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Nurse Specialist (XR06)

Leeds Teaching Hospitals NHS Trust
£35,395 to £42,618 a year
Closing date
13 Mar 2024

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Band 6
Contract Type
Full Time
An exciting opportunity has arisen at the Orthopaedic Unit at Chapel Allerton Hospital, part of the Leeds Teaching Hospitals NHS Trust. We are looking for a forward thinking, motivated and enthusiastic Band 6 to join our team of clinical nurse specialists.

Are you looking to develop your leadership and management skills? The successful candidate will work closely with the senior sister and consultant team, alongside an experienced multidisciplinary team, providing specialist care to orthopaedic patients in an outpatient setting. We are looking for a forward thinking experienced nurse who can provide clinical leadership in the development of the department to deliver high quality safe care. We are a caring and friendly team working collaboratively with all members of the multidisciplinary team.

Main duties of the job

You will need to be flexible and committed to making a positive difference to assist in delivering the best patient experience, working in accordance with The Leeds Way Values.

The successful candidate will have clinical responsibilities in the form of nurse-led clinics, and there will be service development opportunities within this role.

Applicants must have at least 3 years post registration experience with excellent communication & interpersonal skills. Orthopaedic experience is essential, and x-ray interpretation skills are desirable.

About us

The unit provides planned orthopaedic surgery for patients requiring hip replacement, knee replacement, soft tissue knee reconstruction, upper limb and foot and ankle surgery. The clinical nurse specialist team, working with the consultant group, delivers continuity for the patient through use of face to face, virtual and telephone clinics.

We have a team of highly specialised consultants, many of whom are nationally and internationally recognised for their expertise and experience. We treat patients from across the Yorkshire region and complex conditions for patients from a wider area.

We are leading the way in innovative procedures including same day discharge for joint replacement and enhanced recovery.

Our role as a teaching hospital and work in research and development, help to keep us at the forefront of new developments and treatments.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description

Job responsibilities


The Jobholder is responsible for the management of a defined caseload. The jobholder carries continuing responsibility for the assessment of care needs, the development, implementation and evaluation of programmes of care and the setting of standards of care.

The jobholder will be part of the Orthopaedic Nurse Specialist team, which currently consists of one other full time nurse specialist. The jobholder will provide specialist nursing care, treatment and advice to a specific patient group and will contribute to the development of the speciality service. The jobholder will ensure cost effective use of resources.

The job holder will support the development of interdisciplinary and whole service working. As a role model they will promote the sharing of good practice and delivery of high quality, effective and efficient care. The job holder will provide training and education to staff groups, patients and families/carers.



Senior Clinical Nurse Specialist

Clinical Nurse Specialist B6 (this role)



Provide a visible clinical lead and role model to the nursing and wider team by delivering high quality compassionate care.

Support staff to provide efficient, effective, safe and quality care to patients as an expert practitioner.

Deliver a positive patient experience.

Support in the delivery of an effective, evidence based, safe, quality service within budgetary envelope.

Provide support to the clinical teams to develop new ways of working.

Provide effective leadership in the development of staff at all levels.

Responsible for the day to day supervision of junior clinical staff and students within the specialist team.

Motivate staff in the delivery of quality patient care.

Contribute to the recruitment and selection process.

Contribute to Nursing and Midwifery objectives and service improvement.

Supervise clinical delivery of care competencies.

Anticipate problems and take preventative or mitigating actions, or have contingency plans available.

Investigate and respond to accidents, complaints, untoward incidents and other significant events.

Maintains record of workload and performance monitoring information and reviews this on a regular basis with team manager.

Under the direction of the Team Manager participates in or lead the development of specific elements of nursing practice, reflecting the CSU and Nursing, Midwifery and Allied Health Professionals business plans.

Engage users and carers views on service delivery and development.

Contribute to and implement policy and practice guidelines specific to the clinical specialty, proposing changes where appropriate.

Exercises a personal duty of care in relation to equipment, resource and stock control utilising equipment and supplies appropriately.


Provide high quality care as an expert practitioner and act as a role model and resource for advice, support and guidance.

Where appropriate to the services patient demographic, to developmentally appropriate, young person friendly healthcare to support young people including support for transition, as they move from childrens into adult services between the ages 11-25 years.

Participates in the setting, monitoring and improvement of standards and quality of patient care.

Undertake clinical procedures where dexterity and accuracy are required.

Assess, plan, implement and evaluate care and treatments using specialist clinical knowledge and clinical skills.

