Job summary
We are delighted to be recruiting a part-time Advanced Practitioner (AP) (0.6 FTE / 22.5 hours per week) to join our established and experienced team.
As an Advanced Practitioner, you will work on-site in GP practices as part of a dynamic multidisciplinary team. You will assess, diagnose, and manage MSK patients at the first point of contact - with full autonomy and clinical support. Work onsite in GP practices. Operate as part of a multidisciplinary team (GPs, ANPs, pharmacists, mental health, etc.) See MSK patients at undifferentiated MSK presentations
This is not a hybrid or remote position. You will be embedded in your practice(s), working closely with GPs, receptionists, nurses, and other MDT colleagues to deliver integrated, personalised patient care.
You will have the opportunity to use or develop advanced skills supported by protected CPD time and structured supervision.
Are you ready to transform MSK care at the frontline of Primary Care?
Do you want to:
- Work for the only MSK organisation in the UK certified as a Great Place to Work?
- Receive 12.5+ days per year of protected CPD and supervision time?
- Have funded training opportunities, including injection therapy and independent prescribing?
- Be part of a fast-growing, award-winning clinical organisation that puts people first?
If you are an experienced Advanced Practitioner looking to develop your career in a supportive, forward-thinking team - this could be your next move.
Main duties of the job
- Assess, diagnose, triage, and manage MSK patients at first contact, taking responsibility for a complex caseload.
- Request and interpret investigations such as Xrays and blood tests, and make appropriate referrals to support diagnosis and treatment.
- Use advanced skills including independent prescribing and injection therapy to deliver comprehensive MSK care.
- Work with Primary Care Networks and GP practices to develop and deliver specialist MSK pathways and support appropriate triage before secondary care referral.
- Conduct comprehensive assessments for patients with chronic pain, persistent symptoms, and multipathology presentations using advanced clinical reasoning and investigation skills.
- Provide accurate diagnoses and formulate tailored treatment plans for complex MSK conditions using highly developed manual and clinical assessment skills.
- Collaborate with community teams, orthopaedics, and pain services to support integrated care pathways.
- Manage patients with psychosocial or mental health needs, using social prescribing where appropriate.
- Deliver supported selfmanagement programmes that promote behavioural change, physical activity, independence, and reduced reliance on medication.
- Provide personalised, holistic care that considers overall health, wellbeing, function, mobility, and employment needs.
- Support patients to set meaningful goals and build confidence in selfmanagement.
About us
We are a non-bureaucratic, non-hierarchical, can-do, positive, and supportive team to work with who is incredibly passionate about providing excellent primary care first contact MSK services.
We pride ourselves on providing you with unrivalled day-to-day peer support, CPD, and training opportunities.
Each team member gets 4 hours of protected supervision and CPD time per week (equivalent to 27 days per year!!), including a weekly 1-2-1 with an HEE-approved FCP Supervisor.
We support our team members through the Roadmap via all routes - including the HEI taught route, HEI supported portfolio route, and the current independent portfolio verification process.
We fully fund external level 7 MSc courses such as Injection Therapy and Non-Medical Prescribing.
We have now mobilised 175+ PCN FCP services and know that moving into primary care or into an FCP post for the first time can be daunting. Through our experience of implementing a large number of FCP services, we go the extra mile to make sure both you and the primary care network are fully supported to make the service a huge success.
Please read what our employees have to say about us here: https://uk.indeed.com/cmp/Primary-Care-Physio/reviews
Job description
Job responsibilities
Clinical Practice
- Assess, diagnose, triage, and manage patients, taking responsibility for the management of a complex caseload. You will progress and request investigations when trained to do so (such as x-rays and blood tests) and referrals to facilitate diagnosis and choice of treatment.
- Develop and make use of your full scope of clinical practice, including skills relating to independent prescribing, injection therapy and investigation when trained to do so.
- Manage complex interactions, including working with patients with psychosocial and mental health needs, referring to social prescribing when appropriate.
- Deliver programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' physical activity, mobility, fulfilment of personal goals and independence, and that minimise the need for pharmacological interventions.
