
Specialist Advanced Physio Practitioner – Fracture/A&E
HBS-APF | Remote | Clinical
About the role
You will operate at an advanced level of clinical practice, providing expert triage, assessment, and management of musculoskeletal (MSK) conditions and undifferentiated symptoms within a virtual setting. This specialist role acts as the Subject Matter Expert (SME) for Urgent Care and A&E pathways, ensuring clinical excellence in the identification and management of acute injuries and fractures.
Main responsibilities
Clinical Excellence & Subject Matter Expertise
- Act as the SME for patients presenting with acute MSK injuries, including those potentially requiring A&E or Urgent Care intervention
- Conduct high-level clinical examinations from physiological and psychological perspectives to establish rapid and accurate diagnoses
- Request and interpret radiological investigations (e.g. X-rays, MRI), understanding the sensitivity and specificity required to identify acute pathology
- Expertly manage the interface between virtual assessments and face-to-face (F2F) urgent care or orthopaedic services
Urgent Care Leadership & Training
- Lead on the development and delivery of urgent care and fracture management training for the wider Advanced Practice team and physiotherapists
- Act as a positive role model and mentor, educating team members on the latest evidence-based acute MSK pathways
- Contribute to and lead the creation of local protocols and standards specifically for urgent care and fracture screening
Governance, Audit & Incident Management
- Lead on clinical investigations regarding patient complaints and incidents, with a specific focus on missed fractures and acute diagnostic errors
- Utilise structured frameworks to identify learning from near-miss events and implement service-wide changes
- Initiate and lead the audit cycle to monitor the quality of acute care delivery and ensure compliance with national clinical guidance, NICE guidelines and CQC requirements
- Collaborate with clinical leads to deliver a robust clinical governance strategy for virtual MSK services
External Provider & Relationship Management
- Provide specialist subject matter expertise to external physiotherapy providers regarding urgent care and acute injury management as required
- Support external providers with clinical incident investigations or complex case reviews involving acute injuries when requested
- Offer specialist training input to external partners to ensure alignment with HBSUK’s acute clinical pathways.
Flexibility
This job profile is not intended to be exhaustive, and it is likely that duties may be altered from time to time in the light of changing circumstances, in discussion with the post holder. This role profile is intended to provide a broad outline of the main responsibilities only. The role is UK-wide.
This role will report to the MSK Clinical Services Manager
Essential skills
EDUCATION
- BSc/Grad Dip in Physiotherapy with HCPC registration
- IRMER trained and certified
EXPERIENCE
- Minimum 3 years’ experience working within a Fracture Clinic, Orthopaedic Service, Urgent Care, or A&E
- Minimum 3 years in an autonomous MSK role as an APP or FCP
- 3 years’ experience requesting radiological investigations
KNOWLEDGE AND SKILLS
- Expert clinical reasoning and the ability to adapt physical exams to a virtual setting.
- Excellent IT skills and interest in health-tech
- SME level knowledge of clinical governance and risk management
- Self-motivated and capable of acting on own initiative without supervision
- Strong communication and presentation skills
Desirable skills
EDUCATION
- MSc or evidence of Master’s level study in Advanced Clinical Practice
EXPERIENCE
- Experience working in a remote role
- Experience in leading or training other APPs
KNOWLEDGE AND SKILLS
- Knowledge of clinical governance and CQC requirements
- Interest in data analysis to improve outcomes
- Critical appraisal and data analysis skills for improving outcomes

Ready to apply?
Submit your application through the HBS recruitment portal and a member of our clinical engagement team will be in touch within two working days.
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