Vestibular Physiotherapist Employment Contract UK

Responsibilities reflected in the contract

• Assess dizziness balance and vestibular symptoms.
• Perform authorised positional or oculomotor testing.
• Deliver appropriate repositioning and rehabilitation.
• Evaluate falls risk and functional impact.
• Provide safety-netting and self-management advice.
• Refer atypical or urgent neurological findings.

A realistic working scenario

A patient with apparent positional vertigo also reports new speech difficulty. The physio stops vestibular testing and arranges emergency assessment.

Outputs to agree

• specialist vestibular assessments
• safe manoeuvres and exercises
• falls advice and referral

Records and evidence

• Symptom history.
• Oculomotor and positional tests.
• Treatment response.
• Red flag and follow-up.
• 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 treats vestibular conditions within competence; central neurological or medical causes require appropriate referral.
• 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

• vestibular training
• falls risk
• specialist testing
• urgent referral

Information the employer should prepare

• the vestibular conditions and complexity accepted
• the specialist training and competency evidence
• the clinic equipment and physical support available
• the ENT audiology and neurology pathways
• the falls and emergency escalation process
• the appointment outcome and follow-up model