Contents Profile Title AfC Banding Page Clinical Support Worker Nursing (Community) Clinical Support Worker Higher Level Nursing (Community) Nurse Associate Practitioner (Community) Nurse Associate Practitioner (Mental Health) 5 Nursery Nurse (Community) 6 Nurse (Community) 5 7 Nurse (GP Practice) 5 8 Nurse (Schools) 5 9 Nurse (Learning Disabilities) 5 0 Nurse Team Leader (Learning Disabilities) 6 Nurse Specialist (Learning Disabilities) 6 Nurse Specialist (Community) 6 Nurse Specialist (GP Practice) 6 Nurse Specialist (Schools) 6 5 Nurse Specialist (Special Schools) 6 6 Nurse Specialist Mental Health (Community) 6 7 Nurse Team Manager (Mental Health, Community) 7 8 Nurse Team Manager (Schools) 7 9 Nurse Team Manager (Learning Disabilities) 7 0 Nurse Advanced (Schools) 7 Nurse Team Manager (Community)** 7 Modern Matron Community* 8a Notes: *New in October 006 ** Nurse Team Manager (Community) profile has been revised in the light of recommendations made by the JEG Consistency Monitoring Group, when concerns were expressed that inappropriate matching had been taking place in some sites in respect of jobs that had little or no formal managerial (as opposed to supervisory) responsibility. Profile Group have moved the job statement relating to managerial responsibility to the forefront and deleted level for the HR factor, which is now a level only. It is recommended that sites revisit matched outcomes to this profile to ensure they are correct.
Clinical Support Worker Nursing (Community). Undertakes personal care duties for patients in the community. Records patient information. Communication & Provide and receive routine information requiring tact or persuasive skills; barriers to understanding Exchanges factual information with patients using persuasion, reassurance, tact, empathy; may overcome barriers to understanding eg patient has physical (a). Knowledge, Training & or mental disabilities. Range of work procedures requiring job training Knowledge of personal care and related procedures, NVQ or equivalent experience.. Analytical & Judgements involving facts or situations, some requiring analysis Make judgements on patient s conditions and take appropriate action.. Planning & Organise own day to day work tasks or activities Plans own work activities. 5. Physical Skills Physical skills obtained through practice Hand eye co-ordination for using test equipment, manoeuvring wheelchairs, bathing patients using hoists, driving. Provides personal care to patients/clients Undertakes personal care duties eg bathing, toileting. Follow policies in own role, may be required to comment Follows policies, may participate in discussions on proposed changes to procedures. Personal duty of care in relation to equipment, resources/handle cash, valuables; safe use of equipment other than equipment used personally Careful use of equipment/handles patients personal possessions/ensure equipment used by patients eg hoists is safe and properly used. Human Demonstrate own duties to new or less experienced employees Demonstrates own duties to new staff, agency staff. 0. Responsibility for Information Contributes to updating of patient records.. Responsibility for Undertake surveys or audits as necessary to own work Occasionally participates in audits, surveys, research and development activities.. Freedom to Act Standard operating procedures, someone available for reference Acts on own imitative in delivering patient care in the community, supervision available.. Physical Effort Frequent moderate/occasional intense effort for several short periods Turns, manoeuvres patients using aids/bathes patients.. Mental Effort Frequent concentration, work pattern predictable Concentration is required when carrying out personal care procedures, driving, follows routine. 5. Emotional Effort Occasional/frequent distressing or emotional circumstances Care of the terminally ill, chronically sick, disabled patients, patient deaths. 6. Working Conditions Occasional/frequent highly unpleasant conditions Smell, noise, dust/body fluids, faeces, vomit, emptying bed pans and urinals, catheter bags. (a) /(a)(b) (c)/(c) (a) (a) (a) (b) (b) JE Score/Band JE Score: 86 Band
