Advanced Physiotherapist Practitioner (APP)

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. • 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. 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. • 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.