Job responsibilities

1. Key Responsibilities

a. Strategy & Leadership

Participate in regular clinical supervision in line with NMC and organisational requirements.

Act as a point of contact within the team, appropriately escalating clinical concerns to senior staff.

Work towards achieving service Key Performance Indicators (KPIs) within own role and those of the service.

Contribute to service development by providing feedback and completing delegated actions in a timely manner.

Support the induction of new staff within the ADHD service.

Maintain a solution-focused approach when managing challenges and contribute ideas for service improvement.

Engage in appraisal processes and contribute to personal development plans.

b. Management & Leadership Behaviours

Demonstrate accountability, reliability, and professional conduct in all aspects of practice.

Prioritise workload effectively and seek support when required.

Act as a positive role model within the team in line with NHS and organisational values and behaviours.

c. Governance, Quality & Improvement

Maintain high standards of clinical governance and quality within the ADHD service.

Participate in clinical audits and quality improvement activities as directed.

Complete incident reporting accurately and contribute to shared learning.

Support a culture of continuous improvement and reflective practice.

Work in accordance with organisational policies, NICE guidelines, and statutory regulations.

Recognise and report safeguarding concerns, escalating appropriately in line with policy.

Report incidents in a timely manner.

d. Clinical Practice & Patient Care

Deliver safe, effective, person-centred care to adults accessing the ADHD service.

Participate in MDT discussions, contributing relevant clinical information and linking in with external agencies/services as required.

Undertake clinical observations and support patients from referral through to shared care including the gathering and review of pre-assessment information (e.g., rating scales, structured tools, developmental histories) and physical health parameters under appropriate supervision.

Maintain accurate, timely, and professional clinical records.

Identify when additional investigations or referrals may be required and escalate appropriately, following service policy.

Promote a holistic approach to care, considering physical health, mental health, and social needs.

Work collaboratively with colleagues and external agencies to support coordinated care.

Undertake relevant administrative duties to support the patients journey including the validation of previous diagnoses and review of annual review information.

Participate in complex case discussions and escalate concerns to senior clinicians when required.

Follow service protocols and report any concerns or inconsistencies.

Demonstrate accountability and safe decision-making within scope of practice.

Involve patients in shared decision-making and care planning.

Signpost patients to appropriate services when needs fall outside the service remit.

Support delivery of psychoeducation and group interventions under supervision.

e. Research, Education & External Engagement

Maintain awareness of current evidence-based practice relating to ADHD and mental health.

Apply learning from training and research to clinical practice.

f. Digital & IT

Use clinical systems, email, Microsoft Office, and video consultation platforms effectively.

Accurately input and manage patient data in line with information governance standards.

Support the use of digital tools for pre-assessment information gathering and outcome monitoring.

Engage with online resources to support patient care and information sharing.

g. Professional Development

Maintain NMC registration and meet revalidation requirements.

Engage in Continuing Professional Development (CPD) and reflective practice.

Work within professional scope while developing competence and confidence.

Maintain high standards of documentation in line with NMC and organisational policies.

Demonstrate flexibility to meet service needs, with support from senior staff.

Undertake administrative duties required for patient care delivery.

Adhere to all relevant legislation, including NMC Code, NICE guidance, and safeguarding policies.

Undertake additional duties as appropriate and where required by the service leads.

h. Team & Stakeholder Engagement

Develop effective working relationships within the service, including the MDT and wider organisation.

Communicate clearly, professionally, and respectfully with colleagues and patients.

Participate in team meetings and contribute to a supportive team environment.

Engage in peer support and wellbeing initiatives.

2. Travel Requirements

Regular travel to Quay sites, community venues, partner organisations, and satellite clinics as required.

The postholder must be able to work flexibly across multiple sites as service needs dictate.

Experience

Essential

• Evidence of pre-registration training in mental health nursing
• Willingness to undertake relevant training for specialist service (e.g., ADHD, neurodevelopmental conditions)
• Awareness of NMC Code, NICE guidelines, and evidence-based practice

Desirable

• Training/experience in ADHD or other neurodevelopmental disorders

Values & Behaviours

Essential

• Demonstrates NHS values (compassion, respect, inclusion) and commitment to equality, diversity, and inclusion
• Committed to learning, reflection, CPD, and continuous improvement
• Provides person-centred, compassionate care
• Works independently within scope, seeking support appropriately
• Professional, reliable, accountable, and adaptable to service needs
• Engages in supervision, appraisal, and CPD processes
• Complies with NMC standards and organisational policies
• Interest in neurodevelopmental conditions

