London North West University Healthcare NHS Trust

Highly Specialist Physiotherapist Neuro Medical/Respiratory Inpatients

The closing date is 26 February 2026

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Job summary

Summary of the Role

  • Act as an autonomous practitioner to assess and treatowncaseload, providing a highly specialist physiotherapy service for neuro-medical critical care patients.

  • Work as a core member of the multidisciplinary team (MDT) in acute neurology, critical care, and medical wards.

  • Provide specialist assessment and management for patients with complex neurological, respiratory, and multi-pathology conditions, including acute neurological deterioration, stroke, MND, and critically ill or complex medical patients.

  • Lead on the development and delivery of physiotherapy input within the neuro-medical critical care pathway.

  • Support theorganisation,prioritisation, and coordination of referrals across the neurology and medical inpatient services.

  • Provide supervision, line management, and clinical leadership to junior physiotherapists, assistants, and students.

  • Contribute to service development, clinical audit, qualityimprovementand research.

  • Engage in continuing professional development (CPD) andmaintaina portfolio of evidence.

  • Participate in the 7-day workingrotaand respiratory on-call service.

Main duties of the job

Summary of the Role

  • Act as an autonomous practitioner to assess and treatowncaseload, providing a highly specialist physiotherapy service for neuro-medical critical care patients.

  • Work as a core member of the multidisciplinary team (MDT) in acute neurology, critical care, and medical wards.

  • Provide specialist assessment and management for patients with complex neurological, respiratory, and multi-pathology conditions, including acute neurological deterioration, stroke, MND, and critically ill or complex medical patients.

  • Lead on the development and delivery of physiotherapy input within the neuro-medical critical care pathway.

  • Support theorganisation,prioritisation, and coordination of referrals across the neurology and medical inpatient services.

  • Provide supervision, line management, and clinical leadership to junior physiotherapists, assistants, and students.

  • Contribute to service development, clinical audit, qualityimprovementand research.

  • Engage in continuing professional development (CPD) andmaintaina portfolio of evidence.

  • Participate in the 7-day workingrotaand respiratory on-call service.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

  • Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
  • St Mark's Hospital: an internationally renowned specialist centre for bowel disease
  • Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
  • Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Details

Date posted

13 February 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year per annum Inclusive of High Cost Area Supplement

Contract

Permanent

Working pattern

Full-time

Reference number

337-NP-9403SM

Job locations

Ealing Hospital

London

UB1 3HW


Job description

Job responsibilities

Working Relationships & Communication

Communicate complex, sensitive, and sometimes distressing information to patients and families, including prognosis, rehabilitation potential, and treatment complexity.

Use advanced communication strategies with patients who have cognitive, communication, or physical barriers (e.g., tracheostomy, intubation, dysphasia, reduced consciousness).

Work collaboratively within the MDT to support safe,timelydischarge planning and coordinated care.

Provide written documentation including discharge summaries, therapy reports, care plans, and MDT contributions in line with CSP and Trust standards.

Deliver teaching and training to MDT colleagues, students, and physiotherapy staff.

Communicate performance feedback and support PDPs for junior staff.

Clinical Responsibilities

Undertake highlyspecialist assessment and treatment of patients with acute and complex neurological and medical presentations, including:

Stroke, neuromuscular disorders, rapidly deteriorating neurology

Critical illness, complex respiratory compromise, highdependency needs

Multi-pathology, frailty, complex discharge needs

Interpret andanalyseadvanced diagnostics including CT/MRI imaging and complex medical information.

Formulateindividualisedtreatment plans using advanced clinical reasoning.

Identifyand respond promptly to acutely deteriorating patients, escalating appropriately.

Deliver specialist interventions such as neuromuscular facilitation, complex respiratory care, positioning, casting/splinting, earlymobilisationand rehabilitation.

Support seamless transitions across acute, community, and outpatient services.

Prioritiseand manage own and team caseloads based on clinical need.

Maintainhigh standardsof clinical governance, safety, and risk management.

Leadership & Management Responsibilities

Linemanageandsupervisejunior physiotherapists, assistants, and students.

Support recruitment,inductionand workforce planning.

Support management of service cover, annual/study leave, and sickness.

Manage conflict sensitively within teams and follow Trust HR processes as needed.

Deputisefor senior leads asrequired.

Ensure safe and effective use of therapy equipment, includingassessing forand ordering specialist items.

Service Development & Improvement

Lead and contribute to audits, quality improvement projects,researchand evaluation of service outcomes.

Deliver and contribute to inservice training across neuro, medical and critical care pathways.

Participate in Trust and regional networks to support evidence-based practice and guideline development.

Contribute to strategic planning and operational development of neuro-medical physiotherapy services.

Handling Difficult Situations

Provide empathetic support for patients and families experiencing distress,uncertaintyor deterioration.

Communicatedifficult or unwelcome information in a professional and compassionate manner.

Work in emotionally demanding environments, including critical care and deteriorating patients.