- Provide care that is tailored to the individual needs. This would include, appraising the impact of individuals' clinical status on their general health, well-being, employment status (including in relation to function, physical activity, mobility and independence).
- Support patients to set their own goals and be confident in their approach to self-management.
Evidence, Research, and Development
-
Collect, analyse and present data on patient case mix, produce information on patients
needing specialist care, metrics of interventions such as auditing Injection therapy , use of
prescribing, conversion of secondary care referrals.
- Auditing on complex drug management including prescribing, de- prescribing in chronic
widespread musculoskeletal pains coupled with mental health and other co-morbidities.
- Critical analysis of data to draw meaningful recommendations to the Primary Care Network
to inform best practice, influence good clinical practice in primary care.
- To support the development and implementation of a training strategy for area of
responsibility in collaboration with team leads/clinical academics, and clinical specialists
internally and outside the Organisations.
- Participate in ongoing service improvement, evaluation and audit of interventions, outcomes
as appropriate to context and management
- Develop relationships and a collaborative working approach across the PCN supporting the
integration of pathways in primary care.
- Work as part of an MDT in a patient facing role, using your expert knowledge of MSK issues,
to create stronger links for wider MSK services through clinical leadership, teaching and
evaluation skills.
- Support research and audit programmes to evaluate and improve the effectiveness of our FCP
service.
- Streamline the pathway of care by providing a responsive service so that patients receive
timely access to care.
- Develop Standard Operating Procedures appropriate for onward referral pathways.
Leadership
- Lead, manage and contribute to service delivery.
- Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training.
- Communicate effectively and appropriately, with patients and carers, complex and sensitive information regarding diagnosis, pathology, prognosis and treatment choices supporting personalised care.
Facilitating learning
- Provide feedback and support to other PCN clinical team members on appropriate referral
criteria.
- Critically reflect on own practice, and continue to develop your skills.
- Support FCP colleagues in line with Health Education Englands First Contact Practitioners
and Advanced Practitioners in Primary Care: (Musculoskeletal). A Roadmap to Practice.
- Be a point of contact for your FCP colleagues to answer clinical queries as and when they
present.
- Deliver in-house in service training to your regional FCP team.
Key skills and attributes
- Ability to work under pressure in a fast-paced and changing environment.
- Strong clinical problem-solving and analytical skills.
- Ability to critically reflect on your own professional developmental needs, and is motivated to
progress your clinical development (with support).
- Strong communication and interpersonal skills, with an ability to work cohesively with a wider
team.
- Office skills including the use of IT programmes, databases and other modern/tech based ways
of working and collaborating.
- Involve patients in decision making and supporting adherence as per NICE guidance.
- Able to follow legal, ethical, professional and organisational policies/procedures and codes of
conduct.
- Involve patients in decision making and supporting adherence as per NICE guidance.
Experience, knowledge and qualifications
-
Fully HCPC and CSP registered practicing Physiotherapist.
- An up-to-date CPD portfolio demonstrating that you have knowledge of the musculoskeletal.
core capabilities framework for first point of contact practitioners and the four pillars of
advances practice, in addition to identifying your developmental needs against these.
- Extensive clinical experience of delivering musculoskeletal assessment and treatment which
should be at a Band 8a + level.
Completion of an appropriate level 7 MSc in Advanced Physiotherapy Practice.
- Completion of M-level post-graduate Soft Tissue and Joint Injection Therapy course.
- Previous experience of using delivering FCP services in primary care (desirable).
- Previous experience of using EMIS / SystmOne (desirable)
Job description
Job responsibilities
Clinical Practice
- Assess, diagnose, triage, and manage patients, taking responsibility for the management of a complex caseload. You will progress and request investigations when trained to do so (such as x-rays and blood tests) and referrals to facilitate diagnosis and choice of treatment.
- Develop and make use of your full scope of clinical practice, including skills relating to independent prescribing, injection therapy and investigation when trained to do so.
- Manage complex interactions, including working with patients with psychosocial and mental health needs, referring to social prescribing when appropriate.
- Deliver programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' physical activity, mobility, fulfilment of personal goals and independence, and that minimise the need for pharmacological interventions.
