Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Senior Gait Lab Secretary

The closing date is 21 May 2025

Job summary

This vacancy is open ONLY to employees of The RJAH Orthopaedic Hospital NHS FT, Shrewsbury & Telford NHS Trust, Shropshire Community NHS Trust and Shropshire Telford and Wrekin ICB. Only applications from candidates currently working in these organisations will be accepted.

ORLAU's gait assessment service is highly renowned for providing in depth analysis and reporting of patients' mobility problems, and referrals for this and our Rehabilitation Engineering Service are received from a wide catchment area.

We are seeking a dedicated Senior Secretary who possesses the excellent knowledge, experience and skills required to ensure the smooth running of our service. The successful candidate will also provide support for other specialist clinics and the role will be worked in conjunction with the other part-time Senior Secretary.

Not all roles will be eligible for Skilled Worker Sponsorship.

Main duties of the job

The responsibilities of this role will include:

  • Providing medical secretarial support for the ORLAU Consultants and senior clinical team. This will include liaising with patients, scheduling appointments, typing lengthy reports and related correspondence. Post holder will also be required to organise the consultants' ORLAU diaries and provide general secretarial support for them.

  • Undertaking day to day supervision as joint Team Lead of ORLAU admin team.

  • Demonstrating a high degree of judgment and autonomy in performing day to day duties, planning own workload and monitoring that of admin team members within priorities and protocols.

  • Undertaking administrative tasks as required as part of the wider ORLAU admin function.

Qualifications and Experience

  • The ideal candidate will ideally have experience in a similar role and/or at a similar level, including experience of staff supervision.

  • The ability to type accurately and speedily with a high level of grammar and spelling with a sufficient level of understanding to ensure correct context is essential.

  • A high level of organisational skills and ability to 'get the job done' post personally and with other team members is required.

  • A high level of communication skills in order to converse with patients, team members and healthcare professionals in a mature, empathetic and diplomatic manner.

About us

The Robert Jones and Agnes Hunt Orthopaedic NHS Trust (RJAH)is one of the leading orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for research and innovation.

Joining RJAH is more than just a job - we want our people to have the best opportunities to thrive in their role.We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to outstanding professional development opportunities and state-of-the-art facilities - including our recently-opened £6 million Headley Court Veterans' Orthopaedic Centre (the first unit of its kind in the UK).RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.The hospital is located on a site outside Oswestry in Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.We are based in North Shropshire, close to the border with North and Mid Wales. It is one of the most attractive parts of the country, with a rich historic culture and excellent transport links. It offers outstanding opportunities for anyone who enjoys an outdoor lifestyle or is looking to raise a family.

Details

Date posted

07 May 2025

Pay scheme

Agenda for change

Band

Band 4

Salary

£26,530 to £29,114 a year per annum pro rata

Contract

Fixed term

Duration

12 months

Working pattern

Part-time

Reference number

224-PA20250302536

Job locations

Robert Jones & Agnes Hunt Orthopaedic Hospital

Oswestry

SY10 7AG


Job description

Job responsibilities

Provide medical secretarial support for the ORLAU Consultants and senior clinical team.

Provide personal assistant support for the executive aspects of Clinical Director and Consultant roles.

Undertake administrative tasks as required as part of the wider ORLAU admin team.

Undertake day to day supervision of ORLAU admin team.

Demonstrate a high degree of judgment and autonomy in performing day to day duties, planning own workload and monitoring work of admin team members within priorities and protocols as defined by senior management with advice available from manager/clinical staff as necessary.

