Orthopaedic Advanced Clinical Practitioner

Mcht; Crewe; Hybrid; GBP 58,000 - 65,000; Full time

Job summary

Mid Cheshire Hospitals NHS Foundation Trust is hiring an Orthopaedic Advanced Clinical Practitioner in Crewe. The post offers NHS AfC Band 8a, full-time permanent hours, and a pro rata salary between £57,528 and £64,750 per year.

The ACP will work within the Orthopaedic team across trauma, electives, ward-based duties and on-call activities. Applicants should have a master’s level ACP qualification, advanced clinical practice competencies, and a track record in leadership, education and audit.

Qualifications

• MSc Advanced Practice and relevant competencies completed.
• V300 prescribing qualification or equivalent.
• Leadership/management evidence or qualification.
• Teaching qualification or module completed; ALS and IRMER trained.

Responsibilities

• Work as an autonomous ACP with clinical decision-making autonomy.
• Lead, supervise and support Trainee ACPs and other staff.
• Contribute to education, research and audit across four pillars of practice.
• Develop and implement clinical pathways and service improvements.

Skills

Communication

Clinical expertise

Decision making

Independence

Teamwork

Education

MSc Advanced Practice

V300 Prescribing Qualification

Leadership qualification

Teaching qualification

ALS

IRMER Trained

Job description

Orthopaedic Advanced Clinical Practitioner

NHS AfC: Band 8a

Main area Orthopaedics Grade NHS AfC: Band 8a Contract Permanent Hours Full time - 37.5 hours per week Job ref 412-S&C-8399809

Site Mid Cheshire Hospitals NHS Foundation Trust, Leighton Hospital Town Crewe Salary £57,528 - £64,750 pa pro rata Salary period Yearly Closing 11/11/2026 08:00

Job overview

Are you an experienced Advanced Clinical Practitioner with an interest in orthopaedics looking for a change of career direction? The Surgery and Cancer Division at M id C heshire H ospitals NHS F oundation T rust are looking to recruit a qualified ACP to join an established Orthopaedic ACP T ea m. This team forms an integral part of the orthopaedic workforce focusing on different elements of the management of orthopaedic patients including trauma, elective activity, on call and ward based duties.

This is an ideal opportunity for an established Orthopaedic ACP who wishes to further develop their knowledge and skillset within a supportive clinical environment. There is commitment and drive from the clinical and divisional management teams to provide and enhance these roles in practice. The successful candidate will have opportunity to gain skills and experience in advanced practice to support their development.

We are looking for an enthusiastic, committed individual who is able to act autonomously and has a passion for delivering excellent quality care. You will have a strong belief in influencing the quality agenda and support the development and succession planning of your nursing and medical colleagues. There is a long-term commitment from the Trust to develop a team of Advanced Clinical Practitioners to support emphasis on quality and safety in practice, as well as recognising the role of audit and training in developing staff across disciplines.

Main duties of the job

The post holder will work as an Advanced Clinical Practitioner. An ACP is an experienced practitioner with decision making autonomy, responsibility and accountability. They will demonstrate a high degree of clinical autonomy and complex clinical decision making within their specialist field, utilising evidence-based practice. ACPs will contribute to the leadership, development and supervision of others. The post holder is expected to take responsibility, provide care and make clinical decisions in accordance with agreed clinical pathways of care and proficiency of their own skill and speciality set.

The post holder will hold a master’s qualification and evidence of working at an advanced level. You will have completed speciality specific competencies for the role.

The post holder must be able to work independently within the four pillars of advanced practice which include clinical practice, management and leadership, education and research.

Working for our organisation

Mid Cheshire Hospitals NHS Foundation Trust provides comprehensive hospital and community services for East Cheshire (population 399K) and West Cheshire and Chester (population 357K). Our services include planned and unplanned/emergency care, cardiac and critical care, child health, maternity, and intermediate care across Leighton Hospital in Crewe, Victoria Infirmary in Northwich, and Elmhurst Intermediate Care Centre in Winsford.

Through our community arm, Central Cheshire Integrated Care Partnership, we deliver extensive services in 26 medical centres and schools in collaboration with Cheshire and Wirral Partnership NHS FT and the South Cheshire and Vale Royal GP Alliance. With 500 beds and around 5,500 staff, we are one of the area’s largest employers.

Since the formation of Integrated Care Systems in July 2022, the Trust has become a key partner in Cheshire East & Cheshire West and Chester and in two provider collaboratives, aligning our strategic goals with the Cheshire & Merseyside Integrated Care System.

As part of the national New Hospital Programme, we’re reimagining Leighton Hospital to create a new health and care neighbourhood, transforming healthcare delivery for a Healthier Future. Learn more on our Healthier Futures website.

At Mid Cheshire, our mission is to inspire hope and provide unparalleled care for the people and communities of Cheshire, helping them to enjoy life to the fullest.

