• Job Description

  Req#: C9365-25-0268?language=en&page=100&sort=publicationDateDesc

  Job summary

  An exciting opportunity has arisen within the Worcestershire Acute Hospitals NHS Trust Trauma & Orthopaedic department to recruit a Trauma Nurse Practitioner. This advanced clinical role supports the trauma pathway from admission to discharge, working across A&E, SAU, SDEC, trauma wards, and clinics. The post holder will collaborate with orthopaedic, anaesthetic, theatre, and multidisciplinary teams to ensure efficient patient care and flow. The role operates on a seven-day long-day rota, including weekends. Candidates must be registered nurses or allied health professionals with advanced clinical assessment skills, health assessment qualifications, and a non-medical prescribing certification. A strong understanding of trauma, orthopaedics, musculoskeletal and frailty conditions is essential. Duties include clerking and assessing patients, managing deteriorating patients, supporting discharge planning, prescribing, leading ward rounds, interpreting investigations, and performing procedures such as fascia iliaca blocks, joint aspirations, and traction application. The post also involves supporting junior staff, maintaining records, and contributing to hip fracture care and audit processes.

  Main duties of the job

  Main duties of the job

  Clinical examination/assessment and clerking of patients

  Assessment of the deteriorating patient Involvement in discharge planning and Electronic discharge summaries regarding treatment and management

  Non medical prescriber

  Lead post take ward round Participation in pre and post-operative ward rounds

  Undertake nurse-led ward rounds if applicable

  Maintenance of records and databases

  Referral for investigations and formulation of a treatment plan based on interpretation of results Interpretation of X-rays and other diagnostic investigations Performing Fascia iliaca blocks to patient with confirmed hip fractures.

  About us

  Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

  The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

  Our workforce is more than 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

  We are committed to recruiting the best people to work with us. Our values, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

  Being open and honest

  Ensuring people feel cared for

  Showing respect to everyone

  We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

  DBS Checks and Costs

  Any applicants who are offered posts requiring a DBS check as part of their employment check will have the cost of this check (at the current rate) deducted from their salary. Please see link in Supporting Information section for more details on DBS checks and costs.

  Details

  Date posted

  08 August 2025

  Pay scheme

  Agenda for change

  Band

  Band 7

  Salary

  £47,810 to £54,710 a year

  Contract

  Permanent

  Working pattern

  Full-time

  Reference number

  C9365-25-0268

  Job locations

  Charles Hastings Way

  Worcester

  Worcestershire

  WR5 1DD

  
  

  Job description

  Job responsibilities

  Job Purpose:

  This is a multifaceted role the crosses the traditional boundaries between nursing and medicine, which facilitates the trauma process for all trauma patients from their admission to discharge and includes:

  Using expert knowledge to clinically assess and examine patient in the A&E department. History taking and facilitating the admission process by requesting relevant investigations. Fast tracking patients to the trauma wards as appropriate.

  The co-ordination for the process for all trauma patients from the A&E to theatre and through to discharge when appropriate.

  The post holder will be a team member within the daily consultant led trauma ward rounds, contributing to the review and treatment planning for all trauma patients. Ensuring plans are communicated and implemented. Liaising with other clinical teams to optimise patients for their surgery. The post holder will contribute to the Grand ward round.

  The post holder will co-ordinate the ambulatory trauma patients and ensure the pre assessment process is carried out for this patient group and a treatment plan is formulated and communicated with the patients.

  Contributing to the planning and organisation of trauma theatre list

  Providing an outreach service for outlying patients, including regular review of patients to ensure plan of care is implemented. They will offer support and advice for trauma patients and staff throughout the Worcestershire hospital sites.

  Effective planning, co-ordination and communication within the multidisciplinary team.

  Provide the interface between the clinical trauma service, patients and relatives to explain current treatment plans, delays and cancellations in treatment.

  Providing education information and advice to other professionals, including medical and surgical teams across the Acute Unit, district nurses, GPs, practice nurses, community hospitals and community therapists.

  The post holder will be required to a independent non-medical prescriber of to work towards the Non medical prescribing qualification.

  The post holder will take an active role in facilitating patients with hip and femoral fractures to achieve Best Practice Tariff for Hip Fractures. The will drive the process and

  be an active part of the audit process, contributing to NHFD and the Harm reviews for hip fractures.

  The post holder will work autonomously but collaborate with the multidisciplinary team.