Provide Medical Secretarial support to ORLAU Consultants and senior clinical team:-

a. Exchange information with patients and staff to arrange appointments and admissions verbally, in person and in written format. This often requires the use of tact and empathy, particularly towards parents/carers of severely disabled children. Patients frequently need to be reminded and persuaded to complete detailed patient questionnaires prior to their visit.

b. Deal with telephone calls from distressed patients or parents, some of which can be verbally aggressive or occasionally abusive, requiring a considerable amount of tact,patience and diplomacy. There will be barriers to understanding, particularly with adults for whom English is not their first language or who may be suffering from degenerative conditions affecting their speech, hearing or cognition.

c. Communicate administrative and clinical informatione.g. funding issues, advice regarding the gait assessment process or referral mechanisms, to a wide range of health service and external agencies in relation to ORLAU services.

d. Schedule patient appointments in the clinical diary. This can be a complex task, requiring an in-depth knowledge of the day to day operation of the Movement Analysis Service and the various procedures undertaken. It requires co-ordination of the diaries of various members of the clinical team together with Outlook diaries for the various clinic rooms.

e. For each patient transaction there is a requirement to update data and information across a range of hospital systems, including Lorenzo, SF4, Electronic Patient Record, ORLAU patient pathway databases and spreadsheets and Outlook clinical diaries, ensuring members of the MDT team can view current patient status.

f. Ensure patients who have not confirmed gait assessment appointments are contacted, and that cancelled appointment slots are filled or converted to other uses.

g. Maintain awareness of clinical activity targets, ensuring the department achieves annual targets for gait assessment activity, reporting any concerns to Manager.

h. Have an overview of RTT in relation to gait analysis waiting lists and bookings. This involves balancing the pressures from patients with an open RTT clock, with the clinical needs of patients without a clock. Generally this is undertaken autonomously using own knowledge and judgement but may occasionally require some liaison with managers and/or clinical staff to agree priorities.

i. Ensure that intended plans for investigation and review arrangements detailed in reports and correspondence are followed through.

j. Chase up the results of investigations. Ensure clinicians are informed without delay if abnormal results are received.

k. Transcribe gait assessment reports, and reports from orthotic and outpatient episodes, the majority of which are complex and specialised in nature, utilising the Trusts BigHand and SF4 Secretary Assistant systems.

l. Attend regular Gait Laboratory Management meetings, contributing to discussions and providing relevant data and information asrequired.

m. Involvement in production of information brochures and flyers about the service, usingappropriate software.

Provide Personal Assistant support for the executive aspects of Clinical Director and Consultant role

a. Arrange meetings which can involve a range of professions and agencies. Make travel arrangements. Organise Consultant diary. Book training. Administer study leave and annual leave requests.

b. Organise the personal diary for the ORLAU Clinical Director and other consultants, ensuring changes are communicated to other diary holders.

3. Undertake administrative tasks as required as part of the wider ORLAU admin team.

a. Update the ORLAU patient pathway databases with booking dates and patient information.

b. Access and update patient information via the Trust PAS system, National Strategic Tracing Service etc.

c. Cover Reception office during periods of reduced staffing. This requires the ability to converse with a wide range of visitors and with patients who will often struggle to communicate due to physical or language barriers. ORLAU treats a diverse range of patients with varying levels and types of disability from across the West Midlands, North and Mid Wales and further afield. This may also involve safe keeping of patient and visitor valuables and occasional while they are visiting ORLAU, ensuring lost property/items left behind in Reception are dealt with appropriately.

d. In all of the above duties the post holder will be vigilant in terms of patients RTT (Referral to Treatment) status and will be proactive in the management of the patient pathway e.g. prioritising typing tasks by RTT status where necessary (taking into account clinical urgency) and ensuring there is no delay in the next stage of the RTT pathway e.g. fast tracking referral to another clinician within the Trust or externally, organisation of investigations or ensuring arrangements are made for provision of orthotic devices.

e. Take and transcribe minutes for monthly admin team meetings.

f. Contribute to the continual improvement of services suggesting changes and additions to processes and procedures as necessary and implementing agreed changes to admin procedures.

g. Participate in six monthly departmental meetings.

h. Use and day to day maintenance of standard office equipmente.g. photocopier, printer, scanner.

