MSK Clinical and Operational Manager | East London NHS Foundation Trusthis is an exciting opportunity for an experienced MSK Physiotherapist to provide clinical leadership within the MSK Orthopaedic Triage and MSK Physiotherapy services. The post holder will play a key role in delivering high-quality, evidence-based care while contributing to the ongoing development, transformation and standardisation of MSK pathways across North East London.Working as part of a multidisciplinary and integrated MSK service, the post holder will support the delivery of effective clinical pathways, promote team-oriented working across primary, community and secondary care, and contribute to the development of a responsive, patient-centred service aligned with current NHS priorities.The role will provide clinical leadership and professional support to the Physiotherapy team, including clinical supervision, appraisal, mentorship, workforce development and the delivery of in-service education and training. The post holder will be expected to contribute to a culture of continuous improvement, innovation, shared learning and clinical excellence.A key element of the role will be supporting service standardisation across North East London,working collaboratively with clinical and operational colleagues to promote consistency in clinical practice, pathways, governance and quality improvement. The post holder will contribute to the development of sustainable MSK services that improve patient outcomes, enhance access and support the delivery of care in the most appropriate setting.The successful candidate will demonstrate strong clinical and leadership skills, a commitment to developing others, and the ability to work effectively across organisational and professional boundaries. They will be confident in supporting service change and will bring a proactive, collaborative and forward-thinking approach to the continued development of the MSK workforce and wider service.Please note: Previous applicants need not apply.We are seeking an experienced, dynamic and forward-thinking MSK Physiotherapist to provide operational, professional and strategic leadership across the MSK Orthopaedic Triage and Physiotherapy services.



This Band 8a role will work closely with the existing ESP and Physiotherapy teams, clinical and operational colleagues, and wider system partners to ensure the delivery of safe, effective, responsive and sustainable MSK services. The post holder will lead service performance, workforce development, capacity and demand, quality and governance, pathway redesign and continuous improvement, while supporting the delivery of organisational and wider NHS priorities.The role is predominantly operational, with a limited clinical commitment, and will require an individual who can provide strong visible leadership while maintaining clinical credibility within advanced MSK practice. The successful candidate will be confident in leading change, managing competing priorities, using data and intelligence to drive improvement, and working across professional and organisational boundaries.Experience of advanced MSK practice, including injection therapy, ultrasound/sonography and independent prescribing, would be desirable, but the primary focus will be on operational leadership, service transformation, workforce development and the delivery of high-quality, patient-centred MSK services in an evolving NHS landscape.Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive – so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.Overall operational leadership of the MSK outpatient service across sites/localitiesEnsuring safe, effective, efficient, and high-performing service deliveryManaging patient flow, access, triage, waiting lists, and capacityDelivering KPIs including RTT pathways, productivity,



and activity targetsCoordinating service planning and demand/capacity modellingEnsuring robust administrative systems for referrals, appointments, and data captureAdvising senior leadership on operational pressures and risksLine management of senior clinicians, clinical leads, ATPs, psychologists, and wider MDT staffRecruitment, retention, workforce planning, and vacancy managementManaging appraisals, supervision, probation, and performance reviewsOversight of sickness absence, disciplinary, grievance, and capability processesDeveloping workforce capability, succession planning, and staff wellbeingSupporting role redesign and workforce transformationCreating a positive, inclusive, and high-performing cultureLeading governance, quality, and patient safety frameworksManaging incidents, complaints, risks, and learning actionsEnsuring compliance with:Trust policiesInfection prevention and safeguarding requirementsLeading audits, quality improvement, and service evaluationEmbedding evidence-based practice and outcome measuresLeading service redesign and transformation programmesDeveloping and implementing MSK service strategiesCommunity servicesLeading working groups and policy developmentSupporting prevention of hospital admissions and community-based care pathwaysIdentifying service gaps and implementing improvement initiativesManaging delegated budgets alongside finance teamsMonitoring expenditure and contributing to balanced budget deliverySupporting Cost Improvement Programmes (CIPs) and recovery plansOversight of equipment purchasing, stock control, and resource allocationAssessing financial viability of service developmentsSupporting business cases and capital bidsMonitoring service performance dashboards and trendsProducing governance and contract reportsEscalating risks and implementing recovery actions where neededDriving continuous improvement initiativesLeading training programmes and CPD across the MSK workforceProviding expert specialist advice across teamsSupporting students, junior staff, assistants, and MDT colleaguesEnsuring clinical supervision structures are robustPromoting advanced practice and evidence-based careInfluencing professional standards and clinical strategyThis advert closes on Tuesday 29 Sep 2026

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