Detailed job description and main responsibilities

CLINICAL PRACTICE

Works as an autonomous practitioner taking responsibility for assessment, diagnosis and treatment of patients presenting within their care. Evaluate response to treatments and initiate changes as required within scope of competence. Work within own competence and confidence to ensure safe practice for patients and where unsure seeking out senior colleagues or medical team for support. Communicate effectively with patients, supporting people in making decisions, planning care or seeking to make positive changes. Communicate highly complex information to the Multi-Disciplinary Team (MDT). Work collaboratively with other professionals and refer to appropriate clinicians to ensure the needs of patients and services are met. Request and perform diagnostic procedures and support staff with patients who are unable to obtain these procedures. Request diagnostic interventions, including pathology and radiological tests within own speciality skill set whilst working within own remit of competency. Admit and discharge patients within own competence and utilising pathways, policies, and guidelines. Review of the deteriorating patient and initiation of management plans and escalation to medical team or senior colleagues where appropriate. Establish and maintain effective communication with patients, their families and other relevant agencies and professionals across health, education and social services. Promote clinical excellence and evidence-based approach to care by complying with the agreed policies and procedures. Provide support and advice to other specialities to ensure the correct patient pathway. Take an active role in health promotion of individuals through appropriate support and education. Analyse and act on information to proactively manage and maintain NHS standards and targets. Maintain accurate patient records on trust documentation ensuring professional confidentiality is always maintained. Provide expert clinical knowledge to clinical staff, patients, carers, relatives and when applicable community and policy-making organisations/groups.

LEADERSHIP AND MANAGEMENT

Act as a professional role model by demonstrating effective leadership and expertise by maintaining credibility across the trust, the wider health care community and external agencies, ensuring a positive image of the trust is maintained. Pro-actively initiate and develop effective relationships, fostering clarity of roles within teams to encourage productive working. Act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements. Involved within recruitment, selection, induction and orientation of Trainee ACPs. Undertake trainee ACP appraisals and clinical supervision (3 years post qualification) and ensure time allocated within job plan to facilitate.Lead new practice and service redesign solutions in response to feedback, evaluation and need. Continually develop practice in response to changing population. Participate in sharing experience and knowledge to pre and post registered staff to contribute to the development of future advanced practitioners. Work with division and corporate nursing team to respond and feedback on complaints/reports where required and ensure lessons are learnt to enhance and change practice where required.

EDUCATION

Identify and take responsibility for individual learning and development to ensure ongoing professional development and advancement of the ACP role. Ensuring it reflects the breadth of ongoing development across the four pillars of advanced clinical practise. Completion of speciality specific competencies. Support trainee Advanced Clinical Practitioners within their role and share skills, knowledge and experience in order to contribute to the development of future ACPs. Actively maintain a personal portfolio of learning to ensure compliancy with speciality specific competencies and evidence of working at an advanced level. Disseminate learning and information gathered to share good practice and inform relevant staff that provide the service about current and future developments. Act as a role model, educator, supervisor, coach and mentor, seeking to instil and develop the confidence of others. Ensure own compliance with regards to Trust mandatory training.

RESEARCH

Engage in research activity, adhering to good practice research guidance, so that evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money. Evaluate and audit own and others clinical practice. Develop and implement robust governance systems and systematic documentation processes. Participate in professional and policy-making activities that contribute to the development of the practitioner role. Liaise with other ACPs across the trust to achieve a corporate viewpoint on key professional issues. Support the development and implementation of policies, procedures and guidelines related to area of practice.

See Job Description

Person specification

Qualifications

• MSc Advanced Practice, Speciality Specific Competencies Completed, V300 Prescribing Qualification
• Leadership/Management Experience qualification, Post registration qualification/evidence of study in speciality or related field, Teaching qualification/Module,ALS, IRMER Trained

Experience

• Significant post registration experience at a senior level, Experience in leadership role
• Published clinical articles in relevent field, Involvement in audit and research activity, Formal Teaching

Skills and Knowledge

• Effective Communication skills, Complex and Specialised clinical skills, demonstrates clinical expertise, ability to make complex decisions, ability to work independently or as part of a team, Broad range of clinical experience, role model
• Service Development and production of policies and procedures, Change management

Key Messages

We are a forces-friendly employers.

Candidates should ensure that all submissions and interactions reflect the candidate’s own skills, experience, and understanding. Any use of AI that compromises the integrity, fairness, or authenticity of the recruitment process may result in disqualification from consideration, withdrawal of offer, or dismissal if this these circumstances come to light post hire.

Candidates that require sponsorship to work in the UK are strongly advised to check the Government website for up-to-date information about whether the role they are applying for (incl. offered salary) is eligible.

Please let us know if you require an adjustment to our recruitment process and we'll be happy to discuss this with you.

We actively promote flexible working so please discuss any requirements you may have with us.

Secondments will be considered for fixed term positions when both parties agree. Candidates should seek approval from their current line manager before application.

• All correspondence will be sent via the email address you have registered as your TRAC account.Selection is based on the Trust's values, and the criteria outlined in the Job Description for the role.
• Appointments are subject to a 6-month probationary period. LED Doctors are subject to a 3-month probationary period.
• You are required to pay for a DBS disclosure where the post requires one, and we encourage applicants to join and remain registered with the DBS update service.
• We do not reimburse travel to interview expenses.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.