Enhanced clinical practitioner

KSBs

Knowledge

K1: Tools and techniques used to systematically search, select and present evidence Back to Duty

K2: Techniques to critically appraise evidence such as local and national quality standards and frameworks and ways to relate this to own practice Back to Duty

K3: Requirements of their on-going professional registration and code of conduct in relation to their scope of practice such as when and how to escalate or refer in line with defined scope of practice Back to Duty

K4: How to appraise the relevance of available tools and techniques to the clinical situation and own scope of practice Back to Duty

K5: Legislation, clinical frameworks, contemporaneous evidence-based practice guidelines, outcomes from clinical audit and algorithms to support decision making Back to Duty

K6: Anatomy and physiology and pathophysiology to support complex holistic patient assessment including the underlying psychological, social and long-term impact of illness Back to Duty

K7: Tools and techniques to critically evaluate clinical information to inform decision making and care management planning Back to Duty

K8: Underpinning anatomy and complex applied physiology, disease, toxicities, treatments and interventions which guide the selection of specialist diagnostics Back to Duty

K9: Methods to support complex intervention decision making aligned to national and international guidelines Back to Duty

K10: Principles and theories of co-production, health coaching, peer support and self-management used to build knowledge, skills and confidence to enable patient self-management Back to Duty

K11: Diverse sources of information and evidence to underpin decision making and techniques to interpret and assimilate a diverse range of information and evidence Back to Duty

K12: Principles and theories of coaching used in supporting others in complex clinical decision making and care delivery Back to Duty

K13: Principles and theories of leadership and role modelling Back to Duty

K14: Tools and procedures for conducting a training needs analysis Back to Duty

K15: Teaching, learning and assessment theories, techniques, innovations and models relevant to the educational activity including ways to facilitate a positive learning environment Back to Duty

K16: Models, tools and frameworks for receiving and providing constructive feedback Back to Duty

K17: Principles of different communication strategies and theories, communication modes (written, digital, verbal, non-verbal) and clinical communication tools Back to Duty

K18: Models and theories for negotiating and mediating, such as de-escalation and diffusing strategies Back to Duty

K19: Communication strategies and tools used to share complex information with different audiences and individuals Back to Duty

K20: Principles of change management and co-production to support clinical innovation in the workplace Back to Duty

K21: Local and national approaches and planning processes to support quality improvement Back to Duty

K22: Service evaluation, research and audit techniques to support quality improvement processes within area of enhanced clinical practice Back to Duty

K23: The role and impact of reflection in improving clinical practice and best-practice methods for clinical supervision Back to Duty

K24: Signs and pathophysiology of deterioration or distress in mental, physical, cognitive and behavioural health in own scope of practice Back to Duty

K25: Protocols and systems used to plan, prioritise and direct resources within area of enhanced clinical practice and how to escalate to and engage others when working at the boundaries of scope of practice Back to Duty

K26: Evidence-based strategies to manage clinical risk in enhanced clinical practice Back to Duty

K27: Principles of psychological well-being, the importance of maintaining own and others well-being and counselling techniques used within own scope of practice Back to Duty

K28: Employer policy and procedures for resource management and reporting Back to Duty

K29: Strategies to plan and prioritise resources and manage immediate and longer-term service requirements Back to Duty

K30: Local, regional, and national strategic priorities for patient populations within area of specialist practice Back to Duty

K31: Principles of mentoring and preceptorship and how these differ from counselling, coaching and teaching Back to Duty

K32: Local appraisal policy and systems and own responsibility in relation to appraisal of others Back to Duty

Skills

S1: Conduct systematic literature searches to source evidence to inform enhanced clinical practice Back to Duty

S2: Critically appraise evidence and use findings to plan and provide enhanced patient-centred clinical care Back to Duty

S3: Provide enhanced clinical care in line with professional registration, code of conduct and defined scope of practice, being responsible and accountable for own decisions, actions and omissions Back to Duty

S4: Select available tools, technologies and techniques needed to perform complex and holistic assessments Back to Duty

S5: Assimilate, synthesise and apply complex information to promote and advocate best interests of others, upholding the principles of safeguarding and evidence-based practice Back to Duty

S6: Undertake holistic patient-centred assessments using available tools, technologies and techniques Back to Duty

S7: Analyse the data arising from the assessment process to inform clinical decision-making Back to Duty

S8: Identify, request and interpret specialist diagnostics within own scope of practice to inform the delivery and management of specialist care for patients and families Back to Duty

S9: Develop, implement and evaluate an enhanced care management plan which may include interventions and referral to other members of the multidisciplinary team or other agencies Back to Duty

S10: Prepare and support patients and families to manage their own health and care as independently as possible Back to Duty

S11: Interpret, assimilate and draw conclusions using diverse sources of information and evidence to inform clinical reasoning Back to Duty

S12: Direct others to sources of information and evidence, coaching and supporting them in applying information and evidence in complex clinical decision making Back to Duty

S13: Provide leadership within scope of own role and positive role-modelling for others in the multidisciplinary team Back to Duty

S14: Identify training and education needs of others in the workplace Back to Duty

S15: Plan and facilitate the delivery of practice-based education, training and assessment activities Back to Duty

S16: Evaluate the effectiveness of training and education activities Back to Duty

S17: Use communication strategies suitable for a variety of situations including sensitive and distressing topics Back to Duty

S18: Use strategies to manage conflict and challenge Back to Duty

S19: Discuss complex information with patients, their families, the multi-disciplinary team and other agencies Back to Duty

S20: Challenge ineffective systems and processes and support others to identify the need for change within their area of enhanced clinical practice Back to Duty

S21: Contribute to quality improvement plans and strategies to support a culture of continuous quality improvement within area of enhanced clinical practice Back to Duty

S22: Participate in quality improvement activities, such as audit, service evaluations and research projects within area of enhanced clinical practice Back to Duty

S23: Reflect on own and others’ practice using clinical supervision processes Back to Duty

S24: Identify and act on evidence of unexpected change or patient deterioration within own scope of practice Back to Duty

S25: Manage self and others in unpredictable and complex environments, instigating clinical interventions where protocols may not be available Back to Duty

S26: Identify and manage risk to patient safety and others in an unpredictable and complex environment Back to Duty

S27: Counsel patients, family, carers and others to manage psychological well-being of self and others Back to Duty

S28: Contribute to efficient resource management within the workplace Back to Duty

S29: Plan, prioritise and deliver enhanced clinical care within a defined resource Back to Duty

S30: Contribute to the drafting of business cases or project proposals Back to Duty

S31: Provide mentorship, opportunity for peer-learning and constructive feedback to guide, support, motivate and develop others in the multidisciplinary team Back to Duty

S32: Contribute to the appraisal of individuals in the multidisciplinary team Back to Duty

Behaviours

B1: Treat people with dignity, respecting individual’s diversity, beliefs, culture, needs, values, privacy and preferences Back to Duty

B2: Show respect and empathy for those you work with Back to Duty

B3: Be adaptable, reliable and consistent Back to Duty