  Key Duties: Clinical Assessment in Ward environment

  Clinical examination/assessment and clerking of patients

  Assessment of the deteriorating patient

  Involvement in discharge planning and Electronic discharge summaries regarding treatment and management

  Non medical prescriber

  Lead post take ward round

  Participation in pre and post-operative ward rounds

  Undertake nurse-led ward rounds if applicable

  Maintenance of records and databases

  Referral for investigations and formulation of a treatment plan based on interpretation of results Interpretation of X-rays and other diagnostic investigations

  Performing Fascia iliaca blocks to patient with confirmed hip fractures.

  Perform interventional procedures such as joint aspirations/ suturing etc

  Working with anaesthetic team to ensure alternative pain relief

  Application of skin and skeletal traction

  Application of surgical appliances such as collars, TLSO etc

  Identification of medical risks and referral to specialty teams such as Anesthetics

  Providing information and support to junior medical teams and ward staff

  Contribute to the BPT for hip and femoral fractures and participate in the harm process for hip fractures

  Supporting the frailty teams with assessment of patient

  General Duties:

  Clinical

  The post holder will;

  • Undertake clinical assessment and formulation of clinical management plan of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including, where appropriate, listing patients for trauma procedures and discharging patients from the service when treatment is complete.
  • Demonstrate a high level of competence in clinical, diagnostic and examination skills
  • Facilitates the Trauma admissions process for trauma patients admitted to the Alexandra Hospital or Worcestershire Royal Hospitals. Participates in the daily on call orthopaedic consultant trauma meeting and trauma rounds.
  • Uses advanced knowledge and skills to accelerate the admissions process through the A&E department and fast tracking hip fracture patients as appropriate.
  • Ensures all trauma patients have a detailed care plan, which reflects the specialist trauma care patients receive for their condition or injury.
  • Ensures patients are medically fit for surgery or makes appropriate referrals to other specialities for assessment or treatment of conditions, which prevents patients having surgery. Requesting investigations that assist in optimisation of patients for surgery.
  • Works with the capacity teamto identify a priority list for admission, work to repatriate and/or transfer trauma patients form the major trauma centre to the trauma ward or the most appropriate clinical area.
  • Facilitates good communications with all agencies involved in the continuity of patient care.
  • Provides efficient and effective liaison, co-ordinates and facilitates multi-disciplinary care for outlying trauma patients.
  • Acts as a resource for patients, relatives and carers requiring information and advice regarding episodes of care.

  Logistical and Administration

  Listing of patient on to the Bluespier trauma boards for surgical treatment

  Taking referrals form both sites for treatment of trauma conditions and injuries.

  Take referrals for ambulatory trauma cases, ensure the patient is prepared and schedule cases on the theatre lists. Maintain the Abulatory referrals trauma board

  Advice and support for medical and nursing staff

  Collect and input outcome data e.g. NHFD

  Working closely with the Orthogeriatrician teams

  Liaison with therapies and other members of the multidisciplinary team

  Liaison with capacity teams and senior managers regarding priority for treatment

  Organising additional theatre lists for extra capacity for trauma cases

  Driving Best Practice Tariff process for hip and femoral fractures

  Providing an interface between patients waiting at home for surgery and admission on ambulatory treatment pathways.

  Practice and Service Development, Research & Evaluation

  Maintain databases and monitoring clinical outcomes in relation to a range of surgical procedures

  Compile reports relating to clinical outcomes

  Participate in audit

  Participate in medical/nursing research

  Undertake independent audit projects

  Ongoing development of the range of nurse led services within directorates

  Contribution to the Surgical site infection data collection

  Participation of developing new skills and advancing the service

  Education

  • Be a source of knowledge and advise at all levels within the organisation.
  • Will provide support and advice to the junior medical team.
  • Provide both formal and informal teaching for orthopaedic ward staff and outlying ward staff and as part of the clinical study days.
  • Provide informal teaching to patients and relatives.
  • Offer teaching to community staff regarding trauma and the management and conditions.
  • Will participate in induction for both medical and nursing staff programmes and mandatory training for all grades of staff.
  • Will pursue personal study in professional development and clinical upgrading relating to liaison and discharge planning.

  Management

  • Will assist in investigation of complaints
  • Ensure effective communication to ward staff, clinic staff and theatre staff regarding clinical decisions to maximise clinical benefit and the appropriate use of resources
  • Will keep adequate records and provide statistical information and reports on request.
  • Provide support and guidance for junior members of the medical and nursing team

  Professional

  • Works within the scope of professional practice, local policies and protocols.
  • To maintain a professional attitude and perform all duties and conduct themselves in accordance with the NMC professional code of conduct.
  • Show evidence of continuing professional development in line with revalidation requirements and maintain professional registration.
  • Maintain competency of advanced practices and policies and protocols relating to clinical practice.
  • Always work to the trust Values

  Job description

  Job responsibilities

  Job Purpose:

  This is a multifaceted role the crosses the traditional boundaries between nursing and medicine, which facilitates the trauma process for all trauma patients from their admission to discharge and includes:

  Using expert knowledge to clinically assess and examine patient in the A&E department. History taking and facilitating the admission process by requesting relevant investigations. Fast tracking patients to the trauma wards as appropriate.