Undertake day to day supervision of ORLAU admin team.

a. Participate in recruitment, selection and induction of secretarial and administrative staff.

b. Train and advise secretarial and clerical staff in procedures appropriate to the Movement Analysis Service.

c. Explain administrative procedures to new clinical staff.

d. Monitor admin team workload and work quality, reporting back to Manager as necessary.

e. Initiate and participate in first stages of grievance, disciplinary and capability procedures involving admin team members.

f. Investigate Datix reports and troubleshooting forms that relate to administrative processes.

g. Approve admin team annual leave and other leave requests.

h. Maintain admin team rota, ensuring sufficient cover at all times, setting up short term arrangements to cover periods of sickness and other unexpected leave. This will occasionally involve signing off time sheets for agreed overtime etc.

i. Undertake and record annual appraisals and wellbeing conversations with members of the admin team.

j. Undertake demographic, working from home and other risk assessments with admin team members as necessary.

k. Delegate tasks to admin team members in support of own role.

Additional Information.

a. Concentrate in a busy office with members of the multidisciplinary team constantly in and out with questions and discussion taking place between other team members. Tasks which require particular concentration include scanning in a range of documents to specific folders on EPR system ensuring accurate entry including relevant dates, typing lengthy and detailed gait assessment reports often extending to several pages in length, taking and transcribing minutes of admin team meeting and other ad hoc meetings.

b. Using a VDU for a large percentage of every working day.

c. Employ a high degree of speed and accuracy for audio transcription of gait assessment and other clinical reports, requiring a knowledge of specialised terminology and context and a high standard of grammar and spelling.

d. Handle complex and confidential information about patients which can occasionally be distressing.

e. Deal with the occasional abusive/aggressive caller or patient in Reception Office.

f. Exposure to (i.e. in the vicinity of) screaming and crying etc. from young and sometimes very disabled patients in nearby clinic room.

g. Exposure to (i.e. in the vicinity of) occasional unpleasant smells when patients have been incontinent.

Job description

Job responsibilities

Provide medical secretarial support for the ORLAU Consultants and senior clinical team.

Provide personal assistant support for the executive aspects of Clinical Director and Consultant roles.

Undertake administrative tasks as required as part of the wider ORLAU admin team.

Undertake day to day supervision of ORLAU admin team.

Demonstrate a high degree of judgment and autonomy in performing day to day duties, planning own workload and monitoring work of admin team members within priorities and protocols as defined by senior management with advice available from manager/clinical staff as necessary.

Provide Medical Secretarial support to ORLAU Consultants and senior clinical team:-

a. Exchange information with patients and staff to arrange appointments and admissions verbally, in person and in written format. This often requires the use of tact and empathy, particularly towards parents/carers of severely disabled children. Patients frequently need to be reminded and persuaded to complete detailed patient questionnaires prior to their visit.

b. Deal with telephone calls from distressed patients or parents, some of which can be verbally aggressive or occasionally abusive, requiring a considerable amount of tact,patience and diplomacy. There will be barriers to understanding, particularly with adults for whom English is not their first language or who may be suffering from degenerative conditions affecting their speech, hearing or cognition.

c. Communicate administrative and clinical informatione.g. funding issues, advice regarding the gait assessment process or referral mechanisms, to a wide range of health service and external agencies in relation to ORLAU services.

d. Schedule patient appointments in the clinical diary. This can be a complex task, requiring an in-depth knowledge of the day to day operation of the Movement Analysis Service and the various procedures undertaken. It requires co-ordination of the diaries of various members of the clinical team together with Outlook diaries for the various clinic rooms.

e. For each patient transaction there is a requirement to update data and information across a range of hospital systems, including Lorenzo, SF4, Electronic Patient Record, ORLAU patient pathway databases and spreadsheets and Outlook clinical diaries, ensuring members of the MDT team can view current patient status.

