COMMUNICATION AND RELATIONSHIP SKILLS

Transcription

1 Band 5 Speech and Language Therapist This profile applies to posts which are suitable for newly and more recently qualified speech and language therapists. There is an assumption of a degree of autonomous practice at this level, as reflected in core responsibilities. The speech and language therapist is able to function independently and fulfils the core responsibilities identified. They may participate in S&LT students placements. They will supervise work of assistants and volunteers when required. They will be able to manage their own time and have an ability to prioritise task with minimal support They will manage a defined caseload independently. They will participate in the development and delivery of training to others. COMMUNICATION AND RELATIONSHIP SKILLS Contributes to clinical teams both multi-disciplinary and uni-disciplinary by discussing own and others input around clients needs ensuring a well co-ordinated care plan Able to communicate complex condition-related information from assessment to clients,carers families and multi disciplinary team members/other professionals Work closely with clients,carers, families and multi-disciplinary team members agreeing decision making relative to patient/client management Demonstrates empathy with clients,carers and families, ensuring that effective communication is achieved often where barriers to understanding exist Demonstrates excellent interpersonal skills KNOWLEDGE TRAINING AND EXPERIENCE Assurance of professional knowledge as evidenced by 1 st degree level qualification or equivalent Licence to practice evidenced by registration with HPC Able to identify areas for own personal/professional development evidenced by Personal Development Plan/Professional Portfolio developed within an appraisal framework Knowledge and adherence to national and local clinical guidelines ANALYTICAL AND JUDGEMENT SKILLS Negotiates with carers/clients/others around individual case management. Can recognize breakdown/conflict when occurs and seeks advice and support to resolve. Able to make appropriate clinical decisions following assessment, with access to a supervisor. Able to define a differential diagnosis on the basis of evidence from assessments To structure clear care plans based on best practice Able to reflect on practice with peers. Assists other S&LTs in provision of training to others. PLANNING AND ORGANISATIONAL SKILLS Manages own time and ability to prioritize tasks PHYSICAL SKILLS Demonstrates highly developed auditory and perceptual skills in the assessment, diagnosis and treatment of clients RESPONSIBILITY FOR PATIENT/CLIENT CARE Assesses, develops and implements SLT treatment

2 RESPONSIBILITY FOR POLICY OR SERVICE DEVT Awareness and adherence to service plan. Awareness of policies, professional standards and requirements and works in line with same. Ability to comment on proposed service /policy developments within discussion RESPONSIBILITY FOR FINANCIAL OR PHYSICAL REOURCES Monitor stock levels and order new equipment as appropriate Care and maintenance of equipment, ensuring standards of infection control and safety are maintained including those loaned to clients RESPONSIBILITY FOR HUMAN RESOURCES Contributes to the development of speech and language therapists assistants, students and volunteers Supervises work of assistants and volunteers Explains role of SLT to visitors, students, volunteers etc Participates in student placements as appropriate RESPONSIBILITY FOR INFORMATION RESOURCES Maintains up to date and accurate case notes in line with professional standards and local Trust policies Shares information with others, observing data protection guidelines Gathers activity data accurately and regularly and ensure provision of such information promptly within local Trust guidelines RESPONSIBILITY FOR RESEARCH AND DEVT Participates in Clinical Governance/Audit projects within local service May develop research activities Contributes to others research by providing data FREEDOM TO ACT Works independently accessing supervision within an Individual Performance review framework Accountable for own professional actions Recognises own professional boundaries and seeks advice and support when necessary. PHYSICAL EFFORT Able to move patients/clients e.g in wheelchairs Work within Lifting and Handling guidelines MENTAL EFFORT Able to maintain intense concentration in all aspects of patient management EMOTIONAL EFFORT Able to manage the emotional consequences of working with distressing conditions WORKING CONDITIONS

3 Encounters unpleasant/highly unpleasant conditions from time to time related to client contact Band 6 Specialist Speech and Language Therapist The speech and language therapist works independently with a developed level of clinical expertise and fulfils the core responsibilities identified. They may take full S&LT student placements and contribute to the assessment of students on examination placements. They will supervise assistants and volunteers when required and will contribute to the induction, mentoring and support of other more junior staff and may facilitate clinical case discussions as part of peer review. However, they will not be responsible for the supervision or line management of other qualified S&LTs. Staff within this band will still be gaining wider experience and expertise through clinical training and support. They are able to make independent decisions about caseload management. COMMUNICATION AND RELATIONSHIP SKILLS Contributes to clinical teams both multi-disciplinary and uni-disciplinary by discussing own and others input around clients needs ensuring a well co-ordinated care plan Able to communicate complex condition-related information from assessment to clients,carers families and multi disciplinary team members/other professionals Work closely with clients,carers, families and multi-disciplinary team members agreeing decision making relative to patient/client management Demonstrates empathy with clients,carers and families, ensuring that effective communication is achieved often where barriers to understanding exist Demonstrates excellent interpersonal skills Demonstrates developing negotiation skills and management of conflict KNOWLEDGE TRAINING AND EXPERIENCE Assurance of professional knowledge as evidenced by 1 st degree level qualification or equivalent Evidence of attendance on Specialist short courses Specialist knowledge underpinned by current evidence based practice Manages caseload independently Maintains own knowledge base;sigs reading.etc Licence to practice evidenced by registration with HPC Able to identify areas for own personal/professional development including specific objectives relating to clinical specialism Personal Development Plan/Professional Portfolio developed within an appraisal framework Knowledge and adherence to national and local clinical guidelines Contributing to the development of local clinical guidelines informed by evidence for clinical specialism ANALYTICAL AND JUDGEMENT SKILLS Negotiates with carers/clients/others around individual case management. Can recognize breakdown/conflict when occurs and generate potential solutions Using specialist knowledge to inform sound clinical judgments/decision making for case management Able to define a differential diagnosis on the basis of evidence from assessments

