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PCN Clinical Physiotherapist - MSK

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Employment type not specifiedExperience not specifiedGoole

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Cygnet PCN PCN Clinical Physiotherapist - MSK

The closing date is 02 October 2026

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Job summary

Cygnet PCN is looking to recruit a Specialist Musculoskeletal Practitioner to join our busy primary care network.We are looking for a part time Specialist Musculoskeletal Practitioner (25 to 30 hours).

The Specialist Musculoskeletal Practitioneroperates at an advanced level of clinical practice with skills to assess, diagnose, treat and manage musculoskeletal (MSK) problems and undifferentiated conditions. This will involve seeing patients, without prior referral from their GP, to establish a rapid and accurate diagnosis and management plan thus streamlining pathways of care.

A Specialist Musculoskeletal Practitioner works independently in clinical practice and does not require day to day supervision. Patients can either self-refer or be referred by the PCNs members.

Main duties of the job

  • Performing advanced assessment and clinical reasoning for patients with diverse presentations and complex musculoskeletal conditions
  • Develop and deliver an individualised management/treatment programme.
  • Following assessment, the post holder will be responsible for making therapeutic and/or clinical diagnoses and treating their own caseload of specialised and complex patients/clients and maintaining associated records
  • The post holder will assist in contributing to the planning, coordination, development and evaluation of the service
  • Develop your clinical and leadership skills whilst working with a diverse caseloads.

About us

Cygnet PCN covers a large geographical area within the East Riding of Yorkshire. Our network covers over 52,000 patients and is made up of the five following GP Practices:

Bartholomew Medical Group

Snaith & Rawcliffe Medical Group

Montague Medical Practice

Howden Medical Centre

Gilberdyke Health Centre

Our network comprises of a range of roles from Clinical Director to Care Co-ordinator.

PCN's build on existing primary care services and enable greater provision of proactive, personalised, coordinated and more integrated health and social care for people close to home. Our PCN are proactively providing care and services for the people and communities we serve.

New roles are being introduced to the network as we are expanding into different areas of Healthcare.

The network provides a single point of access for the nursing, residential and learning disability homes in the area.

All our team are passionate and committed to making a difference to patient care.

Details

Date posted

10 September 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A1791-26-0008

Job locations

Bartholomew Medical Group

Woodland Avenue

Goole

DN146RU

United Kingdom


Montague Medical Practice

Fifth Avenue

Goole

DN146JD

United Kingdom


The Snaith & Rawcliffe Medical Group

Butt Lane

Snaith

Goole

DN149DY

United Kingdom


Gilberdyke Health Centre

Thornton Dam Lane

Gilberdyke

Brough

HU15 2UL

United Kingdom


Howden Medical Centre

Pinfold Street

Howden

Goole

DN147DD

United Kingdom


Job description

Job responsibilities

Our Specialist Musculoskeletal Practitioner is to be the first point of clinical contact for patients presenting with MSK conditions or symptoms, providing the patient with the primary assessment, diagnosis and management options for their condition.

Use advanced clinical practice skills and clinical reasoning to provide comprehensive diagnostic and treatment support to patients who present with complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs.

Be the link between primary, community and acute services, when the patient is managed via primary care ensuring an integrated care pathway for individual patients that meets their needs. This will include provision of triage to other services and/or directly providing management and advice.

Lead on and develop effective communication between primary care services/GP practices and other relevant care providers.

Initiate, develop, and maintain relationships with MDTs, orthopaedic and physiotherapy consultant teams in the community and acute settings.

Where appropriate, develop relationships with wider health and social care agencies, for example mental health teams, local authorities, third sector providers and patient groups.

Provide leadership and support on MSK clinical and service development across the PCN, alongside learning opportunities for the whole multi-disciplinary team (MDT) within primary care.

Provide highly specialist advice on issues ranging from the provision of expert opinion on individual patient treatment options to be a primary contributor to MSK services and related pathway development.

Encourage collaborative working across the health economy and be a key contributor to the primary care networks providing leadership and support on MSK clinical and service development across the network.

