Apprenticeship training course

Enhanced clinical practitioner (level 6)

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Information about Enhanced clinical practitioner (level 6)

Provide a high standard of health care using judgment, skills, and knowledge.

• Knowledge, skills and behaviours:
  View knowledge, skills and behaviours

  Knowledge

  • Tools and techniques used to systematically search, select and present evidence.
  • Techniques to critically appraise evidence such as local and national quality standards and frameworks and ways to relate this to own practice.
  • 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.
  • How to appraise the relevance of available tools and techniques to the clinical situation and own scope of practice.
  • Legislation, clinical frameworks, contemporaneous evidence-based practice guidelines, outcomes from clinical audit and algorithms to support decision making.
  • Anatomy and physiology and pathophysiology to support complex holistic patient assessment including the underlying psychological, social and long-term impact of illness.
  • Tools and techniques to critically evaluate clinical information to inform decision making and care management planning.
  • Underpinning anatomy and complex applied physiology, disease, toxicities, treatments and interventions which guide the selection of specialist diagnostics.
  • Methods to support complex intervention decision making aligned to national and international guidelines.
  • 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.
  • Diverse sources of information and evidence to underpin decision making and techniques to interpret and assimilate a diverse range of information and evidence.
  • Principles and theories of coaching used in supporting others in complex clinical decision making and care delivery.
  • Principles and theories of leadership and role modelling.
  • Tools and procedures for conducting a training needs analysis.
  • Teaching, learning and assessment theories, techniques, innovations and models relevant to the educational activity including ways to facilitate a positive learning environment.
  • Models, tools and frameworks for receiving and providing constructive feedback.
  • Principles of different communication strategies and theories, communication modes (written, digital, verbal, non-verbal) and clinical communication tools.
  • Models and theories for negotiating and mediating, such as de-escalation and diffusing strategies.
  • Communication strategies and tools used to share complex information with different audiences and individuals.
  • Principles of change management and co-production to support clinical innovation in the workplace.
  • Local and national approaches and planning processes to support quality improvement.
  • Service evaluation, research and audit techniques to support quality improvement processes within area of enhanced clinical practice.
  • The role and impact of reflection in improving clinical practice and best-practice methods for clinical supervision.
  • Signs and pathophysiology of deterioration or distress in mental, physical, cognitive and behavioural health in own scope of practice.
  • 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.
  • Evidence-based strategies to manage clinical risk in enhanced clinical practice.
  • Principles of psychological well-being, the importance of maintaining own and others well-being and counselling techniques used within own scope of practice.
  • Employer policy and procedures for resource management and reporting.
  • Strategies to plan and prioritise resources and manage immediate and longer-term service requirements.
  • Local, regional, and national strategic priorities for patient populations within area of specialist practice.
  • Principles of mentoring and preceptorship and how these differ from counselling, coaching and teaching.
  • Local appraisal policy and systems and own responsibility in relation to appraisal of others.

  Skills

  • Conduct systematic literature searches to source evidence to inform enhanced clinical practice.
  • Critically appraise evidence and use findings to plan and provide enhanced patient-centred clinical care.
  • 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.
  • Select available tools, technologies and techniques needed to perform complex and holistic.
  • Assimilate, synthesise and apply complex information to promote and advocate best interests of others, upholding the principles of safeguarding and evidence-based practice.
  • Undertake holistic patient-centred assessments using available tools, technologies and techniques.
  • Analyse the data arising from the assessment process to inform clinical decision-making.
  • Identify, request and interpret specialist diagnostics within own scope of practice to inform the delivery and management of specialist care for patients and families.
  • 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.
  • Prepare and support patients and families to manage their own health and care as independently as possible.
  • Interpret, assimilate and draw conclusions using diverse sources of information and evidence to inform clinical reasoning.
  • Direct others to sources of information and evidence, coaching and supporting them in applying information and evidence in complex clinical decision making.
  • Provide leadership within scope of own role and positive role-modelling for others in the multidisciplinary team.
  • Identify training and education needs of others in the workplace.
  • Plan and facilitate the delivery of practice-based education, training and assessment activities.
  • Evaluate the effectiveness of training and education activities.
  • Use communication strategies suitable for a variety of situations including sensitive and distressing topics.
  • Use strategies to manage conflict and challenge.
  • Discuss complex information with patients, their families, the multi-disciplinary team and other agencies.
  • Challenge ineffective systems and processes and support others to identify the need for change within their area of enhanced clinical practice.
  • Contribute to quality improvement plans and strategies to support a culture of continuous quality improvement within area of enhanced clinical practice.
  • Participate in quality improvement activities, such as audit, service evaluations and research projects within area of enhanced clinical practice.
  • Reflect on own and others’ practice using clinical supervision processes.
  • Identify and act on evidence of unexpected change or patient deterioration within own scope of practice.
  • Manage self and others in unpredictable and complex environments, instigating clinical interventions where protocols may not be available.
  • Identify and manage risk to patient safety and others in an unpredictable and complex environment.
  • Counsel patients, family, carers and others to manage psychological well-being of self and others.
  • Contribute to efficient resource management within the workplace.
  • Plan, prioritise and deliver enhanced clinical care within a defined resource.
  • Contribute to the drafting of business cases or project proposals.
  • Provide mentorship, opportunity for peer-learning and constructive feedback to guide, support, motivate and develop others in the multidisciplinary team.
  • Contribute to the appraisal of individuals in the multidisciplinary team.

  Behaviours

  • Treat people with dignity, respecting individual's diversity, beliefs, culture, needs, values, privacy and preferences.
  • Show respect and empathy for those you work with.
  • Be adaptable, reliable and consistent.
• Apprenticeship category (sector): Health and science
• Qualification level: 6; Equal to degree
• Course duration: 18 months
• Maximum funding: £7,000 ; Maximum government funding for ; apprenticeship training and assessment costs.
• Job titles include:
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  • Educational audiologist
  • Enhanced dental technician
  • Mental health enhanced liaison practitioner
  • Physiologist (paediatric respiratory)
  • Registered nurse (critical care)

View more information about Enhanced clinical practitioner (level 6) from the Institute for Apprenticeships and Technical Education.