- Provide care that is tailored to the individual needs. This would include, appraising the impact of individuals' clinical status on their general health, well-being, employment status (including in relation to function, physical activity, mobility and independence).
- Support patients to set their own goals and be confident in their approach to self-management.
Evidence, Research, and Development
-
Collect, analyse and present data on patient case mix, produce information on patients
needing specialist care, metrics of interventions such as auditing Injection therapy , use of
prescribing, conversion of secondary care referrals.
- Auditing on complex drug management including prescribing, de- prescribing in chronic
widespread musculoskeletal pains coupled with mental health and other co-morbidities.
- Critical analysis of data to draw meaningful recommendations to the Primary Care Network
to inform best practice, influence good clinical practice in primary care.
- To support the development and implementation of a training strategy for area of
responsibility in collaboration with team leads/clinical academics, and clinical specialists
internally and outside the Organisations.
- Participate in ongoing service improvement, evaluation and audit of interventions, outcomes
as appropriate to context and management
- Develop relationships and a collaborative working approach across the PCN supporting the
integration of pathways in primary care.
- Work as part of an MDT in a patient facing role, using your expert knowledge of MSK issues,
to create stronger links for wider MSK services through clinical leadership, teaching and
evaluation skills.
- Support research and audit programmes to evaluate and improve the effectiveness of our FCP
service.
- Streamline the pathway of care by providing a responsive service so that patients receive
timely access to care.
- Develop Standard Operating Procedures appropriate for onward referral pathways.
Leadership
- Lead, manage and contribute to service delivery.
- Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training.
- Communicate effectively and appropriately, with patients and carers, complex and sensitive information regarding diagnosis, pathology, prognosis and treatment choices supporting personalised care.
Facilitating learning
- Provide feedback and support to other PCN clinical team members on appropriate referral
criteria.
- Critically reflect on own practice, and continue to develop your skills.
- Support FCP colleagues in line with Health Education Englands First Contact Practitioners
and Advanced Practitioners in Primary Care: (Musculoskeletal). A Roadmap to Practice.
- Be a point of contact for your FCP colleagues to answer clinical queries as and when they
present.
- Deliver in-house in service training to your regional FCP team.
Key skills and attributes
- Ability to work under pressure in a fast-paced and changing environment.
- Strong clinical problem-solving and analytical skills.
- Ability to critically reflect on your own professional developmental needs, and is motivated to
progress your clinical development (with support).
- Strong communication and interpersonal skills, with an ability to work cohesively with a wider
team.
- Office skills including the use of IT programmes, databases and other modern/tech based ways
of working and collaborating.
- Involve patients in decision making and supporting adherence as per NICE guidance.
- Able to follow legal, ethical, professional and organisational policies/procedures and codes of
conduct.
- Involve patients in decision making and supporting adherence as per NICE guidance.
Experience, knowledge and qualifications
-
Fully HCPC and CSP registered practicing Physiotherapist.
- An up-to-date CPD portfolio demonstrating that you have knowledge of the musculoskeletal.
core capabilities framework for first point of contact practitioners and the four pillars of
advances practice, in addition to identifying your developmental needs against these.
- Extensive clinical experience of delivering musculoskeletal assessment and treatment which
should be at a Band 8a + level.
Completion of an appropriate level 7 MSc in Advanced Physiotherapy Practice.
- Completion of M-level post-graduate Soft Tissue and Joint Injection Therapy course.
- Previous experience of using delivering FCP services in primary care (desirable).
