Specialist Neuro-Physiotherapist

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 be 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.

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.

• 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.

• 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…