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Lead Nurse CNS for Specialist Hip and Knee

Lead Nurse
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Please note in order to progress your application, your data will be processed by our 3rd party recruitment providers – North London Partners Shared Service, who conduct recruitment activities on behalf of Royal National Orthopaedic Hospital NHS Trust.

The Royal National Orthopaedic Hospital NHS Trust is the largest orthopaedic hospital in the UK and a global leader in our field. We provide a dynamic working environment where we support frontline staff to implement improvements so that we can realise our vision of being a world leading neuro musculoskeletal hospital providing the best patient care and staff experience in the NHS, delivering world leading research, and offering a strong foundation of education, training and career progression. Our dedicated staff come from diverse backgrounds, and our patients benefit from the wide range of experience they bring to the Trust. The RNOH brings unrivalled expertise together in one place allowing us to deliver some of the world’s most complex and innovative care to our patients

  • Rated Good by the CQC
  • Two sites, one in central London and one in Stanmore - which has recently opened The Stanmore Building, a new, state-of-the-art inpatient facility
  • Our Research and Innovation Centre works closely with our main academic partner, University College London
  • Recognised as a centre of excellence, leading on national initiatives, such as the Getting It Right First Time (GIRFT) Programme
  • Further major redevelopment underway across the Stanmore site – improving and modernising our facilities to maintain our position as the UK’s leading centre for orthopaedic medicine
  • In the NHS staff survey, over 90% of our staff were satisfied with the quality of care they are able to give to patients - the best result of any NHS Trust in the country
  • Our staff also indicated that they had the best experience of appraisals as compared to all other NHS Trusts.

This is a great time to join us and play a critical role in the next stage of RNOH’s journey to achieving an outstanding CQC rating.

Our aim is to remain a world-leading orthopaedic hospital with the best patient care and staff experience in the NHS. To do this, we have four core values that underpin everything that we do. We use our values to help ensure that we are always focused on the things that our staff and patients believe are most important:

  • Patients first, always
  • Excellence, in all we do
  • Trust, honesty and respect, for each other
  • Equality, for all

Our annual staff survey results have been improving year on year, with our staff telling us that their experience of working at the Trust is getting better and better. They also indicate that our staff feel very loyal to the RNOH and committed to its role in providing the very best care to our complex patient group. We hope that we can welcome you to our growing team soon.

Visit our Work with us page to learn more about our culture, values and also hear directly from staff in a short video sharing their experiences of working at RNOH

Artificial intelligence (AI) is a set of technology that can perform various tasks that typically required human intelligence. Your application is your opportunity to demonstrate to us how you meet the requirements of the role. We recognise that AI tools can support accessibility, equity and confidence for applicants. However, it’s important that examples and responses genuinely reflect your own experience and abilities, as these will be explored further during the selection process. AI must not be used to provide misleading or false information during any stage of the application journey. Further guidance can be found in the NLPSS Applicant Toolkit https://royalfree.pagetiger.com/cuuomnr/1.

Royal National Orthopaedic Hospital NHS Trust is committed to ensuring that its recruitment processes are carried out with integrity, transparency, and fairness for all applicants. To help maintain these standards, we ask candidates to provide accurate and truthful information throughout the recruitment process.

If incorrect or misleading information is identified, this may affect the progression of an application, any employment offer, or continued employment. As part of our due diligence, the company may verify the information provided by applicants and take appropriate action where necessary.

We do not charge applicants any fees at any stage of the recruitment process, including applications, interviews, sponsorship arrangements, pre-employment checks, or employment offers. All vacancies are advertised through TRAC/NHS Jobs and candidates are assessed solely on their skills, qualifications, experience, and suitability for the role. If you are asked to make a payment in connection with an NHS job opportunity, please treat this as suspicious and contact the organisation directly using the details published on our official career's website.

Applicants can refer to the Fraud Act 2006 for further information: https://www.legislation.gov.uk/ukpga/2006/35/contents

Job overview

An exciting opportunity has arisen, for an emerging leader to fulfil the role of a Band 8a Lead Nurse for our Specialist Hip and Knee CNS Team. We are looking for a dynamic and compassionate nurse leader committed to the highest standards of care/patient experience, improvement and innovation. The CNS Lead along with their team work with the Joint Reconstruction Unit Consultants and Operational colleagues to provide specialist continuity of care for patients with hip and knee conditions requiring surgery.

This role will enable you to use your considerable leadership skills, clinical knowledge and, to take a leading role in supporting the CNS team to ensure they get the most out of their team’s collective knowledge and skills.

