Working alongside colleagues in primary care (medical centres) practices, patients with apparent or known MSK conditions are listed directly with me. My role aims to provide working diagnoses, hear their concerns, challenges and support recovery, rehabilitation and management of acute and chronic conditions. This may include requests for blood tests, X-rays and other tests. If I feel the patient needs other input or care, I can refer to colleagues in the surgery ( eg mental health, medical intervention, injections, social prescribing or pharmacy review) or the secondary care teams, ensuring appropriate work up. For those with established conditions, I can provide support with understanding that condition (particularly persistent pain), how to take control and who to reach out to. I supervise physiotherapy students and GP trainees as well as provide observation sessions for other colleagues. I have recently updated clinical skills to assure my competence at level 7, in examine and differentiating MSK and other, non-MSK conditions

Local lead for the NHS MSK Physiotherapy contract on the Isle of Wight.

Pain Service position working in:1. Spinal assessment as an extended scope physiotherapist. Clinical decisions include need for surgery, injection, acupuncture and other 'passive' interventions2. Holistic diagnosis of chronic pain syndromes and biopsychosocial intervention including clinical health psychology liaison & interdisciplinary management. 3. Joint leadership of multi-disciplinary conservative pain management interventions. 4. Clinical pathway redesign support of back pain and chronic pain pathways.

Specialising in multidisciplinary team management and leadership. Clinical governance. Budget management. Incident management. Customer interface. Project management. Productivity and cost improvements.

Assessment of spinal pain for diagnostic clarity and pathway planning including informed consent and surgical suitability. Conservative management of chronic pain using bio psychosocial principles.