Work independently, without day to day supervision, to assess, diagnose, triage, and manage patients, taking responsibility for prioritising and managing a caseload of the PCNs registered patients.

Receive patients who self-refer (where systems permit) or from a clinical professional within the PCN, and where required refer to other health professionals within the PCN.

Work as part of an MDT in a patient facing role, using their expert knowledge of movement and function issues, to create stronger links for wider services through clinical leadership, teaching and evaluation.

Develop integrated and tailored care programmes in partnership with patients, providing a range of first line treatment options including self-management, referral to rehabilitation focussed services and social prescribing.

Make use of their full scope of practice, developing skills relating to independent prescribing, injection therapy and investigation to make professional judgements and decisions in unpredictable situations, including when provided with incomplete or contradictory information. Take responsibility for making and justifying these decisions.

Manage complex interactions, including working with patients with psychosocial and mental health needs, referring onwards as required and including social prescribing when appropriate.

Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training.

Develop integrated and tailored care programmes in partnership with patients through:

  • effective shared decision-making with a range of first line management options (appropriate for a patients level of activation)
  • assessing levels of Patient Activation to support a patients own level of knowledge, skills and confidence to self-manage their conditions, ensuring they are able to evaluate and improve the effectiveness of self-management interventions, particularly for those at low levels of activation
  • agreeing with patients appropriate support for self-management through referral to rehabilitation focussed services and wider social prescribing as appropriate
  • designing and implementing plans that facilitate behavioural change, optimise patients physical activity and mobility, support fulfilment of personal goals and independence, and reduce the need for pharmacological interventions
  • request and progress investigations (such as x-rays and blood tests) and referrals to facilitate the diagnosis and choice of treatment regime including, considering the limitations of these investigations, interpret and act on results and feedback to aid patients diagnoses and management plans and carry own caseload as an autonomous practitioner, providing direct clinical/ physiotherapeutic care for patients with a range of complex musculo-skeletal conditions and who may have significant other primary or secondary conditions/multi-pathologies

  • Be able to decide when appropriate to use advanced clinical practice skills that may include:
  • Joint/soft tissue injection therapy, including administration of prescription only medication [POM] to aid treatment.
  • Use professional judgement and advanced clinical reasoning skills to make decisions about safe and effective patient care in unpredictable situations, including when there is incomplete/contradictory information
  • Be able to demonstrate understanding of the impact of physiotherapeutic interventions on existing conditions and treatment programmes e.g. podiatric treatment, drug therapies, etc.
  • Ensuring physiotherapy interventions are integrated and supportive of the whole treatment aims promoting a holistic approach to condition management
  • Be able to clinically justify referral onto appropriate MSK pathways within the community or wider healthcare services. Including referral to the appropriate stage of the pathway and the use of social prescribing
  • For patients that remain the responsibility of primary care services, take the lead for the management of the patients journey on their care pathway, acting as the link for the patient between primary care and other services/ professionals
  • Be able to justify clinically referrals to other specialist services. This will include referral to acute and specialist services such as surgical orthopaedics, rheumatology and neurology, other AHP services, nursing services and to the primary care medical teams
  • Recognise RED flags, serious pathology and potential underlying non-MSK related disease, that may present as MSK symptoms and to refer appropriately. When needed accelerate the patients referral to other health professionals/services
  • Work in partnership with the patient at all times to attain maximum participation in treatment programmes. This will include working with patients from diverse social background and cultures and understanding how this will affect treatment proposals and models
  • Provide expert advice and act as source of expertise in the management of musculoskeletal conditions and provide a specialist advisory service to patients, specialist physiotherapists other specialist healthcare professionals and members of the primary care team, including advising GPs on management of MSK conditions
  • Provide clear advice, instruction and teaching on aspects of management of a condition to patients, relatives, carers and other health professionals
  • Continually review and develop specialist clinical and diagnostic skills in response to service need
  • Be accountable for own decisions and actions via HCPC registration and professional standards

Job description

Job responsibilities

Our Specialist Musculoskeletal Practitioner is to be the first point of clinical contact for patients presenting with MSK conditions or symptoms, providing the patient with the primary assessment, diagnosis and management options for their condition.

