Job responsibilities
Leadership and management:
Provide strategic expert leadership in their specialist area and across the care pathway
Provide consultancy in different situations, sharing expertise and developing and sustaining the capacity and capability of the workforce
Work with internal and external stakeholders, contribute to the strategic direction and business plan of the Corporate/Care Group/service aligned with the Trusts strategy, commissioners priorities and responding to national policy agendas
Lead the development, implementation and evaluation of specialist service policies, guidelines, standards, service pathways and service developments
Maintain an overview of staff, patient and public involvement work within the service and ensure the continued development of this
Work collaboratively with professional bodies, clinical networks, commissioners, regional and national level, third sectors, charities and other partners
Lead a clinical service and be responsible for staffing and allocated budget management, maximising resources and purchasing some equipment.
Be responsible for line management day-to-day supervision and co-ordination of a group of staff
Interpret clinical, professional, and national policies in the speciality field and give expert advice to the organisation
Represent the Trust/Care Group/service at a senior level as required providing professional advice, feedback, reports and contributing to both professional and service development
Be responsible for the evolving role of the consultant practitioner and advanced/enhanced practice within specialist area.
Support others to take on leadership responsibilities, by being an effective role model and by mentorship and coaching
Where required, hold the speciality budget ensuring compliance with financial obligations
Demonstrate compassionate leadership in daily working
Clinical, Quality and Safety:
Be an expert in relevant specialist area of practice with extensive experience and highest level of specialist knowledge at masters level and beyond to doctorate and post doctorate study
Provide decision-making in highly complex, conflicting, and unpredictable situations incorporating both expertise and evidence-based practice across pathways and services, working with service users, communities and partners
Autonomously work in partnership with individuals, families and carers, managing a caseload of patients using a range of advanced assessment methods or diagnostics as appropriate (e.g. history taking, physical examination, identifying risk factors, mental health assessments, radiology)
Use expertise and decision-making skills to inform clinical reasoning approaches when dealing with differentiated and undifferentiated individual presentations and highly complex situations, synthesising information to make appropriate, evidence-based judgements and/or diagnoses
Develop specialised programmes of patient care/care packages
Share decision-making with service users and partners so that people can represent themselves and carers and communities can act together and that the effectiveness of interventions and services can be assessed
Provide highly specialised advice as an expert in the speciality area which contributes to the diagnosis, care or education of patients
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
Work within locally agreed advanced clinical practice scope of practice, competence and capability being responsible and accountable for their decisions, actions and omissions at this level of practice including:
Be a supplementary or independent non-medical prescriber with Trust agreed scope of prescribing
Prescribe medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence-based practice and national and practice protocols
Request, undertake or interpret diagnostic tests and medical imaging in accordance with Trust policies and nationally agreed protocols and policies
Undertake complex invasive or non-invasive procedures as appropriate to scope of practice and competence
Maintain competence and capability in advanced skills including Arterial Blood Gas Sampling, Venepuncture, Peripheral Vascular Canulation, Central Line Insertion.
Maintain a portfolio of evidence and continuing professional practice which reflects their level of practice, both with their specialist area of clinical practice and with reference to the HEE (2023) Capability and Impact Framework
Demonstrate expert communication skills in managing highly complex, sensitive and contentious information. To support patients in making complex decisions where highly developed communication skills are required. May be required to impart bad news or deal with people with severely challenging behaviour
Act on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence, and openness to change
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
Act as a leader and 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
Complete accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Support and maintain safety, quality, clinical effectiveness and patient experience, to ensure culture and delivery of safe and effective harm free care. Upholding the culture of listening, whereby patients, relatives and carers are central to service delivery and development
Work closely with the Care Group/Division/service leadership team and Governance Manager, to develop an integrated strategy for governance, with a specific focus on all aspects of clinical and non-clinical risk management
When required, to work with the corporate and/or care group team and Governance Manager, leading in the investigation and resolution of complaints and serious incidents (SIs). To participate in identifying lessons learnt, ensuring that appropriate actions are taken and the sharing of learning locally and across the organisation
Research, Development and Innovation:
Leads on audit and quality improvement projects in area of specialism
Leads research projects in area of specialism with published outcomes, securing research funding and working collaboratively with external partners
Leads and supervises others in undertaking audit/innovation/service improvement projects in area of specialism
Actively seeks opportunities for staff, patients and carers to be involved in research studies within specialty area
Critically appraises and synthesises the outcome of relevant research, evaluation and audit, using the results to underpin own practice and to inform local guidance and policy
Education and Training:
To develop staff potential, add to and transform the workforce, and help people to learn, develop and improve to promote excellence
Work as an effective facilitator, using different learning and development strategies across different situations to develop person-centred, safe, effective workplace learning, from practice to system levels and continued and effective ways of learning and working, including educational innovations and technology
Motivate and coach or mentor individuals and teams to perform better and more effectively meet future workforce demands through cross-sector working develop individual and group independence improve career progression within and beyond traditional boundaries and develop capacity and capability across the health economy and sectors at regional and national levels.
Critically assess and address own learning needs, negotiating a personal development plan that reflects the breadth of on-going professional development across consultant level practice
Contribute to the widening of shared understanding through publishing research and presenting at local, national, and international conferences.
Support colleagues in developing their research acumen, mentoring, and supporting other staff to present data either at conferences or publication level.
Contributes to national and international guideline development groups and steering groups, making sure that the wider organisation continues to lead the way in its professional practice across the system, acting as a peer reviewer of research, inquiry and innovation and evaluation projects, locally, regionally and nationally