The CNS Lead will direct, promote and develop the specialist hip and knee team and be able to demonstrate a commitment to the Trust’s ethos by maintaining professional standards of care within the RNOH orthopaedic community. Candidates will have at least two years’ experience as a Band 7 within this speciality or similar role.

This role presents an excellent opportunity to use RNOH’s internal leadership pathway for your personal and professional development.

We offer free parking on site and a range of staff benefits



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  • To lead and develop the specialist hip and knee team to provide a modern and efficient Service.
  • The advanced assessment of hip and knee patients who may have complex and/or chronic presentations to determine further management and investigations as indicated and to maintain accurate records.
  • To work at an advanced practitioner level in planning, developing and evaluating the specialist hip and knee service and ensuring the application of Evidence-based Practice.
  • To use advanced skills, extending the usual scope of professional practice, to assess and formulate individual patient management plans in collaboration with the JRU Consultants and/or other MDT members.
  • To have a key role in the AP Service and wider JRU team in leading, enabling and facilitating change within the departments.
  • To undertake independent research/audit studies and assist with research studies and clinical trials with the JRU surgeons as appropriate.
  • To improve patient satisfaction with their experience at the RNOH.
  • To provide specialist advice, teaching and instruction to arthroplasty patients, relatives, carers and other professionals involved with the JRU and devise training packages for the team, using national and transferable work-based assessment tools.
  • To support Trust initiatives to reduce joint replacement patients’ length of stay whilst maintaining a high-quality service.

Working for our organisation

At the Royal National Orthopaedic Hospital (RNOH), we are committed to achieving the best staff experience in the NHS. In the 2023 NHS Staff Survey, we proudly:

  • Scored above the national average for the People Promises: "We are recognised and rewarded," "We are always learning," "We work flexibly," "We are a team," and for staff engagement.
  • Ranked #1 among all Trusts in North and Central London for all People Promises and themes.
  • Ranked #1 among all Acute Specialist Trusts for "We work flexibly."

At RNOH, we’re committed to being actively anti-discriminatory and actively inclusive. We recognise our brilliant people do brilliant work, and we offer rewarding careers, no matter what their background. We continue to strive to break down barriers to be the Trust where people come together because what they do matters, makes a difference and where they can thrive. ​

Joining our organisation means enjoying a wide range of staff benefits, including:

  • 24/7 access to wellbeing support through our Employee Assistance Programme.
  • A Rewards & Recognition platform, offering opportunities to thank colleagues, send gifts, and access exclusive discounts.
  • A dedicated Staff Wellbeing Hub, providing a space to relax and recharge away from the work environment.
  • Salary sacrifice schemes for transport (season ticket loans, car and bike), electrical goods, and childcare

At RNOH, we are more than a workplace—we are committed to patients, to excellence and the wellbeing of our staff.

Detailed job description and main responsibilities

Detailed job description and main responsibilities

  • Leadership and Management Responsibilities
  • Clinical Responsibilities
  • Educational Responsibilities
  • Research and clinical audit
  • Professional
  • organisational

Full JD will cover all aspects of the job.

We are committed to equal opportunities in employment and offer a range of flexible working practices. Part-time and job share applications will be considered.

You must already have the right to work in the United Kingdom or fully meet the eligibility criteria for sponsorship under the Skilled Worker visa route. We welcome applications from candidates who require visa sponsorship; however, we can only consider these where all UKVI requirements are met. Before applying, please ensure that both you and the role satisfy the relevant UK Visas and Immigration (UKVI) points‑based system criteria, as applications that do not meet these requirements cannot be progressed. For more information about the criteria, please click here.

By applying for this post you are agreeing to RNOH transferring the information contained in this application to its preferred applicant management system. All subsequent information regarding your application will be generated from apps.trac.jobs. You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Record (ESR) system and other secure, internal NHS workforce systems.

Additionally, by applying for this role, you accept in the event you are successful that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which is aimed at saving you time and improving efficiencies within the NHS when your employment transfers. Therefore we want you to complete your e-learning modules prior to joining our organisation.

We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.

The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.

If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a “selfie” using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit www.trustid.co.uk

RNOH uses identification scanning technology to confirm the authenticity of documents; all prospective employees of RNOH will have their original documents verified using this technology.

Our organisation does not charge any fees at any stage of the recruitment process.

Applicants should be aware that we never request payment for:

  • Job applications
  • Recruitment or selection processes
  • Interviews or assessments
  • Sponsorship, visa or immigration arrangements
  • Employment offers or appointment letters
  • Training, onboarding or pre-employment checks

If you are asked to make a payment in connection with a job opportunity claiming to represent our organisation, please treat the communication as fraudulent and do not provide any money, personal information or banking details.