Neurological Physiotherapist Employment Contract UK

Responsibilities reflected in the contract

• Assess neurological movement and functional ability.
• Plan rehabilitation around individual participation goals.
• Manage mobility, posture and tone within competence.
• Coordinate equipment and multidisciplinary recommendations.
• Teach safe practice to patients and carers.
• Record progress, risk and onward needs.

A realistic working scenario

A stroke patient's function suddenly worsens during therapy. The physio stops treatment and activates urgent clinical assessment rather than attributing it to fatigue.

Outputs to agree

• neurological movement assessments
• task-specific rehabilitation
• family and team guidance

Records and evidence

• Neurological function.
• Goals and treatment.
• Handling and equipment.
• Change and referral.
• Clinical notes.
• Assessment records.

Reporting relationship

Typically reports to Clinical Lead, Therapy Lead, Service Manager or Practice Manager. Confirm the employer's actual reporting structure in the builder.

Authority and escalation

• The physio directs rehabilitation within competence; acute neurological diagnosis and medicine changes require medical review.
• Obtain approval before committing expenditure, changing contractual commitments or making regulated or staffing decisions outside the assigned role.

Tools and systems

• Clinical systems.
• Patient record systems.
• Therapy or diagnostic equipment where authorised.
• Secure clinical communication tools.
• Incident reporting systems.

Workplace context

• Clinic, therapy, diagnostic, community or approved patient-facing areas.

Training and certification

• Complete employer-required safeguarding training.
• Complete employer-required health and safety training.

Contract priorities

• specialist handling
• communication needs
• equipment
• long-term goals

Information the employer should prepare

• the neurological diagnoses and acuity accepted
• the inpatient, community or outpatient settings
• the manual-handling and equipment resources
• the home-visit and lone-working arrangements
• the multidisciplinary and specialist pathways
• the outcome, handover and review expectations