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MSK First Contact Physiotherapy Advanced Practitioner

North Cumbria Integrated Care NHS Foundation Trust
£50,952 to £57,349 per annum (pro rata)
Closing date
4 Jan 2024

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Band 8A
Contract Type
Full Time
North Cumbria Integrated Care NHS Foundation Trust (NCIC) is seeking to recruit a Musculoskeletal (MSK) First Contact Physiotherapy Advanced Practitioner (FCP AP) to lead, expand and further develop our First Contact Physiotherapy (FCP) service in Primary Care. This post provides the opportunity to join our FCP workforce as an MSK FCP AP, and to provide clinical, managerial and operational leadership for our FCP service in the Carlisle Primary Care Network (PCN). If successful, you will undertake the lead role in establishing, developing and implementing the NCIC FCP service in the Primary Care setting. This is an exciting opportunity to improve clinical quality and effectiveness, and operational efficiency to further enhance MSK pathways of care, advancing healthcare delivery for the population of North Cumbria, and specifically within Carlisle PCN, for those who suffer with MSK related conditions and disorders. The expansion of the FCP service in North Cumbria aligns with NHS England's national priority of increasing the Primary Care workforce.

Main duties of the job

As the PCN lead MSK FCP AP, you will provide leadership and clinical expertise to the PCN FCP team. You will deliver and ensure the provision of a high quality MSK FCP service. You will be required to work closely with the GP's and other members of the primary care multidisciplinary team to deliver optimal MSK related care to the local population. You will need to demonstrate excellent communication skills as you establish and enhance relationships within primary care and also with other key stakeholders in community and secondary care MSK related services. NCIC is committed to delivering high quality, evidence based clinical care and you will be responsible for ensuring that this is the case in our FCP service. There is an expectation that you will be able to evidence previous experience of working at an advanced clinical practice level or that you are working towards this either through an accredited ACP MSc or via a portfolio route aligned to the HEE MSK FCP/ ACP roadmap.

About us

At NCIC, we have an ambition to deliver outstanding hospital and health services to half a million people. Established on 1st October 2019, the Trust is creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout north Cumbria and beyond. We're responsible for delivering over 70 services across 15 main locations and we employ more than 6,500 members of staff.

Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time'.
  • Being a clinically led organisation
  • Quality and safety at the heart
  • A positive patient experience every time
  • A great place to work
  • Managing our money well

As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.

Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. There is an expectation for all staff to support this by familiarising yourself with the Trust's sustainability initiatives such as waste and recycling, going paperless, videoconferencing, sustainable transport and others.

We encourage you to think about what you can do as an individual and within your team to contribute in to embedding carbon reduction into the everyday running of our organisation.

Job description

Job responsibilities

Please see attached Job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies?
  • Please ensure that you document evidence of meeting all the essential criteria in the supporting information.
  • If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Important Information

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:
  • Junk Mail is checked regularly

Disclosure and Barring Service:

On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.

The changes mean that:
  • youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
  • the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.

If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.

Nacro Tel: 0300 123 1999, or email:

Unlock Tel: 01634 247350, email or complete the online form on the Unlock website

The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: �18 + Administration cost of �3.85 = �21.85. Deducted at �6.85 from 1st month salary and �5 deducted from salary over following 3 months.

Enhanced Check: �38 + administration cost of �3.90 = �41.90. Deducted at �11.90 from 1st month salary and �10 deducted from salary over following 3 months.

As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.

A lease car may be available for this position further details will be provided upon appointment if applicable.

27 day holiday scheme rising to 33 after 10 years

Flexible working Scheme

Excellent opportunities for development

Competitive NHS Pension scheme

Access to NHS discounts with retailers and leisure companies

EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems

These schemes are subject to availability

Person Specification



  • Completion of an undergraduate degree in Physiotherapy, and registration with the Health and Care Professions Council
  • Member of the Chartered Society of Physiotherapy (CSP)
  • To have ongoing evidence of continued professional development within the specialist field
  • Completion of stage 1) Knowledge, Skills and Attributes (KSA) for FCP's and AP's in Primary Care 'A Roadmap to Practice'


  • Radiological Interpretation Course (or working towards)
  • IRMER / MRI Safety trained
  • MSc Module in Injection Therapy or Diploma in Injection Therapy
  • May hold or be working towards a prescribing qualification
  • FCP MSc module
  • To have completed or be working towards Masters level qualification in specialist field or advanced clinical practice
  • Formal leadership training



  • Extensive post registration experience working at a senior level within speciality area
  • High level of communication skills
  • Experience in managing change
  • Experience in providing counselling to patients and to support staff


  • Experience of involvement in formal research
  • Leadership/ managerial experience
  • Experience of service level implementation



  • Awareness of current initiatives within the Local and National health economy
  • Evidence of Continuing Professional Development relevant to this post including HEE e-LfH Primary Care modules and Person centred care modules
  • Knowledge of referral criteria to other specialisms
  • Relevant validated clinical courses applicable to physiotherapy at an advanced practice level
  • In depth knowledge of speciality area of practice
  • Knowledge of strategic issues which influence area of practice at a local and national level
  • Knowledge of national progress within speciality area
  • Knowledge of audit and research processes

Skills & Aptitudes


  • Complex problem solving and assessment skills
  • Ability to demonstrate analytical skills and judgement when dealing with the management of complex clients
  • Specialist knowledge of professional practice and research, to be innovative and proactive in order to enhance the service
  • To display effective communication skills, communicating complex, sensitive and contentious information to patients, carers and colleagues
  • IT skills
  • Ability to work independently, and to pass on knowledge / skills to others within both formal and informal environments.
  • Excellent communication and team working skills.
  • Able to present information, written and orally, in a clear and logical manner.
  • Demonstrate an understanding of legal responsibilities within the profession
  • Ability to influence change in practice
  • Ability to carry out moderate to intense physical effort throughout the working day and to work within an environment with competing demands
  • Audit and Presentation skills
  • Ability to maintain high standards of concentration


  • Experience using electronic records preferably EMIS GP

Personal Circumstances


  • The post holder must be:- professional, responsible, flexible, adaptable, a good communicator and a team player
  • Display the ability to problem solve and manage change
  • Respond and adapt to the changing needs of the service
  • Act appropriately in distressing or emotional circumstances
  • Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and health and safety and meet the differing needs of patients.
  • Ability to keep accurate and legible patient notes.
  • Ability to cope working in a stressful environment and with emotional or aggressive patients and carers.

Other Requirements


  • Clear vision of role/ commitment to the speciality.
  • Access to transportation to attend various locations
  • Develop a culture that promotes equality and values diversity (Level 4)

Employer details

Employer name

North Cumbria Integrated Care NHS Foundation Trust


Carlisle PCN



Any attachments will be accessible after you click to apply.


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