4 To structure clear care plans based on best practice Able to reflect on practice with peers and mentors. Able to adapt practice to meet individual circumstances Can reflect on practice both individually and with peers/mentors and identify own strengths and development needs PLANNING AND ORGANISATIONAL SKILLS Manages own time and ability to prioritize tasks. PHYSICAL SKILLS Demonstrates highly developed auditory and perceptual skills in the assessment, diagnosis and treatment of clients RESPONSIBILITY FOR PATIENT/CLIENT CARE Able to assess, develop and implement specialist programmes of care and treatment to meet the needs of clients Able to write reports, providing appropriate intervention and evaluating outcomes Negotiates with others around case management. Demonstrates skills in dealing with complex issues to generate appropriate strategies for caseload management RESPONSIBILITY FOR POLICY OR SERVICE DEVELOPMENT Contributes to inter-agency team building where appropriate e.g. with pre-school services, education, social services, private and voluntary sector contributing to team projects etc. Using Specialist knowledge to contribute to service/policy development Awareness and adherence to service plan. Awareness of policies, professional standards and requirements and works in line with same. RESPONSIBILITY FOR FINANCIAL OR PHYSICAL REOURCES Monitor stock levels and order new equipment as appropriate Care and maintenance of equipment, ensuring standards of infection control and safety are maintained including those loaned to clients RESPONSIBILITY FOR HUMAN RESOURCES Contributes to the development of speech and language therapists assistants, students and volunteers Supervises work of assistants and volunteers and provides advice and support Explains role of SLT to visitors, students, volunteers etc. Contributes to student placements as appropriate Provides mentoring to more junior S&LTs Assists in development of students from other professional groups as appropriate

5 Contributes to the teaching of other S&LTs and other staff. Contributes to the identification of training needs within the team Participates in specialist training in area of clinical expertise RESPONSIBILITY FOR INFORMATION RESOURCES Maintains up to date and accurate case notes in line with professional standards and local Trust policies Shares information with others, observing data protection guidelines Gathers activity data accurately and regularly and ensure provision of such information promptly within local Trust guidelines RESPONSIBILITY FOR RESEARCH AND DEVT Participates in and develops innovations in areas of risk management, quality standards setting and clinical effectiveness Participates in Clinical Governance/Audit projects within local service May develop research activities Contributes to others research by providing data Contributes to departmental audit/research design and implementation with support FREEDOM TO ACT Works independently accessing supervision within an Individual Performance Review framework Accountable for own professional actions Recognises own professional boundaries and seeks advice and support when necessary. Manages caseload independently PHYSICAL EFFORT Able to move patients/clients e.g in wheelchairs Work within Lifting and Handling guidelines MENTAL EFFORT Able to maintain intense concentration in all aspects of patient management EMOTIONAL EFFORT Able to manage the emotional consequences of working with distressing conditions WORKING CONDITIONS Encounters unpleasant/highly unpleasant conditions from time to time related to client contact Band 7 Highly Specialist Speech and Language Therapist The speech and language therapist COMMUNICATION AND RELATIONSHIP SKILLS

