CLINICAL & PROFESSIONAL RESPONSIBILITIES Maintain professional registration requirements. To triage all musculoskeletal referrals, selecting appropriate patients for the JH service and arranging re-direction of care in accordance with agreed criteria & clinical pathways. To undertake a highly specialised assessment and be an autonomous first contact practitioner to self-referred patients to diagnosis and treat patients with complex Orthopaedic / MSK conditions respecting peoples privacy, dignity, and individuality. Request and interpret haematological and radiological investigations / results to formulate a diagnosis and treatment programme Inc. X-ray; Ultrasound; MRI & Nerve conduction studies in adherence with agreed clinical protocols, pathways, and scope of practice. Using advanced clinical reasoning skills, diagnose and arrange appropriate onward management of patients according to clinical need and in adherence with agreed patient pathways E.g. retaining patients within the Physiotherapy /JH service or referring into Secondary Care Orthopaedics, Rheumatology, Neurosurgery To provide specialist evidence-based Physiotherapy advice and treatment for patients with complex MSK conditions this may include specialist manual therapy treatments, prescription of progressive exercise programmes or undertaking joint injection therapy. To act as a source of Specialist MSK knowledge and skills to all Physiotherapy Staff providing mentorship, supervision, and training To monitor the appropriateness of JH referrals, obtaining information relevant to patient care and ensuring appropriate discharge plans / ongoing care. To work on any of the Trust sites as directed by the line Manager. To take part in evening and weekend clinics as required To ensure a high standard of patient care is provided, developing, implementing and reviewing clinical standards / clinical audit relevant as directed by service leads. To be a proactive member of the multi-disciplinary team and actively participate in JH meetings / in service training and clinical supervision. To ensure effective communication with patients, carers, GPs and all other Health and Social Care Professionals regarding all aspects of patient care. To process and deliver complex information with empathy and reassurance, frequently communicating with patients who may have barriers to understanding. To ensure where necessary the provision of cover for the JH service, e.g. in times of annual leave / sickness etc. To ensure that any equipment, furniture or building in need of repair is reported to the correct authority as necessary. ADMINISTRATIVE RESPONSIBILITIES To ensure accurate and up to date clinical records in line with registration requirements. TEACHING & TRAINING RESPONSIBILITIES To attend all relevant training and clinical development sessions related to the role of Advanced Physiotherapy Practitioner E.g. Complex case discussion meetings; IRMER Training etc, in service MSK physiotherapy training. To organise and lead in-service training sessions for specialist MSK physiotherapists when required. To attend relevant training courses and disseminate information. To complete annual appraisal and Professional Development Plan. To provide formal and informal peer review for staff working in Outpatient Therapies / JH Service. To take part in the Trusts clinical supervision as a supervisor and supervisee To contribute when relevant to the training programme of GP`s and Primary Care colleagues. To teach and advise carers and other Health Professionals to ensure provision of good patient care. To contribute to the provision of good practice across professional and organisational boundaries. LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES To assist the JH Lead in the ongoing service/ pathway development of the JH service. To act as a clinical supervisor and provide clinical leadership to allocated clinicians. Undertake appraisals. Coaching & mentoring. Support in performance management as required and indicated. RESEARCH & AUDIT To be responsible for the timely and accurate collection of statistics / records that are required nationally and departmentally and to ensure that confidentiality is maintained.