Specialist Physiotherapist Neuro Medical​/Respiratory Inpatients

London North West University Healthcare NHS Trust

The closing date is 26 February 2026

Act as an autonomous practitioner to assess and treat own case load, providing a highly specialist physiotherapy service for neuro-medical critical care patients.

Act as an autonomous practitioner to assess and treat own case load, providing a highly specialist physiotherapy service for neuro-medical critical care patients.

Work as a core member of the multidisciplinary team (MDT) in acute neurology, critical care, and medical wards.

Provide specialist assessment and management for patients with complex neurological, respiratory, and multi-pathology conditions, including acute neurological deterioration, stroke, MND, and critically ill or complex medical patients.

Lead on the development and delivery of physiotherapy input within the neuro-medical critical care pathway.

Support the organisation, prioritisation, and coordination of referrals across the neurology and medical inpatient services.

Provide supervision, line management, and clinical leadership to junior physiotherapists, assistants, and students.

Contribute to service development, clinical audit, quality improvement and research.

Engage in continuing professional development (CPD) and maintain a portfolio of evidence.

Participate in the 7-day working rota and respiratory on-call service.

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.

Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
• St Mark’s Hospital: an internationally renowned specialist centre for bowel disease
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Communicate complex, sensitive, and sometimes distressing information to patients and families, including prognosis, rehabilitation potential, and treatment complexity.

Use advanced communication strategies with patients who have cognitive, communication, or physical barriers (e.g., tracheostomy, intubation, dysphasia, reduced consciousness).

Work collaboratively within the MDT to support safe, timely discharge planning and coordinated care.

Provide written documentation including discharge summaries, therapy reports, care plans, and MDT contributions in line with CSP and Trust standards.

Deliver teaching and training to MDT colleagues, students, and physiotherapy staff.

Communicate performance feedback and support PDPs for junior staff.

Undertake highly specialist assessment and treatment of patients with acute and complex neurological and medical presentations, including:

Critical illness, complex respiratory compromise, high dependency needs

Interpret and analyse advanced diagnostics including CT/MRI imaging and complex medical information.

Formulate individualised treatment plans using advanced clinical reasoning.

Identify and respond promptly to acutely deteriorating patients, escalating appropriately.

Deliver specialist interventions such as neuromuscular facilitation, complex respiratory care, positioning, casting/splinting, early mobilisation and rehabilitation.

Support seamless transitions across acute, community, and outpatient services.

Prioritise and manage own and team caseloads based on clinical need.

Maintain high standards of clinical governance, safety, and risk management.

Line manage and supervise junior physiotherapists, assistants, and students.

Support recruitment, induction and workforce planning.

Support management of service cover, annual/study leave, and sickness.

Manage conflict sensitively within teams and follow Trust HR processes as needed.

Deputise for senior leads as required.

Ensure safe and effective use of therapy equipment, including assessing for and ordering specialist items.

Lead and contribute to audits, quality improvement projects, research and evaluation of service outcomes.

Deliver and contribute to inservice training across neuro, medical and critical care pathways.

Participate in Trust and regional networks to support evidence-based practice and…