Job summary As part of the Cheshire and Merseyside provider programme, an exciting opportunity has arisen for experienced AHP's or Nurses to develop and work in our new, citywide, Non-medical led Spinal Service at University Hospitals of Liverpool Group. You will undertake a significant clinical spinal caseload to an advanced professional standard using specialist knowledge from theoretical and practical experience and develop an extended scope of practice beyond your primary profession. Delivered across the Aintree and Royal Liverpool sites, the posts are permanent, with flexibility for full or part time, extended scope roles. If you would like to be part of this exciting journey; enjoy problem solving but don't yet have all the requisite knowledge and experience, training/apprenticeship MSc ACP posts will be considered. Main duties of the job You will be responsible for: Taking a lead role in the advanced clinical assessment and treatment of a diverse and undetermined caseload of spinal patients, who may have highly complex and/or chronic presentations Determining clinical diagnosis and treatments indicated Provide expertise for developing and enhancing the newly established service, supporting the redesign of patient referrals from secondary to tertiary care Preventing unnecessary admissions from AED. In reaching to meet the specific needs of this patient cohort from the AED and in-patient wards. Work closely with the medical and surgical teams to provide a specialist spinal management service. Triaging referrals either independently or with medical colleagues and make onward referrals Supporting early discharge from hospital; working closely with The Walton Centre, Clatterbridge Cancer Centre, community partners and our Therapy outpatient services. The above list is not exhaustive. This is a new and developing role - we would welcome applicants who can bring their own experience, ideas and innovation to make this a success. About us Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital. We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women's NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients. UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond. For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West. Aintree University Hospitalis the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services including an award-winning stroke facility.Broadgreen Hospitalis home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation.Liverpool Women's Hospitalspecialises in the health of women and babies, delivering over 7,200 babies in the UK's largest single site maternity hospital each year. TheRoyal Liverpool University Hospitalis the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services. For roles at Liverpool Women's, visit theircareers page. Date posted 21 March 2025 Pay scheme Agenda for change Band Band 8a Salary £53,755 to £60,504 a year per annum, pro rata Contract Permanent Working pattern Full-time, Part-time, Job share, Flexible working, Compressed hours Reference number 287-DSS-14-25 Job locations Liverpool University Hospitals NHS Trust Prescot Street Liverpool L7 8XP Job description Job responsibilities 1. To improve the experience and outcomes of care for patients by taking the lead in investigations and treatments prescribed.2. To provide a consistent and personalised service by ensuring that the patients receive the best care, in the best place from the best person or team.3. To provide social, emotional and psychological support for patients from referral and throughout their treatment.4. To deliver expert specialist evidence based care including: development, assessment, planning, implementing, evaluating programmes of evidence based care for a defined caseload.5. To make appropriate referral to consultants/other specialist/members of the multidisciplinary team in primary, secondary or tertiary care settings.6. To be aware of risk management issues both locally and nationally and develop strategies to address identified issues. Key responsibilities Clinical. 1. To maintain personal accountability for professional and ethical actions and ensure compliance with the standards of professional conduct issued by the relevant regulatory body2. To maintain and develop a specialist service for patients within the caseload, ensuring that the treatment and follow up of this group of patients is delivered in a timely manner.3. To provide and maintain a diagnostic service for the Trust. Ensure clinician-June 2022 led clinics provide for both diagnoses and reporting of subsequent results for identified patients.4. To provide teaching as an in-house measure to all medical and clinical staff, not only within the Care Group but also from other services.5. To provide a clinician-led clinic service to patients.6. To plan and administer treatment to patients as appropriate and ensure handover of this treatment to community services as necessary.7. To provide expert care, advice and support for patients and theirrelatives/carers and ensure that advice and point of contact is available throughout the patients journey.8. To refer on to other agencies as appropriate.9. To operate as clinical specialist and expert practitioner in issues relating to the identified area of care. To direct and delegate care based on accurate assessment and evaluation.10. To take consent for investigative procedures, manipulate equipment and perform advanced clinical skills.Management and Quality.11. Act as a change agent for the development of the service.12. Assisting in the audit and data collection required for developing evidence based services.13. To provide verbal and written reports to appropriate managers and clinical leads.14. To monitor the effectiveness of the service by continuous audit.15. To ensure that equipment is maintained and serviced as required.16. To develop protocols, documentation, standards and guidelines to enable best practice for the care of patients. In the identified/specified area.17. To be involved in complaints handling according to the Trusts Complaints Procedure.18. To establish a clear focus, vision and direction for the service, within the Care Group.19. To ensure effective and efficient use of financial resources, contributing to increasing the efficiency and controlling cost within the departmental budget. Making recommendations regarding supplies and purchasing of equipment. Communication and Liaison 20. To promote effective communication within the hospital and to the patient and/or their relatives.21. Act as a point of liaison between all hospital departments involved in the patients journey.22. Act as a source of specialist information for clinicians and other members of the multidisciplinary team.23. Liaise with other departments/ Trusts regarding services provided and current practises to develop best evidence based practice.24. To be skilled to impart distressing information with respect and empathy.25. To ensure that all patient records are maintained contemporaneously. Job description Job responsibilities 1. To improve the experience and outcomes of care for patients by taking the lead in investigations and treatments prescribed.2. To provide a consistent and personalised service by ensuring that the patients receive the best care, in the best place from the best person or team.3. To provide social, emotional and psychological support for patients from referral and throughout their treatment.4. To deliver expert specialist evidence based care including: development, assessment, planning, implementing, evaluating programmes of evidence based care for a defined caseload.5. To make appropriate referral to consultants/other specialist/members of the multidisciplinary team in primary, secondary or tertiary care settings.6. To be aware of risk management issues both locally and nationally and develop strategies to address identified issues. Key responsibilities Clinical. 