6 possesses a well developed level of clinical expertise and fulfills the core responsibilities identified. They will take full S&LT student placements including examination placements. They will supervise assistants and volunteers when required and will contribute to the induction, supervision and support of other more junior staff and will facilitate clinical case discussions as part of peer review on an individual or small group basis. However, they will not be responsible for the performance or line management of other qualified S&LTs. Staff within this band will be skilled practitioners, although continuing to maintain and develop relevant expertise through clinical training. They will demonstrate advanced clinical skills in an area of clinical work and/or will be leading on the co-ordination and development of a particular aspect of the clinical service or team within which they are working. They will be able to demonstrate evidence of innovation within their own team. They are called upon to provide 2 nd opinions colleagues They may Contributes to clinical teams both multi-disciplinary and uni-disciplinary by discussing own and others input around clients needs ensuring a well co-ordinated care plan Able to communicate complex condition-related information from assessment to clients,carers families and multi disciplinary team members/other professionals Work closely with clients,carers, families and multi-disciplinary team members agreeing decision making relative to patient/client management Demonstrates empathy with clients,carers and families, ensuring that effective communication is achieved often where barriers to understanding exist Demonstrates excellent interpersonal skills Demonstrates established negotiation skills and management of conflict KNOWLEDGE TRAINING AND EXPERIENCE Assurance of professional knowledge as evidenced by 1 st degree level qualification or equivalent Evidence of attendance on Specialist short courses and advanced training up to Masters level equivalent in particular clinical specialist areas Highly specialist knowledge underpinned by current evidence based practice Manages complex and specialist caseload independently Maintains own knowledge base;sigs reading.etc Licence to practice evidenced by registration with HPC Able to make highly specialist clinical decisions following assessment of complex cases Able to identify areas for own personal/professional development including specific objectives relating to clinical specialism Personal Development Plan/Professional Portfolio developed within an appraisal framework Knowledge and adherence to national and local clinical guidelines Contributing to the development of local clinical guidelines informed by evidence for clinical specialism ANALYTICAL AND JUDGEMENT SKILLS Negotiates with carers/clients/others around individual case management. Can recognize breakdown/conflict when occurs and generate potential solutions Using specialist knowledge to inform sound clinical judgments/decision making for complex cases Able to define a differential diagnosis on the basis of evidence from assessments To structure clear care plans based on best practice Able to reflect on practice with peers and mentors. Able to adapt practice to meet individual circumstances Can reflect on practice both individually and with peers/mentors and identify own strengths and development needs

7 opinions colleagues. They may assume a lead role in development and delivery of teaching/training programmes to others. PLANNING AND ORGANISATIONAL SKILLS Manages own time and ability to prioritize tasks Plans and implements training to others. PHYSICAL SKILLS Demonstrates highly developed auditory and perceptual skills in the assessment, diagnosis and treatment of clients RESPONSIBILITY FOR PATIENT/CLIENT CARE Able to assess, develop and implement highly specialist programmes of care and treatment to meet the needs of clients Able to write reports, providing appropriate intervention and evaluating outcomes Negotiates with others around case management in complex cases. Demonstrates skills in dealing with complex issues to generate appropriate strategies for caseload management RESPONSIBILITY FOR POLICY OR SERVICE DEVELOPMENT Contributes to inter-agency team building and policy development where appropriate e.g. with pre-school services, education, social services, private and voluntary sector contributing to team projects etc. Takes a delegated lead on development of a particular team objective or project in liaison with peers Develops care protocols for specific clinical issues Assumes delegated responsibilities within project framework e.g collecting data, compiling draft reports etc. Advises line manager on issues of service delivery including shortfalls, service pressures etc. Using Specialist knowledge to contribute to service/policy development Awareness and adherence to service plan. Performs delegated clinical tasks as directed by line manager. Awareness of policies, professional standards and requirements and works in line with same. Develops specialized care protocols/packages of care relating to specialist area in liaison with team leader RESPONSIBILITY FOR FINANCIAL OR PHYSICAL REOURCES Monitor stock levels and order new equipment as appropriate Care and maintenance of equipment, ensuring standards of infection control and safety are maintained including those loaned to clients RESPONSIBILITY FOR HUMAN RESOURCES Facilitate the development of others problem solving/negotiation skills within peer review/support context Contributes to the development of speech and language therapists assistants, students and volunteers Provides advice and support to volunteers and assistants

8 Explains role of SLT to visitors, students, volunteers etc. May assumes delegated responsibility for co-ordinating student placements within own team Provides student placements as appropriate Provides mentoring and support to more junior S&LTs and provides second opinions to more junior colleagues in highly specialist area Provides full S&LT student placements Assists in development of students from other professional groups as appropriate Contributes to the teaching of other S&LTs and other staff. Contributes to the identification of training needs within the team Provides specialist training and presentations in area of clinical expertise RESPONSIBILITY FOR INFORMATION RESOURCES Maintains up to date and accurate case notes in line with professional standards and local Trust policies Shares information with others, observing data protection guidelines Gathers activity data accurately and regularly and ensure provision of such information promptly within local Trust guidelines RESPONSIBILITY FOR RESEARCH AND DEVT To initiate and undertake research/audit particularly in area of expertise Participates in and develops innovations in areas of risk management, quality standards setting and clinical effectiveness Participates in Clinical Governance/Audit projects within local service Contributes to others research by providing data May represent team within multi-disciplinary systems of CG within an organisation, in close liaison with line manager FREEDOM TO ACT A lead in a specialist area Monitors own highly specialist service delivery and reports to line manager re: project progress Works independently accessing supervision within an Individual Performance Review framework Accountable for own professional actions Recognises own professional boundaries and seeks advice and support when necessary. Manages complex caseload independently PHYSICAL EFFORT Able to move patients/clients e.g in wheelchairs Work within Lifting and Handling guidelines