Desirable

• Proactive approach to service improvement and team contribution

Other requirements

Essential

• Access to a vehicle for work related travel (depending on geography) and the ability to work flexibly across multiple sites.
• Proficient in electronic patient records, Microsoft Office, and maintaining confidentiality

Qualifications

Essential

• Registered Mental Health Nurse (RMN) with current NMC registration

Desirable

• Training/experience in ADHD or other neurodevelopmental disorders

Knowledge & Skills

Essential

• Experience (including placements) supporting people with mental health needs
• Understanding of mental health conditions, recovery-focused care, risk assessment/management, and safeguarding
• Experience working in MDTs and contributing to care planning
• Ability to complete holistic assessments and monitor mental state/risk
• Developing and implementing person-centred care plans and therapeutic interventions (within scope)
• Competence in clinical documentation, record keeping, and meeting deadlines
• Participation in audits and quality improvement
• Ability to escalate concerns appropriately and support structured assessments
• Strong organisational skills and ability to manage independent and shared workloads
• Effective communication with patients, carers, and professionals, including challenging conversations

Desirable

• Experience in secondary care or specialist services
• Supporting people with ADHD/neurodevelopmental conditions and complex mental health needs
• Knowledge of safeguarding and health & safety requirements
• Managing a supported caseload and working to KPIs/targets
• Engaging diverse or hard-to-reach groups using motivational techniques
• Involvement in audits, quality improvement, and specialist assessments (e.g. ADHD)
• Delivering psychoeducation and brief structured interventions
• Understanding outcome measures and psychometric tools
• Using digital tools (assessment systems, video consultations, data/reporting platforms)

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).

Job responsibilities

Scope of the Role

Act as the primary point of contact for patients presenting with musculoskeletal conditions within primary care, providing expert assessment, diagnosis and management of a wide range of presentations, including complex and undifferentiated conditions.

Deliver advanced clinical decision-making to support timely access to appropriate treatment, investigations and onward referral where required.

Facilitate effective communication and coordination across primary, community, acute, specialist and social care services to ensure seamless patient pathways.

Provide clinical leadership and management duties to support the development and delivery of high-quality MSK services across Primary Care Networks (PCNs).

Promote understanding and demonstrate the value and impact of the FCP model on patient outcomes, service delivery and referral patterns.

Develop and maintain effective working relationships with healthcare providers, partner organisations, local authorities, voluntary sector organisations and patient groups.

Contribute to service development, quality improvement, audit, research and evaluation activities to support evidence-based practice and continuous improvement.

Monitor, evaluate and communicate service outcomes and performance measures to stakeholders and senior management teams.

Clinical Responsibilities

Provide expert first-contact assessment, diagnosis and management for patients presenting with musculoskeletal symptoms and conditions.

Utilise advanced clinical reasoning and assessment skills to manage patients with complex MSK presentations, multiple comorbidities, persistent pain and associated psychosocial factors.

Independently determine appropriate investigations, including diagnostic imaging and pathology tests, and interpret results to support clinical decision-making.

Manage a clinical caseload autonomously, maintaining accountability for all clinical decisions and interventions.

Identify and appropriately manage red flags, serious pathology and non-MSK conditions, ensuring effective safety-netting and escalation where required.

Refer patients appropriately to specialist services, including orthopaedics, rheumatology, neurology, pain services, rehabilitation services and other healthcare professionals.

Support patients to self-manage their conditions through education, rehabilitation and referral to community-based support services, including social prescribing opportunities.

Undertake advanced clinical interventions within scope of practice and competency, which may include non-medical prescribing and injection therapy where appropriately qualified.

Service Leadership, Professional Practice and Consultancy

Provide clinical leadership for the development and delivery of FCP and MSK services across the PCN.

Contribute to the strategic development, implementation and review of MSK pathways, referral guidance and models of care.

Promote integrated multidisciplinary working across primary, community and secondary care services.

Lead or contribute to service improvement initiatives that enhance patient outcomes, productivity and service efficiency.

Support the development and implementation of policies, procedures and governance frameworks that promote quality, safety and effective risk management.

Monitor service performance against agreed objectives, standards and KPIs, identifying opportunities for improvement where required.

Represent the FCP service at internal and external meetings, professional forums and system-wide initiatives.

Participate in the investigation and management of incidents, complaints and clinical governance matters as required.

