Job Description
For the post of
Trainee Nurse Practitioner
BAND 6
The South West London Elective Orthopaedic Centre
Introduction to the Centre
The SWLEOC is an NHS Treatment Centre providing regional elective orthopaedic surgery services
(including inpatient, day-case and outpatient). Established by the four South West London acute
Trusts to deliver strategic change in the delivery of planned orthopaedic care, the SWLEOC provides
high quality, cost efficient, elective orthopaedic services ranked amongst the best in the world.
Since opening in January 2004, the SWLEOC has earned a reputation as a centre of excellence for
elective orthopaedic surgery with excellent outcomes, low complications and high patient
satisfaction. It has consistently achieved operational targets such as the 18 week patient wait time.
Length of stay, infection rates and PROMs are amongst the best in the world. As a centre of
excellence, the SWLEOC has a large volume of visitors from around the UK and abroad, looking at
processes and outcomes.
Performing around 5,200 procedures a year, 3,000 of these joint replacements, the SWLEOC is
recognised as the largest joint replacement centre in the UK, one of the largest in Europe. It is also
one of the largest shoulder surgery centres in the UK. Other sub-specialities include soft tissue,
spine, foot and ankle procedures.
The SWLEOC provides a clinical pathway of care that is nurse and Consultant led; Specialist
Registrar’s will attend surgery for training but there are no House Officer/Senior House Officers
within the centre, their role being undertaken by the nursing teams.
The SWLEOC runs a dedicated research Outcomes program and takes an active role in research
including Orthopaedic Data Evaluation Panel (ODEP) studies as recommended by NICE. The centre
has a strong focus on Education across the multi-professional team.
The Elective Orthopaedic Centre was created through the partnership of four acute Trusts: Epsom
and St Helier University Hospitals NHS Trust, Kingston Hospital NHS Foundation Trust, Croydon
University NHS Trust and St George’s Healthcare NHS Trust. Through the vision of their clinicians,
Boards and executives, they have created a world class orthopaedic centre in a state-of-the-art
building, situated on the Epsom Hospital site.
The partner Trusts provide 34 consultant orthopaedic surgeons. Their work, in collaboration with
that of the SWLEOC’s multidisciplinary team, ensures a gathering of wisdom and experience that
allows the SWLEOC to face significant levels of complexity and clinical challenge.
Organisational Values
The SWLEOC had a unique opportunity at its inception to create an environment that could differ to
previous experience. Drawing on the knowledge and experience of the multi-professional team the
SWLEOC sought to create an environment that put the patient first, while aiming to improve
processes, cost and efficiency.
Mission, Purpose and Vision:
Our Mission:
Our Purpose:
Our Vision:
To be the provider of choice for orthopaedic procedures for South London
and South Coast.
To improve the quality of life for patients by undertaking elective
orthopaedic procedures in an environment that pursues excellence through
learning and research.
To be world leaders in orthopaedic care, using innovation, research and
education to provide the highest quality, patient centred experience.
SWLEOC Values:
Caring for patients, their families and staff
Being a learning organisation; embracing the idea of continuous improvement
Pursuing excellence, using measures and outcome tools to identify best practice and ensure
the care we give is leading edge
To be transparent and open over our actions or omissions with patients and stakeholders.
The centre is a dynamic organisation, always seeking to improve care and provide the best possible
service to patients. We are looking for dedicated staff to help us achieve this goal.
The SWLEOC is able to offer bespoke training packages to enable staff to reach their full potential.
Where accommodation would be helpful, the centre is able to offer on-site or nearby
accommodation for the first 6 months to enable new staff to settle into the area and find more
permanent residence.
If you have any further questions, please get in touch using the email on the NHS jobs contacts page
or visit www.SWLEOC.nhs.uk
We look forward to working with you,
Kind Regards
Martin Warnette | Head of Nursing
E: [email protected]
JOB DESCRIPTION
Job Title:
Trainee Nurse Practitioner
Band:
Band 6
Accountable to:
Location:
South West London Elective Orthopaedic Centre
Line Managed by:
Pre-operative assessment, outreach and outpatients lead
Qualifications:
Registered General Nurse
ENB 998 or equivalent
Diploma/Degree or studying for
Job Summary
The post holder will provide high quality nursing care and work towards developing and
working within a cohesive multidisciplinary team. The expectations within this job
description will be met through Leadership, hands on clinical practice, education and
training, and research. The post holder will also have the opportunity to develop skills
towards attaining an Advanced Practitioner post in the future if they so wish.
1.
