Job summary We have an exciting opportunity for a dynamic and highly skilled clinician to lead our Allied Health Integrated Musculoskeletal Services (IMSK) across North Cumbria. With the Lake District, the coast and the historic city of Carlisle on your doorstep alongside a clinically-led and diverse organisation spanning acute and community care, a work-life balance is guaranteed. This can be offered to an experienced individual at 8b level or as a developmental opportunity for a clinician wanting to move into their first strategic position. This role requires a forward thinking clinician with the skills to combine specialist clinical practice with strategic and operational leadership, utilising innovation to evaluate, develop, implement and analyse working practices within the IMSK service through the use of evidence based practice, audit, research and outcome measures to ensure effective and efficient pathways of care and service delivery for the population of North Cumbria. As a Senior ACP and the Head of IMSK for AHPs you will provide strategic/operational/professional/clinical leadership and governance for AHPs and alongside the Associate Director of AHPs and AHP leads you will play an integral role in the fulfilment of NCIC's focus and vision of moving care closer to home. You will also lead on workforce development with an emphasis on recruitment, retention, role development and lead on developing research and education within the profession and with academic partners. Main duties of the job We welcome applications for those keen on the development post (preceptorship) or the band 8b role. The Integrated MSK (IMSK) service provides Advanced/ Enhanced Clinical Practitioner led MSK AHP out-patient services to the population of North Cumbria for patients self-presenting or clinically referred into the service with MSK related conditions and disorders. The department works closely with other professions and AHPs within Primary, Community and Secondary care services to provide a holistic approach to assessment, diagnosis, management and rehabilitation, and assists in providing a smooth transition between in-patient, community and out-patient settings. Our main aim is to promote the best life-long MSK related health, delivering a clinically led, fully integrated end to end MSK pathway which is high quality, safe, person-centred, and highly efficient & effective, and which facilitates an optimum return to function for all patients accessing the service, promoting patient self-management where appropriate. About us At NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria. The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county. Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time': Being a clinically led organisation Quality and safety at the heart of our Trust A positive patient experience every time A great place to work Managing our money well As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work. Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability. Date posted 04 November 2024 Pay scheme Agenda for change Band Band 8a Salary £53,755 to £72,293 a year per annum Contract Permanent Working pattern Full-time, Flexible working Reference number 262-A-24-6540649-B Job locations Trust Wide Trust wide. Base TBC Carlisle CA27HY Job description Job responsibilities Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants. Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed. If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview. Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies. Please ensure that you document evidence of meeting all the essential criteria in the supporting information. If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered. Important Information Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date. For candidates applying using a Hotmail account or have strict firewall settings please ensure the following: Junk Mail is checked regularly Disclosure and Barring Service: On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect. The changes mean that: youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed. If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so. Nacro Tel: 0300 123 1999, or email: helplinenacro.org.uk Unlock Tel: 01634 247350, email adviceunlock.org.uk or complete the online form on the Unlock website The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post: Standard Check: £18 Administration cost of £3.85 £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months. Enhanced Check: £38 administration cost of £3.90 £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months. As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits. A lease car may be available for this position; further details will be provided upon appointment if applicable. 27-day holiday scheme rising to 33 after 10 years Flexible working Scheme Excellent opportunities for development Competitive NHS Pension scheme Access to NHS discounts with retailers and leisure companies EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems These schemes are subject to availability Job description Job responsibilities Please see attached job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants. Please note, due to changes implemented by the Government to the UK immigration policy, individuals who require a Health and Care Visa or a Skilled Worker Visa may no longer be eligible for sponsorship where the UKVI salary threshold is not met or if the occupation is not included in the updated Immigration Salary List (ISL). Applicants must check their eligibility to be employed in any role they are interested in applying for, prior to completing an application for employment.Any applicants who do not meet the eligibility criteria will not be progressed. If you are applying under the Disability Confident Scheme or Armed Forces Covenant and you meet all the essential criteria for a post, you will be guaranteed an interview. Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies. Please ensure that you document evidence of meeting all the essential criteria in the supporting information. If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered. Important Information Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date. For candidates applying using a Hotmail account or have strict firewall settings please ensure the following: Junk Mail is checked regularly Disclosure and Barring Service: On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect. The changes mean that: youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed. If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so. Nacro Tel: 0300 123 1999, or email: helplinenacro.org.uk Unlock Tel: 01634 247350, email adviceunlock.org.uk or complete the online form on the Unlock website The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post: Standard Check: £18 Administration cost of £3.85 £21.85. Deducted at £6.85 from 1st month salary and £5 deducted from salary over following 3 months. Enhanced Check: £38 administration cost of £3.90 £41.90. Deducted at £11.90 from 1st month salary and £10 deducted from salary over following 3 months. As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits. A lease car may be available for this position; further details will be provided upon appointment if applicable. 