Bedfordshire Hospitals NHS Foundation Trust

Orthopaedic Practitioner

The closing date is 14 November 2025

Job summary

We are seeking a motivated and skilled Band 5 Orthopedic Practitioner to join our busy and dynamic Orthopedic Centre. The successful candidate will play a key role in providing high-quality care to patients attending the Fracture clinic and other areas within the Trust.

You will be responsible for the safe and effective application and removal of a wide range of casts, splints, braces, and other orthopedic devices, supporting patients with fractures and musculoskeletal conditions.

Working as part of the multidisciplinary team, you will run or support fracture and elective clinics when required ensuring effective patient flow and continuity of care.

The role involves assessing and managing patients under the guidance of medical and nursing staff, providing advice on cast care, and supporting education for patients, carers, and junior staff. You will also assist with wound care, minor procedures, and continue maintaining clinical standards and infection control within the department.

This is an excellent opportunity for an enthusiastic and adaptable practitioner with proven plaster room skills to develop further within a supportive and professional environment

Main duties of the job

The post holder will be expected to:

Work as a trained and experienced technician within a team of technicians providing casting and more specialized casting and splint making for patients in support of the Orthopedic department, other clinicians and departments within the Trust.

Responsible for assessment of care needs and will be expected to carry all relevant forms of care without direct supervision.

Act as a good role model and to treat all staff, visitors and service users with professional courtesy.

Have a flexible "can do" approach in ensuring the work of the department is carried out to the required standard in a timely fashion.

Work closely with the department / ward manager and multi-disciplinary team members in monitoring and maintaining policies, standards of care, staff and service development with in the department / ward environment.

Contribute to the continuous evaluation of systems to improve the service and meet targets.

Carry out all relevant forms of care demonstrate procedures of care; supervise junior qualified and / or unqualified staff including student nurses whilst maintaining a safe working environment.

Effectively manage the resources, standards and practice within the Plastering services

Run or support fracture and elective clinics when required ensuring effective patient flow and continuity of care.

About us

Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A&E, Obstetrics-led Maternity and Pediatrics. You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a program of high quality training and development to help you grow your career. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Our values

We not only recruit based on qualifications and experience - we recruit individuals who demonstrate the behaviors which underpin our Trusts core values. We achieve this by using values based recruitment. We are dedicated to making our recruitment practices as inclusive as possible for everyone, we are committed to promoting equality and diversity, and creating a culture that values differences.

Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. All new staff will be subject to a probationary period covering first 6 months in post. Travel between hospital sites may be required. Please review all documents attached to ensure you familiarize yourself with all requirements of the job

Details

Date posted

24 October 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

£31,049 to £37,796 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

418-T&O2628-VR

Job locations

Luton and Dunstable Hospital

Lewsey Road

Luton

LU4 0DZ


Job description

Job responsibilities

Clinical Duties

In consultation with the treating Clinician select, apply, remove and maintain casts or splints made of plaster, fiber glass, scotch cast, soft cast and wood cast and ensure a correctly fitting, functional cast to enable normal limb mobilization on removal of the cast or splint in the Orthopedic Centre or on the Wards and Directorates within the Trust.To have an in-depth knowledge of anatomy and physiology relating to castingTo complete complex casting requirements including cast bracing and theatre work e.g. Hip spicas, Sarmiento and Frog CastsTo measure , apply and maintain knee, elbow, shoulder abduction braces, specialized walking boots and orthotic shoesTo be able to assess and correctly apply humeral braces as required.

Provide and receive complex information regarding casting and splinting issues.Provide specialist technical support for patients during their treatment including telephone support and advice for those experiencing problems.

Run or support fracture and elective clinics when required ensuring effective patient flow and continuity of care.

To measure, fit and provide suitable walking and immobilization aids, including crutches, providing verbal and written instructionsTo document all treatments performed in the patient notes.To perform assessment of the patients skin prior to application and following removal of a cast/device and to escalate to the senior nurse, clinician or Tissue viability nurse if a pressure ulcer/ infected wound is present.To provide both basic and complex wound care, applying the appropriate dressings, removing sutures and clips.Application of PICO pumps for wound healing, removal of K wires and maintaining the care of external fixators.To be able to use PACS and interpret the X-rays in order to apply the correct cast/splints.