Duties of the post
The Qualified Nurses post is characterised by five principal role functions:  A Practice Function
 A Professional Leadership and Management Function
 An Education, Training and Development Function
 Research and Evaluation Function
 Human Resources Function
1.2
The initial objectives of the post will be reviewed with the post holder on an
annual basis.
2.0
Practice Function
Ensure clinical practice reflects all current NMC documents
The post holder will: 2.1
Ensure that all nursing procedures are carried out in accordance with Center’s
Policies, procedures, Guidelines and protocols.
2.2
Monitor and maintain agreed standards of care in conjunction
with other members of the Multidisciplinary team.
2.3
Deliver care in accordance with defined quality standards and in line with
recommendations as laid down in the NHS plan.
2.4
Work with nursing and other healthcare professionals, patients and their
relatives/carers to promote timely discharge within the scope of the short stay
pathway.
2.5
Use reflective practice as a method of ensuring that appropriate effective
nursing care is delivered to each patient.
2.6
Initiate, encourage and develop new ideas in conjunction with the Advanced
Practitioners, multidisciplinary team and Clinical Lead for pre assessment &
Outpatients
2.7
Carry out phone assessments as required and in line with agreed protocols.
Monitor patients throughout their pathway
2.8
Refer patients to the appropriate clinic for pre-operative screening, carry out
all types of pre assessment clinics as required and ensure appropriate and
timely management of these patients
2
Professional Leadership and Management Function
3.1
Work with the multidisciplinary team in the development pre assessment pathways
ensuring a high quality, efficient and cost effective service.
3.2
Assist in ensuring the patient work load is managed within the 18 week target and
ensure appropriate reporting of the target is maintained.
3.2
Maintain an effective two-way method of communication between the scheduling,
preassessment and pre surgery departments.
3.3
Promote the Centre as a Centre of Excellence
3.4
Report all serious untoward clinical incidents relating to Orthopaedic nursing in the
appropriate manner to the Clinical Lead pre assessment & Outpatient’s & Director of
Nursing.
3.5
Attend and participate in departmental meetings as required.
3.6
Motivate staff and ensure the smooth running of the clinical area
3
Education, Training and Development Function
Maintain own mandatory training requirements
4.1
Create a positive learning environment for all staff that is conducive for
learning.
4.2
In accordance with the NMC Scope of Professional Practice continue to develop and
expand your role.
4.4
Maintain own professional and personal development.
4.5
Participate in Student Nurse Education and assessment in accordance with the Centre
and University requirements and in consultation with the Practice Educator.
4.6
4.7
4
5.1
Contribute to the centres education programme
Contribute to the induction programme of all staff.
Research and Evaluation Function
Promote evidence-based practice.
5.2
Participate in the Centres Clinical Governance programme and contribute where
appropriate towards monthly/annual reports.
5.3
Participate in any Clinical Audit programmes within the Centre and the evaluation of
both others and own practice.
5.4
Facilitate the development of clinical practice through research and education of the
multidisciplinary team.
6
Human Resources Function
6.1
Wear the correct uniform as per the Centre Policy.
6.2
Adhere to the Sickness and Absence procedure.
7
General
7.1
Be aware of and work within the policies of Epsom & St. Helier NHS Trust and the
South West London Elective Orthopaedic Centre.
7.2
Carry out other duties as may be required, and that are consistent with the
responsibilities of the post.
7.3
Have responsibility for Health, Welfare and Safety of self and others and to
comply at all times with the Health and Safety Regulations.
7.4
Work within the NMC Codes of Professional Conduct
7.5
Ensure confidentiality at all times.
7.6
Promote equal opportunities for all staff and clients in accordance with the South
West London Elective Orthopaedic Centre policies.
7.7
Maintain up-to-date records, ensuring that confidentiality is respected and that all
standards for record keeping are met.
This Job Description will be regularly reviewed with the post holder and may be varied in the
light of service developments and any changes will be discussed and agreed with the
employee before the implementation date.
Senior Qualified Practitioner
Person Specification
SKILLS
Values and
Behaviours
ESSENTIAL
Put the patient first by
being happy, helpful,
caring, respectful and
patient
DESIRABLE
ASSESSMENT
Degree or
working
towards
Application Form
Always taking
opportunities to
improve, encouraging
excellence
Work as one team –
communicate,
collaborate and share
Respect each other by
being polite, pleasant
and listening
Qualifications
Registered General
Nurse
Diploma in Nursing
ENB 998 or equivalent
Experience
Pre assessment
experience
Knowledge
Knowledge of current
clinical and
professional issues.