1. To maintain personal accountability for professional and ethical actions and ensure compliance with the standards of professional conduct issued by the relevant regulatory body2. To maintain and develop a specialist service for patients within the caseload, ensuring that the treatment and follow up of this group of patients is delivered in a timely manner.3. To provide and maintain a diagnostic service for the Trust. Ensure clinician-June 2022 led clinics provide for both diagnoses and reporting of subsequent results for identified patients.4. To provide teaching as an in-house measure to all medical and clinical staff, not only within the Care Group but also from other services.5. To provide a clinician-led clinic service to patients.6. To plan and administer treatment to patients as appropriate and ensure handover of this treatment to community services as necessary.7. To provide expert care, advice and support for patients and theirrelatives/carers and ensure that advice and point of contact is available throughout the patients journey.8. To refer on to other agencies as appropriate.9. To operate as clinical specialist and expert practitioner in issues relating to the identified area of care. To direct and delegate care based on accurate assessment and evaluation.10. To take consent for investigative procedures, manipulate equipment and perform advanced clinical skills.Management and Quality.11. Act as a change agent for the development of the service.12. Assisting in the audit and data collection required for developing evidence based services.13. To provide verbal and written reports to appropriate managers and clinical leads.14. To monitor the effectiveness of the service by continuous audit.15. To ensure that equipment is maintained and serviced as required.16. To develop protocols, documentation, standards and guidelines to enable best practice for the care of patients. In the identified/specified area.17. To be involved in complaints handling according to the Trusts Complaints Procedure.18. To establish a clear focus, vision and direction for the service, within the Care Group.19. To ensure effective and efficient use of financial resources, contributing to increasing the efficiency and controlling cost within the departmental budget. Making recommendations regarding supplies and purchasing of equipment. Communication and Liaison 20. To promote effective communication within the hospital and to the patient and/or their relatives.21. Act as a point of liaison between all hospital departments involved in the patients journey.22. Act as a source of specialist information for clinicians and other members of the multidisciplinary team.23. Liaise with other departments/ Trusts regarding services provided and current practises to develop best evidence based practice.24. To be skilled to impart distressing information with respect and empathy.25. To ensure that all patient records are maintained contemporaneously. Person Specification Qualifications Essential Clinical Professional Qualification. Degree level with appropriate registration Masters Degree or equivalent in relevant discipline Completion of education or mentorship qualification or equivalent Relevant post registration qualification/equivalent Desirable Prescriber Experience Essential Demonstrable relevant experience within the speciality Evidence of effective management Evidence of effective leadership skills Evidence of staff development Evidence of change management Evidence of application of current clinical service issues and developments Evidence of participation in audit and research Knowledge Essential Understanding and application of healthcare governance the identified specialist field of clinical practice Skills Essential Excellent communication skills Committed to delivering high standards of patient care Ability to work flexibly across the service to support other Clinical staff and Therapies Management team on other specific initiatives and developments as required Basic IT skills, including e-mail and word processing Other Essential Supportive of colleagues Enthusiastic and motivated with the ability to motivate the team High level of personal and professional credibility Act as role model for staff adopting the Trust values and behaviours Person Specification Qualifications Essential Clinical Professional Qualification. Degree level with appropriate registration Masters Degree or equivalent in relevant discipline Completion of education or mentorship qualification or equivalent Relevant post registration qualification/equivalent Desirable Prescriber Experience Essential Demonstrable relevant experience within the speciality Evidence of effective management Evidence of effective leadership skills Evidence of staff development Evidence of change management Evidence of application of current clinical service issues and developments Evidence of participation in audit and research Knowledge Essential Understanding and application of healthcare governance the identified specialist field of clinical practice Skills Essential Excellent communication skills Committed to delivering high standards of patient care Ability to work flexibly across the service to support other Clinical staff and Therapies Management team on other specific initiatives and developments as required Basic IT skills, including e-mail and word processing Other Essential Supportive of colleagues Enthusiastic and motivated with the ability to motivate the team High level of personal and professional credibility Act as role model for staff adopting the Trust values and behaviours 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). 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. 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 Liverpool University Hospitals NHS Foundation Trust Address Liverpool University Hospitals NHS Trust Prescot Street Liverpool L7 8XP Employer's website https://www.liverpoolft.nhs.uk/ (Opens in a new tab)