Epsom and St Helier University Hospitals NHS Trust

Highly Specialist Musculoskeletal Therapist

The closing date is 10 February 2026

Job summary

Band 7 Highly Specialist MSK therapist

Full-time

Main base : St Helier Hospital

The Trauma & Orthopaedic Department is looking for a full-time Highly Specialist MSK Therapist to support our Virtual Fracture Clinic. This role is predominantly based at St Helier Hospital, however the postholder will be expected to travel to Epsom Hospital to support any clinics set up at this location. Ideally you will currently be working at a band 6 level or above and have extensive MSK experience dealing with the management of orthopaedic conditions. This role forms part of a structure which includes the VFC APP lead, Band 6 physiotherapist, T & O consultants & registrars, Administration. You should be dynamic, flexible and a great team player. You will be an integral part of the MDT and will be expected to work autonomously with strong clinical decision making skills, in often challenging environments. You should be competent with virtual MSK consultations, but also be comfortable carrying an MSK caseload within a busy fracture clinic. You should have strong management and leadership skills in order to be able to deputise for the VFC Clinical Lead, when needed.

Main duties of the job

The post holder will be a highly experienced Musculoskeletal (MSK) Therapist with experience within orthopaedics.

The post holder will support the Lead for the Virtual Fracture Clinic Service. You will ensure that the Trust offers a comprehensive and cohesive service for all Orthopaedic Trauma patients.

The post holder will autonomously undertake assessment and treatment of adults and children who present with an injury in the Virtual Fracture Clinic. This is to determine a clinical diagnosis, treatment plan and appropriate discharge within their professional boundaries, in line with training, skills and competencies.

The post holder will carry a caseload in fracture clinic providing specialist MSK care, working in at a specialist level. Working collaboratively and supervised by the lead consultants in that field. They will take a lead, with the support of the VFC clinical lead on the management of proximal humeral fractures, Achilles ruptures and soft tissue injuries.

About us

St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

Details

Date posted

27 January 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year Pa incl HCAS Outer pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

343-7464449-FM-SC-TA

Job locations

St Helier Hospital

Wrythe Lane

Carshalton

SM5 1AA


Job description

Job responsibilities

Ensure the orthopaedic trauma patients are treated appropriately in a timely manner.

Supervise in the absence of the band 8A the band 6 MSK Therapist as part of their rotation from MSK department.

Liaise closely with the Orthopaedic Consultant of the Week (CoW) discussing treatment plans for patients that have presented through ED and require Orthopaedic input. Manage the plan for these patients.

Request bloods, x-rays, CT/MRI scanning of patient, with outcome and plan of care.

Explain clearly the treatment plan with the patient for their condition. This may include advising patients of distressing news. Delegate to the junior nurse as necessary.

Create and analyse reports for the VFC. Make service improvements where necessary.

Input and update all patient data on database.

Review waiting list numbers against waiting times. Manage improvements that can reduce unnecessary waits.

Refer patients to other specialities.

Support the VFC Clinical Lead to evaluate service regularly and implement service improvements.

Job description

Job responsibilities

Ensure the orthopaedic trauma patients are treated appropriately in a timely manner.

Supervise in the absence of the band 8A the band 6 MSK Therapist as part of their rotation from MSK department.

Liaise closely with the Orthopaedic Consultant of the Week (CoW) discussing treatment plans for patients that have presented through ED and require Orthopaedic input. Manage the plan for these patients.

Request bloods, x-rays, CT/MRI scanning of patient, with outcome and plan of care.

Explain clearly the treatment plan with the patient for their condition. This may include advising patients of distressing news. Delegate to the junior nurse as necessary.

Create and analyse reports for the VFC. Make service improvements where necessary.

Input and update all patient data on database.

Review waiting list numbers against waiting times. Manage improvements that can reduce unnecessary waits.

Refer patients to other specialities.

Support the VFC Clinical Lead to evaluate service regularly and implement service improvements.

