Virtual Fracture Clinic Lead APP
Job Title: Virtual Fracture Clinic Lead APP
Hours: 30 per week (over 4‑5 days, including a full Monday)
Contract: 14‑month maternity cover, commencing June 2026
The Trauma & Orthopaedic Department at Epsom and St Helier Hospital is recruiting an APP to lead our Virtual Fracture Clinic (VFC) department.
The post holder should have extensive experience at a Band 7 or higher, preferably in an acute Trauma & Orthopaedic setting.
Main Duties of the Job
* Manage and develop the Virtual Fracture Clinic Service for the Trust, ensuring timely treatment of orthopaedic trauma patients.
* Manage the band 6 physiotherapist as part of their rotation from the MSK department.
* Liaise closely with the Orthopaedic Consultant of the Week (CoW), discussing treatment plans for patients presenting through ED.
* Request bloods, x‑rays, CT/MRI scans, and develop outcomes and care plans.
* Explain treatment plans clearly to patients, including advising on distressing news and delegating to junior nurses as necessary.
* Create and analyse reports for the VFC, making service improvements where needed.
* Input and update all patient data in the database.
* Review waiting list numbers against waiting times and manage improvements to reduce unnecessary waits.
* Refer patients to other specialities.
* Evaluate the service regularly and implement improvements.
* Maintain high clinical care standards within the VFC, reflecting patient/family feedback and national standards.
* Lead in the audit of evidence‑based outcomes.
Job Responsibilities
* High level of orthopaedic knowledge.
* Independently undertake highly specialised clinical assessments, diagnose, treat and discharge adults and children with a wide range of minor injuries, including complex cases.
* Ensure patients and parents/carers are fully involved in treatment plan design and implementation.
* Coordinate and liaise with multidisciplinary teams across primary and secondary care, statutory and voluntary groups.
* Identify clinical risks and take appropriate action using reporting structures.
* Attend VFC meetings.
* Document full and accurate records of assessments, investigations, procedures, treatments and aftercare.
* Work with Orthopaedic Consultants and junior doctors to coordinate trauma care delivery.
* Identify and case‑manage high‑risk fracture patients; act as a clinical leader in assessment, planning, implementation and evaluation of care plans.
* Recognise and respond appropriately to urgent and emergency situations.
Person Specification
Knowledge & Experience
* Significant experience treating trauma and orthopaedic patients in an acute setting.
* Experience ordering and interpreting diagnostic images.
* Evidence of leadership and operational management of a team of healthcare professionals.
* Knowledge of safeguarding children and ability to recognise and act on safeguarding concerns.
* Experience at Band 7.
* Able to see, manage and discharge a wide range of adult and paediatric presentations.
* Level 3 Safeguarding (must be achieved if appointed).
Qualifications
* Register with Health and Care Professions Council or Advanced Clinical Practitioner.
* Management qualification or equivalent experience running a complex service with specialist orthopaedic knowledge.
* Evidence of post‑registration training in Trauma & Orthopaedics/CPD and reflective practice.
* Immediate Life Support (ILS).
* IRMER Qualification.
* Master’s degree in Advanced Practice or working towards.
* Advanced Life Support (ALS) or working towards.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a Disclosure and Barring Service check.
Salary
£61,631 to £68,623 a year (includes HCAS Outer pro‑rata).
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