Education, training and development

Participate in clinical training including teaching and supervision of new staff, unqualified staff and student nurses in the Orthopedic CentreTo ensure that all patients requiring casts or further work to existing casts are treated promptly and to attend to Ward patients as and when required and to ensure that patients are not delayed if waiting for discharge.Lead in the application of pediatric casting.

To be responsible for the maintenance and servicing of equipment for the application and removal of casts splints and report any defects.To deal with enquires requests and complaints in a polite and respectful manner, taking appropriate action to resolve any such issues.To assists the nursing staff with the checking of patients notes regarding their treatment while in a cast or splintTo be responsible for ensuring the clinical area are kept cleanUndertake a minimum of once yearly Appraisal with the ward manager for development planningTo participate in research and audit, in support of clinical practises developments.To hold the BOA RCN SON AOT Casting Certificates and attend two yearly update courseTo utilize any opportunities to achieve further training within their role, maintain up to date practices, ensuring own level of competency

Management responsibilities

To be the first point of contact in the Plaster room for advice on complex issuesTo report incidents using the Trust electronic incident reporting system.To take an active role in promoting the department within the Trust nd improve and develop relationships with other departments and staffReport to and request advice from the nurse in charge of the ward in regard to patient care when appropriateUsing a variety of sources keep the department well stocked so as to enable a good level of service delivery.

Ensure that communication is used effectively, both written and verbal, in the interest of patient care and with the multidisciplinary teamEnsure that the clinical environment will be well maintained, clean and safe. Report hazards to the nurse in charge acting to prevent further danger to staff and patients.To be economic in the use of department stocks and clinical requisitions, avoiding waste wherever possible.Have the required computer skills and be able to access patient details and reports via the Trusts IT systemsCommunicate effectively and cooperate with other Wards and departments as necessary.Be committed to and participate in improving the quality of service provided.Create a good learning environment and participate in the education of studentsTo teach casting to all grades of staffTo participate in audits and research work as and when required.To take responsibility for continuing your own professional development.To ensure that you are familiar with current techniques and practicesTo be courteous, reassuring and helpful to patients, families/carers, colleagues and all users to the trust.Facilitate and encourage team working

Professional and Legal responsibilities

To be conversant with policies and procedures relating to Fire and Health and Safety.To report all accidents and complaints in accordance with agreed policies and assist in investigations of complaints and accidents as required.Maintain professional portfolio.Maintain clinical study to fulfil professional registration and show evidence of continuing professional developmentTo uphold the principles of the NMC code of professional conduct.To be conversant with all the Nursing policies and Procedures.

Job description

Job responsibilities

Clinical Duties

In consultation with the treating Clinician select, apply, remove and maintain casts or splints made of plaster, fiber glass, scotch cast, soft cast and wood cast and ensure a correctly fitting, functional cast to enable normal limb mobilization on removal of the cast or splint in the Orthopedic Centre or on the Wards and Directorates within the Trust.To have an in-depth knowledge of anatomy and physiology relating to castingTo complete complex casting requirements including cast bracing and theatre work e.g. Hip spicas, Sarmiento and Frog CastsTo measure , apply and maintain knee, elbow, shoulder abduction braces, specialized walking boots and orthotic shoesTo be able to assess and correctly apply humeral braces as required.

Provide and receive complex information regarding casting and splinting issues.Provide specialist technical support for patients during their treatment including telephone support and advice for those experiencing problems.

Run or support fracture and elective clinics when required ensuring effective patient flow and continuity of care.

To measure, fit and provide suitable walking and immobilization aids, including crutches, providing verbal and written instructionsTo document all treatments performed in the patient notes.To perform assessment of the patients skin prior to application and following removal of a cast/device and to escalate to the senior nurse, clinician or Tissue viability nurse if a pressure ulcer/ infected wound is present.To provide both basic and complex wound care, applying the appropriate dressings, removing sutures and clips.Application of PICO pumps for wound healing, removal of K wires and maintaining the care of external fixators.To be able to use PACS and interpret the X-rays in order to apply the correct cast/splints.

Education, training and development

Participate in clinical training including teaching and supervision of new staff, unqualified staff and student nurses in the Orthopedic CentreTo ensure that all patients requiring casts or further work to existing casts are treated promptly and to attend to Ward patients as and when required and to ensure that patients are not delayed if waiting for discharge.Lead in the application of pediatric casting.