Clinical Support Worker Higher Level Nursing (Community). Undertakes a range of delegated patient duties in the community. Records patient information. Communication & Provide and receive routine information requiring tact or persuasive skills; barriers to understanding Exchanges factual information with patients using persuasion, reassurance, tact, empathy; may overcome barriers to understanding, eg patient has (a). Knowledge, Training &. Analytical & physical or mental disabilities. Range of work procedures and practices, base level of theoretical knowledge Knowledge of care and related procedures, clinical observations, NVQ or equivalent experience. Judgements involving facts or situations, some requiring analysis Assess patient s condition through basic test results, assess comfort of patients, instigate emergency procedures.. Planning & Plan and organise straightforward activities, some ongoing Plans home visits. 5. Physical Skills Physical skills obtained through practice/highly developed physical skills, accuracy important; manipulation of fine tools, materials Hand eye co-ordination required when using test equipment manipulating wheelchairs, driving/takes bloods, carries out venipuncture. Implement clinical care/care packages Undertakes a range of range of clinical care duties, record patient observations, collect specimens. Follow policies in own role, may be required to comment Follows policies, may participate in discussions on proposed changes to procedures. Personal duty of care in relation to equipment/handle cash, valuables/safe use of equipment other than equipment used personally Careful use of equipment/handles patients personal possessions; ensure equipment used by patients eg hoist is safe and properly used. Human Demonstrate own activities to new or less experienced employees Demonstrates duties to new starters, agency staff. 0. Responsibility for Record personally generated observations Information Contributes to updating patient records.. Responsibility for Undertake surveys or audits as necessary to own work Occasionally participates in audit surveys, research and development activities.. Freedom to Act Standard operating procedures, some available for reference Acts on own initiative in delivering patient care in the community, supervision available.. Physical Effort Frequent moderate/occasional intense effort for several short periods Manoeuvre patients using hoists and wheelchairs/bathe patients.. Mental Effort Frequent concentration, work pattern predictable Concentration is required when carrying out clinical and personal care procedures, driving, follows routine. 5. Emotional Effort Occasional/frequent distressing or emotional circumstances Care of the terminally ill chronically sick or disabled patients. 6. Working Conditions Occasional/frequent highly unpleasant conditions Smell, noise dust/body fluids, faeces, vomit, emptying bed pans and urinals, catheter bags. /(b) (a) /(a)(b) (c)/(c) (a) (a) (a) (b)/(b) JE Score/Band JE Score: 6 6 Band
Nurse Associate Practitioner (Community). Implements care for patients in the community and other settings; observes patient condition and reports to qualified nurse. Carries out nursing procedures eg re-catheterisation, re-dressing wounds, blood sugar levels, takes blood samples, administers injections. Communication & Communicate complex or sensitive information, barriers to understanding Communicates condition related information to patients and relatives: provides (a). Knowledge, Training & empathy, reassurance. Range of procedures and practices, majority non-routine, theoretical knowledge to diploma level equivalent Knowledge of nursing procedures and practices; acquired through NVQ plus additional training to diploma level equivalent, or equivalent through short courses, experience.. Analytical & Facts or situations, some requiring analysis Skills for deciding eg whether to redress wound.. Planning & Straightforward activities, some ongoing Organises own workload, prioritises patient visits. 5. Physical Skills Highly developed physical skills, accuracy important, manipulation of fine tools Dexterity, co-ordination for taking blood samples. Human 0. Responsibility for Information. Responsibility for Implement programmes of care Implements nursing care programmes, including providing advice. Follow policies, may comment on proposals for change May comment on proposed changes to policies. Personal duty of care in relation to resources; maintain stock control Safe use of equipment; orders supplies, equipment. Demonstrate own duties May demonstrate own duties to less experienced staff. Updates patient records. Occasionally undertakes R&D, clinical trials May participate in R&D, clinical trials.. Freedom to Act Standard operating procedures, someone available for reference Follows procedures and treatment plans, may work alone, supervision available.. Physical Effort Occasional/frequent moderate/intense effort for several short periods Moving patients, lifting equipment.. Mental Effort Frequent concentration, predictable pattern Concentration on patient treatment, care plans, works to schedule of visits. 5. Emotional Effort Occasional, frequent exposure to distressing/highly distressing circumstances Supports patients requiring palliative care, families/care of terminally ill. (b) (a) (c) (a)/(c)/(c) (a) (b) 6. Working Conditions Frequent highly unpleasant conditions (b) Body fluids, wounds. JE Score/Band JE Score: 78 0 Band