27-day holiday scheme rising to 33 after 10 years Flexible working Scheme Excellent opportunities for development Competitive NHS Pension scheme Access to NHS discounts with retailers and leisure companies EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems These schemes are subject to availability Person Specification Qualifications Essential Health and Care Professions Council (HCPC) registered Postgraduate MSc in relevant field e.g. multi-professional ACP MSc Accredited Advanced MSK Practitioner via the HEE Centre for Advancing Practice Qualified member of a National MSK Body (e.g. MACP or SOMM) ACP supervisor accreditation, FCP Supervisor accreditation Independent Prescribing MSc Module in Injection Therapy or Diploma in Injection Therapy IRMER trained, MRI safety trained, Extensive experience as an MSK radiological NMR Formal Leadership and/ or management qualifications Evidence of continued professional development within the specialist field with a portfolio aligned to Multi-Professional Framework for Advanced Clinical Practice (2017) and (HEE 2020 Framework is Enhanced Practice - FCP Desirable HEA Qualification (e.g. Postgraduate Certificate in Teaching in Higher Education) Radiological Interpretation Course Experience Essential Extensive post registration experience working at a senior level within speciality area. Experience, knowledge and proven track record of delivery in managing a range of diverse and complex operational services. Experience of managing people and financial resources at a senior level Experience of developing services through facilitating change and innovation in a multi-disciplinary team(s) Experience of Business Planning to include developing & producing business plans/cases and Budgetary Management. Experience in writing policies and procedures Experience of working across departmental and organisational boundaries to deliver specific targets and to improve services for patients Evidence of organisational, regional and national healthcare awareness Comprehensive knowledge of all Local and National Performance Indicators. Evidence of adopting national or international benchmarking to improve quality and efficiency. High level of communication skills Extensive experience of working across the MSK health pathway e.g. within Primary, Intermediate, and Secondary Care settings and alongside GP's/ ANP's/ FCP's; T&O and rheumatology consultants in a clinical role/ setting. Experience in managing change/ project management Experience leading and presenting Audit/ research Experience of student, qualified AHP, and advanced practitioner supervision Experience in providing counselling to patients and to support staff Desirable Experience of involvement in formal research HEI Teaching Experience Knowledge Essential Extensive profession specific knowledge, application of theory, best practice and procedures. In depth knowledge and understanding of current NHS policy and their implication for professional practice. Have experience of working in a leadership/managerial role Proven record of achieving service development, managing change and performance. Have knowledge and understanding of the principles of business planning and other management processes in the NHS and their application in practice Awareness of current initiatives within the Local and National health economy. Knowledge of the NHS Long Term Plan and other relevant national policies Evidence of Continued Professional Development relevant to this post e.g. Post graduate level clinical, leadership and management, educational and/ or research training Advanced knowledge of referral criteria to other specialist services Relevant accredited and/ or validated clinical courses related to MSK practice at advanced practice and advanced level Expert knowledge of speciality area of practice. Knowledge of national progress within speciality area Knowledge of audit and research processes Knowledge of Multi-professional Advanced Clinical Practice and Consultant standards Knowledge of learning theories and teaching styles to support professional development Skills and Aptitude Essential Excellent communication and interpersonal skills, organisation, time management problem solving and prioritisation skills, communicating complex, sensitive and contentious information to patients, carers and colleagues Complex problem solving and assessment skills To demonstrate analytical skills and judgement when dealing with the management of complex clients Expert knowledge of professional practice and research, to be innovative and proactive to be able to enhance the service To display effective communication skills, IT skills Ability to manage and lead staff and the service to optimise resources Ability to work independently, and to pass on knowledge / skills to others within both formal and informal environments. Able to present information, written and orally, in a clear and logical manner. Teaching, audit & presentation skills. An understanding of legal responsibilities within the profession Ability to coordinate and influence change in practice Ability to carry out moderate to intense physical effort throughout the working day and to work within an environment with competing demands Ability to maintain high standards of concentration Personal Circumstances Essential The post holder must be:- professional, responsible, flexible, adaptable, a good communicator and a team player Display the ability to problem solve and manage change Respond and adapt to the changing needs of the service Act appropriately in distressing or emotional circumstances Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and health and safety and meet the differing needs of patients. Ability to keep accurate and legible patient notes Ability to cope working in a stressful environment and with emotional or aggressive patients and carers. Other Requirements Essential Clear vision of role/ commitment to the speciality. Access to transportation to attend various locations Ability to work across all seven days of the week, extended hours and bank holidays. Develop