Education and Workforce Development

Provide education, training and specialist advice to GPs, primary care professionals and multidisciplinary colleagues to support effective MSK assessment, referral and management.

Contribute to clinical supervision, mentorship and professional development of FCPs and other healthcare professionals.

Maintain and demonstrate advanced clinical competence through continuing professional development and lifelong learning.

Support workforce development initiatives by identifying skills gaps and contributing to workforce planning across the PCN and wider MSK workforce.

Communication and Partnership Working

Act as an ambassador for the FCP service, promoting the role and its benefits across primary care and wider healthcare systems.

Communicate highly complex and sensitive clinical information effectively with patients, carers and multidisciplinary teams.

Develop and maintain productive relationships with clinicians, managers, commissioners and partner organisations to support integrated service delivery.

Influence and support service development through effective stakeholder engagement, negotiation and change management.

Contribute to the dissemination of service improvements, clinical outcomes and best practice across local, regional and national networks.

Skills, Knowledge & Competencies

Essential

• Excellent written communication skills.
• Excellent IT skills in Microsoft Office applications.
• Able to work with and influence other grades of staff and professions Ability to use own initiative.
• Excellent organisational skills.
• Ability to work as part of a team.
• Ability to prioritise workload, work accurately under pressure, and meet deadlines.
• Ability to problem solve and think laterally.
• Good all-round clinical knowledge and practical clinical skills.
• Knowledge of national guidance .
• Demonstrated commitment to CPD.
• Strict adherence to patient confidentiality legislation.
• Responds well to constructive feedback.
• Empathetic & sensitive to patients & members of staff.
• Deals with patients & staff with honesty & integrity.
• Ability to work flexibly and reliably.
• Ability to travel to study days/other work locations using own or public transport.

Desirable

• Ability to develop services in designated area.
• Teaching and tutoring skills.
• Ability to affect and manage change with an ability to motivate others.
• Team building skills.
• Ability to manage time, people, and resources to deliver outcomes.
• Identifies and manages risk.

Qualifications

Essential

• HCPC Registration
• Completion of an appropriate level 7 MSc in Advanced Clinical or Physiotherapy Practice or equivalent.

Desirable

• M-Level leadership module.
• Completion of M-level post-graduate non-medical prescribing course.
• Completion of M-level post-graduate Injection Therapy course.

Experience

Essential

• Evidence of working in an Advanced practice role, or in an experienced senior role, working towards an Advanced Practice role, as a First Contact Practitioner, or in other MSK or Orthopaedic services.
• Evidence of managing patients with acute, chronic and complex MSK presentations holistically, with acknowledgement of comorbidities, medical health, mental health, pharmacological management and social environment.
• Evidence of an extensive role in the clinical education and supervision of less experienced staff, students, and assistants, including conducting appraisals
• Experience of and direct involvement in redesign within a service.
• Experience in delivering training and supervising others.
• Audit and/or practice research experience
• Experience of collaborative working in multidisciplinary settings.
• Experience of working through change in the workplace and recognition of the impact of change on behaviours and processes.

Desirable

• Project management
• Experience of policy, guideline, and service development
• Risk management
• Staff management

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).

Job responsibilities

Responsibilities underpinning the role.

The following are the core responsibilities of the first contact physiotherapist. On occasion there may be a requirement to carry out other tasks; this will be dependent on factors such as workload and staffing levels.

• To manage patients presenting with a range of acute and chronic MSK conditions, providing subject matter and expert advice.
• To take professional responsibility as a first-contact physiotherapist, with high-level decision-making and clinical-reasoning skills to assess, diagnose and triage patients.

• To implement and evaluate individual physiotherapy management plans for patients in accordance with evidence base and national guidelines for best practice.
• To manage a complex caseload (including patients with long-term conditions, co-morbidities, and multi-factorial needs and direct non-MSK concerns appropriately.

• To be accountable for decisions and actions via HCPC registration, supported by a professional culture of peer networking/review and engagement in evidence-based practice.
• To work within agreed pathways of care by providing a responsive service so that patients receive timely access to care

• To ensure care is proactive, preventive in focus and population based, with an emphasis on early intervention.
• To provide care which 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

• To support patients to set their own goals and be confident in their approach to self-management.
• To communicate effectively and appropriately with patients and carers, complex and sensitive information regarding diagnosis, pathology, and prognosis.
• To work with the MDT to develop more effective and streamlined clinical pathways and services.