Use advanced clinical practice skills and clinical reasoning to provide comprehensive diagnostic and treatment support to patients who present with complex musculoskeletal conditions and/or multiple pathologies and/or mental health and/or pain management needs.

Be the link between primary, community and acute services, when the patient is managed via primary care ensuring an integrated care pathway for individual patients that meets their needs. This will include provision of triage to other services and/or directly providing management and advice.

Lead on and develop effective communication between primary care services/GP practices and other relevant care providers.

Initiate, develop, and maintain relationships with MDTs, orthopaedic and physiotherapy consultant teams in the community and acute settings.

Where appropriate, develop relationships with wider health and social care agencies, for example mental health teams, local authorities, third sector providers and patient groups.

Provide leadership and support on MSK clinical and service development across the PCN, alongside learning opportunities for the whole multi-disciplinary team (MDT) within primary care.

Provide highly specialist advice on issues ranging from the provision of expert opinion on individual patient treatment options to be a primary contributor to MSK services and related pathway development.

Encourage collaborative working across the health economy and be a key contributor to the primary care networks providing leadership and support on MSK clinical and service development across the network.

Work independently, without day to day supervision, to assess, diagnose, triage, and manage patients, taking responsibility for prioritising and managing a caseload of the PCNs registered patients.

Receive patients who self-refer (where systems permit) or from a clinical professional within the PCN, and where required refer to other health professionals within the PCN.

Work as part of an MDT in a patient facing role, using their expert knowledge of movement and function issues, to create stronger links for wider services through clinical leadership, teaching and evaluation.

Develop integrated and tailored care programmes in partnership with patients, providing a range of first line treatment options including self-management, referral to rehabilitation focussed services and social prescribing.

Make use of their full scope of practice, developing skills relating to independent prescribing, injection therapy and investigation to make professional judgements and decisions in unpredictable situations, including when provided with incomplete or contradictory information. Take responsibility for making and justifying these decisions.

Manage complex interactions, including working with patients with psychosocial and mental health needs, referring onwards as required and including social prescribing when appropriate.

Implement all aspects of effective clinical governance for own practice, including undertaking regular audit and evaluation, supervision and training.

Develop integrated and tailored care programmes in partnership with patients through:

  • effective shared decision-making with a range of first line management options (appropriate for a patients level of activation)
  • assessing levels of Patient Activation to support a patients own level of knowledge, skills and confidence to self-manage their conditions, ensuring they are able to evaluate and improve the effectiveness of self-management interventions, particularly for those at low levels of activation
  • agreeing with patients appropriate support for self-management through referral to rehabilitation focussed services and wider social prescribing as appropriate
  • designing and implementing plans that facilitate behavioural change, optimise patients physical activity and mobility, support fulfilment of personal goals and independence, and reduce the need for pharmacological interventions
  • request and progress investigations (such as x-rays and blood tests) and referrals to facilitate the diagnosis and choice of treatment regime including, considering the limitations of these investigations, interpret and act on results and feedback to aid patients diagnoses and management plans and carry own caseload as an autonomous practitioner, providing direct clinical/ physiotherapeutic care for patients with a range of complex musculo-skeletal conditions and who may have significant other primary or secondary conditions/multi-pathologies