  The co-ordination for the process for all trauma patients from the A&E to theatre and through to discharge when appropriate.

  The post holder will be a team member within the daily consultant led trauma ward rounds, contributing to the review and treatment planning for all trauma patients. Ensuring plans are communicated and implemented. Liaising with other clinical teams to optimise patients for their surgery. The post holder will contribute to the Grand ward round.

  The post holder will co-ordinate the ambulatory trauma patients and ensure the pre assessment process is carried out for this patient group and a treatment plan is formulated and communicated with the patients.

  Contributing to the planning and organisation of trauma theatre list

  Providing an outreach service for outlying patients, including regular review of patients to ensure plan of care is implemented. They will offer support and advice for trauma patients and staff throughout the Worcestershire hospital sites.

  Effective planning, co-ordination and communication within the multidisciplinary team.

  Provide the interface between the clinical trauma service, patients and relatives to explain current treatment plans, delays and cancellations in treatment.

  Providing education information and advice to other professionals, including medical and surgical teams across the Acute Unit, district nurses, GPs, practice nurses, community hospitals and community therapists.

  The post holder will be required to a independent non-medical prescriber of to work towards the Non medical prescribing qualification.

  The post holder will take an active role in facilitating patients with hip and femoral fractures to achieve Best Practice Tariff for Hip Fractures. The will drive the process and

  be an active part of the audit process, contributing to NHFD and the Harm reviews for hip fractures.

  The post holder will work autonomously but collaborate with the multidisciplinary team.

  Key Duties: Clinical Assessment in Ward environment

  Clinical examination/assessment and clerking of patients

  Assessment of the deteriorating patient

  Involvement in discharge planning and Electronic discharge summaries regarding treatment and management

  Non medical prescriber

  Lead post take ward round

  Participation in pre and post-operative ward rounds

  Undertake nurse-led ward rounds if applicable

  Maintenance of records and databases

  Referral for investigations and formulation of a treatment plan based on interpretation of results Interpretation of X-rays and other diagnostic investigations

  Performing Fascia iliaca blocks to patient with confirmed hip fractures.

  Perform interventional procedures such as joint aspirations/ suturing etc

  Working with anaesthetic team to ensure alternative pain relief

  Application of skin and skeletal traction

  Application of surgical appliances such as collars, TLSO etc

  Identification of medical risks and referral to specialty teams such as Anesthetics

  Providing information and support to junior medical teams and ward staff

  Contribute to the BPT for hip and femoral fractures and participate in the harm process for hip fractures

  Supporting the frailty teams with assessment of patient

  General Duties:

  Clinical

  The post holder will;

  • Undertake clinical assessment and formulation of clinical management plan of patients to incorporate physiological, psychological and pharmacological considerations, making multifaceted complex clinical decisions regarding patient management and clinical outcomes, including, where appropriate, listing patients for trauma procedures and discharging patients from the service when treatment is complete.
  • Demonstrate a high level of competence in clinical, diagnostic and examination skills
  • Facilitates the Trauma admissions process for trauma patients admitted to the Alexandra Hospital or Worcestershire Royal Hospitals. Participates in the daily on call orthopaedic consultant trauma meeting and trauma rounds.
  • Uses advanced knowledge and skills to accelerate the admissions process through the A&E department and fast tracking hip fracture patients as appropriate.
  • Ensures all trauma patients have a detailed care plan, which reflects the specialist trauma care patients receive for their condition or injury.
  • Ensures patients are medically fit for surgery or makes appropriate referrals to other specialities for assessment or treatment of conditions, which prevents patients having surgery. Requesting investigations that assist in optimisation of patients for surgery.
  • Works with the capacity teamto identify a priority list for admission, work to repatriate and/or transfer trauma patients form the major trauma centre to the trauma ward or the most appropriate clinical area.
  • Facilitates good communications with all agencies involved in the continuity of patient care.
  • Provides efficient and effective liaison, co-ordinates and facilitates multi-disciplinary care for outlying trauma patients.
  • Acts as a resource for patients, relatives and carers requiring information and advice regarding episodes of care.

  Logistical and Administration

  Listing of patient on to the Bluespier trauma boards for surgical treatment

  Taking referrals form both sites for treatment of trauma conditions and injuries.