9 MENTAL EFFORT Able to maintain intense concentration in all aspects of patient management EMOTIONAL EFFORT Use of counselling skills with patients/clients with highly complex needs where appropriate Able to manage the emotional consequences of working with distressing conditions WORKING CONDITIONS Encounters unpleasant /highly unpleasant conditions from time to time related to client contact Band 8a Principal Speech and Language Therapist The Speech and Language Therapist within this band will be a highly skilled practitioner and have undertaken significant postgraduate training in a specialist clinical area and be involved in policy development for that area. They will assume delegated responsibility for the supervision and appraisal of colleagues in liaison with their line manager. They will be responsible for providing an autonomous and systematic service provision within a specific, delegated area of the service. This may involve setting priorities, initiating developments, carrying out audit or research in discussion with their line manager. They will undertake advisory work and provide second COMMUNICATION AND RELATIONSHIP SKILLS Contributes to clinical teams both multi-disciplinary and uni-disciplinary by discussing own and others input around clients needs ensuring a well co-ordinated care plan Able to communicate complex condition-related information from assessment to clients,carers families and multi disciplinary team members/other professionals Work closely with clients,carers, families and multi-disciplinary team members agreeing decision making relative to patient/client management Demonstrates empathy with clients,carers and families, ensuring that effective communication is achieved often where barriers to understanding exist Demonstrates excellent interpersonal skills Demonstrates established negotiation skills and management of conflict Advises other colleagues on management of a range of clinical issues Excellent formal presentation skills Promotes multi-disciplinary and inter-agency liaison and collaborative practice KNOWLEDGE TRAINING AND EXPERIENCE Assurance of professional knowledge as evidenced by 1 st degree level qualification or equivalent Evidence of attendance on Specialist short courses and advanced training up to Masters level equivalent in particular clinical specialist areas Highly specialist knowledge underpinned by current evidence based practice Manages complex and specialist caseload independently Maintains own knowledge base;sigs reading.etc Licence to practice evidenced by registration with HPC

10 opinions within their area of specialty. They will lead on specific clinical specialism/areas within their teams. Able to make highly specialist clinical decisions following assessment of complex cases Able to identify areas for own personal/professional development including specific objectives relating to clinical specialism Personal Development Plan/Professional Portfolio developed within an appraisal framework Knowledge and adherence to national and local clinical guidelines Leading the development of local clinical guidelines informed by evidence for clinical specialism ANALYTICAL AND JUDGEMENT SKILLS Negotiates with carers/clients/others around individual case management. Can recognize breakdown/conflict when occurs and generate potential solutions Using specialist knowledge to inform sound clinical judgments/decision making for complex cases Able to define a differential diagnosis on the basis of evidence from assessments To structure clear care plans based on best practice Able to reflect on practice with peers and mentors. Able to adapt practice to meet individual circumstances Can reflect on practice both individually and with peers/mentors to identify own strengths and development needs PLANNING AND ORGANISATIONAL SKILLS Manages own time and ability to prioritize tasks Plans and implements training to others. Co-ordinates a range of both uni and multi-disciplinary teaching programmes Defining and managing the work programme for a clinical area PHYSICAL SKILLS Demonstrates highly developed auditory and perceptual skills in the assessment, diagnosis and treatment of clients Provides specialist clinical/technical skills for interpretative assessment techniques and interventions RESPONSIBILITY FOR PATIENT/CLIENT CARE Able to assess, develop and implement highly specialist programmes of care and treatment to meet the needs of clients Able to write reports, providing appropriate intervention and evaluating outcomes Negotiates with others around case management in complex cases. Demonstrates skills in dealing with complex issues to generate appropriate strategies for caseload management RESPONSIBILITY FOR POLICY OR SERVICE DEVELOPMENT

11 Contributes to inter-agency team building and policy development where appropriate e.g. with pre-school services, education, social services, private and voluntary sector,leading team projects etc. Lead on planning, developing policies, reviewing and auditing service delivery Facilitates and Co-ordinates team objectives and projects Develops care protocols for specific clinical issues Monitors own and others service delivery and reports to line manager Advises line manager on issues of service delivery including shortfalls, service pressures, clinical evidence base, guidelines etc. Using Specialist knowledge to contribute to service/policy development Awareness and adherence to service plan. Awareness of policies, professional standards and requirements and works in line with same. Leads on the development of specialized care protocols/packages of care relating to range of issues RESPONSIBILITY FOR FINANCIAL OR PHYSICAL REOURCES Authorises small payments Monitor stock levels and order new equipment as appropriate Care and maintenance of equipment, ensuring standards of infection control and safety are maintained including those loaned to clients RESPONSIBILITY FOR HUMAN RESOURCES May provide day to day management of other Speech and Language Therapists, assistants and students May assist with recruitment of new staff Facilitates the development of others problem solving/negotiation skills within peer review/support context, CPD and appraisal Promoting reflective practice Contributes to the development of speech and language therapists assistants, students and volunteers Provides support and appraisal to other S&LTs Induction of new staff in team Provides advice and support to volunteers and assistants Oversees co-ordination of placements within own team Provides student placements as appropriate Provides mentoring and support to other S&LTs and provides second opinions Provides full S&LT student placements Assists in development of students from other professional groups as appropriate Leads on the teaching of other S&LTs and other staff within specialist team. Contributes to the identification of training needs within the team

