Advanced Physiotherapist Practitioner (APP)

Job Summary
Are you ready to transform MSK care at the frontline of Primary Care? We are delighted to be recruiting a Advanced Physiotherapist Practitioner (APP) to join our established and forward thinking team on a full-time basis. In this onsite role, you will work within GP practices as part of a multidisciplinary team, assessing, diagnosing and managing MSK patients at the first point of contact with full autonomy and strong clinical support. You will be embedded within your allocated practices, working closely with GPs, nurses, pharmacists, mental health practitioners, reception teams and wider MDT colleagues to deliver integrated, personalised care. You will have the opportunity to develop and apply advanced clinical skills, supported by protected CPD time and structured supervision.

Main duties of the job
As an Advanced First Contact Physiotherapist, you will be a qualified autonomous clinical practitioner working in GP practices who can assess, diagnose, treat, and manage musculoskeletal (MSK) problems and undifferentiated conditions, and where appropriate, discharge a person without a medical referral. FCPs working in this role can be accessed directly by self-referral or staff in GP practices can direct patients to them to establish a rapid and accurate diagnosis and management plan to streamline pathways of care. Advanced First Contact Physiotherapists are core to the successful delivery of our outsourced FCP service model. In this role you will deliver clinical work in line with your fellow FCP colleagues, but also support the organisation in providing clinical supervision to your peers, and with PCN service mobilisation / account management.

About us
Promni Health is a specialist clinical workforce and service support partner working with the NHS to help meet local workforce and service needs across primary care, community and neighbourhood health systems. Our services are recognised as best-in-class for our industry, recently winning the 'Best in Primary Care & Diagnostics' LaingBuisson Awards in 2023 and 2025. We were HSJ Independent Healthcare Provider Finalists in 2025 and 2026, including receiving recognition for our Outstanding Contribution to Preventative Care, and HealthInvestor Award Finalists in 2026. We directly employ over 400 clinicians including First Contact Practitioners, Enhanced Practice Nurses, Podiatrists, Occupational Therapists and Advanced Practitioners, supporting over 1,000 GP practices and a patient population exceeding 9 million. It really is a great place to work, reasons to join us include:

• A fast-growing, award-winning clinical organisation that genuinely puts people first
• The only MSK organisation in the UK certified as a Great Place to Work
• 12.5+ days of protected CPD and supervision time each year
• Funded development opportunities

Job responsibilities
Clinical Practice

• Assess, diagnose, triage, and manage patients, taking responsibility for the management of a complex caseload. You will progress and request investigations when trained to do so (such as x-rays and blood tests) and referrals to facilitate diagnosis and choice of treatment.
• Develop and make use of your full scope of clinical practice, including skills relating to independent prescribing, injection therapy and investigation when trained to do so.
• Manage complex interactions, including working with patients with psychosocial and mental health needs, referring to social prescribing when appropriate.
• Deliver programmes of supported patient self-management, in ways that facilitate behavioural change, optimise individuals' physical activity, mobility, fulfilment of personal goals and independence, and that minimise the need for pharmacological interventions.
• Provide care that 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).
• Support patients to set their own goals and be confident in their approach to self-management.

Evidence, Research, and Development

• Collect, analyse and present data on patient case mix, produce information on patients needing specialist care, metrics of interventions such as auditing Injection therapy , use of prescribing, conversion of secondary care referrals.
• Auditing on complex drug management including prescribing, de- prescribing in chronic widespread musculoskeletal pains coupled with mental health and other co-morbidities.
• Critical analysis of data to draw meaningful recommendations to the Primary Care Network to inform best practice, influence good clinical practice in primary care.
• Support the development and implementation of a training strategy for area of responsibility in collaboration with team leads/clinical academics, and clinical specialists internally and outside the Organisations.
• Participate in ongoing service improvement, evaluation and audit of interventions, outcomes as appropriate to context and management
• Develop relationships and a collaborative working approach across the PCN supporting the integration of pathways in primary care.
• Work as part of an MDT in a patient facing role, using your expert knowledge of MSK issues, to create stronger links for wider MSK services through clinical leadership, teaching and evaluation skills.
• Support research and audit programmes to evaluate and improve the effectiveness of our FCP service.
• Streamline the pathway of care by providing a responsive service so that patients receive timely access to care.
• Develop Standard Operating Procedures appropriate for onward referral pathways.

Leadership

• Lead, manage and contribute to service delivery.
• Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training.
• Communicate effectively and appropriately, with patients and carers, complex and sensitive information regarding diagnosis, pathology, prognosis and treatment choices supporting personalised care.

Facilitating learning

• Provide feedback and support to other PCN clinical team members on appropriate referral criteria.
• Critically reflect on own practice, and continue to develop your skills.
• Support FCP colleagues in line with Health Education Englands First Contact Practitioners and Advanced Practitioners in Primary Care: (Musculoskeletal). A Roadmap to Practice.
• Be a point of contact for your FCP colleagues to answer clinical queries as and when they present.
• Deliver in-house in service training to your regional FCP team.

Person Specification
Qualifications
Essential

• Current HCPC registration with significant post registration MSK experience (typically 5+ years)
• CSP registered practicing Physiotherapist
• Masters level (Level 7) qualification in Advanced Clinical Practice or equivalent Level 7 modules and evidence of working at an advanced level of practice
• Completion of the FCP Roadmap (Stage 1 and/or Stage 2)
• Completion of (or active progression toward) advanced clinical assessment and diagnostic reasoning training
• Injection therapy training or certification
• Evidence of ongoing CPD aligned to advanced practice standards
• Competence in requesting and interpreting imaging and investigations

Desirable

• Additional Level 7 modules beyond core ACP training
• Independent Prescribing (V300)
• Training in imaging interpretation (e.g., Xray, MRI, ultrasound)
• Teaching, mentoring, or clinical supervision qualifications
• Quality improvement, audit, or leadership training
• Additional specialist MSK or pain management courses
• Research involvement or evidence of academic contribution

Experience
Essential

• Experience managing complex and undifferentiated patient presentations
• Proven ability to work autonomously in clinical decision making
• Experience requesting and interpreting diagnostic investigations
• Demonstrated use of advanced clinical reasoning in practice
• Experience delivering personalised care and supported self management
• Evidence of working within multidisciplinary teams
• Experience in safety netting, escalation, and managing clinical risk
• Involvement in service development, pathway improvement, or clinical governance
• Experience supervising, mentoring, or supporting junior staff or students
• Use of audit, quality improvement, or evidence based practice to inform care

Desirable

• Experience working in a GP practice or Primary Care Network
• Delivery of group education or self management programmes
• Involvement in service development, pathway redesign or transformation projects
• Experience supervising students, junior clinicians or MDT colleagues
• Use of audit, research or QI projects to improve clinical outcomes
• Experience managing long term conditions or persistent pain presentations
• Working across community, interface or secondary care MSK services
• Experience with digital health platforms or remote consultations
• - Additional specialist skills such as injection therapy or ultrasound
• - Experience with digital health or remote consultation platforms

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. Applicants must have current UK professional registration. For further information please see NHS Careers website.