Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust

Trainee Advanced Clinical Practitioner Ortho Geriatrics

The closing date is 30 July 2025

Job summary

This post consists of a funded 2 year apprenticeship via HEE England completing MSc Advance Practice, commencing at Band 7. On completion of the degree, progression to Band 8 A will be awarded on a permanent basis.

In addition to the standard requirements for a post at this level, you must also have a minimum of 4 years' post-registration experience as well as at least a Grade C (or equivalent) in Maths & English at GCSE level. Please note that these additional requirements have been set by the Manchester Metropolitan University. If you do not have these, you cannot be considered for the post as you will not meet the University's criteria for the training course.

We're looking for an ambitious, enthusiastic, motivated and experienced clinician who will be required work as an autonomous practitioner identifying, assessing, diagnosing and treating older adults with ortho geriatric needs.

Applicants may hold professional registration from a Nursing or Allied Health professional background.

This is a full time post (37.5 hours) working across Monday to Sunday between 0800-2000

An Enhanced DBS (with Adults Barred List check) will be obtained for the successful candidate during pre-employment checks.

Main duties of the job

The job will sit as part of the ortho geriatric team working alongside a consultant and various levels of junior doctors. The team cover the patients on Aspull the orthopaedic ward that has 28 beds. The workload on the ward consists mainly of fractured NOF medical management. The team is a vital part in achieving multiple elements of best practice tariff for this patient group. The role does sit within a team but there are lots of opportunity for autonomous working.

About us

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.

WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.

At WWL we value the benefits a rich and diverse workforce brings to our community and therefore welcome applications from all sections of society.

Details

Date posted

16 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year per annum, pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

302-25-7330846SS

Job locations

RAEI

Wigan Road

Wigan

WN12NN


Job description

Job responsibilities

Ensure clinical practice reflects all current NMC/ HCPC documents including (a) Code of professional Conduct (b) Standards for record keeping (c) Administration.

Work within the trust s policies and procedures and the parameters set down in agreed local clinical protocols and guidelines and national best practice guidelines such as those published by NICE and within own sphere of competence. Trust policies, procedures and guidelines can be found on the trust website.Assess a range of patients with undifferentiated and differentiated problems and under supervision if needed and work towards the development of a comprehensive management plan in undifferentiated and differentiatedDevelop and utilise advanced knowledge and skills to assess, examine, diagnose, plan, treat and refer patients if needed to meet the patients physiological, psychological and social needs and in response to the changing needs of theUtilise appropriate investigations to confirm diagnosis and action asWork towards organising the clinical management of patients, utilising advanced knowledge and skills prioritising patients accordingly. This may be through triage, face to face and telephone consultations, MDT meetings as appropriate using professional clinicalRecognise and respond appropriately to urgent and emergency situations with the support and guidance from other teamWork towards managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others with the support and guidance from other team members. This will involve utilising clinical judgement and decision making to initiate appropriate interventions and treatment for patients.Make and receive referrals to and from other health care professionalsCommunicate patients condition, verbally and in writing as required, to other members of the multi-professional and multi-agency team and contribute towards the decision-making processes in patient management.Discuss with mentor / supervisor the utilization of medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-basedWork towards completion of the Non- Medical Prescribing qualification (V300) as agreed in the MSc Advanced Practice. .Support and promote patient independence and daily living within theirSupport patients to make healthy lifestyle choices through implementing health education and promotion strategies and promote self-care where appropriateShare with the employer the responsibility to achieve the MSc in Advanced Practice by matching organisational vision / aims with personal objectives by attending / participating in regular appraisals as appropriate.Have regular contact with the named mentor, clinical supervisor to support individual learning, develop expertise in advanced clinical decision making, leadership, research and audit Training will be supported through the integration of theory and practice.Evaluation & ResearchFacilitate the development of clinical practice through research and education by integrating theory andImplement research-based practice and assist in disseminating research findings and support changes in care.Engage in research activity and audit as appropriate, in order to enhance knowledge of the role and service delivery and / or improve patientSupport and facilitate other staff if appropriate, who are undertaking research / auditFacilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other activeApply new knowledge to the development of own practice demonstrating evidence- basedManagement/LeadershipAct as a role model, educator, supervisor and coach seeking to instil and develop the confidence ofActively contribute to service improvements whereDisplay trustPromote personal fitness to work presenting a professional image of theDeveloping Self & OthersEvaluate of practice of self andEvaluate and audit own and others clinical practice, selecting and applying valid reliable methods, then acting on the findings to develop self andMonitor and maintain health, safety and security of self andActively engage in peer review to inform own and others practice, formulating implementing strategies to act on learning and makeAct on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness toDemonstrateParticipate in clinicalContinuously update own skills and knowledge and maintain awareness of clinicalDemonstrate reflective practitionerIdentify own personal training needs and take part in any appropriate training applicable to development needs.Develop and support a positive learning environment for self andDevelop a comprehensive portfolio of evidence relating to skills identified as being relevant to the role as agreed with the clinical mentor/supervisor and As such they shall provide evidence of competency through case-based discussion (CBD), direct observed practice (DOP) and simulated assessments (OSCE).QualityParticipate in audit and research ifImplement high standards of care and act or raise concerns when standards are not being maintained following local policy and procedures.Assess capacity, gain valid informed consent and work within the legal framework with patients who lack capacity to consent to treatment. Be aware of the mental CapacityTo support / patient/carer involvement in providing feedback to inform service development andTo act as an advocate for the patient including promoting and protecting the patients interests, privacy and rights, equality andRecognised and report adverse events, incidents, errors and nearApply infection control measures according to nationalBe proactive in the management of all risks. This entails risk assessment of all situations, complying with the Health and Safety at Work Act 1974, utilising the incident reporting system, implementing Caldicott principles and utilising the freedom to speak up guardian when appropriate.Demonstrate the ability to keep up to date with current practice, using available evidence and contributing to developments.Actively participate in clinical supervision and the appraisalBe accountable for own professional actions and recognise own professionalEnsure all clinical incidents are reported to the linePromote and maintain high standards relating to health, safety, infection control and welfare of self andDisplay behaviours that demonstrate the organisation vision and valuesResponsibility for Health & SafetyCompliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.Work Circumstances37.5 hours Monday to Sunday between service hours of 0800-2000