12 Co-ordinates development of others within CPD team profile Provides specialist training and presentations in area of clinical expertise RESPONSIBILITY FOR INFORMATION RESOURCES Maintains up to date and accurate case notes in line with professional standards and local Trust policies Shares information with others, observing data protection guidelines Gathers activity data accurately and regularly and ensure provision of such information promptly within local Trust guidelines RESPONSIBILITY FOR RESEARCH AND DEVT To initiate and regularly undertake research/audit particularly in area of expertise Develops innovations in areas of risk management, quality standards setting and clinical effectiveness in relation to specific clinical areas. Participates in Clinical Governance/Audit projects within local service Contributes to others research by providing data May represent team within multi-disciplinary systems of CG within an organisation, in close liaison with line manager FREEDOM TO ACT Leads in a specialist area Monitors own highly specialist service delivery and reports to line manager re: project progress Works independently accessing supervision within an Individual Performance Review framework Accountable for own professional actions Recognises own professional boundaries and seeks advice and support when necessary. Manages highly complex caseload independently Contributing to the Interpretation and implementation of national and local policy relevant to specialist clinical area PHYSICAL EFFORT Able to move patients/clients e.g in wheelchairs Work within Lifting and Handling guidelines MENTAL EFFORT Able to maintain intense concentration in all aspects of patient management EMOTIONAL EFFORT Use of counseling skills with patients/clients with highly complex needs where appropriate Able to manage the emotional consequences of working with distressing conditions WORKING CONDITIONS Encounters unpleasant/highly unpleasant conditions from time to time related to client contact

13 Band 8b/c Consultant Speech and Language Therapist The post requires a Speech and Language Therapist with a very high level of clinical expertise, providing a service within a tertiary setting or into a service which is provided on a regional or national basis and which has a regional/ national reputation for excellence. This post will also carry many of the responsibilities identified above in the Principal profile. The postholder would have very highly developed clinical skills recognized within their region. They offer training at Regional and/or National Level on a uni-disciplinary or multi-disciplinary basis. May be involved in research at specialty level and provide advisory expertise at regional/national level. Likely to be published and may provide high level training on under-graduate and postgraduate training courses. This job profile should not be confused with the regionally developed Consultant AHP grading descriptors. COMMUNICATION AND RELATIONSHIP SKILLS Contributes to clinical teams at expert level both multi-disciplinary and uni-disciplinary by discussing own and others input around clients needs ensuring a well co-ordinated care plan Provides clinical expertise on a Regional/National basis, including direct clinical input and/or second opinions Able to communicate complex condition-related information from assessment to clients, carers, families and multi disciplinary team members/other professionals Work closely with clients, carers, families and multi-disciplinary team members agreeing decision making relative to patient/client management Demonstrates empathy with clients, carers and families, ensuring that effective communication is achieved where barriers to understanding often exist Demonstrates excellent interpersonal skills Demonstrates established negotiation skills and management of conflict Advises other colleagues on management of a range of highly specialist clinical issues, usually within a tertiary setting on a regional or national basis Excellent formal presentation skills Promotes multi-disciplinary and inter-agency liaison and collaborative practice KNOWLEDGE TRAINING AND EXPERIENCE Assurance of highly specialist professional knowledge as evidenced by higher degree level qualification or equivalent up to PhD Evidence of attendance on Specialist short courses and advanced training up to PhD/Masters level equivalent in particular clinical specialist areas Highly specialist knowledge underpinned by current evidence based practice Manages complex and specialist caseload independently Maintains own knowledge base; research/audit, SIGs reading.etc Licence to practice evidenced by registration with HPC Able to make highly specialist clinical decisions following assessment of complex cases and provide second opinions/direct the clinical input of others Able to identify areas for own personal/professional development including specific objectives relating to clinical specialism Personal Development Plan/Professional Portfolio developed within an appraisal framework

14 Knowledge and adherence to national and local clinical guidelines Leading the development of local clinical guidelines informed by evidence for clinical specialism ANALYTICAL AND JUDGEMENT SKILLS Negotiates with carers/clients/others around individual case management. Can recognize breakdown/conflict when occurs and generate potential solutions Using highly specialist knowledge to inform sound clinical judgments/decision making for complex cases and advises others on same Able to define a differential diagnosis on the basis of evidence from highly specialist assessments To structure clear care plans based on best practice Able to reflect on practice with peers and mentors. Able to adapt practice to meet individual circumstances Can reflect on practice both individually and with peers/mentors to identify own strengths and development needs PLANNING AND ORGANISATIONAL SKILLS Manages own time and ability to prioritize tasks Plans and implements training to others. Co-ordinates a range of both uni and multi-disciplinary teaching programmes Defining and managing the work programme for a clinical area often across more than one organization in an advisory capacity PHYSICAL SKILLS Demonstrates highly developed auditory and perceptual skills in the assessment, diagnosis and treatment of clients Provides highly specialist clinical/technical skills for interpretative assessment techniques and interventions RESPONSIBILITY FOR PATIENT/CLIENT CARE Able to assess, develop and implement highly specialist programmes of care and treatment to meet the needs of clients Able to write reports, providing appropriate intervention and evaluating outcomes Negotiates with others around case management in highly complex cases. Demonstrates skills in dealing with complex issues to generate appropriate strategies for caseload management for self and others RESPONSIBILITY FOR POLICY OR SERVICE DEVELOPMENT Contributes to inter-agency team building where appropriate e.g. with pre-school services, education, social services, private and voluntary sector,leading team projects etc. Lead on planning, developing policies, reviewing and auditing service delivery in clinical specialism

