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Extended Scope Practitioner and Clinical Service Lead for MSK
The closing date is 19 October 2025
An exciting opportunity has arisen for an experienced Extended Scope Physiotherapist to join the Hillingdon Musculoskeletal Physiotherapy Service. This pivotal role offers the chance to work at the forefront of community care, providing advanced clinical expertise and professional leadership.
The Clinical Service Lead will be expected to lead and manage the Community MSK Physiotherapy Service, including the provision of specialist Pelvic and Women's Health Physiotherapy, Vestibular Rehabilitation, or other MSK-related teams. The role ensures delivery of high-quality, personalised, and accessible services to patients who meet the clinical referral criteria, in line with NWL ICS commissioned service levels.
You will play a key role in advancing the team's clinical practice, ensuring delivery of evidence-based interventions through direct patient care, advanced assessment, clinical supervision, training, and education. The role also involves contributing to service development by leading audits, research, and service evaluation to ensure practice remains responsive to the needs of patients, families, and carers.
Applicants must be HCPC-registered Physiotherapists with extensive post-graduate experience in adult services, advanced clinical skills in patient-centred assessment and intervention, and proven ability to lead teams within the community setting.
Main duties of the job
The Extended Scope Practitioner will work as part of the Musculoskeletal Physiotherapy service, along with an operational team lead, to deliver advanced clinical service within the community.
This post will involve undertaking comprehensive assessments, including the interpretation and integration of complex clinical information from a variety of sources such as advanced diagnostic tests, imaging, and clinical examination. You will provide specialist interventions for individuals, their families, and carers, ensuring evidence-based, patient-centred care.
The role will also include contributing to the training, education, and supervision of colleagues within the multidisciplinary team, as well as playing an active part in service development, audit, and quality improvement initiatives. Regular clinical supervision and opportunities for continued professional development will be provided to support your extended scope of practice.
About us
We're passionate about delivering safe and effective care in a community setting or in the individual's own home. Our service users are at the heart of everything we do. Providing excellent clinical care depends on our ability to employ the best people. We are always looking to recruit outstanding people who will go the extra mile to support our service users, colleagues, teams and the Trust. With every new employee, we are hoping to find our future leaders and will support our staff by providing opportunities to develop your career. With a diverse culture and equally diverse range of opportunities across our children, mental health, and community services and more - whatever stage of your career you're at - there's always a place for you at CNWL.
You will work from Monday to Friday, 9am to 5pm, providing a service for Musculoskeletal Physiotherapy in the Hillingdon area. The post will be based at Beaufort House, Uxbridge, UB8 1QG or In order to meet the needs of the Trust's services you may be required to work at different locations to your normal place of work.
Job responsibilities
Detailed Job Description and Main Responsibilities
To provide a highly specialist MSK physiotherapy service, including advanced assessment, diagnosis, treatment planning, implementation, and evaluation of outcomes for patients referred to the Community MSK Physiotherapy Service.
To utilise extended scope skills where appropriate, such as requesting diagnostic imaging, administering injections, prescribing (if qualified), and providing advanced clinical interventions to support timely and effective patient management.
To contribute to enabling other staff, service users, and carers from diverse backgrounds to flourish by promoting a supportive and inclusive clinical environment.
To provide clinical supervision, mentorship, and consultation as appropriate, functioning as a lead specialist within MSK physiotherapy.
To lead and participate in service evaluation, clinical audit, and research to ensure continuous quality improvement and evidence-based practice.
To work as an autonomous practitioner within HCPC and CSP guidelines, adhering to local and national policies and procedures, and exercising professional responsibility in interpreting these within defined parameters.
To agree outcomes with the Clinical/Professional Lead and take responsibility for delivering them effectively, ensuring that service objectives and patient needs are met.
Person Specification
Qualifications & Training
* Registered Physiotherapist - current HCPC registration
* Relevant therapy degree or equivalent
* Post-registration qualification and evidence of continuing CPD to the level of Extended Scope Practitioner
* MSc
* IRMER
* Injection Therapy Diploma
Experience
* Extensive post-registration clinical experience at a senior level
* Experience of working in a community setting
* Experience of undertaking complex assessments and providing care to people with MSK conditions
* Experience in managing, auditing and evaluating clinical services
* Experience of initiating and implementing changes to services
* Experience of participating in Clinical supervision
* Experience of working collaboratively with a variety of agencies and professionals and across organizational boundaries
* Experience in team management including performance management
* Evidence of innovation in practice
* Experience and direct involvement of redesign within a service
* Experience of initiating and implementing research projects
Knowledge
* In-depth knowledge of MSK Physiotherapy.
* Current knowledge on all issues relating to musculoskeletal medicine.
* Knowledge of the radiology guidelines applied to MSK conditions
* Knowledge of pathology and blood tests used in MSK
* Musculoskeletal experience some of which must be at a specialist level working with a purely musculoskeletal caseload.
* General experience of orthopaedics
* Managerial experience and evidence of previous managerial responsibilities including direct supervision of staff
* Teaching experience including in-service programmes
* To use excellent prioritising and time management skills to meet the unpredictable and conflicting needs of the service
* Knowledge of current NHS organisational structures and policy initiatives
* Knowledge of implementing and monitoring service outcome measures
* Knowledge of resource management
* Knowledge of clinical governance processes, risk assessment and personal accountability
* Knowledge of IRMER
* Knowledge of key aspects of radiological interpretation
* Knowledge of key aspects of pathology and blood test interpretation
* Experience of pain management, orthopaedics, rheumatology and neurosurgery
* In-patient experience of orthopaedics
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.
Central and North West London NHS Foundation Trust
£61,631 to £68,623 a yearper annum pro rata inc HCAS
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