Job summary
An exciting opportunity has arisen for an extended scope physiotherapist (ESP) to join our team of ESPs within the Community Musculoskeletal (MSK) team in Ealing. The service is led by a Consultant Physiotherapist and is supported by an MSK Physician, a Consultant Neurosurgeon, as well as an administrative and secretarial team. The team is also developing a first contact practitioner team to provide a range of areas for clinical experience who work alongside the extended scope physiotherapists.
The successful applicant will have extensive neuro-musculoskeletal outpatient experience in addition to experience of orthopaedics and rheumatology or pain management (previous experience as an ESP is an advantage but is not essential).
The MSK service in Ealing is well established and provides a high level of training, clinical supervision and support. There are also opportunities to take part in a range of innovative service orientated or clinical projects whilst you develop your clinical skills
The post will be based within one of our Ealing community sites and will also incorporate some Agile working.
Main duties of the job
The Musculoskeletal Extended Scope Practitioner / Clinical Specialist is responsible for assessment, treatment and when clinically appropriate the onward referral of patients referred to primary care interface clinics.
As a senior member of the musculoskeletal team, you will provide support to the Consultant Physiotherapist/MSk Lead and the Physiotherapy Team Lead in the day-to-day running of services and in the evolution of musculoskeletal services within the Trust.
Vaccination
The duties of the service to which you are applying will involve potential to work in a care home setting. This means appointees are required to have the necessary certificate of proof they are either vaccinated or medically certified as exempt and legally able to work in such settings. In order to comply with our duty of care, we require our staff to have the COVID vaccine and we will ask for proof of vaccination during the recruitment process. If candidates are unable to meet the requirements then their application may not be progressed and a refusal to provide such evidence is grounds for an offer of employment to be refused.
About us
CNWL (Central and North West London NHS Foundation Trust) has almost 7,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.
Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.
We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. See attached Staff Reward and Wellbeing Handbook detailing our benefits, discounts and wellbeing intiatives for staff.
Become part of our team. We care for you as much as you care for others.
Job description
Job responsibilities
- To work as an autonomous practitioner, to triage (face to face or on paper) orthopaedic referrals from GPs, which would traditionally have been seen by a consultant orthopaedic surgeon, to exclude serious pathology and need for immediate surgery. To form a diagnosis and treatment plan, and offer immediate explanation to the patient/carer. This may include receiving and providing highly complex and sensitive information to patients who may have barriers to understanding. This will include referral for advanced diagnostics such as blood tests and MRI.
- To be responsible for the onward referral of patients referred to the community musculoskeletal clinics to other primary care musculoskeletal services, the acute sector and other partner organisations as is clinically appropriate.
- To use highly developed clinical reasoning and evidence based knowledge to draw up an appropriate management plan, from a range of options, in conjunction with the patient and implement any appropriate specialist physiotherapy treatment, either as a follow-up with self or referral on to the physiotherapy, orthopaedic and /or rheumatology services as required.
- To participate in the assessment, treatment and management of patients referred to the Community Specialist Musculoskeletal and Physiotherapy services.
- To provide clinical leadership and a source of clinical expertise. To be available for professional advice as required at outpatients clinics, onwards and in Ealing Rehabilitation Services (ERS).
- To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service.
- To assist the Consultant Physiotherapist/MSk Lead to monitor and evaluate the level and quality of services provided.
Job description
Job responsibilities
- To work as an autonomous practitioner, to triage (face to face or on paper) orthopaedic referrals from GPs, which would traditionally have been seen by a consultant orthopaedic surgeon, to exclude serious pathology and need for immediate surgery. To form a diagnosis and treatment plan, and offer immediate explanation to the patient/carer. This may include receiving and providing highly complex and sensitive information to patients who may have barriers to understanding. This will include referral for advanced diagnostics such as blood tests and MRI.
- To be responsible for the onward referral of patients referred to the community musculoskeletal clinics to other primary care musculoskeletal services, the acute sector and other partner organisations as is clinically appropriate.
- To use highly developed clinical reasoning and evidence based knowledge to draw up an appropriate management plan, from a range of options, in conjunction with the patient and implement any appropriate specialist physiotherapy treatment, either as a follow-up with self or referral on to the physiotherapy, orthopaedic and /or rheumatology services as required.