  • Be able to decide when appropriate to use advanced clinical practice skills that may include:
  • Joint/soft tissue injection therapy, including administration of prescription only medication [POM] to aid treatment.
  • Use professional judgement and advanced clinical reasoning skills to make decisions about safe and effective patient care in unpredictable situations, including when there is incomplete/contradictory information
  • Be able to demonstrate understanding of the impact of physiotherapeutic interventions on existing conditions and treatment programmes e.g. podiatric treatment, drug therapies, etc.
  • Ensuring physiotherapy interventions are integrated and supportive of the whole treatment aims promoting a holistic approach to condition management
  • Be able to clinically justify referral onto appropriate MSK pathways within the community or wider healthcare services. Including referral to the appropriate stage of the pathway and the use of social prescribing
  • For patients that remain the responsibility of primary care services, take the lead for the management of the patients journey on their care pathway, acting as the link for the patient between primary care and other services/ professionals
  • Be able to justify clinically referrals to other specialist services. This will include referral to acute and specialist services such as surgical orthopaedics, rheumatology and neurology, other AHP services, nursing services and to the primary care medical teams
  • Recognise RED flags, serious pathology and potential underlying non-MSK related disease, that may present as MSK symptoms and to refer appropriately. When needed accelerate the patients referral to other health professionals/services
  • Work in partnership with the patient at all times to attain maximum participation in treatment programmes. This will include working with patients from diverse social background and cultures and understanding how this will affect treatment proposals and models
  • Provide expert advice and act as source of expertise in the management of musculoskeletal conditions and provide a specialist advisory service to patients, specialist physiotherapists other specialist healthcare professionals and members of the primary care team, including advising GPs on management of MSK conditions
  • Provide clear advice, instruction and teaching on aspects of management of a condition to patients, relatives, carers and other health professionals
  • Continually review and develop specialist clinical and diagnostic skills in response to service need
  • Be accountable for own decisions and actions via HCPC registration and professional standards

Person Specification

Experience

Essential

  • Undergraduate degree in physiotherapy, and registration with the Health and Care Professions Council
  • At least 5 years experience in core physiotherapy and MSK physiotherapy i.e. in NHS MSK physiotherapy services, working at Band 6 level or above
  • Member of the Chartered Society of Physiotherapy (CSP)
  • Satisfactory enhanced DBS
  • A desire to enhance and expand your professional capacity, and enthusiasm about working within Primary Care.
  • A desire to become an independent, self-directed, proactive clinician who deals with unselected and at times complex presentations and can manage uncertainty safely.
  • A desire to share and enhance your knowledge within the Primary Care team and contribute to service improvement and multidisciplinary working.
  • Ability to order and interpret investigations such as blood tests and diagnostic imaging.
  • Excellent communication and consultation skills
  • Ability to work as a team player within the Primary Care team
  • Strong leadership skills
  • Commitment to personal development
  • Self-motivated, innovative and dynamic

Desirable

  • Qualification in independent prescribing
  • Qualification in injection therapy
  • Previous experience as independent clinician

Other

Essential

  • Meet DBS reference standards and criminal record checks
  • Willingness to work flexible hours when required to meet work demands
  • Access to own transport, ability to travel across the locality on a regular basis, including visiting individuals in their own homes
  • Valid Full UK driving licence and business use insurance

Skills & Knowledge

Essential

  • Knowledge of IT systems, including ability to use word processing skills, emails, and the internet to create simple plans and reports
  • Knowledge of how the NHS works, including primary care
  • Completed an undergraduate degree in physiotherapy
  • Hold a Masters Level qualification or equivalent specialist musculoskeletal knowledge, skills and experience
  • Have completed the Level 7 Modules in MSK related areas of practice (advanced assessment / diagnosis / treatment
  • Be registered with the Health and Care Professions Council
  • Be a member of the CSP or appropriate professional body

Desirable

  • An appreciation of the nature of GPs and general practice
  • An appreciation of the new NHS landscape including the relationships between individual practices, PCNs and the commissioners
  • Hold credentials in imaging (diagnostic or procedural)
  • In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare

Personal Qualities & Attirbutes

Essential

  • Ability to follow legal, ethical, professional and organisational policies/procedures and codes of conduct
  • Ability to use own initiative, discretion and sensitivity
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
  • Ability to use own initiative, discretion and sensitivity
  • Flexible and cooperative
  • Ability to identify risk and assess/manage risk when working with individuals
  • Sensitive and empathetic in distressing situations
  • Able to provide leadership and to finish work tasks
  • Problem solving & analytical skills
  • Ability to maintain confidentiality
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

Desirable

  • Willingness to work flexible hours when required to meet work demands
  • Evidence of continuing professional development

