Clinical Nurse Specialist - Metabolic Bone disorders

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Liverpool University Hospitals NHS Foundation Trust Clinical Nurse Specialist - Metabolic Bone disorders

The closing date is 21 September 2026

Apply for this job

Job summary

Due to the expansion of the metabolic bone service we have an exciting opportunity for a clincial nurse specialist with experience in metabolic bone disorders to join our service.

The clinical nurse specialist in metabolic bone disorder will have good knowledge and experience of metabolic bone disorders and will work closely with the DMOPS consultant to provide specialist care to patients with metabolic bone disorders. The post holder will play a key role in the Metabolic bone disorders service and will take a lead on developing a nurse led service.

Main duties of the job

• Develop standardised pathways for assessment and treatment of patients with metabolic bone disorders, specifically osteoporosis

• Lead quality improvement projects to increase efficiency in the metabolic bone disorders clinic

• Develop new workstreams including CNS-led osteoporosis clinic

• Lead CNS osteoporosis clinic under the care of DMOPS consultant

• Liaise with DMOPS colleagues across the wards and FAU to educate and develop quality improvement projects for patients with osteoporosis

• Monitor re admission rates of patient with metabolic bone disorders and be a key part in admission avoidance of these patients

• Work cross-site with our Royal colleagues in clinical chemistry to reduce health inequity

• Manage a case load of patients under the care of a name DMOPS consultant

• If required Refer patients to various disciplines post assessment for ongoing care and support.

• The Clinical Nurse Specialist will act as the clinical expert and professional resource to the multi-Professional team, patients and carers within their Speciality Service.

• Monitor and audit effectiveness of the service by measuring outcomes pre and post induction including length of stay, quality outcomes and morbidity/mortality

About us

NHS University Hospitals of Liverpool Group (UHL Group) was formed on 1 November 2024, born from a shared aim to improve the care we provide our communities.

We are one of the largest employers in region, with over 18,900 colleagues who are 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 that extend to more than two million people in the North West.

We operate from five hospital sites: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 several elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation.Liverpool Heart and Chest Hospitalprovide specialist services incardiothoracic surgery,cardiology and respiratory medicine, both in the hospital and out in the community.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 Hospital is the largest hospital in the country to provide inpatients with 100% single en-suite bedrooms and mainly focuses on complex planned care and specialist services.

Details

Date posted

10 September 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

287-AMED-230-26

Job locations

Aintree University Hospital

Long Lane

Liverpool

L9 7AL

United Kingdom

Job description

Job responsibilities

• Develop, lead and support Osteoporosis nurse-led clinic
• Triage of referrals to appropriate service in appropriate timeframe
• Preparation of metabolic bone advice and guidance requests
• Provide in depth assessment of patients undergoing comprehensive treatment for metabolic bone disorders and create ongoing care plans based on this assessment
• Lead fracture liaison service pilot
• Utilise clinical skills in assessing and treating patients as an autonomous practitioner
• Monitor investigation results, initiating further assessment/review of treatment pathway as required
• Collect, collate, evaluate and report information, maintaining accurate patient records
• Involve patients and carers/relatives in the planning and delivery of care and development of services.
• Support patients and their families and ensure that they receive the required information to enable them to self-manage, lead or participate in their care delivery

Act as the patients advocate and ambassador.

