Virtual Fracture Clinic (VFC) Lead APP | Epsom and St Helier University Hospitals NHS Trust

Posting date:	10 March 2026
Salary:	Not specified
Additional salary information:	£61,631 - £68,623 Pa incl HCAS Outer pro rata
Hours:	Part time
Closing date:	09 April 2026
Location:	Carshalton, SM5 1AA
Company:	Epsom and St Helier University Hospitals NHS Trust
Job type:	Contract
Job reference:	7795171/343-7795171-SC-RL

Summary

Job Title: Virtual Fracture Clinic Lead APP

Hours: 30 per week (worked over 4 -5 days days to include a Monday)

Contract: 14 months maternity cover

The Trauma & Orthopaedic Department at Epsom and St Helier Hospital are looking to recruit an APP to lead our VFC department. This is a maternity cover post for 14 months and will commence from June 2026. The post is for 30 hours per week, to be worked over 4 -5 days, but must include working a full day on a Monday.

The post holder should have extensive experience at a band 7 or higher, and would preferrable have experience in the acute setting within a Trauma & Orthopaedic service.

The post holder will be the Lead for the Virtual Fracture Clinic Service. You will ensure that the Trust offers a comprehensive and cohesive service for all Orthopaedic Trauma patients.



The post holder will autonomously undertake assessment and treatment of adults and children who present with an injury in the Virtual Fracture Clinic. This is to determine a clinical diagnosis, treatment plan and appropriate discharge within their professional boundaries, in line with training, skills and competencies.

The post holder will lead on the management of proximal humeral fractures, Achilles ruptures and soft tissue injuries.

The post holder will be integral with the Clinical Lead for Trauma in the development of a quality and innovative orthopaedic trauma service and assist in the management of the trauma service.

· Manage and develop the Virtual Fracture Clinic Service for the Trust. Ensure the orthopaedic trauma patients are treated appropriately in a timely manner.

· Manage the band 6 physiotherapist as part of their rotation from MSK department.

· Liaise closely with the Orthopaedic Consultant of the Week (CoW) discussing treatment plans for patients that have presented through ED and require Orthopaedic input. Manage the plan for these patients.

· Request bloods, x-rays, CT/MRI scanning of patient, with outcome and plan of care.

· Explain clearly the treatment plan with the patient for their condition. This may include advising patients of distressing news. Delegate to the junior nurse as necessary.

· Create and analyse reports for the VFC. Make service improvements where necessary.

· Input and update all patient data on database.

· Review waiting list numbers against waiting times. Manage improvements that can reduce unnecessary waits.

· Refer patients to other specialities.

· Evaluate service regularly and implement service improvements.

· To provide and maintain high standards of clinical care within the VFC and trauma specialty and ensure that the delivery of patient care reflects feedback from patients and families and National Standards and Guidelines.

· Lead in the audit of evidence based outcomes.

St George’s, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George’s Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

At gesh we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.

· High level of orthopaedic knowledge.

· To independently undertake highly specialised clinical assessments, diagnose, treat and discharge adults and children with a wide range of minor injuries, including management of complex cases within professional boundaries and in line with their training, skills and competencies.

· To ensure patients and parents/carers are fully involved in the design and implementation of patient treatment plans

· To ensure effective coordination and liaison with multidisciplinary teams across Primary and Secondary Care Services, statutory and voluntary disciplines/groups in order to provide a seamless service to the patients and their carers and prevent hospital admission where urgent care is required

· To identify actual or potential clinical risks and take appropriate action using, when required, the appropriate reporting structure

· Attend VFC meetings.

· Documenting full and accurate records of assessments, investigations, procedures, treatments and aftercare.

· Work with Orthopaedic Consultants and junior doctors to co-ordinate the delivery of trauma care.

· To identify and case manage patients high risk of fractures. Act as a clinical leader to ensure the assessment of individual patient care needs and the development, implementation and evaluation of plans of care are in place.

· Recognise and respond appropriately to urgent and emergency situations, considering patients’ individual and often complex situations.


This advert closes on Tuesday 24 Mar 2026