- Previous experience of using EMIS / SystmOne (desirable)
Person Specification
Qualifications
Essential
- - Masterslevel (Level 7) qualification in Advanced Clinical Practice or equivalent Level 7 modules
- - Completion of the FCP Roadmap (Stage 1 and/or Stage 2)
- - Current HCPC registration
- - Significant postregistration MSK experience (typically 5+ years)
- - Evidence of working at an advanced level of practice
- - Completion of (or active progression toward) advanced clinical assessment and diagnostic reasoning training
- - Competence in requesting and interpreting imaging and investigations
- - Independent Prescribing (V300) already completed
- - Injection therapy training or certification
- - Evidence of ongoing CPD aligned to advanced practice standards
- - Experience working autonomously with complex or undifferentiated presentation
Desirable
- - Additional Level 7 modules beyond core ACP training
- - Training in imaging interpretation (e.g., Xray, MRI, ultrasound)
- - Teaching, mentoring, or clinical supervision qualifications
- - Quality improvement, audit, or leadership training
- - Experience with digital health or remote consultation platforms
- - Additional specialist MSK or painmanagement courses
- - Research involvement or evidence of academic contribution
Experience
Essential
- - Significant postregistration clinical experience in MSK or relevant specialty
- - Experience managing complex and undifferentiated patient presentations
- - Proven ability to work autonomously in clinical decisionmaking
- - Experience requesting and interpreting diagnostic investigations
- - Demonstrated use of advanced clinical reasoning in practice
- - Experience delivering personalised care and supported selfmanagement
- - Evidence of working within multidisciplinary teams
- - Experience in safetynetting, escalation, and managing clinical risk
- - Involvement in service development, pathway improvement, or clinical governance
- - Experience supervising, mentoring, or supporting junior staff or students
- - Use of audit, quality improvement, or evidencebased practice to inform care
Desirable
- - Experience working in a GP practice or Primary Care Network
- - Previous experience in an FCP or advanced MSK role
- - Delivery of group education or selfmanagement programmes
- - Involvement in service development, pathway redesign or transformation projects
- - Experience supervising students, junior clinicians or MDT colleagues
- - Use of audit, research or QI projects to improve clinical outcomes
- - Experience managing longterm conditions or persistent pain presentations
- - Working across community, interface or secondary care MSK services
- - Experience with digital health platforms or remote consultations
- - Additional specialist skills such as injection therapy or ultrasound
Person Specification
Qualifications
Essential
- - Masterslevel (Level 7) qualification in Advanced Clinical Practice or equivalent Level 7 modules
- - Completion of the FCP Roadmap (Stage 1 and/or Stage 2)
- - Current HCPC registration
- - Significant postregistration MSK experience (typically 5+ years)
- - Evidence of working at an advanced level of practice
- - Completion of (or active progression toward) advanced clinical assessment and diagnostic reasoning training
- - Competence in requesting and interpreting imaging and investigations
- - Independent Prescribing (V300) already completed
- - Injection therapy training or certification
- - Evidence of ongoing CPD aligned to advanced practice standards
- - Experience working autonomously with complex or undifferentiated presentation
Desirable
- - Additional Level 7 modules beyond core ACP training
- - Training in imaging interpretation (e.g., Xray, MRI, ultrasound)
- - Teaching, mentoring, or clinical supervision qualifications
- - Quality improvement, audit, or leadership training
- - Experience with digital health or remote consultation platforms
- - Additional specialist MSK or painmanagement courses
- - Research involvement or evidence of academic contribution
Experience
Essential
- - Significant postregistration clinical experience in MSK or relevant specialty
- - Experience managing complex and undifferentiated patient presentations
- - Proven ability to work autonomously in clinical decisionmaking
- - Experience requesting and interpreting diagnostic investigations
- - Demonstrated use of advanced clinical reasoning in practice
- - Experience delivering personalised care and supported selfmanagement
- - Evidence of working within multidisciplinary teams
- - Experience in safetynetting, escalation, and managing clinical risk
- - Involvement in service development, pathway improvement, or clinical governance
- - Experience supervising, mentoring, or supporting junior staff or students
- - Use of audit, quality improvement, or evidencebased practice to inform care
Desirable
- - Experience working in a GP practice or Primary Care Network
- - Previous experience in an FCP or advanced MSK role
- - Delivery of group education or selfmanagement programmes
- - Involvement in service development, pathway redesign or transformation projects
- - Experience supervising students, junior clinicians or MDT colleagues
- - Use of audit, research or QI projects to improve clinical outcomes
- - Experience managing longterm conditions or persistent pain presentations
- - Working across community, interface or secondary care MSK services
- - Experience with digital health platforms or remote consultations
- - Additional specialist skills such as injection therapy or ultrasound
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).
