County Durham & Darlington NHS Foundation Trust

ESP MSK Spinal

The closing date is 26 September 2025

Job summary

County Durham and Darlington NHS Foundation Trust (CDDFT) is at the forefront of implementing the NENC ICB Clinical Conditions Strategic Plan in collaboration with the Regional Spinal Clinical Network. We are committed to delivering the National Back Pain Pathway and GIRFT guidance, ensuring patients receive timely, high-quality, and integrated care. Our service model includes digital self-referral, advanced practitioner triage, a single point of access, and innovative virtual MDTs linking with regional spinal providers. We are expanding pathways that combine physical and psychological support, such as our new Backs for the Future programme, and strengthening access to imaging, diagnostics, and work-focused interventions. This is an exciting opportunity to be part of a service redesign that will improve patient outcomes, reduce unnecessary delays, and ensure care is delivered right-first-time.

Main duties of the job

In this role, you will be at the heart of delivering high-quality spinal and MSK care for patients across County Durham and Darlington. You will triage referrals as an ESP, ensuring patients are seen quickly and appropriately, with priority given to those at risk of falling out of work. Working through our Single Point of Access, youll manage patient journeys seamlessly, linking into virtual MDTs with spinal surgeons and regional specialists for complex cases. Youll also request and interpret imaging where appropriate, fast-tracking urgent presentations, and support innovative pathways such as our new Backs for the Future programme, which combines exercise, education and behavioural support. This is a chance to shape patient care, reduce delays, and make a real difference within an integrated, forward-looking MSK service.

About us

If you are being interviewed you must accept an interview slot in the system to continue, even if you have arranged with the manager

You must be able to produce ALL certificates stated essential in the person specification or you will not be able to complete pre-employment checks

We provide hospital services from two acute sites - Darlington Memorial Hospital and University Hospital of North Durham. We have a centre for planned care in Bishop Auckland and provide care from community hospitals in Chester-le-Street, Shotley Bridge, Barnard Castle, Sedgefield and Weardale as well as over 80 other community based settings and providing care in patients' homes.

We particularly welcome applications from disabled and Black, Asian and Minority Ethnic (BAME) candidates as BAME and disabled people are currently under-represented

Full Job Descriptions can be found in the adverts supporting documents

Over reliance on AI-generated content is discouraged and may diminish the applicant's chances of success

For the most up-to-date information on visa requirements and eligibility, please check online to determine whether you can apply.

From April 9th 2025 - Healthcare assistants - You must have a minimum of two years of experience working within the NHS as a HCA for the Trust to consider sponsorship (we will only consider sponsorship if you meet this criteria and have a current visa expiring within 3 months)

Details

Date posted

12 September 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year per annum, pro rata

Contract

Fixed term

Duration

1 years

Working pattern

Full-time, Part-time

Reference number

C9439-2526-0758

Job locations

University Hospital Of North Durham

North Road

Durham

DH1 5TW


Job description

Job responsibilities

This role offers the opportunity to play a key part in transforming spinal and MSK services across County Durham. You will be responsible for ensuring patients have timely access to the right care, supporting delivery of the National Back Pain Pathway and GIRFT guidance within the NENC ICB strategic framework.

Day-to-day, you will:

Triage referrals as an ESP, assessing patients quickly and accurately to ensure right-first-time care.

Prioritise access for patients at risk of leaving employment, helping them remain in work through early, targeted support.

Work within our Single Point of Access (SPOA) model, managing patient flow across localities and reducing unnecessary delays in care.

Collaborate in virtual MDTs, working alongside spinal surgeons, pain specialists, and other clinicians to manage complex cases, improve decision-making, and ensure integrated care across services.

Request and interpret imaging such as MRIs and X-rays, making appropriate use of diagnostics and ensuring urgent presentations receive rapid investigation and intervention.

Support innovative pathways including our Backs for the Future programme, which combines supervised exercise, education, and behavioural therapy to help patients self-manage and recover more effectively.

Promote consistent, high-quality practice across MSK and pain services, reducing duplication, improving efficiency, and embedding senior clinical governance.

This role is ideal for an experienced clinician who wants to shape the future of MSK and spinal care in our region. Youll be joining a service that is forward-looking, integrated, and patient-focused, with strong links to regional providers and clear opportunities to influence pathway development.

Job description

Job responsibilities

This role offers the opportunity to play a key part in transforming spinal and MSK services across County Durham. You will be responsible for ensuring patients have timely access to the right care, supporting delivery of the National Back Pain Pathway and GIRFT guidance within the NENC ICB strategic framework.

Day-to-day, you will:

Triage referrals as an ESP, assessing patients quickly and accurately to ensure right-first-time care.

Prioritise access for patients at risk of leaving employment, helping them remain in work through early, targeted support.

Work within our Single Point of Access (SPOA) model, managing patient flow across localities and reducing unnecessary delays in care.

