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Spinal Nurse Specialist

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
£43,742 to £50,056 per annum
Closing date
3 Dec 2023

View more

Band 7
Contract Type
Full Time
The Robert Jones and Agnes Hunt Orthopaedic Hospital (RJAH) is one of the leading specialist orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for innovation. We work together as a team of over 1,600 expert members of staff to make a difference for our patients and their families.

Our latest CQC Report was published in February 2019 and saw us rated as 'Good' overall and 'Outstanding' for care.

Who we're looking for...

An exciting opportunity has arisen for a highly experienced orthopaedic Registered Children's Nurse or Adult Nurse to join the Paediatric spinal deformity team, providing nurse led- care for both adult and Paediatric patients with spinal deformities.

Main duties of the job

Assess, plan, implement and evaluate, programmes of evidenced-based nursing care.

Clinical practice.

Participate in the education and development of other staff members.

Work collaboratively and co-operatively with clinical colleagues to develop services and quality of care delivered.

Maintain British Spinal Registry and Spinal Disorders Databases.

About us

Our aim is to aspire to deliver world class patient care, and we want talented, dedicated and passionate people to help us achieve this.

Our continued success is accomplished through the skills and expertise of our staff, which is underpinned by our values: Friendly, Caring, Excellence, Professional and Respect. If your values align to ours, and you would like to join us in aspiring to deliver world class patient care, we would love to hear from you.


Joining RJAH is more than just a job - we want our people to have the best opportunities to thrive in their role.

Whether you're starting out in your career, or have a wealth of experience - we're always looking to recruit outstanding individuals in a range of clinical areas, as well as support and administrative roles.

We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to state-of-the-art facilities and outstanding professional development opportunities.

RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.

Shropshire is also one of the most attractive parts of the country, with a rich historic culture and excellent transport links. The hospital is located on a site outside 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.

Job description

Job responsibilities

The successful candidates will be part of the nursing spinal deformity team and there will be an element of cross cover with this team to enable a 365-day service

The post holder is required to work as part of a specialty multi-disciplinary clinical team to provide the highest standard of care for the relevant patient group. Delivery of care is patient focused with an emphasis on meeting individual patients needs during the preoperative, perioperative, postoperative and follow-up phases of care.

The key characteristics of the role are in line with the Nursing and Midwifery Council standard for post registration nursing practice/HCPC currently relevant.

Perform comprehensive assessment of patient nursing needs, plan, implement and evaluate care delivery according to changing health care needs.

Independently manage a patient caseload overseen by spinal disorder consultants, providing an assessment, plan and evaluation within the specialist area. This includes History taking, physical examination and requesting agreed diagnostic procedures and clinical investigations, working within your scope of practice, referring to a Consultant when necessary.

Contribute towards a multi-professional approach in the management of patients within the Paediatric scoliosis service. Discuss patient information/investigation results with MDT and GP's, dictating letters to other healthcare professionals where required.

Implement changes in clinical practice that improve standards of care and health outcomes in the field Scoliosis within the trust and wider community.

Undertake the distraction of growing rods in an outpatient clinic setting.

To co-ordinate and carry out pre-operative assessments for Paediatric scoliosis patients, working closely with the anaesthetic team, working within your scope of practice, referring to a Consultant when necessary.

Take patient consent for research, the British spine registry and clinical photography.

Monitor patient progress and carry out the pre and post-operative visiting of patients and ward rounds, identifying and escalating any concerns.

Develop and implement care pathways with relation to the conservative management and surgical management of patients affected by scoliosis.

Act as a patient/staff advocate through the application of ethical, legal and professional knowledge and skills.

Provide continuity of care to patients and their families between the outpatient setting, the ward, theatres and recovery.

Develop and maintain excellent communication with community nursing teams, General Practitioners, Local services and charities involved in the care of Spinal Care patients.

Carry out telephone follow-ups for spinal patients when required.

Collect, collate, evaluate and report information, maintaining accurate patient records.

Participate in clinical audits.

Provide leadership, guidance and support within the department.

To be an effective communicator with patients, carers, and families regarding the condition and treatment and management processes. Involve patients and carers/relatives in the planning and delivery of care.

Work collaboratively with other professionals and agencies to ensure patient needs are met, especially in relation to ongoing care needs and discharge arrangements.

Co-ordination and maintenance of the British spinal surgery database input and reporting.

Attendance to the regional spinal network meetings, providing the required data for the British spinal registry.

Liaise with PALS/Matron and Management re: complaints and concerns.

Develop patient information leaflets


Provide specialist, clinical knowledge to clinical colleagues, patients and carers/relatives.

To develop the role according to the changing needs and requirements of the service user and in accordance with patient feedback and research findings

Undertake clinical supervision of nursing colleagues on an individual or group basis

Participate in the development of services and assists the Ward Manager/Matron to implement change.

Work with spinal secretary and administration team to ensure patients are appropriately listed for surgery and ensuring the relevant resources such as spinal cord monitoring, images and results of relevant investigations are available.

To help develop protocols and standards for clinical activities undertaken within the Spinal Disorders Department role.

Work with the Divisional Operational Management team to support the management of waiting lists.

Ensure the effective and efficient use of physical and financial resources.

Monitor health, safety and security of self and others and promote best practice in the ward area.

Management and support for the BSR administration role.

Person Specification

Qualifications and Training


  • RN Diploma or Degree / AHP degree
  • Relevant specialty related qualification/module at Degree or Post-graduate level, or equivalent experience
  • Masters level qualification in relation to a specific specialty, equivalent experience or willing to work towards


  • Clinical Post Graduate training including Health and Physical Assessment
  • Non-Medical Prescribing Qualification, or ability to study towards
  • Evidence of academic study (at Masters or equivalent level) or willing to undertake
  • Advanced communications skills course or willing to undertake



  • Specialty knowledge and clinical experience
  • Patient assessment (History taking and physical examination) 5 years postgraduate experience in a nursing / AHP role
  • At least one years' Clinical experience of working with adults with conditions related to job role
  • Experience of working with service users to develop practice Experience of treatment evaluation or audit


  • Experience of working as a specialist or advanced practitioner
  • Participation in service improvement activities
  • Experience of working within a MDT

Skills and Competencies


  • Ability to work as a team member
  • Ability to develop effective interpersonal relationships with colleagues in the health care setting
  • Ability to work autonomously / time management Able to prioritise own workload, organisational skills
  • Awareness of boundaries of professional experience / extended practice. Ability to work across professional boundaries.
  • Ability to influence and enhance patient care
  • Participated in service development and implementation of change.
  • Ability to communicate in a variety of settings with patients of varying levels of understanding
  • Able to present written information in a logical manner
  • Knowledge of professional and NHS issues. Commitment to improve and maintain own development and skills
  • Excellent communication skills
  • Ability to build constructive relationships with empathy
  • Ability to treat users with respect and dignity, adopting a culturally sensitive Approach which considers the holistic needs of the individual
  • Ability to operate effectively and efficiently with associated agencies Able to use IT systems such as Microsoft applications and data bases


  • Research / Audit skills Presentation and teaching skills Leadership
  • Ability to lead and effect change

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust


The Robert Jones and Agnes Hunt Hospital


SY10 7AG

Any attachments will be accessible after you click to apply.


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