• To exercise professional judgement, making, justifying and taking responsibility for decisions in unpredictable situations, including in the context of incomplete/contradictory information.
• To manage interactions in complex situations, including with individuals with psychosocial and mental health needs and with colleagues across the primary care team, sectors and settings.

Experience

Essential

• Experience as Senior Physiotherapist working in autonomous MSK role
• Expert clinical reasoning skills
• Proven multi-disciplinary working
• Clinical experience of triage and care planning

Desirable

• Experience of working in Primary care and first contact roles
• Evidence of clinical leadership
• Evidence of research activity or skills
• Experience of computer based clinical systems, Systm1 and EMIS Web

Other requirements

Essential

• Flexibility to work outside of core office hours
• Valid UK driving licence and access to own vehicle to meet the travel requirements of the post
• Clear vision of role and commitment to working in Primary Care
• Disclosure Barring Service (DBS) check

Personal Qualities

Essential

• Sensitive and empathetic in distressing situations
• Ability to work under pressure

Qualifications

Essential

• BSc/Grad Dip in Physiotherapy.
• A minimum of five years post qualification experience.
• HCPC Registration.

Desirable

• CPD pertaining to Primary Care
• MSc modules relevant to the FCP role
• Extended Scope competencies around bloods, imaging and prescribing.
• Masters Level qualification or the equivalent specialist knowledge, skills and experience.

Skills

Essential

• Good interpersonal skills with the ability to communicate effectively with a diverse range of people.
• Ability to work as part of a team and autonomously Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports.
• Can demonstrate working at Level 7 capability in MSK related areas of practice or equivalent (such as advanced assessment diagnosis and treatment);
• Excellent written and verbal communication
• Knowledge of audit and research
• Good time management skills, able to prioritise and organise workload for best effect
• Ability to promote best practice regarding all musculoskeletal matters
• Ability to maintain a high level of confidentiality and discretion at all times
• Problem solving & analytical skills
• Ability to follow policy and procedure

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).

Job responsibilities

Responsibilities underpinning the role

To develop and facilitate a good working relationship with all local providers of healthcare.

To plan and organise own workload, including audit and project work, and training sessions.

To record personally generated information and maintain a database of information relating to the work done in the practice(s). Personally generated information includes information and records relating to audit and clinical work undertaken by the post holder, reference notes relating to clinical/ technical information. The database includes maintaining up-to-date, detailed records of all work done in practices for which the post holder is accountable.

To maintain registration as a pharmacist and comply with appropriate professional codes.

As appropriate to the post, to maintain and develop professional competence and expertise, keep up to date with medical/therapeutic evidence and opinion, and local and national service, legislation and policy developments, agree objectives and a personal development plan and participate in the appraisal process.

To attend local, regional and national meetings of relevance.

To undertake any other duties commensurate with the post holders grade as agreed with the post holders line manager.

All employees should understand that it is their personal responsibility to comply with all organisational and statutory requirements (e.g. health and safety, equal treatment and diversity, confidentiality and clinical governance).

Qualifications

Essential

• Masters degree in pharmacy (MPharm)

Desirable

• Independent prescriber or is currently working towards gaining an independent prescribing qualification
• Clinical Diploma

Experience

Desirable

• Minimum of 2 years post qualification experience.

Knowledge and Skills

Essential

• An appreciation of the nature of GPs and general practices
• An appreciation of the nature of primary care prescribing, concepts of rational prescribing and strategies for improving prescribing
• Excellent interpersonal, influencing and negotiating skills
• Demonstrate the ability to communicate complex and sensitive information in an understandable form to a variety of audiences (e.g. patients)
• Is able to plan, manage, monitor, advise and review general medicine optimisation issues in core areas for long term conditions.
• Good IT skills
• Able to obtain and analyse complex technical information
• Recognises priorities when problem solving and identifies deviations from the normal pattern and is able to refer to seniors or GPs when appropriate
• Able to work under pressure and to meet deadlines
• Produce timely and informative reports
• Work effectively independently and as a team member
• Demonstrate accountability for delivering professional expertise and direct service provision

Desirable

• Gain acceptance for recommendations and influence / motivate / persuade the audience to comply with the recommendations / agreed course of action where there may be significant barriers
• In depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare

Personal Attributes

Essential

• Able to work under pressure and to meet deadlines
• Produce timely and informative reports
• Gain acceptance for recommendations and influence / motivate / persuade the audience to comply with the recommendations / agreed course of action where there may be significant barriers

Other

Essential

• Self-motivation
• Adaptable
• Full driving licence

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).