Job summary
The purpose of the post is to manage and provide specialist clinical practice for adult across both inpatient and outpatient areas. The CNS should be leading in the use of evidence based clinical practise in line with current research, guidelines and other available evidence. They should ensure that patients and their families are fully informed about their journey through the service (dependant on speciality). Utilise other members of the MDT when required to increase knowledge and skills to ensure delivery of reliable high-quality care.

Demonstrate comprehensive holistic assessment of patients utilising a variety of advanced clinical skills, while acting as a role model, in line with your Clinical Nurse Specialist role for your service.

Main duties of the job

• Ensure that patients receive a high level of quality harm free care at all times and contribute to the monitoring of this through audit or other KPIs/ or outcome measures
• Manage your service within the Royal National Orthopaedic Hospital, ensure effective patient centred care is provided to patients who have or are at risk of complications related to your speciality
• Utilises advanced Nursing knowledge and skills to enhance the holistic management, experience and pathways for patients.
• To undertake independent research/ analyse audits on your service and act upon these (including action planning and identifying learning needs)
• Liaise with the Head of Nursing/B8/DDoN to advise and contribute to clinical governance activities within the trust around your speciality

About us
At the Royal National Orthopaedic Hospital (RNOH), we are committed to achieving the best staff experience in the NHS. In the 2023 NHS Staff Survey, we proudly:

• Scored above the national average for the People Promises: "We are recognised and rewarded," "We are always learning," "We work flexibly," "We are a team," and for staff engagement.
• Ranked #1 among all Trusts in North and Central London for all People Promises and themes.
• Ranked #1 among all Acute Specialist Trusts for "We work flexibly."

At RNOH, we're committed to being actively anti-discriminatory and actively inclusive. We recognise our brilliant people do brilliant work, and we offer rewarding careers, no matter what their background. We continue to strive to break down barriers to be the Trust where people come together because what they do matters, makes a difference and where they can thrive.

Joining our organisation means enjoying a wide range of staff benefits, including:

• 24/7 access to wellbeing support through our Employee Assistance Programme.
• A Rewards & Recognition platform, offering opportunities to thank colleagues, send gifts, and access exclusive discounts.
• A dedicated Staff Wellbeing Hub, providing a space to relax and recharge away from the work environment.
• Salary sacrifice schemes for transport (season ticket loans, car and bike), electrical goods, and childcare

At RNOH, we are more than a workplace--we are committed to patients, to excellence and the wellbeing of our staff.

Details
Date posted 24 September 2026
Pay scheme Agenda for change
Band Band 7
Salary £55,524 to £62,652 a year per annam
Contract Secondment
Working pattern Full-time
Reference number 392-RNOH-8272646
Job locations Stanmore, Brockley hill, Stanmore, HA7 4LP, United Kingdom

Job responsibilities
Rotation between Bolsover Street and Stanmore sites when applicable to your banding

Clinical

• As your service requires Autonomously seeing both Inpatients and Outpatients and seek support when appropriate. This may warrant undertaking clinical shifts to develop own practice and understanding of current issues.
• To work within the professional registration of the post holder acting as a role model through the provision of professional leadership and demonstration of competent practice. In extraordinary circumstances as defined by the Head of Nursing and in conjunction with the Deputy director of nursing- work as a member of the ward/centre/unit team to provide fundamental and safe levels of care.
• Ensure that you take the Lead role within the MDT in coordination of the patient pathway (and outpatients as required).
• Demonstrate in-depth knowledge of your service that is based on evidence and research to assess, plan, implement and evaluate episodes of care for individual patients.
• To provide expert knowledge, advice and clinical support to members of the multidisciplinary team, and ensure that all nursing and medical needs are understood and carried out in accordance with the present standards and protocols.
• Develop and co-ordinate Integrated Care Pathways (ICPs) of care to promote reduction of current waiting times, reducing delayed discharges and preventing re-admission/failed discharges into hospital.
• To assist in the development and implementation of local practice guidelines and protocols.
• To ensure that all information and knowledge provided is based on best practice and strives to meet the Trusts Values, vision, aims and objectives and should incorporate local and national policies, procedures, NICE guidelines and any other relevant legislation or national/international guidelines.
• Be available to offer advice on all aspects of your speciality, providing clinical advice and supporting Trust staff in meeting the standards and protocols in delivery of care for your speciality. Where appropriate give advice and support on your speciality to staff outside of the Trust
• Influence effective multidisciplinary teamwork and communication between health, social and voluntary organisations to deliver co-ordinated, seamless care.
• Co-ordinate/manage any relevant clinics for your service or/and be prepared to develop such clinics to benefit your patient group
• Independently discharge patients from clinics within agreed protocols and follow up (as per service requirement).
• Work autonomously, providing an effective nurse led service as needs dictate
• Organise blood tests, x-rays, and other appropriate investigations for your speciality (dependant on your skill level and training). Interpret the investigation results (ensure red flags are noted) and make appropriate plan of care, liaising with consultant of the speciality/GP, as required, regarding future treatment and management dependant on your speciality.
• Provide an effective and accessible telephone advice service for patients and families and their carers.
• Ensure patient records are maintained in an accurate, legible, complete and timely manner.
• Ensure that robust systems are in place for effective monitoring of performance against national and local indicators and any other reporting requirements. The post holder will be expected to be familiar with all local and NICE guidance relevant to your speciality
• As mentioned above, undertake the relevant courses to be a registered nurse prescriber for the medicines management of your speciality as determined by service need and in consultation with the non-medical prescribing and patient group directions group and to act as a resource for clinicians in relation to treatment and care for patients with your speciality needs.

