Job summaryThe States of Guernsey are looking for a Senior Orthopaedic Practitioner to join the Outpatients Department based at the Princess Elizabeth Hospital.
The post holder has management responsibility for staff within the plaster room on a daily basis, prioritising the workload and delegating appropriately under the guidance of the Outpatient Manager.
The post holder is responsible for delivery of the casting/splinting service provision across a wide and varied patient group via referral, throughout HSC and its peripherals.
Will be responsible for the skilled application and removal of casts and braces, including complex applications in Theatre i.e. Scoliosis jackets, hip spicas.
Provide optimum quality of care to patients, offering support to the MDT and required to take management responsibility for the plaster room on each shift.
To practice in accordance with HSC standards and statutory requirements, and operate within the boundaries of the role and assessed competencies.
Main duties of the jobThe post holder has management responsibility for staff within the plaster room on a daily basis, prioritising the workload and delegating appropriately under the guidance of the Outpatient Manager.
The post holder is responsible for delivery of the casting/splinting service provision across a wide and varied patient group via referral, throughout HSC and its peripherals.
Will be responsible for the skilled application and removal of casts and braces, including complex applications in Theatre i.e. Scoliosis jackets, hip spicas. Provide optimum quality of care to patients, offering support to the MDT and required to take management responsibility for the plaster room on each shift.
To practice in accordance with HSC standards and statutory requirements and operate within the boundaries of the role and assessed competencies.
About usThe Island of Guernsey is in the English Channel in the Bay of St Malo, 50km off the north-west coast of France and 120km from the English coast.
Guernsey has a population of around 63,000 and in Alderney just under 2,000. Working in a relatively small Health and Social Care Service like ours means you can effectively work with colleagues across the services, health and social care professionals can collaborate not only with each other but also other agencies, the third sector and the community.
We offer an attractive relocation policy and competitive salaries with great career opportunities, modern facilities, excellent training, revalidation and registration support and a healthy work-life balance.
As a health or social care professional who chooses to join our team, you can look forward to working in an environment that gives you the time to care that you hoped for when choosing this career.
DetailsDate posted: 09 April 2026
Pay scheme: Agenda for change
Band: Band 5
Salary: £38,744 to £49,970 a year
Contract: Permanent
Working pattern: Full-time
Reference number: K0005-26-0050
Job locations: Princess Elizabeth Hospital, Le Vauquiedor, St. Martin, Guernsey, GY4 6UU
Job responsibilitiesTo take responsibility for a varied and diverse group of patients, being responsible for assessing, planning and implementing care in the various clinical settings. The post holder will have overall responsibility for delivery of casting service provided. This will include management and delivery of the service as well as a high degree of clinical involvement. The post holder will be expected to manage and consult on the most complex cases.
To have extensive knowledge of anatomy and physiology and be able to interpret x rays to enable cast application.
To ensure that patients with casts or splints can mobilise safely, referring them to the physiotherapist as appropriate.
To assist in the running of clinics as required i.e. chaperoning.
To carry out procedures in accordance with HSC policy and undertake more complex procedures as required i.e. scoliosis jackets and hip spicas in Theatre.
To maintain the equipment used within the Plaster Room and Fracture Clinic.
To be able to deliver safe and effective wound care to patients and have an extensive knowledge of appropriate dressing regimes.
In addition, ensuring that wounds/skin under plaster cast is monitored and if any signs of infection present that this is escalated appropriately.
To remove k.wires and external fixators at the request of the clinician after appropriate training.
To make recommendations through experience and knowledge working in conjunction with the clinical team to deliver solutions to those patients with new injuries who may have other conditions i.e. paraplegia, chair/bed bound, who need to be managed outside normal parameters to meet their individual requirements.
To lead in new casting diabetic service provided on a weekly basis.
To provide wound care/removal of clips/sutures.
To be able to assess, plan, implement and evaluate the evidence-based care for patients with an external fixator and/pin sites.
To ensure patient privacy and dignity is maintained during treatment as per HSC policy.
To carry out observations, weight, height, clinical duties.
To comply with HSC infection control policies and always conduct him/her in such a manner as to minimise the risk of healthcare associated infection.
To lead and guide general nurses on plastering and splinting policies and procedures which are evidence base
Person SpecificationQualificationsEssential- British Casting Certificate
- Must demonstrate continuous CPD in relevant clinical areas.
Desirable- Teaching and assessing qualification.
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). 