Collaborate in virtual MDTs, working alongside spinal surgeons, pain specialists, and other clinicians to manage complex cases, improve decision-making, and ensure integrated care across services.

Request and interpret imaging such as MRIs and X-rays, making appropriate use of diagnostics and ensuring urgent presentations receive rapid investigation and intervention.

Support innovative pathways including our Backs for the Future programme, which combines supervised exercise, education, and behavioural therapy to help patients self-manage and recover more effectively.

Promote consistent, high-quality practice across MSK and pain services, reducing duplication, improving efficiency, and embedding senior clinical governance.

This role is ideal for an experienced clinician who wants to shape the future of MSK and spinal care in our region. Youll be joining a service that is forward-looking, integrated, and patient-focused, with strong links to regional providers and clear opportunities to influence pathway development.

Person Specification

Statutory Registration

Essential

  • HCPC registered

Desirable

  • Member of Chartered Society of Physiotherapy (CSP)

Special Requirements

Essential

  • Able to travel across Trust sites to meet the requirements of the post

Special Skills and Knowledge

Essential

  • Up to date knowledge of professional practice
  • Evidence of comprehensive and up to date range of highly specialised clinical skills
  • An understanding of legal responsibilities within the profession
  • Able to present information, written and orally in a clear and logical manner
  • Ability to organise and prioritise and work to 18 RTT.
  • Evidence of critical appraisal in research and evidence based practice
  • Ability to maintain high levels of concentration and analysis of presenting symptoms from patients
  • Excellent communication skills both written and verbal
  • IT skills
  • Excellent presentation skills

Desirable

  • Innovative approach to working life
  • Able to use own initiative appropriately to enhance service delivery
  • Evidence of strategic planning for MSK services

Qualifications

Essential

  • BSc Physiotherapy /diploma
  • Recognised relevant academic post qualification in relation to MSK conditions to masters level
  • Continuing Professional Development Diary including evidence of reflective practice, training and clinical experience
  • Injection therapy competent
  • Significant experience at a senior level in MSK physiotherapy

Desirable

  • An understanding of County Durham and Darlington NHS Foundation Trust, its culture, strategic direction, achievements and NHS standing

Experience

Essential

  • Comprehensive experience including core competencies within musculoskeletal, neurology pain management
  • Evidence of being able to lead and improve clinical practice

Desirable

  • Experience of Cognitive behavioural therapy and Bio psycho-social model of care
Person Specification

Statutory Registration

Essential

  • HCPC registered

Desirable

  • Member of Chartered Society of Physiotherapy (CSP)

Special Requirements

Essential

  • Able to travel across Trust sites to meet the requirements of the post

Special Skills and Knowledge

Essential

  • Up to date knowledge of professional practice
  • Evidence of comprehensive and up to date range of highly specialised clinical skills
  • An understanding of legal responsibilities within the profession
  • Able to present information, written and orally in a clear and logical manner
  • Ability to organise and prioritise and work to 18 RTT.
  • Evidence of critical appraisal in research and evidence based practice
  • Ability to maintain high levels of concentration and analysis of presenting symptoms from patients
  • Excellent communication skills both written and verbal
  • IT skills
  • Excellent presentation skills

Desirable

  • Innovative approach to working life
  • Able to use own initiative appropriately to enhance service delivery
  • Evidence of strategic planning for MSK services

Qualifications

Essential

  • BSc Physiotherapy /diploma
  • Recognised relevant academic post qualification in relation to MSK conditions to masters level
  • Continuing Professional Development Diary including evidence of reflective practice, training and clinical experience
  • Injection therapy competent
  • Significant experience at a senior level in MSK physiotherapy

Desirable

  • An understanding of County Durham and Darlington NHS Foundation Trust, its culture, strategic direction, achievements and NHS standing

Experience

Essential

  • Comprehensive experience including core competencies within musculoskeletal, neurology pain management
  • Evidence of being able to lead and improve clinical practice

Desirable

  • Experience of Cognitive behavioural therapy and Bio psycho-social model of care

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.

Certificate of Sponsorship

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

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.

Certificate of Sponsorship

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).

Employer details

Employer name

County Durham & Darlington NHS Foundation Trust

Address

University Hospital Of North Durham

North Road

Durham

DH1 5TW


Employer's website

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


Employer details

Employer name

County Durham & Darlington NHS Foundation Trust

Address

University Hospital Of North Durham

North Road

Durham

DH1 5TW


Employer's website

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


Employer contact details

For questions about the job, contact:

ESP Physiotherapist

Pete Simpson

psimpson5@nhs.net

Details

Date posted

12 September 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year per annum, pro rata

Contract

Fixed term

Duration

1 years

Working pattern

Full-time, Part-time

Reference number

C9439-2526-0758

Job locations

University Hospital Of North Durham

North Road

Durham

DH1 5TW


Supporting documents

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