Job description

Job responsibilities

Ensure clinical practice reflects all current NMC/ HCPC documents including (a) Code of professional Conduct (b) Standards for record keeping (c) Administration.

Work within the trust s policies and procedures and the parameters set down in agreed local clinical protocols and guidelines and national best practice guidelines such as those published by NICE and within own sphere of competence. Trust policies, procedures and guidelines can be found on the trust website.Assess a range of patients with undifferentiated and differentiated problems and under supervision if needed and work towards the development of a comprehensive management plan in undifferentiated and differentiatedDevelop and utilise advanced knowledge and skills to assess, examine, diagnose, plan, treat and refer patients if needed to meet the patients physiological, psychological and social needs and in response to the changing needs of theUtilise appropriate investigations to confirm diagnosis and action asWork towards organising the clinical management of patients, utilising advanced knowledge and skills prioritising patients accordingly. This may be through triage, face to face and telephone consultations, MDT meetings as appropriate using professional clinicalRecognise and respond appropriately to urgent and emergency situations with the support and guidance from other teamWork towards managing situations that are unfamiliar, complex or unpredictable and seeking to build confidence in others with the support and guidance from other team members. This will involve utilising clinical judgement and decision making to initiate appropriate interventions and treatment for patients.Make and receive referrals to and from other health care professionalsCommunicate patients condition, verbally and in writing as required, to other members of the multi-professional and multi-agency team and contribute towards the decision-making processes in patient management.Discuss with mentor / supervisor the utilization of medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-basedWork towards completion of the Non- Medical Prescribing qualification (V300) as agreed in the MSc Advanced Practice. .Support and promote patient independence and daily living within theirSupport patients to make healthy lifestyle choices through implementing health education and promotion strategies and promote self-care where appropriateShare with the employer the responsibility to achieve the MSc in Advanced Practice by matching organisational vision / aims with personal objectives by attending / participating in regular appraisals as appropriate.Have regular contact with the named mentor, clinical supervisor to support individual learning, develop expertise in advanced clinical decision making, leadership, research and audit Training will be supported through the integration of theory and practice.Evaluation & ResearchFacilitate the development of clinical practice through research and education by integrating theory andImplement research-based practice and assist in disseminating research findings and support changes in care.Engage in research activity and audit as appropriate, in order to enhance knowledge of the role and service delivery and / or improve patientSupport and facilitate other staff if appropriate, who are undertaking research / auditFacilitate collaborative links between clinical practice and research through proactive engagement, networking with academic, clinical and other activeApply new knowledge to the development of own practice demonstrating evidence- basedManagement/LeadershipAct as a role model, educator, supervisor and coach seeking to instil and develop the confidence ofActively contribute to service improvements whereDisplay trustPromote personal fitness to work presenting a professional image of theDeveloping Self & OthersEvaluate of practice of self andEvaluate and audit own and others clinical practice, selecting and applying valid reliable methods, then acting on the findings to develop self andMonitor and maintain health, safety and security of self andActively engage in peer review to inform own and others practice, formulating implementing strategies to act on learning and makeAct on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness toDemonstrateParticipate in clinicalContinuously update own skills and knowledge and maintain awareness of clinicalDemonstrate reflective practitionerIdentify own personal training needs and take part in any appropriate training applicable to development needs.Develop and support a positive learning environment for self andDevelop a comprehensive portfolio of evidence relating to skills identified as being relevant to the role as agreed with the clinical mentor/supervisor and As such they shall provide evidence of competency through case-based discussion (CBD), direct observed practice (DOP) and simulated assessments (OSCE).QualityParticipate in audit and research ifImplement high standards of care and act or raise concerns when standards are not being maintained following local policy and procedures.Assess capacity, gain valid informed consent and work within the legal framework with patients who lack capacity to consent to treatment. Be aware of the mental CapacityTo support / patient/carer involvement in providing feedback to inform service development andTo act as an advocate for the patient including promoting and protecting the patients interests, privacy and rights, equality andRecognised and report adverse events, incidents, errors and nearApply infection control measures according to nationalBe proactive in the management of all risks. This entails risk assessment of all situations, complying with the Health and Safety at Work Act 1974, utilising the incident reporting system, implementing Caldicott principles and utilising the freedom to speak up guardian when appropriate.Demonstrate the ability to keep up to date with current practice, using available evidence and contributing to developments.Actively participate in clinical supervision and the appraisalBe accountable for own professional actions and recognise own professionalEnsure all clinical incidents are reported to the linePromote and maintain high standards relating to health, safety, infection control and welfare of self andDisplay behaviours that demonstrate the organisation vision and valuesResponsibility for Health & SafetyCompliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.Work Circumstances37.5 hours Monday to Sunday between service hours of 0800-2000