15 Facilitates and Co-ordinates team objectives and projects Develops care protocols for specific clinical issues Monitors own and others service delivery and reports to line manager Advises line manager on issues of service delivery including shortfalls, service pressures etc. Using Specialist knowledge to contribute to service/policy development Awareness and adherence to service plan. Awareness of policies, professional standards and requirements and works in line with same. Leads on the development of specialized care protocols/packages of care relating to range of issues RESPONSIBILITY FOR FINANCIAL OR PHYSICAL REOURCES Authorises small payments Monitor stock levels and order new equipment as appropriate Care and maintenance of equipment, ensuring standards of infection control and safety are maintained RESPONSIBILITY FOR HUMAN RESOURCES May provide day to day management of other Speech and Language Therapists, assistants and students May assist with recruitment of new staff, particularly as an external assessor for Specialist Clinical staff in other organisations Facilitates the development of others problem solving/negotiation skills within peer review/support context, CPD and appraisal Promoting reflective practice Contributes to the development of speech and language therapists assistants, students and volunteers Provides support and appraisal to other S&LTs Induction of new staff in team Provides advice and support to volunteers and assistants Oversees co-ordination of placements within own team Provides student placements as appropriate Provides mentoring and support to other S&LTs and provides second opinions Provides full S&LT student placements Assists in development of students from other professional groups as appropriate Contributes to the teaching of other S&LTs and other staff. Contributes to the identification of training needs within the team Co-ordinates development of others within CPD team profile Provides specialist training and presentations in area of clinical expertise RESPONSIBILITY FOR INFORMATION RESOURCES

16 Maintains up to date and accurate case notes in line with professional standards and local Trust policies Shares information with others, observing data protection guidelines Gathers activity data accurately and regularly and ensure provision of such information promptly within local Trust guidelines RESPONSIBILITY FOR RESEARCH AND DEVT To initiate and undertake research/audit particularly in area of expertise To present audit/research at regional, national and/or international level To act as peer reviewer for publications by other authors in area of clinical specialism To publish in peer review journals To maintain up to date evidence based practice in clinical specialism and to disseminate this to colleagues and peers within and outside of employing Trust Develops innovations in areas of risk management, quality standards setting and clinical effectiveness in relation to specific clinical areas. Participates in Clinical Governance/Audit projects within local service Proposes relevant research/audit for other services in own area of highly specialist clinical work Contributes to others research by providing data May represent team within multi-disciplinary systems of CG within an organisation, in close liaison with line manager FREEDOM TO ACT Leads in a highly specialist area Monitors own highly specialist service delivery and reports to line manager re: project progress Works independently accessing supervision within an Individual Performance Review framework Accountable for own professional actions Recognises own professional boundaries and seeks advice and support when necessary. Manages highly complex caseload independently Contributing to the Interpretation and implementation of national and local policy relevant to specialist clinical area leads on policy development across organizations PHYSICAL EFFORT Able to move patients/clients e.g in wheelchairs Work within Lifting and Handling guidelines MENTAL EFFORT Able to maintain intense concentration in all aspects of patient management EMOTIONAL EFFORT Use of counselling with patients/clients with highly complex needs where appropriate

17 Able to manage the emotional consequences of working with distressing conditions WORKING CONDITIONS Encounters unpleasant/highly unpleasant conditions from time to time related to client contact Band 8a Professional Manager The Speech and Language Therapist will be a Team Leader of a clinical or client service group. Typical examples will be a manager of S&LT services to under 5 s; Education Services; a Special Needs team; a small team based within a hospital department; team manager for a S&LT service to a specific client group, e.g. adults with learning disabilities. They will be responsible for ensuring the supervision and appraisal of more junior colleagues takes place, either in person or by delegating this responsibility to a senior colleague within their team. They will be responsible for providing an autonomous and systematic service provision to an identifiable client group. This will involve setting priorities, initiating developments, carrying out audit or research in discussion with their line manager. Th d l t d COMMUNICATION AND RELATIONSHIP SKILLS Communicates highly complex, sensitive information about the service area to staff and senior managers and across agencies Negotiation and influencing skills relative to specific service area Able to communicate complex information from assessment to clients, families and multi disciplinary team members/other professionals Work closely with clients, families and multi-disciplinary team members agreeing decision making relative to patient/client management Demonstrates excellent interpersonal skills Demonstrates established negotiation skills and management of conflict Advises other colleagues on management of a range of clinical and service issues Excellent formal presentation skills Promotes multi-disciplinary and inter-agency liaison and collaborative practice KNOWLEDGE TRAINING AND EXPERIENCE Assurance of professional knowledge as evidenced by 1 st degree level qualification or equivalent Evidence of attendance on Specialist short courses and advanced training up to Masters level equivalent in particular clinical specialist areas Highly specialist knowledge underpinned by current evidence based practice Manages complex and specialist caseload independently Maintains own knowledge base;sigs reading.etc Licence to practice evidenced by registration with HPC Able to make highly specialist clinical decisions following assessment of complex cases Able to identify areas for own personal/professional development including specific objectives relating to clinical specialism Personal Development Plan/Professional Portfolio developed within an appraisal framework Knowledge and adherence to national and local clinical guidelines Leading the development of local clinical guidelines informed by evidence for clinical specialism ANALYTICAL AND JUDGEMENT SKILLS