KEY AREAS
Management and Leadership
Ensure staffs take responsibility for their own learning, and encourage the development of lifelong learning and improving professional knowledge and competence in yourself and others.

To line manage other team members where appropriate

Complete a Job Plan (in line with your direct line manager) for the role as per the Trusts Job Planning for Nurse Specialists and Consultant Nurses

Develop agreed care protocols, including shared/joint care, in conjunction with other members of the multidisciplinary team.

To deputise for the Service Lead in their absence.

Using effective Clinical Leadership skills promote a supportive collaborative team-working environment that inspires colleagues to encompass all the Trust Values, Aims and objectives to meet the Trust vision. Your leadership skills should provide

Develop, implement and manage a programme for your service, creating objectives and targets in line with agreed budgets, resources and development plans.

Improve multidisciplinary collaboration through effective communication/working with all healthcare professionals within the multidisciplinary team to manage systems and processes effectively and efficiently to ensure good quality patient experience.

Promotes and markets the activities of the service both internally and externally (where appropriate) contributing to the sharing of good practice ideas/ learning

Prepare reports and audits as required for your speciality. Including presenting aspects of the Quality reporting, and feedback at relevant senior meetings eg QUILL, Divisional Operational meetings, Senior Nurse forum.

Respond as appropriate to national and or international medical alerts relevant to your service

Ensure that specific specialised procedures and protocols to cover all aspects of care within the Royal National Orthopaedic Hospital are readily available for staff.

Promote and initiate innovations and change related to improvement of clinical services in relation to your speciality.

Support the Divisional Triumvirate in the planning and implementation of issues arising from the activities within the division.

Assist with the management of complaints (including being the Lead for investigations), review services and assist with Serious Incident (SIs) root cause analysis (RCAs) in conjunction with the Triumvirate.

Professional
Acts as a positive role model through the provision of effective professional leadership for relevant clinical areas and demonstration of competent and accountable clinical practice.

Demonstrates knowledge of contemporary clinical practice, explores new ideas and introduces positive, evidence-based change in line with local and national/international initiatives and share with your team

To establish and maintain professional networking relationships with all professionals and groups/Trusts.

To be accountable for ones own professional practice and professional development and ensure registration and compliance with the NMC and the Code of professional Conduct or other relevant regulatory body for your discipline and support junior members of staff to do the same.

Develop and implement educational programmes for staff with regard to your speciality, education for patients, carers and colleagues and evaluate effectiveness of this delivery with your team.

To collect and analyse incidents and prevalence data for your speciality within the Royal National Orthopaedic Hospital NHS trust, identifying trends and translating these to reports/action plans.

Works within the financial budget allocated to your speciality, in collaboration with the line manager, general manager and head of Nursing

Education, Training and Development
Act as an advisor /educator and role model to less experienced doctors, nurses and therapists (MDT) to ensure appropriate care is planned, implemented and evaluated

To work in close collaboration with other clinicians to set and maintain local standards Trust, with regards your speciality.

Assist in the development of competency-based frameworks for nurses, monitoring and evaluating their effectiveness, in order to fast track development of nursing staff.

Contribute towards development, evaluations and management of educational training programmes for all staff and patients and their carers in liaison with Clinical Educators/Facilitators or other colleagues.

To maintain links with the appropriate Higher Education facilities such as Universities, via the link tutors and provide external training as required.

Promote the improvements of quality and clinical effectiveness within resource constraints.

Participate and support where required on Trust Panels and investigations (both Serious Incidents, Disciplinary and Root Cause Analysis) involving staff members

Audit
Undertake audits in relation to your speciality in order to assess and monitor the quality of nursing practice in the clinical setting. Assist other team members to do the same. Ensure feedback to other interested parties are given so that lessons learnt and changes in practice made can be shared.

Manage a regular system of audit and research activities within the speciality and in collaboration with colleagues. Develop professional practice, review and develop policies depending on results.

Facilitate research-based, innovative practice in the delivery of your speciality and act as a change agent in the implementation of changes identified to improve care.

Develop local, standard policies and practices which further the philosophy of patient-centred, individual, research-based care for all patients within your speciality.

Person Specification
Qualifications
Essential

• Professional Healthcare Registration, NMC
• First Degree or willingness to start a Degree within 12 months of appointment
• Specialist course within your speciality or numerous years of experience at this level of nursing

Desirable

• Master's Degree or working towards this
• oManagement qualification.
• Leadership qualification

Experience
Essential

• Evidence of involvement in benchmarking and audit of services.
• Has worked as a member of Multi-professional team within an orthopaedic setting
• Experience of developing and delivering teaching programs in your speciality
• Excellent practical skills and organisational abilities
• Excellent communication and interpersonal skills
• Relevant experience at band 6 in associated speciality.

Desirable

• Advanced Orthopaedic professional practice
• Introducing new services and methods of practice
• Speciality experience.

Skills
Essential

• Demonstrates previous nursing development initiatives within other roles.
• Excellent communication and interpersonal skills
• Excellent practical skills and organisational ability.
• Ability to understand and present budgetary data.
• Ability to Innovate and motivate others.

Desirable

• Experience of running Advanced Practitioner Led Clinics
• X-ray referral and interpretation
• Computer literacy, to include administration systems and spreadsheets and use of EPIC
• Presentation skills.
• Advanced IT skills

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 Royal National Orthopaedic Hospital NHS Trust
Address Stanmore, Brockley hill, Stanmore, HA7 4LP, United Kingdom
Employer's website https://www.rnoh.nhs.uk/ (Opens in a new tab)

Employer contact details
For questions about the job, contact: Lead Nurse For Spinal Surgery, Clare Harman, clare.harman1@nhs.net, 07812139438

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.
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).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).