  Take referrals for ambulatory trauma cases, ensure the patient is prepared and schedule cases on the theatre lists. Maintain the Abulatory referrals trauma board

  Advice and support for medical and nursing staff

  Collect and input outcome data e.g. NHFD

  Working closely with the Orthogeriatrician teams

  Liaison with therapies and other members of the multidisciplinary team

  Liaison with capacity teams and senior managers regarding priority for treatment

  Organising additional theatre lists for extra capacity for trauma cases

  Driving Best Practice Tariff process for hip and femoral fractures

  Providing an interface between patients waiting at home for surgery and admission on ambulatory treatment pathways.

  Practice and Service Development, Research & Evaluation

  Maintain databases and monitoring clinical outcomes in relation to a range of surgical procedures

  Compile reports relating to clinical outcomes

  Participate in audit

  Participate in medical/nursing research

  Undertake independent audit projects

  Ongoing development of the range of nurse led services within directorates

  Contribution to the Surgical site infection data collection

  Participation of developing new skills and advancing the service

  Education

  • Be a source of knowledge and advise at all levels within the organisation.
  • Will provide support and advice to the junior medical team.
  • Provide both formal and informal teaching for orthopaedic ward staff and outlying ward staff and as part of the clinical study days.
  • Provide informal teaching to patients and relatives.
  • Offer teaching to community staff regarding trauma and the management and conditions.
  • Will participate in induction for both medical and nursing staff programmes and mandatory training for all grades of staff.
  • Will pursue personal study in professional development and clinical upgrading relating to liaison and discharge planning.

  Management

  • Will assist in investigation of complaints
  • Ensure effective communication to ward staff, clinic staff and theatre staff regarding clinical decisions to maximise clinical benefit and the appropriate use of resources
  • Will keep adequate records and provide statistical information and reports on request.
  • Provide support and guidance for junior members of the medical and nursing team

  Professional

  • Works within the scope of professional practice, local policies and protocols.
  • To maintain a professional attitude and perform all duties and conduct themselves in accordance with the NMC professional code of conduct.
  • Show evidence of continuing professional development in line with revalidation requirements and maintain professional registration.
  • Maintain competency of advanced practices and policies and protocols relating to clinical practice.
  • Always work to the trust Values

  Person Specification

  Knowledge and Skills

  Essential

  • Evidence of current knowledge of orthopaedics and trauma Evidence of being up-to-date with current issues in medical and professional care Evidence of research based practice Organisational skills Fully aware of principles of infection control Fully aware of health and safety issues. Computer skills

  Qualifications

  Essential

  • First Level Registration / Therapies Professional registration Heath assessment module Non medical Prescribing

  Desirable

  • ENB 219 orthopaedic course or equivalent orthopaedic module. first level degree MSc or working towards MSc Teaching qualification MSK experience

  Personal Qualities

  Essential

  • Good communication skills. Leadership skills. Demonstrate initiative, motivation and ability to problem solve Calm under pressure High professional standards Flexible Committed to quality improvement

  Experience

  Essential

  • 3 yrs Experience of band 5 or above Extended role working Experience of liaising with the medical team and the multidisciplinary team.

  Desirable

  • Advanced practice role
  • Evidence of autonomous decision making skills

  Person Specification

  Knowledge and Skills

  Essential

  • Evidence of current knowledge of orthopaedics and trauma Evidence of being up-to-date with current issues in medical and professional care Evidence of research based practice Organisational skills Fully aware of principles of infection control Fully aware of health and safety issues. Computer skills

  Qualifications

  Essential

  • First Level Registration / Therapies Professional registration Heath assessment module Non medical Prescribing

  Desirable

  • ENB 219 orthopaedic course or equivalent orthopaedic module. first level degree MSc or working towards MSc Teaching qualification MSK experience

  Personal Qualities

  Essential

  • Good communication skills. Leadership skills. Demonstrate initiative, motivation and ability to problem solve Calm under pressure High professional standards Flexible Committed to quality improvement

  Experience

  Essential

  • 3 yrs Experience of band 5 or above Extended role working Experience of liaising with the medical team and the multidisciplinary team.

  Desirable

  • Advanced practice role
  • Evidence of autonomous decision making 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.

  UK Registration

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

  Additional information

  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.

  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

  Worcestershire Acute Hospitals NHS Trust

  Address

  Charles Hastings Way

  Worcester

  Worcestershire

  WR5 1DD

  
  

  Employer's website

  https://www.worcsacute.nhs.uk/ (Opens in a new tab)

  Employer details

  Employer name

  Worcestershire Acute Hospitals NHS Trust

  Address

  Charles Hastings Way

  Worcester

  Worcestershire

  WR5 1DD

  
  

  Employer's website

  https://www.worcsacute.nhs.uk/ (Opens in a new tab)

• About the company

  National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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