Advanced Physiotherapist/Occupational Therapist Hand Practitioner

£50,952 - £57,349
Town/City Prescot L35 5DR
Payment type Monthly
Region North West
Contract type Permanent contract
Closing date
Hours Full-time
Job reference 409-S5503485-A
Type of employer NHS
Name of employer Mersey and West Lancashire NHS Trust
Workplace Whiston Hospital

Vacancy details

Job summary


This post may be offered under Annex 21 AfC Terms & Conditions, subject to experience, competency and suitability.

An exciting opportunity has arisen to join the Mersey Regional Plastic Surgery Team as an Advanced Hand Therapy Specialist Practitioner at Mersey and West Lancashire Teaching Hospitals NHS Trust.

The successful candidate will work as part of the Trauma team of clinicians and as part of the hand therapy team to provide an effective streamlined consistent evidence-based service for patients. Appropriate mentorship and clinical supervision will be offered by Consultant Colleagues.

With increased experience and training (which will be formally assessed), it is expected that the successful candidate will lead a joint and soft tissue injection clinic. Where suitable; it would be expected that the post holder would work towards independent prescribing for a selected client group. This would form part of the assessment for band 8A annex 21


Main duties of the job


The successful candidate will be expected to demonstrate skills in communication, co-ordination of care and an ability to work flexibly within a multi-disciplinary team whilst promoting good working relationships at all times. Providing excellent patient experience is critical for all our patients and you will play a key role in ensuring that patient experience is optimised through accessible and effective communication with compassion and empathy.

Self-motivation is essential along with passion, drive, adaptability, and resilience to cope with periods of change within the Hospital Trust and wider NHS.

The hours of work will be flexible over 37.5 per week, the work pattern will be agreed with the successful post holder on appointment.

An Enhanced DBS Certificate with the checking of both the Children's and Adults' Barred Lists is required for this post.


About us


The Secretary of State has approved the partnership between St Helens & Knowsley and Southport & Ormskirk Hospitals.

From 1st July we have come together as a single organisation under the name Mersey & West Lancashire Teaching Hospitals NHS Trust.

The Trust delivers acute hospital care, intermediate care, community, and primary care services to a population of over 600,000 people with a combined workforce of around 9000 dedicated and skilled staff from 17 locations including Whiston, Southport & Formby, St Helens, Ormskirk and Newton hospitals.

The Trust provides regional services for burns, plastic surgery and spinal injuries to more than 4 million people across Mersey and West Lancashire, Cheshire, the Isle of Man and North Wales.

Our Vision is to deliver 5 Star Patient Care:

  • CAREthat is evidence based, high quality and compassionate
  • SAFETY that is of the highest standards
  • COMMUNICATION that is open, inclusive and respectful
  • SYSTEMS that are efficient, patient centred and reliable
  • PATHWAYS that are best practice and embedded, but also respect the individual needs of patients

Our achievements include:

  • Trust rated Outstanding by CQC Inspection August 2018
  • Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
  • Awarded National Preceptorship Accreditation (2023) for our Nursing & AHP Preceptorship Programme

Please see our Wellbeing & Benefits booklet for more information on our staff benefits. Accessible version available upon request.


Job description

Job responsibilities



To work within Trust clinical guidelines, HCPC and professional body guidelines and to have a working knowledge of national and local standards and monitor own and others quality of practice against these.

To work in secondary care in across a variety of hospital settings including trauma assessment unit, ward, hand clinic and outpatients.

To demonstrate as appropriate to role highly developed physical skills for assessment and treatment of patients and construction of splints e.g. dexterity, co-ordination, palpatory and other senses.

To deputise for senior staff as appropriate within the hands service.

The Advanced Clinician will take high level responsibility for the triage, clinical assessment and diagnosis of complex health and wellbeing needs within a defined sphere of practice. They will implement, evaluate, and modify highly complex care/ interventions which they have developed to meet those needs. The Advanced Clinician will provide high level care as specified below for a client group and work across professional disciplines.

With increased experience and training (which will be formally assessed), it is expected that the successful candidate will lead a joint and soft tissue injection clinic. Where suitable; it would be expected that the post holder would work towards independent prescribing for a selected client group. This would form part of the assessment for band 8A transition.

Providing education and training for the MDT as appropriate to role.


To demonstrate as appropriate to role highly developed physical skills for assessment and treatment of patients e.g., dexterity, co-ordination, palpatory and other senses.

To communicate complex patient and service-related information effectively to Health and Wellbeing and local authority colleagues and third sector agencies as appropriate.

Use complex communication skills and knowledge when working with patients, their families and other provider agencies.

To involve the patient and the family/carers in all relevant discussions about their management and decisions that are made about treatment techniques and facilitating patient involvement in the planning, development, delivery, and evaluation of the service.

To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.

