Job summary
Totus Neurorehabilitation is a growing community neurorehabilitation service providing brain injury rehabilitation and cognitive assessments throughout the South West of England and South Wales, and East Anglia. There are currently three teams; Bristol, Exeter (expanding along the south coast) and East Anglia.

We are looking for an enthusiastic and committed Physiotherapist to join our team to cover South Wales.

We are funded on a case-by-case basis through individual funding packages (eg exceptional healthcare funding, CHC funding). As such the post holder is contracted to individual clients and the working hours will be based on the individual clients requirements. This post would best suit a practitioner working part time in the NHS looking for one or two additional cases a week.

As the post covers a large geographical area, we require you to hold a full UK driving licence, have access to a car for business purposes and are able to travel long distances for appointments. Travel time is paid at half the clinical rate. You will also be partly working from home and will need a confidential space to do online sessions and meetings when needed.

This is an Associate position which means the applicant is self-employed and contracted to the client. You will be required to register as a sole trader with the HMRC and submit your own tax return yearly. The applicant requires their own indemnity insurance, DBS certificate, and registration with the ICO.

Main duties of the job
The post holder will be part of an interdisciplinary rehabilitation team (including Occupational Therapists, Psychologists and Speech and Language Therapists) providing evidence-based brain injury rehabilitation in the community, clients homes, or outpatient clinics.

You will be responsible for managing your own caseload within the team and working across services and systems throughout our clients rehabilitation journeys. You will be able to work collaboratively and creatively with evidence-based approaches, and you will have a keen interest in neurorehabilitation with a desire to develop excellence in the field.

You will have experience in working with clients who have neurological presentations and cognitive deficits, experience of working within complex psychosocial systems, and the confidence engage with the multidisciplinary team in complex case formulation. The post is suitable for experienced clinicians.

About us
Totus is a complete neurorehabilitation service, bringing together expert clinicians to support people following acquired brain injury, neurological illness or complex physical trauma. Our multidisciplinary team includes specialists in neuropsychology, occupational therapy, physiotherapy, speech and language therapy, dietetics, and MS support services. We work closely with case managers, solicitors, families and support teams to deliver coordinated, person-centred rehabilitation that maximises each individuals potential. Our values are based in patient-led rehabilitation, with a community focus, funded on transparent communication, evidence based treatment, and sustainability of the rehabilitation model. All aimed to promote the quality of life of our clients and their supporters.

Job description
Job Title: Specialist Physiotherapist Community Neurorehabilitation
Location: Community-based eg. client homes, clinics, remote work, South Wales
Hours: based on clients individual funding
Reports to: Totus Neurorehabilitation Ltd Directors
Accountable to: Totus Neurorehabilitation Ltd Directors

Job Summary
The post holder will have their working base at home and will provide Physiotherapy assessment and rehabilitation services to clients with acquired and traumatic brain injury and neurological conditions, in the clients own homes, in the community, or at a designated clinic room. The post holder will work in an interservice context across several systems including the patient and family, case managers, legal services, allied health professionals, both within and external to Totus, and with the NHS and statutory services. The post holder will be supported by the Totus Neurorehabilitation Ltd Directors to provide a high-quality, specialist Physiotherapy service to adults with neurological conditions e.g., stroke, traumatic brain injury, MS, and Functional Neurological Disorder, as part of a community-based multidisciplinary team. The post holder will work with autonomy to assess and treat clients with complex needs, focusing on enabling independence and improving function in daily living activities, as well as vocational rehabilitation.

Key Responsibilities
Knowledge and Training

• The post holder is required to hold a degree in Physiotherapy.
• The post holder must be registered as an Physiotherapist with the Health Care Professions Council and be a member of the Chartered Society of Physiotherapy.
• The post holder must undertake the mandatory Continuing Professional Development hours specified by the RCOT/HCPC, and must seek and obtain supervision from senior professional colleagues, in order to maintain advanced specialist skills.

Clinical Duties

• Independently manage a caseload of clients with complex neurological rehabilitation needs.
• Undertake comprehensive PT assessments of mobility, sensory, pain, and cardiovascular.
• Develop, implement, and evaluate individualised treatment programmes.
• Support clients with home exercise programmes, community exercise programmes, community access, fatigue management, equipment provision, and environmental adaptations, or refer on to appropriate specialist services as required.
• Apply evidence-based interventions including movement retraining, task specific practice, spasticity management, pain management, and mobilisation plans.
• Identify when specialised equipment is required, advising on equipment or referring on to specialist services when needed.
• Provide therapy in a range of settings including clients own home, residential settings and remotely.
• Evaluate outcomes using recognised measures and adjust therapy accordingly.
• Complete risk assessments and ensure appropriate safety measures are in place.
• Provide education to clients, family members and care teams on the clients needs and strategies.
• Work alongside care teams to support the client in their physiotherapy goals.
• Write comprehensive and detailed reports to summarise needs and treatment progress.
• Write comprehensive and detailed goal plans alongside the MDT.
• The post holder is responsible for confidential data stored at home and complying with guidelines issued by the Information Commissioners Office.

Communication Skills

• Skills in communicating sensitive and distressing information to patients and families are required.
• The capacity to summarise and interpret highly complex and sensitive data and write concise, accurate and readily understood reports and file notes that communicate the findings of the assessment and treatment progress.
• IT skills to use the internet, Microsoft Word, Excel, and Access, Gmail, library / literature search engines, and cloud-based software.

Multidisciplinary Working

• Contribute to MDT assessments and goal planning.
• Attend MDT meetings when required.
• Work collaboratively with occupational therapists, speech and language therapists, psychologists, dieticians, Case Managers, and care providers.
• Liaise with family, carers, case managers, solicitors and third-sector organisations.