Nurse Associate Practitioner (Mental Health). Implements care for patients in range of mental health settings; observes and reports on patient/client condition. Carries out nursing care programmes eg encourages leisure and social activities, participates in therapeutic interventions, may administer injections. Communication & Communicate complex or sensitive information, barriers to understanding Communicates condition related information to patients and relatives: provides (a). Knowledge, Training &. Analytical & empathy, reassurance. Range of procedures and practices, majority non-routine, theoretical knowledge to diploma level equivalent Knowledge of nursing procedures and practices acquired through NVQ plus additional training to diploma level equivalent, or equivalent through short courses, experience. Facts or situations requiring analysis, comparison of range of options Assessment of client s ability to undertake activities, dealing with potential conflict of interest situations.. Planning & Straightforward activities, some ongoing Organises own workload, services to support clients. 5. Physical Skills Skills obtained through practice/developed skills, accuracy important, manipulation of objects or people; highly developed skills, accuracy important, manipulation of fine tools Driving skills, breakaway skills, intramuscular injections/restraint; venepuncture. Human 0. Responsibility for Information. Responsibility for Implement programmes of care; provide clinical advice Implements nursing care programmes; provides advice. Follow policies, may comment on proposals for change May comment on proposed changes to policies. Personal duty of care in relation to resources/regularly handle cash; maintain stock control Safe use of equipment; administers client cash; orders supplies, equipment. Demonstrate own duties May demonstrate own duties to less experienced staff. Updates patient/client records. Occasionally undertakes research and development (R&D), clinical trials May participate in R&D, clinical trials.. Freedom to Act Standard operating procedures, someone available for reference Follows procedures and treatment plans, may work alone, supervision available. (a)(b) (a)(c) (a)(c). Physical Effort Occasional/frequent moderate effort for several short periods (a)/(c) Participating in client activities; manoeuvring patients.. Mental Effort Frequent concentration, predictable pattern (a) Concentration on patient treatment, care plans, works to schedule of visits. 5. Emotional Effort Occasional, frequent exposure to highly distressing circumstances (b) (b) Severely challenging behaviour. 6. Working Conditions Frequent unpleasant conditions/ some exposure to hazards (a) (a) Body odours, verbal aggression; physical aggression. JE Score/Band JE Score 79 6 Band 5
Profile title: Nursery Nurse (Community). Works with health visitors as part of multi-disciplinary team; assists with developmental reviews, child health clinics, group work activities. Undertakes home visits to provide support to parents and children; runs play programmes in clients homes and at child-care facilities. Participates in child protection case conference and case review meetings. Communication & Provide and receive complex, sensitive information; barriers to understanding Communicates childcare and child-related information; empathy and (a). Knowledge, Training &. Analytical & reassurance; language and learning disabilities barriers. Range of work procedures and practices, majority non-routine; intermediate level theoretical knowledge Professional childcare knowledge acquired through NNEB or equivalent plus short courses, experience. Judgements involving facts or situations, some of which require analysis Skills for analysing child related situation eg nutrition, breastfeeding, sleep problems.. Planning & Plan and organise straightforward activities, some ongoing Organises own workload, including home visits, parenting groups 5. Physical Skills Physical skills obtained through practice Driving skills, co-ordination and dexterity for use of measuring and weighing equipment. Human Implement clinical care/care packages; provides advice in relation to care Provides care; provides childcare advice to parents/carers. Follows policies in own role, may be required to comment Follows workplace policies. Personal duty of care in relation to equipment, resources; maintains stock control Safe use of equipment; orders supplies, equipment, course materials. Demonstrate own activities to new or less experienced employees; day to day supervision, professional/clinical supervision Supervises work of nursery nurse students. Records personally generated information 0. Responsibility for Information Updates client records.. Responsibility for Undertakes surveys or audits as necessary to own work, occasionally participates in R&D Complete eg staff surveys.. Freedom to Act Standard operating procedures, someone available for reference Follows child protection and other procedures; supervision/advice available.. Physical Effort Frequent moderate effort for several short periods Lifts equipment, babies, small children.. Mental Effort Frequent concentration, work pattern predictable Daily concentration on clinics, parenting groups, home visits. 5. Emotional Effort Frequent distressing or emotional circumstances, occasional highly distressing or emotional circumstances Child protection, family breakdown, mental health, behavior problems. (a) (c) (c) (a)(b) (c) (a) (a)(b) 6. Working Conditions Frequent highly unpleasant conditions (b) Body fluids, vomit. JE Score/Band JE Score: 78 9 Band 6