Person Specification

Knowledge

Essential

  • Significant experience in treating trauma and orthopaedic patients in an acute setting
  • Experience in the ordering and interpretation of diagnostic images
  • Experience of independently discharging minor illnesses and injuries
  • Experience with evidence of leadership and operational management of a team of healthcare professionals.
  • Experience of running clinics
  • Experience in the ordering and interpretation of diagnostic images
  • Working knowledge of a wide range of approaches to the management of fractures and acute soft tissue injuries demonstrated by advanced clinical reasoning.
  • Involvement in carrying out clinical audit including co-ordination, evaluation and the use of findings to make service developments

Desirable

  • Experience of assessment of competency of other members of staff.
  • Experience of working in a VFC environment
  • Budgetary experience

Qualifications

Essential

  • Registration Health and Care Professions Council or Advanced Clinical Practitioner
  • Evidence of Post-registration training in Trauma &Orthopaedics/ CPD and reflective practice.
  • Immediate Life Support (ILS).
  • IRMER Qualification

Desirable

  • Master's degree in Advance Practice or working towards
  • Advance Life Support (ALS) or working towards
  • Minor injuries course

Skills

Essential

  • Diagnosis and management of musculoskeletal conditions
  • Evidence of extended nursing or advanced practitioner skills
  • Ability to demonstrate skills in negotiation and conflict management
  • Able to demonstrate well developed problem solving skills to enhance clinical decision -making and expert nursing assessment
  • Ability to analyse performance and statistical information
  • Ability to maintain judgement, work and make decisions under pressure
  • Ability to challenge peers and other members of the multi -disciplinary teams practice to the benefit of patients and carer

Desirable

  • Experience of gathering and analysing detailed information
Person Specification

Knowledge

Essential

  • Significant experience in treating trauma and orthopaedic patients in an acute setting
  • Experience in the ordering and interpretation of diagnostic images
  • Experience of independently discharging minor illnesses and injuries
  • Experience with evidence of leadership and operational management of a team of healthcare professionals.
  • Experience of running clinics
  • Experience in the ordering and interpretation of diagnostic images
  • Working knowledge of a wide range of approaches to the management of fractures and acute soft tissue injuries demonstrated by advanced clinical reasoning.
  • Involvement in carrying out clinical audit including co-ordination, evaluation and the use of findings to make service developments

Desirable

  • Experience of assessment of competency of other members of staff.
  • Experience of working in a VFC environment
  • Budgetary experience

Qualifications

Essential

  • Registration Health and Care Professions Council or Advanced Clinical Practitioner
  • Evidence of Post-registration training in Trauma &Orthopaedics/ CPD and reflective practice.
  • Immediate Life Support (ILS).
  • IRMER Qualification

Desirable

  • Master's degree in Advance Practice or working towards
  • Advance Life Support (ALS) or working towards
  • Minor injuries course

Skills

Essential

  • Diagnosis and management of musculoskeletal conditions
  • Evidence of extended nursing or advanced practitioner skills
  • Ability to demonstrate skills in negotiation and conflict management
  • Able to demonstrate well developed problem solving skills to enhance clinical decision -making and expert nursing assessment
  • Ability to analyse performance and statistical information
  • Ability to maintain judgement, work and make decisions under pressure
  • Ability to challenge peers and other members of the multi -disciplinary teams practice to the benefit of patients and carer

Desirable

  • Experience of gathering and analysing detailed 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).

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

Epsom and St Helier University Hospitals NHS Trust

Address

St Helier Hospital

Wrythe Lane

Carshalton

SM5 1AA


Employer's website

https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)

Employer details

Employer name

Epsom and St Helier University Hospitals NHS Trust

Address

St Helier Hospital

Wrythe Lane

Carshalton

SM5 1AA


Employer's website

https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)

Employer contact details

For questions about the job, contact:

T & O Service Manager

Julia Cattermole

j.cattermole@nhs.net

07876391132

Details

Date posted

27 January 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£53,751 to £60,651 a year Pa incl HCAS Outer pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

343-7464449-FM-SC-TA

Job locations

St Helier Hospital

Wrythe Lane

Carshalton

SM5 1AA


Supporting documents

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