- To participate in the assessment, treatment and management of patients referred to the Community Specialist Musculoskeletal and Physiotherapy services.
- To provide clinical leadership and a source of clinical expertise. To be available for professional advice as required at outpatients clinics, onwards and in Ealing Rehabilitation Services (ERS).
- To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service.
- To assist the Consultant Physiotherapist/MSk Lead to monitor and evaluate the level and quality of services provided.
Person Specification
Education/ Qualifications
Essential
- oBSc or Diploma in Physiotherapy.
- oHPC registered
Desirable
- oMSc
- oIRMER
- oInjection Therapy Diploma
Knowledge & Experience
Essential
- oIn-depth knowledge in their chosen specialist clinical field.
- oCurrent knowledge on all issues relating to musculoskeletal medicine
- oKnowledge of the radiology guidelines applied to MSK conditions
- oKnowledge of pathology and blood tests used in MSK
- oMusculoskeletal experience some of which must be at a specialist level working with a purely musculoskeletal caseload.
- oGeneral experience of orthopaedics
- oManagerial experience and evidence of previous managerial responsibilities including direct supervision of staff.
- oTeaching experience including in-service programmes.
- oChange-management experience.
Desirable
- oKnowledge of IRMER
- oKnowledge of key aspects of radiological interpretation
- oKnowledge of key aspects of pathology and blood test interpretation
- oExperience of pain management, orthopaedics, rheumatology and neurosurgery.
- oIn-patient experience of orthopaedics
- oExperience and direct involvement of redesign within a service
Skills, Abilities and Attributes
Essential
- oLeadership skills
- oHigh level of capability using outcome measures and audit.
- oConfidence and ability to accurately assess and manage complex patient presentations to a high professional standard (including spinal manipulation).
- oDemonstrate the ability to critique your own practice.
- oAdvanced communication skills and confidence to discuss patient management with GPs, orthopaedic and rheumatology consultants.
- oAble to work well within a team setting to develop and evaluate new service models
- oAbility to manage time and workload effectively and to work in a high pressure environment
- oExcellent liaison and negotiation skills.
- oCommitment to specialist staff development and training
- oSelf-motivated and able to work independently and autonomously in a community setting.
Desirable
- oAbility to display advanced leadership skills in a clinical setting.
Person Specification
Education/ Qualifications
Essential
- oBSc or Diploma in Physiotherapy.
- oHPC registered
Desirable
- oMSc
- oIRMER
- oInjection Therapy Diploma
Knowledge & Experience
Essential
- oIn-depth knowledge in their chosen specialist clinical field.
- oCurrent knowledge on all issues relating to musculoskeletal medicine
- oKnowledge of the radiology guidelines applied to MSK conditions
- oKnowledge of pathology and blood tests used in MSK
- oMusculoskeletal experience some of which must be at a specialist level working with a purely musculoskeletal caseload.
- oGeneral experience of orthopaedics
- oManagerial experience and evidence of previous managerial responsibilities including direct supervision of staff.
- oTeaching experience including in-service programmes.
- oChange-management experience.
Desirable
- oKnowledge of IRMER
- oKnowledge of key aspects of radiological interpretation
- oKnowledge of key aspects of pathology and blood test interpretation
- oExperience of pain management, orthopaedics, rheumatology and neurosurgery.
- oIn-patient experience of orthopaedics
- oExperience and direct involvement of redesign within a service
Skills, Abilities and Attributes
Essential
- oLeadership skills
- oHigh level of capability using outcome measures and audit.
- oConfidence and ability to accurately assess and manage complex patient presentations to a high professional standard (including spinal manipulation).
- oDemonstrate the ability to critique your own practice.
- oAdvanced communication skills and confidence to discuss patient management with GPs, orthopaedic and rheumatology consultants.
- oAble to work well within a team setting to develop and evaluate new service models
- oAbility to manage time and workload effectively and to work in a high pressure environment
- oExcellent liaison and negotiation skills.
- oCommitment to specialist staff development and training
- oSelf-motivated and able to work independently and autonomously in a community setting.
Desirable
- oAbility to display advanced leadership skills in a clinical setting.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
