Job responsibilities
Clinical Practice
Health and care professionals
working at the level of advanced clinical practice should be able to:
Practise
in compliance with their respective code of professional conduct and within
their scope of practice, being responsible and accountable for their
decisions, actions, and omissions at this level of practice.
Demonstrate
a critical understanding of their broadened level of responsibility and
autonomy and the limits of own competence and professional scope of practice,
including when working with complexity, risk, uncertainty, and incomplete
information.
Act
on professional judgement about when to seek help, demonstrating critical
reflection on own practice, self-awareness, emotional intelligence, and
openness to change.
Work
in partnership with individuals, families, and carers, using a range of
assessment methods as appropriate (e.g., of history-taking; holistic
assessment; identifying risk factors; mental health
Demonstrate
effective communication skills, supporting people in making decisions,
planning care, or seeking to make positive changes, using Health Education
Englands framework to promote person-centred approaches in health and care.
Use
expertise and decision-making skills to inform clinical reasoning approaches
when dealing with differentiated and undifferentiated individual
presentations and complex situations, synthesising information from multiple
sources to make appropriate, evidence-based judgements and/or diagnoses.
Initiate,
evaluate and modify a range of interventions which may include prescribing
medicines, therapies, lifestyle advice and care.
Exercise
professional judgement to manage risk appropriately, especially where there
may be complex and unpredictable events and supporting teams to do likewise
to ensure safety of individuals, families, and carers.
Work
collaboratively with an appropriate range of multi-agency and
inter-professional resources, developing, maintaining, and evaluating links
to manage risk and issues across organisations and settings.
Function
as a clinical role model/advocate for developing and delivering care that is
responsive to changing requirements, informed by an understanding of local
population health needs, agencies, and networks.
Evidence
the underpinning subject-specific competencies i.e., knowledge, skills, and
behaviours relevant to the role setting and scope, and demonstrate
application of the capabilities to these, in an approach that is appropriate
to the individual role, setting and scope.
Leadership
Health and care professionals
working at the level of advanced clinical practice should be able to:
Pro-actively
initiate and develop effective relationships, fostering clarity of roles
within teams, to encourage productive working.
Role
model the values of their organisation/place of work, demonstrating a
person-centred approach to service delivery and development.
Evaluate
own practice, and participate in multi-disciplinary service and team
evaluation, demonstrating the impact of advanced clinical practice on service
function and effectiveness, and quality (i.e., outcomes of care, experience,
and safety).
Actively
engage in peer review to inform own and others practice, formulating and
implementing strategies to act on learning and make improvements.
Lead
new practice and service redesign solutions in response to feedback,
evaluation, and need, working across boundaries and broadening sphere of
influence.
Actively
seek feedback and involvement from individuals, families, carers,
communities, and colleagues in the co-production of service improvements.
Critically
apply advanced clinical expertise in appropriate faciliatory ways to provide
consultancy across professional and service boundaries, influencing clinical
practice to enhance quality, reduce unwarranted variation and promote the
sharing and adoption of best practice.
Demonstrate
team leadership, resilience, and determination, managing situations that are
unfamiliar, complex, or unpredictable and seeking to build confidence in
others.
Continually
develop practice in response to changing population health need, engaging in
horizon scanning for future developments (e.g., impacts of genomics, new
treatments and changing social challenges).
Demonstrate
receptiveness to challenge and preparedness to constructively challenge
others, escalating concerns that affect individuals, families, carers,
communities and colleagues safety and well-being when necessary.
Negotiate
an individual scope of practice within legal, ethical, professional, and
organisational policies, governance, and procedures, with a focus on managing
risk and upholding safety.
Actively
take a personalised care approach and population centred care approach to
enable shared decision making with the presenting person.
Education
Health
and care professionals working at the level of advanced practice should be
able to:
Critically assess
and address own learning needs, negotiating a personal development plan that
reflects the breadth of ongoing professional development across the four
pillars of advanced clinical practice.
Engage in
self-directed learning, critically reflecting to maximise clinical skills and
knowledge, as well as own potential to lead and develop both care and
services.
Engage with,
appraise, and respond to individuals motivation, development stage and
capacity, working collaboratively to support health literacy and empower
individuals to participate in decisions about their care and to maximise
their health and well-being.
Advocate for and
contribute to a culture of organisational learning to inspire future and
existing staff.
Facilitate
collaboration of the wider team and support peer review processes to identify
individual and team learning.
Identify further
developmental needs for the individual and the wider team and supporting them
address these.
Supporting the
wider team to build capacity and capability through work-based and
interprofessional learning, and the application of learning to practice
Act as a role
model, educator, supervisor, coach and mentor, seeking to instil and develop
the confidence of others.
Research
Health and care professionals
working at the level of advanced clinical practice should be able to:
Critically
engage in research activity, adhering to good research practice guidance, so
that evidence-based strategies are developed and applied to enhance quality,
safety, productivity, and value for money.
Evaluate
and audit own and others clinical practice, selecting and applying valid,
reliable methods, then acting on the findings.
Critically
appraise and synthesise the outcome of relevant research, evaluation, and
audit, using the results to underpin own practice and to inform that of
others.
Take
a critical approach to identify gaps in the evidence base and its application
to practice, alerting appropriate individuals and organisations to these and
how they might be addressed in a safe and pragmatic way.
Actively
identify potential need for further research to strengthen evidence for best
practice. This may involve acting as an educator, leader, innovator, and
contributor to research activity and/or seeking out and applying for research
funding.
Develop
and implement robust governance systems and systematic documentation
processes, keeping the need for modifications under critical review.
Disseminate
best practice research findings and quality improvement projects through
appropriate media and fora (e.g., presentations and peer review research
publications).