f. Ensure patients who have not confirmed gait assessment appointments are contacted, and that cancelled appointment slots are filled or converted to other uses.

g. Maintain awareness of clinical activity targets, ensuring the department achieves annual targets for gait assessment activity, reporting any concerns to Manager.

h. Have an overview of RTT in relation to gait analysis waiting lists and bookings. This involves balancing the pressures from patients with an open RTT clock, with the clinical needs of patients without a clock. Generally this is undertaken autonomously using own knowledge and judgement but may occasionally require some liaison with managers and/or clinical staff to agree priorities.

i. Ensure that intended plans for investigation and review arrangements detailed in reports and correspondence are followed through.

j. Chase up the results of investigations. Ensure clinicians are informed without delay if abnormal results are received.

k. Transcribe gait assessment reports, and reports from orthotic and outpatient episodes, the majority of which are complex and specialised in nature, utilising the Trusts BigHand and SF4 Secretary Assistant systems.

l. Attend regular Gait Laboratory Management meetings, contributing to discussions and providing relevant data and information asrequired.

m. Involvement in production of information brochures and flyers about the service, usingappropriate software.

Provide Personal Assistant support for the executive aspects of Clinical Director and Consultant role

a. Arrange meetings which can involve a range of professions and agencies. Make travel arrangements. Organise Consultant diary. Book training. Administer study leave and annual leave requests.

b. Organise the personal diary for the ORLAU Clinical Director and other consultants, ensuring changes are communicated to other diary holders.

3. Undertake administrative tasks as required as part of the wider ORLAU admin team.

a. Update the ORLAU patient pathway databases with booking dates and patient information.

b. Access and update patient information via the Trust PAS system, National Strategic Tracing Service etc.

c. Cover Reception office during periods of reduced staffing. This requires the ability to converse with a wide range of visitors and with patients who will often struggle to communicate due to physical or language barriers. ORLAU treats a diverse range of patients with varying levels and types of disability from across the West Midlands, North and Mid Wales and further afield. This may also involve safe keeping of patient and visitor valuables and occasional while they are visiting ORLAU, ensuring lost property/items left behind in Reception are dealt with appropriately.

d. In all of the above duties the post holder will be vigilant in terms of patients RTT (Referral to Treatment) status and will be proactive in the management of the patient pathway e.g. prioritising typing tasks by RTT status where necessary (taking into account clinical urgency) and ensuring there is no delay in the next stage of the RTT pathway e.g. fast tracking referral to another clinician within the Trust or externally, organisation of investigations or ensuring arrangements are made for provision of orthotic devices.

e. Take and transcribe minutes for monthly admin team meetings.

f. Contribute to the continual improvement of services suggesting changes and additions to processes and procedures as necessary and implementing agreed changes to admin procedures.

g. Participate in six monthly departmental meetings.

h. Use and day to day maintenance of standard office equipmente.g. photocopier, printer, scanner.

Undertake day to day supervision of ORLAU admin team.

a. Participate in recruitment, selection and induction of secretarial and administrative staff.

b. Train and advise secretarial and clerical staff in procedures appropriate to the Movement Analysis Service.

c. Explain administrative procedures to new clinical staff.

d. Monitor admin team workload and work quality, reporting back to Manager as necessary.

e. Initiate and participate in first stages of grievance, disciplinary and capability procedures involving admin team members.

f. Investigate Datix reports and troubleshooting forms that relate to administrative processes.

g. Approve admin team annual leave and other leave requests.

h. Maintain admin team rota, ensuring sufficient cover at all times, setting up short term arrangements to cover periods of sickness and other unexpected leave. This will occasionally involve signing off time sheets for agreed overtime etc.

i. Undertake and record annual appraisals and wellbeing conversations with members of the admin team.

j. Undertake demographic, working from home and other risk assessments with admin team members as necessary.

k. Delegate tasks to admin team members in support of own role.

