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Trainee Advanced Musculoskeletal (MSK) Foot & Ankle Practitioner

North Cumbria Integrated Care NHS Foundation Trust
£43,742 to £57,349 a year B7-8a dependant upon ACP accreditation
Closing date
26 Jul 2024

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Other allied health
Band 7
Contract Type
Full Time
The role of the Advanced Musculoskeletal Practitioner is multi-faceted, incorporating key functions such as policy and standards development, practice development, education, research and professional development. The aim is for Practitioners to lead and be the single point of contact/access for the provision of cost effective, efficient, quality services that meet the needs of patients with MSK conditions.

The post holder will be committed to working at advanced practice level working across the four pillars of Advanced Practice as defined by the Health Education England multi-professional framework (2017).

The post holder will have the responsibility for undertaking speciality services for patients who require diagnosis/assessment and/or investigation and/or treatment of a wide range of MSK foot and ankle conditions.

The post holder will act autonomously in the management of an often complex and chronic caseload. They will be responsible for the diagnosis and treatment planning for these patients. This will involve use of imaging and investigations and analysis/interpretation of results. It will involve knowledge of all possible multi-disciplinary treatment pathways and appropriate referral to these pathways.

The post holder will provide clinical and professional support, information and advice to patients, carers and other members of the multi-disciplinary team on all aspects of the service and ongoing holistic patient care.

Main duties of the job

Dependant upon the level of experience of the successful candidate and the offer of employment after interviews the Job Description and responsibilities vary between the B7 Trainee post or the B8a Accredited Advanced MSK Practitioner posts
  • Undertake the advanced assessment and treatment of patients within the specialty using advanced theoretical and practical knowledge.

Undertake a lead role in the planning, co-ordinating, delivering and evaluating the IMSK Pathway.

Identify patients where injection therapy or surgical intervention is appropriate.

Evaluate working practices within the IMSK service through the use of evidence based practice, audit, research and outcome measures.

Act as a clinical mentor and/or educator to less experienced clinicians, and other members of staff involved with the MSK pathway.

Undertake analysis of medical investigations, such as MRI, where judgements regarding a range of clinical issues and/or highly complex patient conditions will have to be made.

Seek advice and liaise with Consultants when necessary.

Respond to GP enquires advising on all aspects of patient management.

Encourage the multi-disciplinary teams to find new ways of service delivery for patients where applicable, and take a lead in implementing change.

Act as a leadership role model and demonstrate expert knowledge and high standards of clinical practice.

About us

At NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria. The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county.

Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time':
  • Being a clinically led organisation
  • Quality and safety at the heart of our Trust
  • A positive patient experience every time
  • A great place to work
  • Managing our money well

As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.

Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability.

Job description

Job responsibilities

Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed.

If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies.

Please ensure that you document evidence of meeting all the essential criteria in the supporting information.

If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Important Information

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:
  • Junk Mail is checked regularly

Disclosure and Barring Service:

On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.

The changes mean that:
  • youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
  • the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.

If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.

Nacro Tel: 0300 123 1999, or email:

Unlock Tel: 01634 247350, email or complete the online form on the Unlock website

The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: �18 + Administration cost of �3.85 = �21.85. Deducted at �6.85 from 1st month salary and �5 deducted from salary over following 3 months.

Enhanced Check: �38 + administration cost of �3.90 = �41.90. Deducted at �11.90 from 1st month salary and �10 deducted from salary over following 3 months.

As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.

A lease car may be available for this position further details will be provided upon appointment if applicable.

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

Excellent opportunities for development

Competitive NHS Pension scheme

Access to NHS discounts with retailers and leisure companies

EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems

These schemes are subject to availability

Person Specification



  • Degree or equivalent qualification in Podiatric Medicine/Physiotherapy or relevant professional field
  • Post graduate specialist training/experience to Masters level in relevant field or equivalent
  • Valid registration with professional regulatory body (e.g. HCPC, NMC)
  • Prior accreditation with the NHS England Centre for advancing practice
  • On-going evidence of continued professional development within the specialist field
  • Relevant validated clinical courses at specialist/advanced level


  • ACP educator qualification or teaching qualification
  • Radiological Interpretation Course (or working towards)
  • Non-Medical Prescribing
  • MSc Module in Injection Therapy or Diploma in Injection Therapy (or working towards)
  • Leadership/mentorship qualification



  • Significant post graduate experience in relevant field.
  • Experience of working alongside orthopaedic and rheumatology consultants in a clinic situation or senior/advanced practitioners in specialist areas
  • Experience in managing/implementing change in practice or pathways
  • Experience of involvement, leading and/or presenting audit/research
  • Experience of peer, student and junior supervision


  • Previous experience of working in an advanced practice role
  • Previous experience of working within a multi-professional MSK team
  • Experience of involvement in formal research
  • Extensive post registration experience working at advanced practice level within speciality/complex area
  • Experience of spinal and neurological examination skills
  • Experience of assessing and managing other lower limb conditions i.e. knee/hip pain



  • Specialist knowledge of multiple disciplines (rehabilitation, surgery, pain management, gait analysis, peripheral circulatory disorders, diabetes, rheumatology, tissue viability, foot ulceration, complex foot and ankle conditions)
  • Awareness of current initiatives within the local and national health economy.
  • Awareness of, and able to demonstrate capabilities aligned to the HEE (2017) multi-professional framework for advanced practice.
  • Advanced knowledge of referral criteria to other specialists.
  • Advanced knowledge of biomechanics, insole/orthotic prescription.
  • Expert knowledge of professional practice, and ability to be innovative and proactive to enhance the service
  • Advanced knowledge of high risk/complex patient care (diabetes, vascular, connective tissue and rheumatology diseases/conditions and the at risk limb)
  • Knowledge of strategic issues which influence area of practice at a local and national level
  • Knowledge of audit and research processes


  • Knowledge of the governance agenda and NHS Long Term Plan
  • Knowledge of leadership styles and skills



  • Complex problem solving and assessment skills
  • Demonstrable analytical skills and judgement when dealing with the management of complex patients and complex MSK presentations
  • Advanced communication skills with the ability to communicate complicated, sensitive and contentious information to patients, carers and colleagues in order to describe or explain, persuade, motivate or influence, give advice, instruction or training
  • Tact, diplomacy and empathy
  • IT skills & Presentation skills
  • Ability to confidently and sensitively challenge the competence of others
  • Ability to develop and improve competence in clinical and organisational skills and apply to practice through CPD activities.
  • Ability to manage and lead staff and the service to optimise resources
  • Ability to work autonomously, and to pass on knowledge / skills to others within both formal and informal environments.
  • Able to present information, written and orally, in a clear and logical manner.
  • An understanding of legal responsibilities within the profession
  • Ability to coordinate and influence change in practice
  • Training and development of other healthcare professionals
  • Ability to understand and work within the Trust's policies of data protection, equal opportunities and health and safety and meet the differing needs of patients.
  • Ability to keep accurate and legible patient notes.

Personal Circumstances & Other


  • Professional, responsible, flexible
  • Ability to respond and adapt to the changing needs of the service
  • Clear vision of role/commitment to the speciality.
  • Develop a culture that promotes equality and values diversity

Employer details

Employer name

North Cumbria Integrated Care NHS Foundation Trust


Maglona House

68 Kingstown Broadway



Any attachments will be accessible after you click to apply.


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