Advanced Practice Spinal Physiotherapist

To put quality and service user experience at the heart of clinical care To employ and apply expert musculoskeletal knowledge related to screening, triage,assessment, investigation, and treatment aligned with service pathways, locally commissioned pathways and national and international guidelines. To undertake comprehensive assessments of highly complex patients who may present with multiple pathologies, using expert biopsychosocial clinical reasoning skills, expert knowledge of evidence based practice, and advanced rehabilitation expertise, to interpret and analyse clinical and non-clinical facts, which may include very personal, emotive or contentious information to unravel the complexity of the impact of pain. To undertake video-conference/ telephone consultations for new and follow-up patients if clinically appropriate. Employ the principle of shared decision making aligned with local/national/international guidelines to inform patients of the benefits and risks of appropriate treatment options. To work independently performing expert musculoskeletal assessment of patients. To use expert clinical assessment and reasoning skills to identify patients who may have serious spinal pathologies, including neoplasm, intradural tumours, myelopathies, cauda equina syndrome. To independently refer patients to the on-call service. To communicate the suspected diagnosis, in a timely way to relevant clinicians (GP, Spinal Consultants, Spinal Unit Physiotherapists).