Additional Information.

a. Concentrate in a busy office with members of the multidisciplinary team constantly in and out with questions and discussion taking place between other team members. Tasks which require particular concentration include scanning in a range of documents to specific folders on EPR system ensuring accurate entry including relevant dates, typing lengthy and detailed gait assessment reports often extending to several pages in length, taking and transcribing minutes of admin team meeting and other ad hoc meetings.

b. Using a VDU for a large percentage of every working day.

c. Employ a high degree of speed and accuracy for audio transcription of gait assessment and other clinical reports, requiring a knowledge of specialised terminology and context and a high standard of grammar and spelling.

d. Handle complex and confidential information about patients which can occasionally be distressing.

e. Deal with the occasional abusive/aggressive caller or patient in Reception Office.

f. Exposure to (i.e. in the vicinity of) screaming and crying etc. from young and sometimes very disabled patients in nearby clinic room.

g. Exposure to (i.e. in the vicinity of) occasional unpleasant smells when patients have been incontinent.

Person Specification

Qualifications/Training

Essential

  • Secretarial or equivalent diploma to minimum Level 3
  • Word processing/audio typing RSA III or equivalent
  • Good general education equivalent to GCSE grade C or above

Desirable

  • Knowledge of medical terminology and general NHS procedures
  • Possession of AMSPAR Diploma or equivalent
  • ECDL or equivalent

Experience

Essential

  • Formal secretarial experience
  • Experience of working as part of a wider team

Desirable

  • Experience of working as a medical secretary in a clinical environment
  • Experience of learning and applying specialised terminology
  • Supervisory experience

Skills and Competencies

Essential

  • Excellent organisational abilities
  • Good communication skills, written, oral and digital
  • Ability to empathise with those finding themselves in need of NHS care

Desirable

  • A higher than average standard of grammar and spelling

Knowledge

Essential

  • Good working knowledge of Microsoft Office applications
  • Confident in the use of dictation/transcription software
  • Knowledge of medical terminology/aptitude for learning specialised terminology

Desirable

  • An interest in medical/scientific subjects
Person Specification

Qualifications/Training

Essential

  • Secretarial or equivalent diploma to minimum Level 3
  • Word processing/audio typing RSA III or equivalent
  • Good general education equivalent to GCSE grade C or above

Desirable

  • Knowledge of medical terminology and general NHS procedures
  • Possession of AMSPAR Diploma or equivalent
  • ECDL or equivalent

Experience

Essential

  • Formal secretarial experience
  • Experience of working as part of a wider team

Desirable

  • Experience of working as a medical secretary in a clinical environment
  • Experience of learning and applying specialised terminology
  • Supervisory experience

Skills and Competencies

Essential

  • Excellent organisational abilities
  • Good communication skills, written, oral and digital
  • Ability to empathise with those finding themselves in need of NHS care

Desirable

  • A higher than average standard of grammar and spelling

Knowledge

Essential

  • Good working knowledge of Microsoft Office applications
  • Confident in the use of dictation/transcription software
  • Knowledge of medical terminology/aptitude for learning specialised terminology

Desirable

  • An interest in medical/scientific subjects

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

Robert Jones & Agnes Hunt Orthopaedic Hospital

Oswestry

SY10 7AG


Employer's website

https://www.rjah.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

Robert Jones & Agnes Hunt Orthopaedic Hospital

Oswestry

SY10 7AG


Employer's website

https://www.rjah.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Performance & Admin Manager

Karen Edwards

karenedwards@nhs.net

01691404531

Details

Date posted

07 May 2025

Pay scheme

Agenda for change

Band

Band 4

Salary

£26,530 to £29,114 a year per annum pro rata

Contract

Fixed term

Duration

12 months

Working pattern

Part-time

Reference number

224-PA20250302536

Job locations

Robert Jones & Agnes Hunt Orthopaedic Hospital

Oswestry

SY10 7AG


Supporting documents

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