Advanced Practitioner Physiotherapist in Spasticity ManagementJob summaryAn exciting opportunity has arisen for a Band 8a Advanced Practitioner Physiotherapist to lead our specialist Spasticity and Botulinum Toxin Physiotherapy Service. This advanced practice clinical role involves expert assessment, diagnosis and treatment of patients with complex spasticity, including intramuscular botulinum toxin administration, alongside service development, clinical supervision, policy leadership, teaching, audit, and research across Trust sites. Based at York Hospital within the AHP Neurology service, the post-holder will work autonomously and collaboratively within the MDT to deliver high-quality, evidence-based spasticity management, including botulinum toxin administration.
The post-holder will act as the clinical lead for physiotherapy spasticity management across Trust sites, primarily working in adult services but where relevant also to children.
Providing expert assessment, treatment planning and interventions for patients with complex neurological presentations. The role includes delivering specialist care across a range of settings, including outpatients, wards, community settings and patients' homes, while supporting holistic management and informed patient decision-making.
The successful candidate will play a key role in teaching, supervision, audit, service evaluation and research. You will support workforce development, deliver training, and contribute to service improvement and innovation within neurology and stroke services.
Main duties of the jobTo provide specialist clinical care for patients with complex, long-term and often distressing symptoms, focusing on spasticity management and Botulinum Toxin treatment. Deliver holistic care, including physiotherapy assessment, treatment planning, lifestyle advice and support for informed decision-making.
Lead the physiotherapy contribution to the multidisciplinary spasticity and Botulinum Toxin service, working closely with consultants, physiotherapy injectors, orthotics and wider MDT colleagues. Take a lead role in the Multiple Sclerosis Sativex clinic.
Undertake assessment of highly complex presentations, using advanced clinical reasoning and specialist knowledge to establish diagnoses and deliver evidence-based treatment plans as an autonomous practitioner.
Lead the MDT Botulinum Toxin service, including intramuscular injection, service development, policy implementation and maintenance of clinical standards.
Provide specialist physiotherapy interventions for neurological patients, developing individualised treatment programmes to optimise outcomes and independence.
Lead strategic planning and development of the physiotherapy spasticity service across Trust sites, identifying workforce, training and equipment requirements in line with national guidance, evidence and service demand.
Support and lead research, service improvement and innovation across stroke and neurology physiotherapy services.
About usTo find out more about what it is like to work for our Trust please visit the Trust's website.
Our benefitsWe offer a range of benefits to support our staff including:
- Access to the NHS Pension Scheme, providing generous benefits upon retirement, as well as a lump sum and pension for dependants
- 27 days holiday rising to 33 days (depending on NHS Trust service)
- A variety of different types of paid and unpaid leave covering emergency and planned leave
- Confidential advice and support on personal, work, family and relationship issues, 24/7, from our Employee Assistance Programme
- NHS Car Lease scheme and Cycle to Work scheme
- An extensive range of learning and development opportunities
- Discounts on restaurants, getaways, shopping, motoring, cinema and finance from a range of providers
For further information on the fantastic range of benefits we offer please visit the Trust's dedicated Staff Benefits pages.
DetailsDate posted: 31 July 2026
Pay scheme: Agenda for change
Band: Band 8a
Salary: £57,528 to £64,750 a year pro rata
Contract: Permanent
Working pattern: Part-time
Reference number: 419-8098108-APP-CS
Job locations: York Hospital, Wigginton Road, York, YO31 8HE, United Kingdom
Job responsibilitiesA full description of the role is available in the attachment: job description.
Please note that if a high number of applications are received this advert may close early. You are advised to submit your application at the earliest opportunity.
Working for the TrustAcross our organisation, people are guided by values that were co-developed with staff: we are kind; we are open; and we pursue excellence.
Our values play into our ambition to develop a more diverse workforce, truly representative of our communities. We welcome applications from everyone, while working with our Staff Networks - including our Race Equality, LGBTQ+, Disability and Carers Networks - to increase the number of applications we receive from different backgrounds. If there is anything we can do to make our application process more accessible to you, please contact: yhs-tr.recruitment@nhs.net.
As part of seeking to become more inclusive, we will consider requests for flexible working from the start of your employment. It may not be suitable for every role, but we will try and be supportive where we can. We would encourage you to speak to the recruiting manager named within this advert to discuss any requirements you may have.
Armed Forces Friendly EmployerWe are holders of the Gold Award from the Defence Employer Recognition Scheme, which is helping actively promote SaBRE - Supporting Britains Reservists and Employers. This means that we have made a statement of intent to support all Defence personnel, including with applications for employment.
Person SpecificationEducation, Qualifications and TrainingEssential- Chartered Physiotherapist with HCPC registration
- Full MSc or significant evidence of working at this level
- Masters level training in injection therapy and drug administration to have included practical assessment of botulinum toxin administration
- Willing to undergo training as necessary to undertake role, this would include a full MSc qualification related to the specialist area
Desirable- Independent prescriber
- Post graduate training in leadership, service improvement, research skills
Experience & Knowledge RequiredEssential- Extensive experience in the physiotherapy management of patients with complex neurological problems
- Experience in spasticity management in its widest form and specifically in the administration of Botulinum toxin
- Advanced communication skills for the care of patients with complex needs
- Critical analysis and appraisal skills.
- Practical physiotherapy skills in the delivery of specialist treatment techniques which involve advanced clinical reasoning and administration of treatments with narrow margins of error
- Flexible & adaptable to meet the needs of patients and the service across trust sites
- Ability to work as part of a team
- Ability to consider wider organisational lead and develop a strategic overview
- Strong leadership skills and a positive role model
- Evidence of being a clinical supervisor
Desirable- Experience in service evaluation and redesign
- Awareness of current good practice in neurological physiotherapy
- Experience in contribution to research trials
- Publication in relevant field
Disclosure 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.
UK RegistrationApplicants must have current UK professional registration. For further information please see the NHS Careers website.
Employer detailsEmployer name: York and Scarborough Teaching Hospitals NHS Foundation Trust
Address: York Hospital, Wigginton Road, York, YO31 8HE, United Kingdom
Employer's website: the Trust's website
For questions about the job, contact: Head of Psychological Medicine, Veronica Oliver-Jenkins, veronica.oliver-jenkins@nhs.net, 01904725353
