Job summary
A rare opportunity has arisen for an experienced registered nurse to lead the day-to-day delivery of the Fracture Liaison Service (FLS) based at Southmead Hospital.

As the Band 7 Senior Enhanced Practitioner: Fracture Liaison Service, you will lead and coordinate the day-to-day clinical and operational delivery of the FLS, identifying and assessing a caseload of people aged 50 years and over who have sustained a fragility fracture.

Main duties of the job
Working autonomously and collaboratively across inpatient, outpatient and primary care services, you will coordinate fracture-risk and bone health assessments and investigations, formulate evidence-based treatment recommendations and support timely and appropriate follow-up.

Alongside autonomous clinical practice, you will support the development of the FLS team at Southmead Hospital and contribute to education and service development. You will provide visible clinical leadership, and will work alongside other FLS within the Bristol NHS Foundation Trust. You will use audit findings, patient feedback and FLS-Data Base performance data to improve clinical pathways, reduce the risk of further fractures and improve patient outcomes.

We welcome applications from registered nurses with extensive experience of working in either an existing Fracture Liaison service or a similar related specialist area, for example: Orthogeriatrics, Trauma and Orthopaedics, Osteoporosis, Rheumatology, Frailty or older-person care.

You will need to demonstrate specialist clinical knowledge, autonomous practice, effective multidisciplinary working and experience of clinical leadership, service development and quality improvement.

About us
Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations, operating from three main sites at Southmead, Bristol city centre and Weston.

With an annual turnover of £2.3 billion, we are now one of the largest NHS trusts in the United Kingdom. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer.

Bristol NHS Foundation Trust values all people as individuals. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Details
Date posted: 28 October 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year, per annum, pro rata
Contract: Permanent
Working pattern: Part-time
Reference number: 339-NMSK1655-GB
Job locations: Southmead Hospital, Bristol, BS10 5NB, United Kingdom

Job responsibilities
This role will involve autonomous clinical practice and day-to-day clinical and operational leadership of the Fracture Liaison Service (FLS). The post holder will provide leadership, supervision and support to designated members of the FLS team in accordance with the agreed organisational structure.

The post holder will act as a senior healthcare professional within the FLS and will be identifiable, highly visible and accessible to patients, carers and staff for assistance, advice and support.

The post holder will systematically identify, assess, investigate and follow up people aged 50 years and over who have sustained a fragility fracture. They will use specialist clinical knowledge and decision-making skills to coordinate appropriate bone health, fracture-risk and falls-risk assessment, investigation, treatment and onward referral in accordance with current national guidance, clinical standards and locally agreed pathways.

The post holder will work collaboratively across hospital, primary care and community services to provide coordinated secondary fracture prevention. They will work closely with other FLS teams within the Trust and develop effective working relationships with the Osteoporosis Advanced Clinical Practitioner (ACP), Frailty Trauma ACP, orthogeriatric, hip-fracture and elderly-trauma teams, Trauma and Orthopaedics, Rheumatology, Radiology and DXA services, falls services, and primary care and community services.

The post holder will provide specialist advice and education to patients, carers and healthcare professionals, promoting shared decision-making, treatment adherence and supported self-management.

The post holder will lead and contribute to service development, education, audit, research and quality-improvement activity. They will use clinical outcomes, patient feedback and FLS performance data to monitor the quality and effectiveness of the pathway and identify priorities for improvement.

Person Specification
Essential

• Active first-level registration with the NMC
• Relevant post-registration education, or equivalent specialist knowledge, experience and professional capability, in osteoporosis, bone health or a related area of practice
• Master's-level study or relevant postgraduate qualification, or evidence of working at this level (A)
• Teaching or mentoring qualification, or demonstrable equivalent experience
• Hold a relevant clinical assessment or clinical decision-making qualification (e.g. PACR, PADRAP), or demonstrate willingness and ability to undertake within an agreed timeframe
• Knowledge of specialist assessment and treatment pathways, including fracture-risk and falls-risk assessment, relevant laboratory investigations, DXA scanning and oral, parenteral and specialist osteoporosis treatments.
• Experience of multidisciplinary and cross-organisational working across primary, secondary or community care
• Demonstrable experience of clinical leadership, service development, audit, quality improvement and implementing change to improve the quality and effectiveness of care

Desirable

• Non-medical prescribing qualification. (A)
• Previous experience of working within a FLS or secondary fracture-prevention service, or a closely related service
• Experience of delivering nurse-led clinics and reviewing relevant clinical information and investigation results
• Experience of using FLS-DB or another national clinical-audit database.

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: Bristol NHS Foundation Trust
Address: Southmead Hospital, Bristol, BS10 5NB, United Kingdom
Employer's website: https://www.nbt.nhs.uk/

For questions about the job, contact: Service Lead, Sarah Holden, sarah.holden17@nhs.net, 01174141691

Equal opportunities: Bristol NHS Foundation Trust is an equal opportunities employer actively working towards a diverse workforce.