NATIONAL PROFILES FOR NURSING SERVICES CONTENTS

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1 NATIONAL PROFILES FOR NURSING SERVICES CONTENTS Profile Title AfC Banding Page Clinical Support Worker Nursing (Hospital) 2 2 Clinical Support Worker Higher Level Nursing (Mental Health) 3 3 Clinical Support Worker Higher Level Nursing (Hospital) 3 4 Nursery Nurse (Neonatal Unit) 4 5 Nurse Associate Practitioner Acute 4 6 Nurse 5 7 Nurse (Mental Health) 5 8 Nurse Specialist 6 9 Nurse Team Leader 6 10 Nurse Advanced 7 11 Nurse Team Manager 7 12 Modern Matron 8A 13 Nurse Consultant 8A - 8C 14 Nurse/Midwife Consultant Higher Level* 8c 8d-9 15 *New in November 2006

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6 Profile Label: Nurse Associate Practitioner Acute Job Statement: 1. Implements care for patients in acute settings; observes patient condition, records clinical observations and reports to qualified nurse; contributes to assessment of care needs 2. Carries out nursing procedures e.g. re-catheterisation, re-dressing wounds, blood sugar levels, takes blood samples, administers injections 3. May supervise clinical support workers in same area; may assist in assessment and attainment of learning and developmental needs of clinical support workers. Factor Relevant Job Information JE level 1. Communication & Relationship Skills Communicate complex or sensitive information, barriers to understanding Communicates condition related information to patients & relatives: provides 4(a) 2. Knowledge, Training & Experience 3. Analytical & Judgemental Skills empathy, reassurance Range of procedures and practices, majority non-routine, theoretical knowledge to diploma level equivalent Knowledge of nursing procedures and practices; acquired through NVQ4 or NVQ3 plus additional training to diploma level equivalent, or equivalent through short courses, experience Facts or situations, some requiring analysis/ facts or situations requiring analysis, comparison of range of options Skills for deciding e.g. how best to implement care programme/ assessment of patient condition 4. Planning & Straightforward activities, some going Organisational Skills Organises, prioritises and adjusts own workload in relation to patient care 5. Physical Skills Highly developed physical skills, accuracy important, manipulation of fine tools Dexterity, co-ordination for taking blood samples 6. Responsibility for Patient/Client Care 7. Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical Resources 9. Responsibility for Human Resources 10. Responsibility for Information Resources 11. Responsibility for Research & Development Implement programmes of care Implements nursing care programmes in acute settings, may contribute to modification of care plan Follow policies, may comment on proposals for change May comment on proposed changes to policies Personal duty of care in relation to resources/ handle cash, valuables; maintain stock control Safe use of clinical and other equipment/ handles patient valuables; orders supplies, equipment Demonstrate own duties/ day to day supervision; workplace assessments May demonstrate own duties to less experienced staff/ supervises less experienced staff; undertakes NVQ assessments Record personally generated information Updates patient records Occasionally undertakes R&D, clinical trials May participate in R&D, clinical trials 12. Freedom to Act Standard operating procedures, someone available for reference Follows procedures and treatment plans, qualified staff available for advice 13. Physical Effort Occasional/frequent moderate for several short periods Moving patients, lifting equipment, moving oxygen cylinders 14. Mental Effort Frequent concentration, predictable pattern Concentration on patient treatment, care, observations 15. Emotional Effort Occasional, frequent exposure to distressing/highly distressing circumstances Care of acute patients, relatives / care of critically, terminally ill (b) 4(a) 1 1-2(c) 1-2(a)(c) (a)/ 3(c) 2(a) 2-4 (b) 16. Working Frequent highly unpleasant conditions 4(b) Conditions Body fluids, wounds JE Score/Band JE Score Band 4 Page 6 of 14

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13 Profile Label: Modern Matron Job Statement: 1. Manages and provides leadership for ward managers and specialist nurses/midwives and other staff 2. Ensures patient/client/carer involvement in development of services and standards of cleanliness 3. Provides specialist education and training to other staff 4. Maintains compliance with, and develops, policies, procedures and guidelines. Factor Relevant Job Information JE Level 1. Communication & Relationship Skills Provide and receive highly complex, sensitive or contentious information, agreement or co-operation required; present complex, sensitive or contentious information to large groups Communicates service-related information to senior managers, staff, patients, carers, external agencies: requires negotiating, persuasive, motivational, reassurance skills; gives formal presentations 5(a) (b) 2. Knowledge, Training & Experience 3. Analytical & Judgemental Skills 4. Planning & Organisational Skills Highly developed specialist knowledge, underpinned by theory and experience Professional knowledge acquired through degree/diploma supplemented by specialist training or equivalent experience to master s level equivalent Complex facts or situations requiring analysis, interpretation, comparison of a range of options Skills for analysis of `service, patient /client, organisational, staffing issues Plan and organise broad range of complex activities, formulates, adjusts plans or strategies Planning of strategies which impact across the service, business planning. Strategies for infection control 5. Physical Skills Physical skills obtained through practice/ developed physical skills, manipulation of people, narrow margins for error; highly developed physical skills, accuracy important; manipulation of fine tools or materials Driving, keyboard skills/ skills needing accuracy and/ or speed required for relevant professional practice 6. Responsibility for Patient/Client Care 7. Responsibility for Policy/Service Development 8. Responsibility for Financial and Physical Resources 9. Responsibility for Human Resources 10. Responsibility for Information Resources Provide highly specialised advice concerning care; accountable for delivery of subdivision of service Delivers highly specialised advice on care and training; accountable for service delivery Responsible for policy implementation & development of a service Develops and implements policies; may be involved in development of trust policies Authorised signatory for financial payments; responsible for the purchase of some physical assets; monitors budgets Signs off expenses; orders office supplies; oversees management of budget e.g. for domestic services Line manager for a single function or department; teach, devise training and development programmes, major job responsibility Manages staff, including recruitment, development, performance; devises training packages and teaches other groups of staff. Record personally generated information Updates records (a) (b) 6(c) (d) 4 3(a) (b) (c) 4(a) (b) Responsibility for Undertakes surveys or audits, as necessary to own work Research & Development Undertakes audits of complaints, clinical incidents; trials of equipment 12. Freedom to Act General policies, need to establish interpretation Responsible for establishing how policies should be interpreted 13. Physical Effort Combination of sitting, standing, walking/ frequent light effort for short periods; occasional moderate effort for several short periods Light physical effort/ effort required for clinical duties (b)(d) 14. Mental Effort Frequent concentration, work pattern un predictable 3(a) Concentration for writing reports, meetings, patient/client assessment, interruptions to deal with service issues 15. Emotional Effort Occasional distressing/highly distressing or emotional circumstances 2-3(b) Deals with staff problems, patient complaints, conveys unwelcome news/unexpected deaths 16. Working Conditions Occasional /frequent unpleasant; occasional highly unpleasant exposure to 2(a)-3(a) (b) unpleasant conditions Conditions related to clinical duties JE Score/Band JE Score Band 8a Page 13 of 14

