstrate sound knowledge of clinical Governance and risk management and its application to the workplace.
- To participate in the staff appraisal scheme and personal development plans as both supervisor and supervisee.
Organisational
- To support the team in implementing targets and objectives, to assist in on-going developments, to participate in service evaluation and highlight to the team manager the needs of the local population.
- To be responsible for delegated management duties when requested by the team manager.
- To liaise effectively with other professionals and agencies to enhance the rehabilitation of the client population within the boundaries of Nottingham CityCare Partnerships.
- To ensure the health and safety of staff and clients at all times in accordance with health and safety legislation and the organisations policies and procedures
- To participate in identified data collection and statistics and to maintain clear concise and timely records in line with policy.
- To undertake any other duties which reasonably be required
External
- To communicate effectively with clients to agree treatment goals and maximise rehabilitation and to ensure understanding of their condition.
- Communication skills of persuasion, motivation, explanation and gaining informed consent will be used with a variety/ considerable number of clients. Barriers to effective communication will regularly evident. E.g. loss of hearing, language barriers, pain and fear. Some clients will lack the capacity to consent to treatment.
Person Specification
Knowledge and skills
Essential
- Current local and national policy and practice developments.
- Equality, diversity and inclusion as it applies to employment and service provision.
- Evidence of achievement of appropriate competencies for clinical grade, demonstrating increased musculoskeletal knowledge following graduation.
- Teaching skills, 1:1 and to groups/teams
- Advanced clinical decision-making skills.
- Excellent prioritisation, organisation and time management skills.
- Ability to relate well to all groups of people and to create and maintain effective working relationships.
- Good team worker.
- Ability to work under pressure and manage caseload and team priorities in terms of risk and service performance priorities.
- Customer service skills.
- A particular interest in musculoskeletal physiotherapy.
- Enthusiastic and motivated.
- Flexible, adaptable, innovative, self-reliant and with a positive attitude. Ability to work under pressure.
Desirable
- Ability to teach physiotherapy students in a group environment e.g. lecturing
- Confidence and competence to make informed decisions relating to service provision, in the absence of line manager.
Qualifications
Essential
- BSc (Hons) in Physiotherapy.
- MSc (or working towards)
- HCPC Registered.
- Clinical Educators course.
- Evidence of achievement of appropriate competencies for clinical grade.
Desirable
- Accredited Injection Therapy (corticosteroid) qualification
- Other qualifications at Advanced Practice level e.g. MSc module in Advanced Practice, diagnostic requests etc.
Experience
Essential
- Working at a senior level in a musculoskeletal service.
- Treating patients with complex and chronic presentations, using a biopsychosocial approach
- Individual and group rehabilitation.
- Partnership and multi-agency working.
- Service development and audit
- Providing supervision for less experienced staff and students, including carrying out appraisals
Desirable
- Working in an Advanced Practice role e.g. Orthopaedic triage, First Contact Practitioner, carrying out steroid injections
- Working in a Chronic Pain Service
- Referral for diagnostic examinations (MRI scan, x-ray)
- Research activity
Special Requirements
Essential
- Ability to undertake frequent moderate physical effort for several short periods during the working day. Activities may include moving, manoeuvring people operating physiotherapy equipment.
- Periods of prolonged concentration as work pattern dictates and frequent exposure to distressing or emotional circumstances, and occasional unpleasant conditions.
- Full driving licence with access to a car, and the ability to travel between locations
- Proactive. Use of initiative and aware of own limitations.
Desirable
- Experience of working within multi- cultural communities.
- Assertive, good delegation skills, evidence of negotiation and managing conflict.
Person Specification
Knowledge and skills
Essential
- Current local and national policy and practice developments.
- Equality, diversity and inclusion as it applies to employment and service provision.
- Evidence of achievement of appropriate competencies for clinical grade, demonstrating increased musculoskeletal knowledge following graduation.
- Teaching skills, 1:1 and to groups/teams
- Advanced clinical decision-making skills.
- Excellent prioritisation, organisation and time management skills.
- Ability to relate well to all groups of people and to create and maintain effective working relationships.
- Good team worker.
- Ability to work under pressure and manage caseload and team priorities in terms of risk and service performance priorities.
- Customer service skills.
- A particular interest in musculoskeletal physiotherapy.
- Enthusiastic and motivated.
- Flexible, adaptable, innovative, self-reliant and with a positive attitude. Ability to work under pressure.
Desirable
- Ability to teach physiotherapy students in a group environment e.g. lecturing
- Confidence and competence to make informed decisions relating to service provision, in the absence of line manager.
Qualifications
Essential
- BSc (Hons) in Physiotherapy.
- MSc (or working towards)
- HCPC Registered.
- Clinical Educators course.
- Evidence of achievement of appropriate competencies for clinical grade.
Desirable
- Accredited Injection Therapy (corticosteroid) qualification
- Other qualifications at Advanced Practice level e.g. MSc module in Advanced Practice, diagnostic requests etc.
Experience
Essential
- Working at a senior level in a musculoskeletal service.
- Treating patients with complex and chronic presentations, using a biopsychosocial approach
- Individual and group rehabilitation.
- Partnership and multi-agency working.
- Service development and audit
- Providing supervision for less experienced staff and students, including carrying out appraisals
Desirable
- Working in an Advanced Practice role e.g. Orthopaedic triage, First Contact Practitioner, carrying out steroid injections
- Working in a Chronic Pain Service
- Referral for diagnostic examinations (MRI scan, x-ray)
- Research activity
Special Requirements
Essential
- Ability to undertake frequent moderate physical effort for several short periods during the working day. Activities may include moving, manoeuvring people operating physiotherapy equipment.
- Periods of prolonged concentration as work pattern dictates and frequent exposure to distressing or emotional circumstances, and occasional unpleasant conditions.
- Full driving licence with access to a car, and the ability to travel between locations
- Proactive. Use of initiative and aware of own limitations.
Desirable
- Experience of working within multi- cultural communities.
- Assertive, good delegation skills, evidence of negotiation and managing conflict.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