Understanding of
Clinical Audit &
Clinical Governance
Skills
Good verbal, written
and Interpersonal &
communication skills.
Computer skills
Telephone
Orthopaedic
Course
Experience in
Orthopaedic
Nursing
Application Form/
Interview
Knowledge and
experience of
Clinical Audit
and Clinical
Governance
Professional
Portfolio and
Interview
Experience of
using databases
Interview
Management
Understanding of the
principles of managing
a team
Experience
team or ward
management
Application form/
Interview
Personal
Demonstrates
appropriate behaviour
& self-awareness.
Committed to team
working.
Creative and
lateral thinker.
Interview
Motivated and
enthusiastic.
Ability to reflect on
own practice
Job Description Supplementary Information
Equal Opportunities
The Trust affords its employees equal opportunities in employment, training and
development irrespective of sex, sexual orientation, gender reassignment, disability,
marital/parental status, race, colour, nationality, ethnic origin, religion, hours of work,
political beliefs, TU membership or age.
The Trust has an Equal Opportunities Policy and all employees are expected to be aware of,
and adhere to the provisions of this policy and to carry out their duties and responsibilities in
accordance with this policy.
Confidentiality and Disclosure of Information
In the course of your normal employment you may come into the possession of confidential
information relating to patients, staff and the Trusts business and commercial information.
All employees have a responsibility to ensure the security of information and to comply with
the Data Protection Acts, Access to Health Records and Computer Misuse Act. Disclosure of
medical, commercial or personal information, systems passwords or other confidential
information to any unauthorised person or persons will be considered at gross misconduct
and may lead to disciplinary action, which may include dismissal.
Health And Safety
The Trust operates a Health and Safety policy applicable to all employees. Employees must
make themselves familiar with this policy and the responsibility placed on them under the
Health and Safety at Work Act 1974, to ensure that the agreed safety procedures are carried
out to maintain safe environments for employees, patients and visitors.
Infection Control
The Trust is committed to the prevention and control of infection, and operates an infection
control policy. It is the responsibility of all employees to be aware of the infection control
policy and procedures and the importance of protecting themselves, patients and visitors.
Risk Management
Risk is everybody’s business! All staff have an individual as well as a corporate
responsibility for risk.
The outcome of effective risk management is the provision of safe patient care during their
episode of illness or treatment and also the provision of a safe Trust environment for patients,
staff and the public.
The Trust aims to have ‘Just and Fair’ culture where there is low blame and wants to
encourage staff to report incidents and identify risks. If the latter is carried out then lessons
can be learnt and changes in practice will be implemented in order to improve the quality of
patient care.
You personally need to be adequately trained in risk management processes and the Trust
provides a variety of risk related study days and courses. A list of these can be found in the
Trust Training Brochure and it will be important that you take note of the mandatory courses,
which you must attend.
Woking Time Regulations
The Working Time Regulations 1998 state that employees should not work more than an
average of 48 hours per week based on a 26 week period. Employees who wish to exceed
this number of hours must obtain Management authorisation and will be required to sign an
opt-out agreement which will be placed on file.
Improving Working Lives
In line with the NHS Plan, Epsom and St Helier University Hospitals Trust is making
changes to improve the working lives of all staff. By helping staff to achieve good work life
balance we can develop higher standards of healthcare and patient choice.
In order to support staff the Trust offers a range of benefits including onsite day nurseries,
school holiday clubs, complementary therapies, a cyber café for internet access, a wide range
of staff discounts, various recognition schemes and special annual events.
There is a National Audit Instrument for Improving Working Lives, which involves the Trust
being assessed against a set of national standards to ensure that it is making real and tangible
improvements to the working lives of our staff.
Smoking
The Trust operates a strict no-smoking policy and employees are therefore not permitted to
smoke on-site, except in designated areas.
Alcohol and Drugs
The consumption of alcohol or drugs is strictly prohibited whilst on duty. The Trust operates
a substance abuse policy which employees should make themselves familiar with.
Security
All employees are required to wear name badges whilst on Trust premises and are responsible
for ensuring they understand their security responsibilities Whilst on Trust property. Any
security incidents should immediately be reported to the security office.
Knowledge and Skills Framework (KSF)
All staff excluding Doctors and Dentists are required to participate in The NHS Knowledge
and Skills Framework. This is an annual appraisal process linking career and pay
progression. All staff will be required to attend mandatory training on the Knowledge and
Skills Framework before they can embark on the appraisal process.
Further information and copies of the Trusts Policies and Procedures can be found on the
Trust’s Intranet, Via Departmental Managers or within the Human Resources Department.