18 They may manage delegated elements of budgets, for example, for equipment and support resources. They will represent the S&LT service and the Trust for issues relating to their particular area of responsibility. They will work with other agencies, e.g. Education, Social Services, Private and Voluntary sector, particularly on joint operational developments, as well as some elements of strategic development, in liaison with their line manager. Negotiates with carers/clients/others around individual case management. Can recognize breakdown/conflict when occurs and generate potential solutions Using specialist knowledge to inform sound clinical judgments/decision making for complex cases Able to define a differential diagnosis on the basis of evidence from assessments To structure clear care plans based on best practice Able to reflect on practice with peers and mentors. Able to adapt practice to meet individual circumstances Can reflect on practice both individually and with peers/mentors to identify own strengths and development needs Ensures appropriate skill mix within team is maintained PLANNING AND ORGANISATIONAL SKILLS Manages own time and ability to prioritize tasks Plans and implements training to others. Co-ordinates a range of both uni and multi-disciplinary teaching programmes Defining and managing the work programme for a clinical area PHYSICAL SKILLS Demonstrates highly developed auditory and perceptual skills in the assessment, diagnosis and treatment of clients Provides specialist clinical/technical skills for interpretative assessment techniques and interventions RESPONSIBILITY FOR PATIENT/CLIENT CARE Able to assess, develop and implement highly specialist programmes of care and treatment to meet the needs of clients Able to write reports, providing appropriate intervention and evaluating outcomes Negotiates with others around case management in complex cases. Demonstrates skills in dealing with complex issues to generate appropriate strategies for caseload management RESPONSIBILITY FOR POLICY OR SERVICE DEVELOPMENT Negotiates with others around service issues, caseload management, initially deals with complaints about service Assists with response to complaints Contributes to inter-agency team building where appropriate e.g. with pre-school services, education, social services, private and voluntary sector,leading team projects etc. Lead on planning, developing policies, reviewing and auditing service delivery Facilitates and Co-ordinates team objectives and projects

19 Develops care protocols for specific clinical issues Monitors own and others service delivery and reports to line manager Advises line manager on issues of service delivery including shortfalls, service pressures etc. Using Specialist knowledge to contribute to service/policy development Awareness and adherence to service plan. Awareness of policies, professional standards and requirements and works in line with same. Leads on the development of specialized care protocols/packages of care relating to range of issues RESPONSIBILITY FOR FINANCIAL OR PHYSICAL RESOURCES Authorises small payments Monitor stock levels and order new equipment as appropriate Care and maintenance of equipment, ensuring standards of infection control and safety are maintained RESPONSIBILITY FOR HUMAN RESOURCES Provides day to day management of other Speech and Language Therapists, assistants and students Ensures appraisal systems are in place for all staff within team Ensures all new staff in team receive appropriate induction May assist with recruitment of new staff Facilitates the development of others problem solving/negotiation skills within peer review/support context, CPD and appraisal Promoting reflective practice Contributes to the development of speech and language therapists assistants, students and volunteers Provides support and appraisal to other S&LTs Induction of new staff in team Provides advice and support to volunteers and assistants Oversees co-ordination of placements within own team Provides student placements as appropriate Provides mentoring and support to other S&LTs and provides second opinions Provides full S&LT student placements Assists in development of students from other professional groups as appropriate Contributes to the teaching of other S&LTs and other staff. Contributes to the identification of training needs within the team Co-ordinates development of others within CPD team profile Provides specialist training and presentations in area of clinical expertise RESPONSIBILITY FOR INFORMATION RESOURCES

20 Band 8b/c Professional manager Maintains up to date and accurate case notes in line with professional standards and local Trust policies Shares information with others, observing data protection guidelines Gathers activity data accurately and regularly and ensure provision of such information promptly within local Trust guidelines RESPONSIBILITY FOR RESEARCH AND DEVT To initiate and undertake research/audit particularly in area of expertise Develops innovations in areas of risk management, quality standards setting and clinical effectiveness in relation to specific clinical areas. Participates in Clinical Governance/Audit projects within local service Contributes to others research by providing data May represent team within multi-disciplinary systems of CG within an organisation, in close liaison with line manager FREEDOM TO ACT Leads in a specialist area Monitors own highly specialist service delivery and reports to line manager re: project progress Works independently accessing supervision within an Individual Performance Review framework Accountable for own professional actions Recognises own professional boundaries and seeks advice and support when necessary. Manages highly complex caseload independently Contributing to the Interpretation and implementation of national and local policy relevant to specialist clinical area PHYSICAL EFFORT Able to move patients/clients e.g in wheelchairs Work within Lifting and Handling guidelines MENTAL EFFORT Able to maintain intense concentration in all aspects of patient management EMOTIONAL EFFORT Use of counselling with patients/clients with highly complex needs where appropriate Able to manage the emotional consequences of working with distressing conditions WORKING CONDITIONS Encounters unpleasant conditions from time to time related to client contact

