Advanced Practitioner Physiotherapist in Spasticity Management

Advanced Practitioner Physiotherapist in Spasticity Management

Company:

Company: York Teaching Hospital NHS Foundation Trust

A Vacancy at York and Scarborough Teaching Hospitals NHS Foundation Trust.

An 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.

To 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.

To find out more about what it is like to work for our Trust please visit the following link:

We 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.

A full description of the role is available in the attachment: job description.

Working for the Trust

Across 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 fromeveryone,while working with our Staff Networks - including our Race Equality, LGBTQ+, Disability and Carers Networks - to increase the number of applications we receive fromdifferent backgrounds. If there is anything we can do to make our application process more accessible to you, please contact:

As part ofseekingto 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 Employer

We are holders of the Gold Award from the Defence Employer Recognition Scheme, which is helping actively promoteSaBRE- Supporting Britain’s Reservists and Employers. This means that we have made a statement of intent to support all Defence personnel, including with applications for employment.

This advert closes on Monday 31 Aug 2026

York Teaching Hospital NHS Foundation Trust

York Teaching Hospital NHS Foundation Trust

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