a culture that promotes equality and values diversity (Level 4) If required, depending on Trust arrangements participate in any on call arrangement or shift system on site which is associated with being a member of the AHP senior leadership team, in order to fulfil the requirements of the base service and also the wider Trust. Person Specification Qualifications Essential Health and Care Professions Council (HCPC) registered Postgraduate MSc in relevant field e.g. multi-professional ACP MSc Accredited Advanced MSK Practitioner via the HEE Centre for Advancing Practice Qualified member of a National MSK Body (e.g. MACP or SOMM) ACP supervisor accreditation, FCP Supervisor accreditation Independent Prescribing MSc Module in Injection Therapy or Diploma in Injection Therapy IRMER trained, MRI safety trained, Extensive experience as an MSK radiological NMR Formal Leadership and/ or management qualifications Evidence of continued professional development within the specialist field with a portfolio aligned to Multi-Professional Framework for Advanced Clinical Practice (2017) and (HEE 2020 Framework is Enhanced Practice - FCP Desirable HEA Qualification (e.g. Postgraduate Certificate in Teaching in Higher Education) Radiological Interpretation Course Experience Essential Extensive post registration experience working at a senior level within speciality area. Experience, knowledge and proven track record of delivery in managing a range of diverse and complex operational services. Experience of managing people and financial resources at a senior level Experience of developing services through facilitating change and innovation in a multi-disciplinary team(s) Experience of Business Planning to include developing & producing business plans/cases and Budgetary Management. Experience in writing policies and procedures Experience of working across departmental and organisational boundaries to deliver specific targets and to improve services for patients Evidence of organisational, regional and national healthcare awareness Comprehensive knowledge of all Local and National Performance Indicators. Evidence of adopting national or international benchmarking to improve quality and efficiency. High level of communication skills Extensive experience of working across the MSK health pathway e.g. within Primary, Intermediate, and Secondary Care settings and alongside GP's/ ANP's/ FCP's; T&O and rheumatology consultants in a clinical role/ setting. Experience in managing change/ project management Experience leading and presenting Audit/ research Experience of student, qualified AHP, and advanced practitioner supervision Experience in providing counselling to patients and to support staff Desirable Experience of involvement in formal research HEI Teaching Experience Knowledge Essential Extensive profession specific knowledge, application of theory, best practice and procedures. In depth knowledge and understanding of current NHS policy and their implication for professional practice. Have experience of working in a leadership/managerial role Proven record of achieving service development, managing change and performance. Have knowledge and understanding of the principles of business planning and other management processes in the NHS and their application in practice Awareness of current initiatives within the Local and National health economy. Knowledge of the NHS Long Term Plan and other relevant national policies Evidence of Continued Professional Development relevant to this post e.g. Post graduate level clinical, leadership and management, educational and/ or research training Advanced knowledge of referral criteria to other specialist services Relevant accredited and/ or validated clinical courses related to MSK practice at advanced practice and advanced level Expert knowledge of speciality area of practice. Knowledge of national progress within speciality area Knowledge of audit and research processes Knowledge of Multi-professional Advanced Clinical Practice and Consultant standards Knowledge of learning theories and teaching styles to support professional development Skills and Aptitude Essential Excellent communication and interpersonal skills, organisation, time management problem solving and prioritisation skills, communicating complex, sensitive and contentious information to patients, carers and colleagues Complex problem solving and assessment skills To demonstrate analytical skills and judgement when dealing with the management of complex clients Expert knowledge of professional practice and research, to be innovative and proactive to be able to enhance the service To display effective communication skills, IT skills Ability to manage and lead staff and the service to optimise resources Ability to work independently, and to pass on knowledge / skills to others within both formal and informal environments. Able to present information, written and orally, in a clear and logical manner. Teaching, audit & presentation skills. An understanding of legal responsibilities within the profession Ability to coordinate and influence change in practice Ability to carry out moderate to intense physical effort throughout the working day and to work within an environment with competing demands Ability to maintain high standards of concentration Personal Circumstances Essential The post holder must be:- professional, responsible, flexible, adaptable, a good communicator and a team player Display the ability to problem solve and manage change Respond and adapt to the changing needs of the service Act appropriately in distressing or emotional circumstances Ability to comprehend and work within the Trust's policies of data protection, equal opportunities and health and safety and meet the differing needs of patients. Ability to keep accurate and legible patient notes Ability to cope working in a stressful environment and with emotional or aggressive patients and carers. Other Requirements Essential Clear vision of role/ commitment to the speciality. Access to transportation to attend various locations Ability to work across all seven days of the week, extended hours and bank holidays. Develop a culture that promotes equality and values diversity (Level 4) If required, depending on Trust arrangements participate in any on call arrangement or shift system on site which is associated with being a member of the AHP senior leadership team, in order to fulfil the requirements of the base service and also the wider Trust. 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 North Cumbria Integrated Care NHS Foundation Trust Address Trust Wide Trust wide. Base TBC Carlisle CA27HY Employer's website https://www.ncic.nhs.uk/ (Opens in a new tab)