• Lead the development of a patient-focussed education and information giving strategy within the speciality
• Contribute to the health promotion agenda with the local health economy.
• To undertake/work towards non-medical prescribing duties within the legal framework for nurse prescribing and adhere to the Trusts Policy for Non-medical prescribing (where required)
• In keeping with the NMC Code of Professional Conduct and Standards of Proficiency for Nurse and Midwife Prescribers, keep up to date with best prescribing practice in relation to the management of conditions within his/her specialist area
• Undertake regular audits of his/her prescribing practice
• Provide specialist expert clinical advice and guidance to clinical colleagues
• Undertake clinical supervision on an individual or group basis.
• Recognise, prevent and diffuse potential areas of conflict and take a key role in the management of the outcome
• Act as a role model and expert nurse providing in depth specialist clinical knowledge to colleagues through MDT meetings, for patients and carers / relatives
• Engage in research projects within scope of practice
• Lead research projects (if appropriate) relevant to expert subject and implement changes to practice based on findings
• Assess local and national patient satisfaction results of service and use this information to implement and monitor change to practice to improve patient experience
• Contribute to the organisation and care groups clinical governance agenda
• Participate in local and national audits for metabolic bone disorders and use findings to implement and sustain changes to practice
• Maintain knowledge and update clinical policy and practices based on up-to-date national research and innovation
• Attend conferences within clinical expertise and feed back to wider team to promote innovation and change to practice
• Be consistent in approach to the provision of evidence-based care for patients with metabolic bone disorders by providing evaluation of interventions and treatments

• Develop and seek funding for projects which will enhance, promote and develop the service provision
• Disseminate research and audit findings through presentation to professional groups and publication.
• Identify need for, participate and undertake, research, clinical audit, benchmarking and equipment trials, in order to improve effectiveness of patient care.
• Be responsible for the development and co ordination of the service including identifying areas for improvement and work within trust guidance and protocol to address these areas, monitor and improve
• Promote co-ordination of multi-disciplinary working within the service
• Lead on community referrals into the service
• Manage own workload ensuring working within KPIs such as roster and annual leave
• Manage budget if appropriate
• Work within organisations values and behaviours
• Ensure necessary cover/plans for patient reviews in the absence of the metabolic bone CNS
• Follow trust policy and procedures
• Provide cover and undertake duties of absent colleagues if appropriate
• Work within own competence and limitations
• Attend conferences to develop own skill and the service
• Participate in local and national forums for metabolic bone disorders
• Participate in networking groups to develop the service and develop relationships with other organisations
• Ensure yearly appraisal is completed
• Work within NMC guidelines and code of professional conduct including revalidation completion and maintaining professional registration
• Completion of mandatory, local and role specific training

Job description

Job responsibilities

• Develop, lead and support Osteoporosis nurse-led clinic
• Triage of referrals to appropriate service in appropriate timeframe
• Preparation of metabolic bone advice and guidance requests
• Provide in depth assessment of patients undergoing comprehensive treatment for metabolic bone disorders and create ongoing care plans based on this assessment
• Lead fracture liaison service pilot
• Utilise clinical skills in assessing and treating patients as an autonomous practitioner
• Monitor investigation results, initiating further assessment/review of treatment pathway as required
• Collect, collate, evaluate and report information, maintaining accurate patient records
• Involve patients and carers/relatives in the planning and delivery of care and development of services.
• Support patients and their families and ensure that they receive the required information to enable them to self-manage, lead or participate in their care delivery

Act as the patients advocate and ambassador.

• Lead the development of a patient-focussed education and information giving strategy within the speciality
• Contribute to the health promotion agenda with the local health economy.
• To undertake/work towards non-medical prescribing duties within the legal framework for nurse prescribing and adhere to the Trusts Policy for Non-medical prescribing (where required)
• In keeping with the NMC Code of Professional Conduct and Standards of Proficiency for Nurse and Midwife Prescribers, keep up to date with best prescribing practice in relation to the management of conditions within his/her specialist area
• Undertake regular audits of his/her prescribing practice
• Provide specialist expert clinical advice and guidance to clinical colleagues
• Undertake clinical supervision on an individual or group basis.
• Recognise, prevent and diffuse potential areas of conflict and take a key role in the management of the outcome
• Act as a role model and expert nurse providing in depth specialist clinical knowledge to colleagues through MDT meetings, for patients and carers / relatives
• Engage in research projects within scope of practice
• Lead research projects (if appropriate) relevant to expert subject and implement changes to practice based on findings
• Assess local and national patient satisfaction results of service and use this information to implement and monitor change to practice to improve patient experience
• Contribute to the organisation and care groups clinical governance agenda
• Participate in local and national audits for metabolic bone disorders and use findings to implement and sustain changes to practice
• Maintain knowledge and update clinical policy and practices based on up-to-date national research and innovation
• Attend conferences within clinical expertise and feed back to wider team to promote innovation and change to practice
• Be consistent in approach to the provision of evidence-based care for patients with metabolic bone disorders by providing evaluation of interventions and treatments