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15 Profile Label: Job Statement: Nurse / Midwife Consultant Higher Level 1. Provides expert professional advice to patients/clients, carers and staff 2. Responsible for service development/redesign in own area of expertise 3. Undertakes clinical audit, research in a specialist field 4. Provides education and training to other staff, students: may develop or contribute to development of specialist training, education programmes in own field 5. Ensures the maintenance of clinical excellence Factor Relevant Job Information JE Level 1. Communication Provide and receive highly complex, sensitive or contentious information; 5 (a) / & Relationship barriers to understanding/present complex information to large groups 5 (b) Skills Communicates very sensitive, complex condition related information to patients, relatives, empathy, reassurance required; highly complex service information at 2. Knowledge, Training & Experience 3. Analytical & Judgemental Skills 4. Planning & Organisational Skills board level; presents specialist information to large groups of staff Advanced theoretical and practical knowledge Professional knowledge acquired through degree/diploma supplemented by specialist training, experience, short courses, to doctorate level or equivalent Highly complex facts or situations, requiring analysis, interpretation, comparison of a range of options. Reconciles inter and intra professional differences of opinion, judgements on complex clinical issues Plan and organise broad range of complex activities, requiring formulation, adjustment of plans, strategies/ formulate long-term strategic plans, involving uncertainly, impact across the whole organisation Responsible for service development, education, training in specialist field/ strategic planning for specialist service for region, impacting on external agencies 5. Physical Skills Highly developed physical skills, accuracy important, manipulation of fine tools, materials/ highly developed skills, high degree of precision Dexterity and accuracy required for e.g. intravenous injections, syringe pumps and infusions, insertion of catheters, removal of sutures/ undertakes suturing, endoscopies 6. Responsibility for Patient/Client Care 7. Responsibility for Policy/Service Development 8. Responsibility for Financial & Physical Resources 9. Responsibility for Human Resources 10. Responsibility for Information Resources 11. Responsibility for Research & Development Develop highly specialised programmes of care, care packages; provide highly specialised advice concerning care; accountable for direct delivery of sub-division of clinical care Develops & implements of specialist care packages; provide clinical advice in specialist area; accountable for specialist area of nursing/midwifery Responsible for policy implementation, development for a service Develops and implements policies for specialist service Safe use of equipment other than equipment used personally; authorised signatory, small payments/ authorised signatory; holds delegated budget Responsible for ensuring the safe use of specialist equipment and advising budget holders on best value purchasing; authorised signatory / delegated budget holder for e.g. training Teach, deliver core training, range of subjects/ teach, devise training and development programmes, major job responsibility Provides specialist training & education/ develops education programmes Record personally generated information Maintains patient/client records, records research results R&D activities as major job requirement/ co-ordinate, implement R & D activity as job requirement/ initiate, develop R & D activities Conducts research in specialist area/member of audit, research steering group developing trust wide research 12. Freedom to Act General policies, need to establish interpretation Responsible for establishing how policies should be interpreted for specialist area 13. Physical Effort Occasional moderate effort for several short periods Moves, manoeuvres patients 14. Mental Effort Frequent concentration, work pattern unpredictable Concentration for patient/client care; interruptions for urgent patient/client, staff needs 15. Emotional Effort 16. Working Conditions JE Score/Band Frequent distressing or emotional circumstances; occasional/ frequent highly distressing or emotional circumstances Works with critically and/or terminally ill patients/clients/ imparts unwelcome news to staff, patients/clients Occasional/frequent exposure to highly unpleasant conditions Body fluids, faeces, vomit, smells and foul linen Page 15 of 15 JE Score (b) (a) (c) (d) (b)(d)/ 3(a)(d) 3 (c) 4 (b) /4/ (d) 7 3 (a) 12 3 (a) (b) / (b)- 4(b) Band 8c

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