Workforce challenges: non-traditional physiotherapy clinical roles pros and cons #physiotalk 5th March

Our guest hosts for the tweetchat at 8pm GMT on Monday 5th March are Esther Clift, Jo Jennings and Nick Southorn who are going to lead a discussion on advanced clinical practice roles.

Workforce resilience is key for supporting the new models of care within the NHS and delivering the 5 year forward view. STPs and Accountable Care Systems recognise new ways of working which are less dependent on the medical model of care, but focus on self management for long term conditions.


Being a physiotherapist has always given the opportunity to work clinically in a variety of different specialities; from women’s health to elite sport. It gives a springboard to other clinical careers that are not traditionally physiotherapist’s roles such as ward manager, or matron.

With developing new Advanced Clinical Practice roles opportunities are growing, and expanding, in Primary Care, Secondary care, Community Care and pre-hospital settings. We are keen to discuss how these developments may sit within physiotherapy, and understand better the opportunities, and the barriers we face. We want to hear your own experience, whether a clinician, leader, commissioner or manager.


  1. What non traditional clinical roles are physiotherapist working in?
  2. What skills/qualities does a physiotherapy background bring to some of these non-traditional roles?
  3. What might be done to overcome some of these barriers?
  4. Are there any boundaries to clinical practice which a physiotherapist should not cross?
  5. When do you stop being a physiotherapist?

Chat pre-reading:

HEE Advanced Clinical Practice information

Five year forward view

When delivering treatment is not enough.

Advanced practice in physiotherapy

We held a chat on a similar topic two years ago – how much has changed? Two years ago the thought was most of these roles might be in MSK – but our chat hosts are working in very different fields. 

Host biographies:

Esther Clift @EstherClift is a Consultant Practitioner in frailty leading an expanding, integrated team. She has worked in a number of different sectors, both in hospital and out, in integrated teams with blurred roles.

Jo Jennings @JoJenningsNHS is a non-medical prescribing physiotherapist working as Advanced Clinical Practitioner Orthogeriatrics. She has previously worked as Falls Prevention Coordinator and over a decade ago as Community Matron Long term conditions.

Nick Southorn @nsouthorn  is formally a chronic pain specialist physio who has recently taken the decision to train as a general surgery Advanced Clinical Practitioner at the Royal Derby Hospital.



Missed the chat? Catch up here

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