Make clinical assessments and treatment decisions within clearly defined policies and protocols.

Organises own clinical workload.

Undertake duties on wards or departments as and when required by service demands or patient need.

Supervise clinical staff to promote the delivery of excellent clinical standards.

Receives supervision of clinical care and outcomes from nurse specialist team leader.

Act in accordance with the relevant professional code i.e. NMC,

Fulfil the requirements as directed by the Nursing and Midwifery Council to maintain and revalidate registration.

Ensure and promote the maintenance of a safe, clean and secure working environment.

Act in such a way that safeguards the health and wellbeing of children and vulnerable adults at all times. Is familiar with and adheres to, the Leeds Teaching Hospitals Trust (LTHT) safeguarding policies.

Raise concerns with regards to risk, danger, malpractice or wrong doing by following the LTHT Whistleblowing policy and supporting processes.

Ensure that documentation standards are maintained in accordance with NMC and LTHT guidelines, whether written or computerised.

Promote and maintain positive working relationships between all staff, internal and external to the Trust, involved in the care of patients.


Maintains accurate clinical and other records using the LTHT documentation.

Support patients and their families, communicating sensitive condition related information, ensuring they receive required information to enable them to participate in their care delivery.

Deliver complex information to patients and staff.

Liaise with external health providers and other agencies (as appropriate) to ensure seamless provision of care delivery.

Quality Improvement & Research

Improve the quality and safety of our services by being proactive in promoting and supporting the Leeds Improvement Method.

Contribute to quality improvement programmes as required.

Keep up to date with and communicate service developments, advances and research.

Through the use of audit, local research, metrics and feedback continually seek to identify practice that needs improvement. Implement and evaluate any resultant improvement plan.

Actively promote patient involvement and feedback within service improvements to promote a positive patient experience Maintain and sustain the momentum of improvements until they are firmly embedded into the values and culture of the clinical area.

Undertake audit programmes specific to client group, treatments and developments.

Help to set, monitor and seek to continuously improve standards and the quality of patient care, including those standards defined in local and national guidance.

Participate in clinical trials as appropriate.

Work closely with Research and Innovation to promote research , disseminate outcomes and findings to support evidence based practice.

Education and Training

Provide training and education of learners and other junior staff

Participate in own and others appraisals and in the development of own personal development plan and performance review.

Undertake role specific training and competencies.

Provide education and training to patients and their carers.

Keep up to date with developments, advances within the specialty.

Collaborate with other members of the team in clinical areas and departments to ensure that the provision of education and training is clear and robust.

Mentorship and supervision of junior staff.

Support staff to deliver evidence based practice and research activities to further enhance patient care.

Undertake mandatory and priority training within the required time scales

This does not provide an exhaustive list of roles and responsibilities, and these may be subject to change with professional and service developments


Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:






All our actions and endeavours will be guided and evaluated through these values

Additionally, the following are core values which relate specifically to this post:

Commitment to delivering high quality evidence based care

Commitment to working in a multi-disciplinary team

Commitment to the specialty area, valuing the contribution of all team members, encouraging a positive and creative working environment

Commitment to own personal and professional development and to the development of others within the team.


Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

Please see Job Description for additional information.

Person Specification



  • Current issues in healthcare
  • Significant and recent relevant experience working as a Band 5 Staff Nurse or equivalent post registration experience within speciality.
  • Audit & Standard setting


  • Service development and/or change management

Skills & Behaviours


  • Compassionate and caring
  • Able to manage stress in self and others
  • Excellent written and verbal skills.
  • Ability to organise and prioritise own and others workload.


  • Skills and knowledge required to lead and develop team members IT Skills



  • Registered Nurse (RN Adult for adult clinical areas or RN Child for childrens areas (Level 1 or 2)
  • Recognised teaching/assessing qualification or equivalent experience of teaching and assessment
  • Evidence of continued professional development
  • Willing to undergo training as necessary


  • Post registration qualification in specialty
  • Degree Level Education or evidence of working towards.
  • Nurse Prescribing qualification



  • Able to fulfil Occupational Health requirements for the post (with reasonable adjustments if necessary), including clearance on blood borne viruses in compliance with Trust Policy
  • Ability to travel in between Trust premises and patient homes for posts that involve community visits

Employer details

Employer name

Leeds Teaching Hospitals


Chapel Allerton Hospital

Chapeltown Road



Any attachments will be accessible after you click to apply.


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