21 A manager of a major part of a diverse Speech and Language Therapy service within an organization which covers a number of clinical areas, eg. Children s Services or Adult Services. The Speech and Language Therapist has a delegated responsibility to inform and implement strategic development of the teams within their element of the service and to ensure that these teams work collaboratively together to ensure integrated care of all clients. They may have delegated management of resources and will monitor contracts for the services under their management. They will be responsible for ensuring that robust systems for clinical governance are in place across all teams under their management. They will be responsible for managing an autonomous and systematic service provision to a range of client groups. This will involve setting priorities, initiating developments, overseeing audit or research within and across teams. They manage delegated elements of staffing budgets and hold authorised signatory status on behalf COMMUNICATION AND RELATIONSHIP SKILLS Communicates highly complex, sensitive information about the service area to staff and senior managers and across agencies, may present to Board/PEC level Highly developed negotiation and influencing skills relative to a range of services/teams Deals with complaints both verbal and written- preparing initial draft responses Able to communicate complex information from clinical records, assessments to clients, families and multi disciplinary team members/other professionals and non-clinical staff up to Director level Work closely with clients, families and multi-disciplinary team members agreeing decision making relative to patient/client management Demonstrates excellent interpersonal skills Demonstrates established problem solving skills and management of conflict Advises other colleagues on management of a range of clinical and service issues Excellent formal presentation skills Promotes multi-disciplinary and inter-agency liaison and collaborative practice KNOWLEDGE TRAINING AND EXPERIENCE Assurance of professional knowledge as evidenced by 1 st degree level qualification or equivalent Management training and experience e.g employment law, managing absence, grievance and disciplinary Knowledge of HR policies and procedures of own organization Knowledge of National and Local Strategy and policy drivers relevant to span of management Ability to interpret National and Local policies, identify implications for own service areas and adapt as appropriate Evidence of attendance on Specialist short courses and advanced training up to Masters level equivalent in particular clinical and/or managerial areas May manage complex and specialist caseload independently Maintains own knowledge base Licence to practice evidenced by registration with HPC Able to make decisions regarding prioritisation of resources across a range of service areas Able to identify areas for own personal/professional development including specific objectives relating to management and/or clinical role Personal Development Plan/Professional Portfolio developed within an appraisal framework Knowledge and adherence to national and local clinical guidelines Coordinating the development of local clinical guidelines informed by evidence for a range of clinical specialisms ANALYTICAL AND JUDGEMENT SKILLS

22 authorised signatory status on behalf of their line manager. They will represent the S&LT service and the Trust for issues relating to their particular areas of responsibility. They will work with other agencies, e.g. Education, Social Services, Private and Voluntary sector, particularly on joint strategic development, in liaison with their line manager. They will be involved in negotiating new contracts for the development of services under their management. They will represent the Speech and Language Therapy Services Manager as appropriate. They may lead services across more than one organisation, providing both management and professional leadership to staff across organisational boundaries Or, The Speech and Language Therapist has autonomous management of a team of Speech and Language Therapists, for example within an Acute Trust, but has sole responsibility for the strategic and ti l d l t f th Negotiates with a range of agencies presenting complex facts and statistics requiring interpretation and analysis Recognizes breakdown/conflict when occurs and generates potential solutions Using specialist knowledge to inform sound clinical judgments/decision making for complex cases and advises staff on these Structures clear care plans based on best practice Able to reflect on practice with peers and mentors. Able to adapt practice to meet individual circumstances Can reflect on practice both individually and with peers/mentors to identify own strengths and development needs Ensures appropriate skill mix within team is maintained Can reflect on practice both individually and with peers and identify own strengths and development needs PLANNING AND ORGANISATIONAL SKILLS Manages own time and ability to prioritize tasks Plans and implements training to others. Formulates business plans in liaison with line manager for elements of service under management Ensures operational plans are in place for workforce issues vacancies, maternity leave etc. in service areas under management Co-ordinates a range of both uni and multi-disciplinary teaching programmes Defining and managing the work programme for a clinical area PHYSICAL SKILLS Demonstrates highly developed auditory and perceptual skills in the assessment, diagnosis and treatment of clients RESPONSIBILITY FOR PATIENT/CLIENT CARE Able to assess, develop and implement highly specialist programmes of care and treatment to meet the needs of clients Able to write service reports, providing appropriate information, proposed action plans and evaluating outcomes in liaison with line manager Negotiates with others around case management in complex cases. Demonstrates skills in dealing with complex issues to generate appropriate strategies for caseload management RESPONSIBILITY FOR POLICY OR SERVICE DEVELOPMENT Delegated responsibility for Child or Vulnerable Adult Protection in service area Co-ordinates all teams objectives and projects and ensures seamlessness of service across service areas