Job summaryMain duties of the job- To act as an autonomous, registered practitioner who is legally and professionally accountable for own unsupervised actions guided by the professional code of conduct and Trust guidelines and protocols.
- Lead complex neurological assessments (stroke, ABI, MS, Parkinson’s, MND, complex spasticity)
- Formulate and adapt highly specialist, evidence-based treatment plans
- Manage patients with severe physical, cognitive, perceptual and communication impairments
- Tracheostomy, PEG, NIV, and medically fragile presentations
- Lead high-level gait re-education, postural management, and upper limb rehabilitation
- Advanced handling of tone management, spasticity, contracture prevention
- Seating, wheelchair prescription, splinting, and positioning
- Perform and interpret formal outcome measures (e.g. BERG, FAC, MAS, TUG, ARAT)
- Provide expert input into risk management, capacity, and consent issues
- To be able to perform a competent assessment of patients, motor-skill exercises, mobility training, range-of-motion therapy, using clinical reasoning skills and manual assessment techniques to formulate a diagnosis based on the clinical findings of their condition.
- To comply with the organisation and departmental guidelines, protocols and policies, whilst adhering to Chartered Society of Physiotherapy (CSP) guidelines and Health Professions Council (HPC) requirements.
- Assess patient understanding of suggested physiotherapy management/rehabilitation programme, gain valid informed consent and to have the capacity to work within a legal framework with patients who are unable to consent to treatment.
Detailed job description and main responsibilities- To provide a competent standard of physiotherapy assessment and diagnosis, based on clinical findings, develop and implement an individualised treatment programme to maximise patient potential.
- To develop and provide an individual physiotherapy treatment programme based on best evidence-based practice, the treatment options may include the use of manual techniques, exercise classes, electrotherapy techniques and other alternate options.
- Continuing evaluation and reassessment of patient progress and the altering of treatment programmes if required.
- To be responsible for maintaining accurate and evaluative / comprehensive patient records in accordance with the Service / organisation standards on record keeping, and in line with CSP standards of practice.
- To assist more junior staff in the guidance of student Physiotherapists to adhere to best practice.
- To participate in weekend working rotas where appropriate.
- To be responsible for organising and prioritising own caseload in the day-to-day allocation of work.
- To deputise when required in your senior’s absence and delegate appropriately to support workers and rehabilitation assistants with guidance as appropriate.
- To have organisational knowledge relating to Trust protocols and procedures and adhere to them, particularly administration of medicine and moving and handling.
- To be responsible for providing accurate records of information required by the Trust for audit purposes.
- To ensure effective risk management at team level by accident/incident reporting, assessing and controlling risk and ensuring residual risks
Please see the attached JD for more details
Leadership- Act as key clinician for complex or high-risk stroke/neuro patients
- Lead MDT goal-setting and discharge planning
- Identify deterioration and escalate appropriately
- Support early discharge planning with safe transfer of care
- Provide day-to-day clinical leadership to Band 5/6 physiotherapists and assistants
- Offer formal supervision, mentorship, and preceptorship
- Support staff with complex clinical reasoning, prioritisation and caseload management
- Act as a clinical role model promoting best practice
- To participate in the development of an effective team and
About usNELFT NHS Foundation Trust provides mental health and community services for over 4.9 million people living in the London Boroughs of Waltham Forest, Redbridge, Barking and Dagenham, Havering, and across Essex.
We work to ensure our patients, their friends and family, feel confident that their health needs are well met. With an excellent reputation for research and development, our skilled health professionals are at the cutting edge of evidence-based innovation, opening up the possibilities for better ways of working and delivery of care.
DetailsClosing date: 12 August 2026
Date posted: 31 July 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year
Contract: Permanent
Working pattern: Full-time
Reference number: NDD-000719
Job locations: Ilford Exchange, Ilford, Essex, IG1 1RS, United Kingdom
Person SpecificationQualificationsEssentialDesirableExperienceEssentialDesirableDisclosure and Barring Service CheckThis 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.Employer detailsEmployer name: NELFT North East London Foundation Trust
Address: Ilford Exchange, Ilford, Essex, IG1 1RS, United Kingdom
Employer's website: Apply through our website
Employer contact detailsFor questions about the job, contact: Occupational Therapist OluwatoyinBorishade, recruitment@nelft.nhs.uk