Interested in a simple Skills Scan and Learning Progress Tracker tool for the Enhanced clinical practitioner standard?
Knowledge
K1: Tools and techniques used to systematically search, select and present evidence
K2: Techniques to critically appraise evidence such as local and national quality standards and frameworks and ways to relate this to own practice
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
K4: How to appraise the relevance of available tools and techniques to the clinical situation and own scope of practice
K5: Legislation, clinical frameworks, contemporaneous evidence-based practice guidelines, outcomes from clinical audit and algorithms to support decision making
K6: Anatomy and physiology and pathophysiology to support complex holistic patient assessment including the underlying psychological, social and long-term impact of illness
K7: Tools and techniques to critically evaluate clinical information to inform decision making and care management planning
K8: Underpinning anatomy and complex applied physiology, disease, toxicities, treatments and interventions which guide the selection of specialist diagnostics
K9: Methods to support complex intervention decision making aligned to national and international guidelines
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
K11: Diverse sources of information and evidence to underpin decision making and techniques to interpret and assimilate a diverse range of information and evidence
K12: Principles and theories of coaching used in supporting others in complex clinical decision making and care delivery
K13: Principles and theories of leadership and role modelling
K14: Tools and procedures for conducting a training needs analysis
K15: Teaching, learning and assessment theories, techniques, innovations and models relevant to the educational activity including ways to facilitate a positive learning environment
K16: Models, tools and frameworks for receiving and providing constructive feedback
K17: Principles of different communication strategies and theories, communication modes (written, digital, verbal, non-verbal) and clinical communication tools
K18: Models and theories for negotiating and mediating, such as de-escalation and diffusing strategies
K19: Communication strategies and tools used to share complex information with different audiences and individuals
K20: Principles of change management and co-production to support clinical innovation in the workplace
K21: Local and national approaches and planning processes to support quality improvement
K22: Service evaluation, research and audit techniques to support quality improvement processes within area of enhanced clinical practice
K23: The role and impact of reflection in improving clinical practice and best-practice methods for clinical supervision
K24: Signs and pathophysiology of deterioration or distress in mental, physical, cognitive and behavioural health in own scope of practice
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
K26: Evidence-based strategies to manage clinical risk in enhanced clinical practice
K27: Principles of psychological well-being, the importance of maintaining own and others well-being and counselling techniques used within own scope of practice
K28: Employer policy and procedures for resource management and reporting
K29: Strategies to plan and prioritise resources and manage immediate and longer-term service requirements
K30: Local, regional, and national strategic priorities for patient populations within area of specialist practice
K31: Principles of mentoring and preceptorship and how these differ from counselling, coaching and teaching
K32: Local appraisal policy and systems and own responsibility in relation to appraisal of others
Skills
S1: Conduct systematic literature searches to source evidence to inform enhanced clinical practice
S2: Critically appraise evidence and use findings to plan and provide enhanced patient-centred clinical care
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
S4: Select available tools, technologies and techniques needed to perform complex and holistic assessments
S5: Assimilate, synthesise and apply complex information to promote and advocate best interests of others, upholding the principles of safeguarding and evidence-based practice
S6: Undertake holistic patient-centred assessments using available tools, technologies and techniques
S7: Analyse the data arising from the assessment process to inform clinical decision-making
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
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
S10: Prepare and support patients and families to manage their own health and care as independently as possible
S11: Interpret, assimilate and draw conclusions using diverse sources of information and evidence to inform clinical reasoning
S12: Direct others to sources of information and evidence, coaching and supporting them in applying information and evidence in complex clinical decision making
S13: Provide leadership within scope of own role and positive role-modelling for others in the multidisciplinary team
S14: Identify training and education needs of others in the workplace
S15: Plan and facilitate the delivery of practice-based education, training and assessment activities
S16: Evaluate the effectiveness of training and education activities
S17: Use communication strategies suitable for a variety of situations including sensitive and distressing topics
S18: Use strategies to manage conflict and challenge
S19: Discuss complex information with patients, their families, the multi-disciplinary team and other agencies
S20: Challenge ineffective systems and processes and support others to identify the need for change within their area of enhanced clinical practice
S21: Contribute to quality improvement plans and strategies to support a culture of continuous quality improvement within area of enhanced clinical practice
S22: Participate in quality improvement activities, such as audit, service evaluations and research projects within area of enhanced clinical practice
S23: Reflect on own and others’ practice using clinical supervision processes
S24: Identify and act on evidence of unexpected change or patient deterioration within own scope of practice
S25: Manage self and others in unpredictable and complex environments, instigating clinical interventions where protocols may not be available
S26: Identify and manage risk to patient safety and others in an unpredictable and complex environment
S27: Counsel patients, family, carers and others to manage psychological well-being of self and others
S28: Contribute to efficient resource management within the workplace
S29: Plan, prioritise and deliver enhanced clinical care within a defined resource
S30: Contribute to the drafting of business cases or project proposals
S31: Provide mentorship, opportunity for peer-learning and constructive feedback to guide, support, motivate and develop others in the multidisciplinary team
S32: Contribute to the appraisal of individuals in the multidisciplinary team
Behaviours
B1: Treat people with dignity, respecting individual's diversity, beliefs, culture, needs, values, privacy and preferences
B2: Show respect and empathy for those you work with
B3: Be adaptable, reliable and consistent
Duty 1
DUTY: Be an accountable professional acting in the best interests of people, putting them first and providing complex clinical care that is evidence-based, person-centred, safe and compassionate.
K1
K2
K3
S1
S2
S3
B1
B2
B3
Duty 2
DUTY: Use existing knowledge and expertise and enhanced levels of clinical judgement to independently undertake complex and holistic assessments.
K4
K5
K6
S4
S5
S6
B1
B2
B3
Duty 3
DUTY: Act independently to plan, deliver, monitor and evaluate complex care using enhanced clinical assessments, diagnostics, and interventions.
K7
K8
K10
K11
S7
S8
S9
S10
S11
B1
B2
B3
Duty 4
DUTY: Act as an expert resource within their own organisation and for external agencies.
K9
K12
K13
S12
S13
B1
B2
B3
Duty 5
DUTY: Develop, deliver and evaluate education and training opportunities for others within own scope of practice.
K14
K15
K16
S14
S15
S16
B1
B2
B3
Duty 6
DUTY: Communicate effectively in challenging environments and situations with patients, their families/carers and the multi-disciplinary team.
K17
K18
K19
K27
S17
S18
S19
S27
B1
B2
B3
Duty 7
DUTY: Promote and encourage innovative clinical practice to support a culture of excellence within the wider health and care team.
K20
K21
K22
S20
S21
S22
B1
B2
B3
Duty 8
DUTY: Lead and manage unpredictable and unplanned clinical situations.
K24
K25
K26
S24
S25
S26
B1
B2
B3
Duty 9
DUTY: Participate in resource management, strategic service development, planning and service improvement.
K28
K29
K30
S28
S29
S30
B1
B2
B3
Duty 10
DUTY: Lead, monitor, develop and appraise staff and learners.