Physical Demands & Working Environment

Frequent moderate to intense physical effort for patient mobility,positioningand manual therapy.

Exposure to bodily fluids and challenging clinical environments.

Work flexibly across areas, including rapid transitions during emergencies.

Occasional lone working in community or offward areas with remote senior support.

Job description

Job responsibilities

Working Relationships & Communication

Communicate complex, sensitive, and sometimes distressing information to patients and families, including prognosis, rehabilitation potential, and treatment complexity.

Use advanced communication strategies with patients who have cognitive, communication, or physical barriers (e.g., tracheostomy, intubation, dysphasia, reduced consciousness).

Work collaboratively within the MDT to support safe,timelydischarge planning and coordinated care.

Provide written documentation including discharge summaries, therapy reports, care plans, and MDT contributions in line with CSP and Trust standards.

Deliver teaching and training to MDT colleagues, students, and physiotherapy staff.

Communicate performance feedback and support PDPs for junior staff.

Clinical Responsibilities

Undertake highlyspecialist assessment and treatment of patients with acute and complex neurological and medical presentations, including:

Stroke, neuromuscular disorders, rapidly deteriorating neurology

Critical illness, complex respiratory compromise, highdependency needs

Multi-pathology, frailty, complex discharge needs

Interpret andanalyseadvanced diagnostics including CT/MRI imaging and complex medical information.

Formulateindividualisedtreatment plans using advanced clinical reasoning.

Identifyand respond promptly to acutely deteriorating patients, escalating appropriately.

Deliver specialist interventions such as neuromuscular facilitation, complex respiratory care, positioning, casting/splinting, earlymobilisationand rehabilitation.

Support seamless transitions across acute, community, and outpatient services.

Prioritiseand manage own and team caseloads based on clinical need.

Maintainhigh standardsof clinical governance, safety, and risk management.

Leadership & Management Responsibilities

Linemanageandsupervisejunior physiotherapists, assistants, and students.

Support recruitment,inductionand workforce planning.

Support management of service cover, annual/study leave, and sickness.

Manage conflict sensitively within teams and follow Trust HR processes as needed.

Deputisefor senior leads asrequired.

Ensure safe and effective use of therapy equipment, includingassessing forand ordering specialist items.

Service Development & Improvement

Lead and contribute to audits, quality improvement projects,researchand evaluation of service outcomes.

Deliver and contribute to inservice training across neuro, medical and critical care pathways.

Participate in Trust and regional networks to support evidence-based practice and guideline development.

Contribute to strategic planning and operational development of neuro-medical physiotherapy services.

Handling Difficult Situations

Provide empathetic support for patients and families experiencing distress,uncertaintyor deterioration.

Communicatedifficult or unwelcome information in a professional and compassionate manner.

Work in emotionally demanding environments, including critical care and deteriorating patients.

Physical Demands & Working Environment

Frequent moderate to intense physical effort for patient mobility,positioningand manual therapy.

Exposure to bodily fluids and challenging clinical environments.

Work flexibly across areas, including rapid transitions during emergencies.

Occasional lone working in community or offward areas with remote senior support.

Person Specification

Qualifications

Essential

  • HCPC
  • BSc/MSc Physiotherapy

Desirable

  • Post Qualification- Neuro, Rehabilitation or Respiratory courses
  • Member of specialist interest group

Experience

Essential

  • Minimal 2-3 years Band 6 experience- with neuro/respiratory
  • Band 5 experience in NHS
  • Supervision experience of Band 5 and or Students
  • Respiratory on call competence

Desirable

  • Teaching to therapists and MDT
  • Audit or quality improvement experience
  • Attendance at conferences
  • Leadership courses
Person Specification

Qualifications

Essential

  • HCPC
  • BSc/MSc Physiotherapy

Desirable

  • Post Qualification- Neuro, Rehabilitation or Respiratory courses
  • Member of specialist interest group

Experience

Essential

  • Minimal 2-3 years Band 6 experience- with neuro/respiratory
  • Band 5 experience in NHS
  • Supervision experience of Band 5 and or Students
  • Respiratory on call competence

Desirable

  • Teaching to therapists and MDT
  • Audit or quality improvement experience
  • Attendance at conferences
  • Leadership courses

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).

Employer details

Employer name

London North West University Healthcare NHS Trust

Address

Ealing Hospital

London

UB1 3HW


Employer's website

https://www.lnwh.nhs.uk (Opens in a new tab)

Employer details

Employer name

London North West University Healthcare NHS Trust

Address

Ealing Hospital

London

UB1 3HW


Employer's website

https://www.lnwh.nhs.uk (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Acute Therapy Lead

Laura Walters

laura.walters7@nhs.net

07790986548

Details

Date posted

13 February 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year per annum Inclusive of High Cost Area Supplement

Contract

Permanent

Working pattern

Full-time

Reference number

337-NP-9403SM

Job locations

Ealing Hospital

London

UB1 3HW


Supporting documents

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