Person Specification

Experience

Essential

  • Undergraduate degree in physiotherapy, and registration with the Health and Care Professions Council
  • At least 5 years experience in core physiotherapy and MSK physiotherapy i.e. in NHS MSK physiotherapy services, working at Band 6 level or above
  • Member of the Chartered Society of Physiotherapy (CSP)
  • Satisfactory enhanced DBS
  • A desire to enhance and expand your professional capacity, and enthusiasm about working within Primary Care.
  • A desire to become an independent, self-directed, proactive clinician who deals with unselected and at times complex presentations and can manage uncertainty safely.
  • A desire to share and enhance your knowledge within the Primary Care team and contribute to service improvement and multidisciplinary working.
  • Ability to order and interpret investigations such as blood tests and diagnostic imaging.
  • Excellent communication and consultation skills
  • Ability to work as a team player within the Primary Care team
  • Strong leadership skills
  • Commitment to personal development
  • Self-motivated, innovative and dynamic

Desirable

  • Qualification in independent prescribing
  • Qualification in injection therapy
  • Previous experience as independent clinician

Other

Essential

  • Meet DBS reference standards and criminal record checks
  • Willingness to work flexible hours when required to meet work demands
  • Access to own transport, ability to travel across the locality on a regular basis, including visiting individuals in their own homes
  • Valid Full UK driving licence and business use insurance

Skills & Knowledge

Essential

  • Knowledge of IT systems, including ability to use word processing skills, emails, and the internet to create simple plans and reports
  • Knowledge of how the NHS works, including primary care
  • Completed an undergraduate degree in physiotherapy
  • Hold a Masters Level qualification or equivalent specialist musculoskeletal knowledge, skills and experience
  • Have completed the Level 7 Modules in MSK related areas of practice (advanced assessment / diagnosis / treatment
  • Be registered with the Health and Care Professions Council
  • Be a member of the CSP or appropriate professional body

Desirable

  • An appreciation of the nature of GPs and general practice
  • An appreciation of the new NHS landscape including the relationships between individual practices, PCNs and the commissioners
  • Hold credentials in imaging (diagnostic or procedural)
  • In-depth therapeutic and clinical knowledge and understanding of the principles of evidence-based healthcare

Personal Qualities & Attirbutes

Essential

  • Ability to follow legal, ethical, professional and organisational policies/procedures and codes of conduct
  • Ability to use own initiative, discretion and sensitivity
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
  • Ability to use own initiative, discretion and sensitivity
  • Flexible and cooperative
  • Ability to identify risk and assess/manage risk when working with individuals
  • Sensitive and empathetic in distressing situations
  • Able to provide leadership and to finish work tasks
  • Problem solving & analytical skills
  • Ability to maintain confidentiality
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

Desirable

  • Willingness to work flexible hours when required to meet work demands
  • Evidence of continuing professional development

Disclosure and Barring Service Check

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Cygnet PCN

Address

Bartholomew Medical Group

Woodland Avenue

Goole

DN146RU

United Kingdom


Employer's website

https://cygnetpcn.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Cygnet PCN

Address

Bartholomew Medical Group

Woodland Avenue

Goole

DN146RU

United Kingdom


Employer's website

https://cygnetpcn.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

PCN Manager

Clare O'Brien

[email protected]

Details

Date posted

10 September 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A1791-26-0008

Job locations

Bartholomew Medical Group

Woodland Avenue

Goole

DN146RU

United Kingdom


Montague Medical Practice

Fifth Avenue

Goole

DN146JD

United Kingdom


The Snaith & Rawcliffe Medical Group

Butt Lane

Snaith

Goole

DN149DY

United Kingdom


Gilberdyke Health Centre

Thornton Dam Lane

Gilberdyke

Brough

HU15 2UL

United Kingdom


Howden Medical Centre

Pinfold Street

Howden

Goole

DN147DD

United Kingdom


Privacy notice

Cygnet PCN's privacy notice (opens in a new tab)

Support links

© Crown copyright

Market insight

41 808 £

Based on 9 offers with salary for Jobs in Goole

Full salary breakdown

Portfolio HR & Reward Goole ·

Reward Analyst

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