To be responsible for the maintenance and servicing of equipment for the application and removal of casts splints and report any defects.To deal with enquires requests and complaints in a polite and respectful manner, taking appropriate action to resolve any such issues.To assists the nursing staff with the checking of patients notes regarding their treatment while in a cast or splintTo be responsible for ensuring the clinical area are kept cleanUndertake a minimum of once yearly Appraisal with the ward manager for development planningTo participate in research and audit, in support of clinical practises developments.To hold the BOA RCN SON AOT Casting Certificates and attend two yearly update courseTo utilize any opportunities to achieve further training within their role, maintain up to date practices, ensuring own level of competency

Management responsibilities

To be the first point of contact in the Plaster room for advice on complex issuesTo report incidents using the Trust electronic incident reporting system.To take an active role in promoting the department within the Trust nd improve and develop relationships with other departments and staffReport to and request advice from the nurse in charge of the ward in regard to patient care when appropriateUsing a variety of sources keep the department well stocked so as to enable a good level of service delivery.

Ensure that communication is used effectively, both written and verbal, in the interest of patient care and with the multidisciplinary teamEnsure that the clinical environment will be well maintained, clean and safe. Report hazards to the nurse in charge acting to prevent further danger to staff and patients.To be economic in the use of department stocks and clinical requisitions, avoiding waste wherever possible.Have the required computer skills and be able to access patient details and reports via the Trusts IT systemsCommunicate effectively and cooperate with other Wards and departments as necessary.Be committed to and participate in improving the quality of service provided.Create a good learning environment and participate in the education of studentsTo teach casting to all grades of staffTo participate in audits and research work as and when required.To take responsibility for continuing your own professional development.To ensure that you are familiar with current techniques and practicesTo be courteous, reassuring and helpful to patients, families/carers, colleagues and all users to the trust.Facilitate and encourage team working

Professional and Legal responsibilities

To be conversant with policies and procedures relating to Fire and Health and Safety.To report all accidents and complaints in accordance with agreed policies and assist in investigations of complaints and accidents as required.Maintain professional portfolio.Maintain clinical study to fulfil professional registration and show evidence of continuing professional developmentTo uphold the principles of the NMC code of professional conduct.To be conversant with all the Nursing policies and Procedures.

Person Specification

Qualifications

Essential

  • Completed and obtained the nationally recognized qualification in British Orthopaedic Casting Certificate (BOA) recognised by the RCN/RCN with BOA certificate

Desirable

  • Teaching and assessing course

Knowledge and Experience

Essential

  • Understanding of data protection , confidentiality and record keeping requirements in the NHS

Desirable

  • Evidence of continued clinical development

Personal attributes

Essential

  • Willing and able to take personal responsibility

Desirable

  • Knowledge of Trust's IT systems

Personal skills

Essential

  • Excellent written,verbal, and interpersonal communication skills

Desirable

  • Ability to follow clear instructions, solve problems and use own initiative
Person Specification

Qualifications

Essential

  • Completed and obtained the nationally recognized qualification in British Orthopaedic Casting Certificate (BOA) recognised by the RCN/RCN with BOA certificate

Desirable

  • Teaching and assessing course

Knowledge and Experience

Essential

  • Understanding of data protection , confidentiality and record keeping requirements in the NHS

Desirable

  • Evidence of continued clinical development

Personal attributes

Essential

  • Willing and able to take personal responsibility

Desirable

  • Knowledge of Trust's IT systems

Personal skills

Essential

  • Excellent written,verbal, and interpersonal communication skills

Desirable

  • Ability to follow clear instructions, solve problems and use own initiative

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

Bedfordshire Hospitals NHS Foundation Trust

Address

Luton and Dunstable Hospital

Lewsey Road

Luton

LU4 0DZ


Employer's website

https://www.bedfordshirehospitals.nhs.uk/working-here/ (Opens in a new tab)


Employer details

Employer name

Bedfordshire Hospitals NHS Foundation Trust

Address

Luton and Dunstable Hospital

Lewsey Road

Luton

LU4 0DZ


Employer's website

https://www.bedfordshirehospitals.nhs.uk/working-here/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Senior Sister

Marites Remo

marites.remo@bedsft.nhs.uk

01582718311

Details

Date posted

24 October 2025

Pay scheme

Agenda for change

Band

Band 5

Salary

£31,049 to £37,796 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

418-T&O2628-VR

Job locations

Luton and Dunstable Hospital

Lewsey Road

Luton

LU4 0DZ


Supporting documents

Privacy notice

Bedfordshire Hospitals NHS Foundation Trust's privacy notice (opens in a new tab)