To have a collaborative relationship with colleagues in MSK physiotherapy, Chronic Pain Management teams, Radiology and other specialist secondary care services. Management and treatment may involve advanced knowledge and skills, spinal injection therapy, escalation to on-call orthopaedics or surgery. To work as part of the spinal surgical teams (orthopaedic and neurosurgical) to discuss cases to decide on further management options which may include spinal surgery, spinal injections, further investigations, referral to another specialist service, discharge to self- manage. To engage in service level development/discussions/meetings relating to the area of work independently and as delegated by the Therapies Service Line Manager. Together with the existing Outpatient Specialists provide clinical leadership and expertise within the Physiotherapy Department with respect to spinal pathologies. Beinvolved in developing and support commissioning of any new pathways relating to back pain and its management in the community setting. Undertake, and/or support research as a key leader to advance professional practice, devise or test clinical benchmarks, outcome measures or clinical indicators.