Supervision, Support and Training

• Participate in peer review, clinical supervision, and reflective practice.
• Provide education and advice to clients, carers, and other team members.

Service Development and Clinical Governance

• Ensure all practice complies with professional guidelines.
• Maintain accurate and timely clinical records in line with HCPC and RCOT standards.
• Participate in data collection for quality improvement.
• Notify the Totus Directors on the requirement and development of clinical protocols and pathways.
• Follow all clinical policies including safeguarding, risk, and infection control policies.
• Identify and report risks or safeguarding concerns appropriately.

Key Relationships

• Clients and their families/carers
• MDT members eg. SLTs, OTs, Psychologists, Nurses, Support Workers
• GPs, community services, social care professionals, voluntary sector, Case Managers and Solicitors.

Working Conditions

• The post holder will work primarily in the patients own homes to conduct assessment and interventions, and at community settings to support community physiotherapy goals (eg. gym). Clinic rooms may also be utilised as appropriate.
• The post holder will be required to drive for up to 1.5 hours at a time, and often up to 4 hours in a day.
• There is a frequent requirement for VDU and computer use, of varying times depending on the demands on the service.
• The post holder is required to concentrate intensely for prolonged periods during individual assessment and family interviews, sometimes with challenging and emotional individuals on a one-to-one basis.
• There may be some patients requiring assessment who are confused and agitated, potentially aggressive.

Person Specification Summary

• HCPC registered Physiotherapist Therapist with a recognised PT qualification
• Post-qualification experience in neurology, rehabilitation, or community settings
• Skilled in physiotherapy assessment and intervention planning
• Strong communication, time management, and teamworking abilities
• Commitment to CPD, evidence-based practice, and service improvement
• Capacity to work under changing and pressurised clinical timetables and to be organised management of clinical work.

Health and Safety, Confidentiality and Equal Opportunities
HEALTH AND SAFETY/SECURITY
It is the duty of every employee to work in such a way that accidents to themselves and to others are avoided, and to co-operate in maintaining their place of work in a tidy and safe condition, thereby minimising risk. It is each persons responsibility to ensure a secure environment and bring any breaches of security to the attention of the Totus Directors.

NON-SMOKING POLICY
Totus Neurorehabilitation Ltd operates a Non Smoking Policy which limits smoking in the workplace. Therapists are required to observe the rules laid down in the policy and failure to do so may result in disciplinary being taken.

EQUAL OPPORTUNITIES
Totus Neurorehabilitation Ltd has given its full commitment to the adoption and promotion of the key principles of equal opportunities contained within current legislation and the Totus Equal Opportunities Policy.

All staff hold personal responsibility for the application of this policy on a day-to-day basis and should not undertake any acts of discriminatory practice during the course of their employment. Similarly, all staff have a responsibility to highlight any potentially discriminatory practice to the Directors and their supervisors.

Confidentiality
In the course of your duties you may have access to confidential material about patients, members of staff or other health service business. On no account must information relating to identifiable patients be divulged to anyone other than authorised persons, for example, medical, nursing or other professional staff, as appropriate, who are concerned directly with the care, diagnosis and /or treatment of the patient. If you are in any doubt whatsoever as to the authority of a person or body asking for information of this nature, you must seek advice from the Totus Directors. Similarly, no information of a personal or confidential nature concerning individual members of staff should be divulged to anyone without the proper authority having first been given. Failure to observe these rules will be regarded by management as serious or gross misconduct which could result in disciplinary action being taken against you.

This job description will be reviewed in consultation with the post holder to reflect service needs and personal development.

Person Specification
Experience
Essential

• Post-registration experience in neurology, rehabilitation, or community settings
• Independent caseload management
• Experience delivering functional and cognitively adapted PT interventions
• Multidisciplinary team working
• Awareness of safeguarding, consent, and capacity legislation

Desirable

• Experience working in community neurorehabilitation teams
• Involvement in service development or audit projects
• Delivery of training or education to others
• Experience of Functional Neurological Disorders

Personal Qualities
Essential

• Reflective, motivated and committed to professional growth
• Client-centred and values-driven approach
• Ability to work independently and collaboratively
• Emotional resilience and ability to manage complex caseloads
• Car driver with access to own vehicle and valid driving license for community work
• Willingness to travel across regions if necessary for patient home visits or meetings
• The post holder must have indemnity insurance, a valid DBS certificate and registration with ICO.

Desirable

• Flexible to work across localities and changing environments
• Involvement in peer supervision or project leadership
• Experience working with culturally diverse populations

Qualifications
Essential

• Recognised Degree in Physiotherapy
• HCPC registration as a Physiotherapist
• Evidence of ongoing CPD
• Member of Chartered Society of Physiotherapists

Desirable

• Postgraduate training in neurorehabilitation or cognitive rehabilitation
• Membership of CSP specialist sections e.g. Neurological Practice

Knowledge, Skills and Abilities
Essential

• In-depth knowledge of PT assessment and treatment approaches for neurological clients
• Strong clinical reasoning and planning skills
• Excellent communication, interpersonal, and documentation skills
• Effective time management and prioritisation
• Understanding of safeguarding, consent, and capacity legislation

Desirable

• Use of outcome measures
• Familiarity with Qunote or digital record systems
• Experience with assistive equipment and home adaptations
• Awareness of psychosocial impacts of disability and long-term conditions
• Engagement with peer learning, journal clubs or SIGs

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 (opens in a new window).

Employer details
Employer name: Totus Neurorehabilitation Ltd
Address: Unit 121229, PO Box 92, Cardiff, Glamorgan, CF11 1NB, United Kingdom
Employer’s website: Apply through our website

Employer contact details
For questions about the job, contact:
Consultant Clinical Psychologist
Emma Hale
emma@totusrehab.co.uk
07985102524