Person Specification

Qualifications

Essential

  • Current professional registration
  • 1st degree or successful completion of portfolio submitted and accepted by University providing MSc programme.
  • GCSE level Maths & English (minimum Grade C or equivalent)

Desirable

  • Non medical prescriber

Experience

Essential

  • Significant clinical experience where a degree of autonomous working has been required.
  • Experience of undertaking expanded roles within the speciality
  • Evidence of working on own initiative, managing time effectively and prioritising appropriately
  • Minimum 4 years' post registration experience
  • Experience working in ortho geriatrics and or fraility

Skills

Essential

  • Excellent interpersonal, written and verbal communication.
  • Able to motivate and lead others.
  • Excellent team working skills.
  • Advanced clinical skills relevant to the speciality
  • Computer literate in IT systems and programs, Word, Excel and PowerPoint.
  • Clinical judgement and decision making skills

Knowledge

Essential

  • Knowledge of local and national healthcare agendas, strategy and policies and how they relate to the service.
  • Understand the impact of advanced practice roles on service delivery and their contribution to the multi-professional team.
  • Knowledge of WWL Behaviours

Additional

Essential

  • Demonstrate enthusiasm
  • Flexible approach to working hours
  • Evidence of recent CPD activities
  • Speaks English to appropriate level
  • Willing to continue to professional develop and support the development of others
  • Willingness and commitment to study towards MSc in Advanced Practice as determined through Individual Performance Review and Personal Development Plans.
  • Willing to work towards Non-Medical Prescribing qualification.
Person Specification

Qualifications

Essential

  • Current professional registration
  • 1st degree or successful completion of portfolio submitted and accepted by University providing MSc programme.
  • GCSE level Maths & English (minimum Grade C or equivalent)

Desirable

  • Non medical prescriber

Experience

Essential

  • Significant clinical experience where a degree of autonomous working has been required.
  • Experience of undertaking expanded roles within the speciality
  • Evidence of working on own initiative, managing time effectively and prioritising appropriately
  • Minimum 4 years' post registration experience
  • Experience working in ortho geriatrics and or fraility

Skills

Essential

  • Excellent interpersonal, written and verbal communication.
  • Able to motivate and lead others.
  • Excellent team working skills.
  • Advanced clinical skills relevant to the speciality
  • Computer literate in IT systems and programs, Word, Excel and PowerPoint.
  • Clinical judgement and decision making skills

Knowledge

Essential

  • Knowledge of local and national healthcare agendas, strategy and policies and how they relate to the service.
  • Understand the impact of advanced practice roles on service delivery and their contribution to the multi-professional team.
  • Knowledge of WWL Behaviours

Additional

Essential

  • Demonstrate enthusiasm
  • Flexible approach to working hours
  • Evidence of recent CPD activities
  • Speaks English to appropriate level
  • Willing to continue to professional develop and support the development of others
  • Willingness and commitment to study towards MSc in Advanced Practice as determined through Individual Performance Review and Personal Development Plans.
  • Willing to work towards Non-Medical Prescribing qualification.

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

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).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust

Address

RAEI

Wigan Road

Wigan

WN12NN


Employer's website

http://www.wwl.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust

Address

RAEI

Wigan Road

Wigan

WN12NN


Employer's website

http://www.wwl.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Therapy Lead for T&O

David Patterson

david.patterson@wwl.nhs.uk

01257256534

Details

Date posted

16 July 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year per annum, pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

302-25-7330846SS

Job locations

RAEI

Wigan Road

Wigan

WN12NN


Supporting documents

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