• Develop and seek funding for projects which will enhance, promote and develop the service provision
• Disseminate research and audit findings through presentation to professional groups and publication.
• Identify need for, participate and undertake, research, clinical audit, benchmarking and equipment trials, in order to improve effectiveness of patient care.
• Be responsible for the development and co ordination of the service including identifying areas for improvement and work within trust guidance and protocol to address these areas, monitor and improve
• Promote co-ordination of multi-disciplinary working within the service
• Lead on community referrals into the service
• Manage own workload ensuring working within KPIs such as roster and annual leave
• Manage budget if appropriate
• Work within organisations values and behaviours
• Ensure necessary cover/plans for patient reviews in the absence of the metabolic bone CNS
• Follow trust policy and procedures
• Provide cover and undertake duties of absent colleagues if appropriate
• Work within own competence and limitations
• Attend conferences to develop own skill and the service
• Participate in local and national forums for metabolic bone disorders
• Participate in networking groups to develop the service and develop relationships with other organisations
• Ensure yearly appraisal is completed
• Work within NMC guidelines and code of professional conduct including revalidation completion and maintaining professional registration
• Completion of mandatory, local and role specific training

Person Specification

Qualifications

Essential

• Registered Nurse / Midwife
• Post-basic specialist Qualification relevant to speciality
• Recognised Teaching Qualification
• First Degree

Desirable

• Research qualification
• Recordable specialist qualification
• Masters
• Independent Nurse Prescriber

Experience

Essential

• Demonstrable Post-Reg. experience
• Evidence of undertaking the relevant speciality successfully at Band 6
• Extensive clinical experience
• Evidence of the application of management / leadership skills and managing staff
• Involvement in audit

Desirable

• Experience as Specialist Sister
• Participation in research
• Management qualification

Knowledge

Essential

• In depth specialist knowledge

Skills

Essential

• Teaching / assessment skills
• Organisation and negotiation skills
• Effective communicator
• Leadership & motivation skills
• Evidence of audit and change management ability
• Root Cause Analysis

Desirable

• Evidence of leading and facilitating change
• ECDL

Person Specification

Qualifications

Essential

• Registered Nurse / Midwife
• Post-basic specialist Qualification relevant to speciality
• Recognised Teaching Qualification
• First Degree

Desirable

• Research qualification
• Recordable specialist qualification
• Masters
• Independent Nurse Prescriber

Experience

Essential

• Demonstrable Post-Reg. experience
• Evidence of undertaking the relevant speciality successfully at Band 6
• Extensive clinical experience
• Evidence of the application of management / leadership skills and managing staff
• Involvement in audit

Desirable

• Experience as Specialist Sister
• Participation in research
• Management qualification

Knowledge

Essential

• In depth specialist knowledge

Skills

Essential

• Teaching / assessment skills
• Organisation and negotiation skills
• Effective communicator
• Leadership & motivation skills
• Evidence of audit and change management ability
• Root Cause Analysis

Desirable

• Evidence of leading and facilitating change
• ECDL

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

Aintree University Hospital

Long Lane

Liverpool

L9 7AL

United Kingdom

Employer's website

https://www.liverpoolft.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Liverpool University Hospitals NHS Foundation Trust

Address

Aintree University Hospital

Long Lane

Liverpool

L9 7AL

United Kingdom

Employer's website

https://www.liverpoolft.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Matron -DMOPS

Keith rafferty

[email protected]

01515298425

Details

Date posted

10 September 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

287-AMED-230-26

Job locations

Aintree University Hospital

Long Lane

Liverpool

L9 7AL

United Kingdom

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