• Establish and maintain excellent communication with individuals/groups, providing and receiving complex, sensitive and/or contentious information and explore complex issues across a wide range of care options and decisions.

• Acquire developed interpersonal and communication skills to overcome barriers, providing guidance, advice, and support to the individual /carer regarding management of their health/illness condition and its impact on individuals/carer’s life.

• Communicate complex, very sensitive, sometimes distressing condition related information to patient/carer using empathy and reassurance; identifies and overcome barriers to understanding as appropriate.

• Learn to work across professional, organisational and system boundaries and proactively develop and sustain new partnerships and networks to influence and improve health, outcomes and healthcare delivery systems.

Analytical and Judgemental Skills

• Develop professional judgment skills to assess, analyse and manage complex and unpredictable care events in the assessment of specialist clinical conditions recognising and working within the boundaries of practice, knowing when and who to refer patients to.

• Work collaboratively with an appropriate range of multi-agency and inter-professional resources, developing, maintaining, and evaluating links to manage risk and issues across settings.

• 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.

Planning and Organisational Skills

• Plan and manage own workload.

• Learn to plan a discrete aspect of patient care, ensuring provision meets the needs of the patients.

• Plan and deliver relevant specialist teaching for all disciplines and levels of staff, patient and carer groups within the Trust, in relation to own area of expertise. This will include developing links with other professionals and agencies.

• Act as a visible trainee enhanced practice role model by demonstrating high standards of care in line with UHD values.

• 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.

Responsibility for Patient/Client Care, Treatment and Therapy

• Take responsibility for providing care and treatment in line with current evidence base at an enhanced practice level, developing the ability to make critical judgments and problem solving, regarding patient pathways for a distinct caseload of patients.

• Develop the skills and knowledge to initiate and carry out complex patient assessment: analyse and interpret results using developed enhanced clinical knowledge and skills in specialist field, that includes comprehensive patient history and health assessment, physical examination, clinical measurements using enhanced clinical skills, detailed medicines history, and undertaking and interpreting a range of tests/investigations.

• Critically evaluate and analyse clinical problems using expertise and clinical knowledge, seeking out and applying relevant evidence, enhanced clinical assessments, diagnostics, interventions, and equipment to make clinical decisions.

• Work towards discussing and agreeing assessment outcomes with individuals, carers, and other health professionals to devise and evaluate complex care plans related to field of expertise.

• Under supervision initiate, evaluate and modify a range of interventions which may include therapies, lifestyle advice, care and independently prescribing medicines in accordance with Trust regulations, as agreed at department and directorate level, to a distinct caseload of patients within specialist field, based on efficacy, safety, and cost.

• Demonstrate 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.

Responsibility for Policy / Service Development

• Implements policies and proposes appropriate changes to policy/service provision as a consequence of interpretation of local and/or national guidance/research findings.

• Work alongside clinical leads, operational teams and stakeholders to develop local solutions for quality and service improvement.

• Actively engage in peer review to inform own and other’s practice, formulating and implementing strategies to act on learning and make improvements

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• Actively seek feedback and involvement from individuals, families, carers, communities and colleagues in the co-production of service improvement

Responsibility for Finance, Equipment and Other Resources

•      All staff must ensure they use resources in a manner consistent with organisational objectives and policies, ensuring that resources are realistic, justified, and of clear benefit to the organisation.

·         Observes personal duty of care in relation to resources and equipment used.

Responsibility for Human Resources, e.g. Supervision, Training, HR Advice and Management

• Advocate for a culture of organisational learning contributing to wider development of those working in their area of practice by disseminating best practice.

·         An act as a role model and mentor for learners and junior staff and participates in departmental meetings to help promote new ideas to benefit patient care.

• Reflect on personal professional practice, identifying and managing further training and developmental needs in line with enhanced practice role, whilst maintaining a suitable CPD record.

Responsibility for Information Resources and Administrative Duties

• Maintain clear accurate and contemporaneous records of personally generated data in line with current professional guidelines and standards.

• Incorporates current technology appropriately in care delivery and uses information systems to support decision-making, to improve care.

• Support Trust’s governance process, including adverse incident and complaints reporting and investigation.

Responsibility for Research and Development

• Regularly participates in research appraisal and clinical audit activities in own area and takes action based on results of these activities, ensuring evidence-based strategies are developed and applied to enhance quality, safety, productivity and value for money.