Delivering high level and complex triage, clinical assessment, diagnostics, treatment, and evaluation of the needs within the trust.

Providing leadership; promoting a learning culture for colleagues and other agencies; leading service innovations and demonstrating high level problem solving.

Ensuring excellence in service delivery through personal and service development, underpinned by evidence-based practice and research, embedded in the quality assurance agenda.

Driving innovation; managing the change process to ensure your service continues to be flexible and proactive to reflect the needs of the trust.

To triage patients with complex needs.

To undertake complex clinical assessments of patients/ service users within sphere of advanced practice.

To determine a clinical diagnosis and make high level decisions regarding appropriate treatment/ care plans.

Implement complex care/ interventions according to clinical need.

Evaluate complex care/ interventions based on evidence from clinical outcomes and best practice.

To provide advanced clinical advice, support and training to patients/ service users, families, carers, and professional colleagues to improve their journey and their health and wellbeing.

To be professionally accountable for all aspects of own work including the management of patients in your care.

Registered practitioners who are non-medical prescribers are accountable for their prescribing activities by ensuring they are aware of their Professional accountability and any restrictions or special considerations in their prescribing practice.

To develop and maintain the high-level clinical skills required to work as an advanced practitioner and undertake the necessary training to become an independent prescriber.


To maintain accurate, comprehensive, and up to date documentation, in line with legal and departmental requirements, and communicate assessment and treatment results to the appropriate disciplines in the form of reports and letters.

To collect appropriate data and statistics for the use in the review of the service delivery.

To use appropriate information technology skills for communication when required.


To provide specific, evidence-based training as required to the patient, family, carers, and other members of the multidisciplinary team and other Trusts as appropriate on the clinical and therapeutic management of an individual to support their health and wellbeing. To attend and contribute to local and national conferences and special interest groups within sphere of practice.

To maintain own CPD by keeping abreast of any new trends and developments, and incorporate them as necessary into your work, supporting other staff with their CPD.


To demonstrate leadership by means of:

    • Delivering change within sphere of practice, when and where indicated, to improve service delivery.
    • Influencing, motivating, supporting, and enabling others to contribute towards the effectiveness and success of the trust

To provide high level advice and guidance in working with colleagues locally to ensure best practice across all disciplines in the assessment, treatment and long-term management of patients/ service users within sphere of practice.

To identify innovations and lead the implementation of new working practices in conjunction with patients/ service users, health, wellbeing, local authority and third sector partners.

To take responsibility for their own high level and complex decision making and the decisions of their team which effect service delivery.


Develop strategies and protocols within the service to assist with interdisciplinary professional working.

To benchmark current service delivery against local and national clinical guidelines and standards of care.

To lead on current best practice, based on the bench marking outcomes.

To translate local and national guidelines and train staff to ensure they have the skills and knowledge required to deliver effective services.

To measure and evaluate own work and current team practices through the use of evidence-based projects, audit, research, statistical information and outcome measures and lead others in doing so.

To promote audit and research within the hand therapy and hand trauma units to enhance clinical practice and ensure quality of care.

To network with practitioner colleagues within the trust and across the North West and Nationally, to learn together and share good practice.

To interpret and implement quality assurance practices within own work situation.

Registered Practitioners are required to evidence maintenance of their registration with the relevant regulatory body and work to their Code of Professional Conduct.


Person Specification



  • Degree in Physiotherapy / Occupational Therapy or equivalent qualification.
  • Health and Care Professions Council (HCPC) registration
  • Postgraduate training/CPD for the development of clinical skills with a focus on hand therapy BAHT level 2
  • Advanced Clinical Practice Qualification - Hand Therapy or equivalent MSc or willingness to undertake this study


  • Postgraduate training or equivalent experience for the development in Management and Leadership skills
  • Membership of BAHT
  • Completion of injection course
  • Completion of prescriber course

Knowledge and Experience


  • Significant experience of working for a UK Healthcare setting
  • Significant experience in Hand Therapy
  • Postgraduate experience in hand therapy management including plastics, trauma, surgery, splinting and casting.
  • Advanced knowledge and experience in a wide range of approaches to the management of patients with a wide variety of complex hand conditions
  • Active involvement in clinical audit, governance, research and policy guideline implementation
  • Experience of teaching to unidisciplinary/ multidisciplinary groups
  • Previous experience student supervision / clinical education



  • Excellent communication skills both written and verbal.
  • A commitment to professional development of self and others


  • Skills in critical analysis and the application of research to practice

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

Mersey and West Lancashire Teaching Hospitals NHS Trust






L35 5DR


Employer's website (Opens in a new tab)

How to apply…

Via NHS jobs link above. 


NHS jobs - Clinical Specialist Hand therapist, Merseyside.  Pay band 8a.

Training post to 8a considered

Closing date - 20th September 2023

Apply for this vacancy