Principal Duties and Responsibilities To triage, assess, diagnose and manage patients referred to the service from GPs, Consultants, and other AHPs and arrange investigations and organise onward referral where appropriate. To treat and manage patients appropriately within a range of options including referring for diagnostics, referring patients onto a consultant for an expert medical opinion, referring patients to physiotherapy, podiatry, surgical appliances, and any other community and secondary care services. To undertake highly specialised assessment of routine and highly complex patients presenting with spinal, peripheral and chronic pain problems using advanced management and treatment plans utilising a range of specialist treatments. To interpret and analyse tests and investigations to form accurate diagnosis and prognosis for a wide range of specialist treatments. To recommend the evidence based/best practice intervention for routine, complex, and some highly complex conditions. To determine clinical indication and independently request specific diagnostic investigations (e.g., X-ray, MRI, US, nerve conduction tests). To follow up on the results with patients and arrange further management as necessary. To determine and set agreed and realistic outcomes with patients to achieve anticipated outcome of treatment. To independently triage patients into the service referred by GPs, Consultants, and AHPs. To perform steroid injections as appropriate. Management To manage a caseload of patients with varying diagnoses and/or complex needs, using evidence-based/patient-centered principles to assess, plan, implement and evaluate in a defined area. To hold responsibility for own caseload working without direct supervision. To be professionally accountable and responsible for own work and to maintain a high standard of clinical care for patients in accordance with recognised standards, guidelines, or best practice. To induct and mentor physiotherapists and AHPs and ensure competencies are completed in a timely fashion. To participate in both professional and clinical supervision, which might include supervising senior, less experienced physiotherapists and students. Communication To receive and interpret complex information about patients' musculoskeletal health and the impact on their quality of life. To facilitate patients to disclose sensitive information relevant to the presenting problem, maintaining confidentiality at all times. To provide complex and sensitive information, in simple terms about diagnosis, prognosis, concerns, treatment options, and scientific information to patients, carers, and others. To facilitate patients' attitudinal change towards their condition and engage them with treatment choices and empower self-management. Education To be responsible for maintaining own competency to practice through undertaking appropriate CP. To maintain membership of and participate in Special Interest Groups as appropriate. To provide advice to patients, relatives, carers, and other AHPs to promote understanding of the aims of the care pathway. General To have responsibility for a commitment to maintaining a high quality service to patients by continual development of practice in light of research evidence and by audit, based against clinically relevant standards.