Current job titles: Nurse (Community) Community Staff Nurse, Staff Nurse (Community). Assesses patients, plans, implements care in the community, provides advice; maintains associated records. Carries out nursing procedures. May provide clinical supervision to other staff, students. Communication & Provide and receive complex, sensitive information; barriers to understanding Communicates sensitive information concerning patient s medical condition, requires persuasive, reassurance skills; some patients have special (a). Knowledge, Training &. Analytical & needs/learning disabilities. Expertise within a discipline, underpinned by theory Professional/clinical knowledge acquired through training to degree/diploma level. Range of facts or situations requiring analysis, comparison of range of options Judgements on problems requiring investigation, analysis eg assessment of patient condition, wound care.. Planning & Plan and organise straightforward activities, some ongoing Organises own time, may organise that of junior staff and learners. 5. Physical Skills Highly developed physical skills, accuracy important; manipulation of fine tools, materials Dexterity and accuracy required for eg intravenous injections, syringe pumps and infusions, insertion of catheters, removal of sutures. Human Develop programmes of care, care packages Assesses, plans, implements and evaluates clinical care of patients/clients. Follows policies in own role, may be required to comment Follows policies, makes comments on proposals for change. Personal duty of care in relation to equipment, resources/maintain stock control; authorised signatory, small payments Personal duty of care/orders supplies when necessary; signs agency time sheets. Demonstrates own activities to new or less experienced employees/day to day supervision; professional/clinical supervision Demonstrates own duties to new starters/supervises work of other staff clinical support workers, students. Maintains patient/client records. Undertake surveys or audits, as necessary to own work/regularly undertake R&D activity; clinical trials Undertakes R&D activity, clinical trials. 0. Responsibility for Information. Responsibility for. Freedom to Act Clearly defined occupational policies, work is managed rather than supervised Works within codes of practice and professional guidelines.. Physical Effort Frequent sitting or standing in a restricted position/frequent moderate/occasional intense effort for several short periods Kneels and crouches to dress wounds/manoeuvres patients/lifts equipment, bathe patients.. Mental Effort Frequent concentration; work pattern predictable Concentration on patient treatment, care plans, works to schedule of visits. 5. Emotional Effort Occasional/frequent distressing/highly distressing or emotional circumstances Deals with distressed relatives, care of terminally ill/deals with consequences of terminal illness. 6. Working Conditions Frequent unpleasant conditions; occasional/frequent highly unpleasant conditions Smell, noise, dust/body fluids, faeces, vomit, emptying bed pans and urinals, catheter bags. 5 (b) 5(a) (c)(d) (a)(b) (a)(b) (a)/(c)/(c) (a) (a)(b) (b) (a)(b) (b) JE Score/Band JE Score 85 Band 5 7
Nurse (GP Practice). Delivers nursing care, including running clinics. Provides health promotion advice. Carries out immunisations and smear tests. Communication & Provide and receive complex, sensitive information; barriers to (a) understanding; persuasive, motivational, negotiating, training skills are required Communicates sensitive condition related information to patients, relatives, requiring empathy, reassurance.. Knowledge, Training & Expertise within a specialism underpinned by theory 5. Analytical & Professional knowledge acquired through training to degree/diploma level. Range of facts or situations requiring analysis Judgements on problems requiring investigation, analysis eg assessment of patient condition.. Planning & Plan and organise straightforward activities, some ongoing Organise clinics. 5. Physical Skills Highly developed physical skills, accuracy important; manipulation of fine tools, materials Dexterity and accuracy required for eg intravenous injections, syringe pumps and infusions. Human Develop programmes of care, care packages Assesses, plans, implements and evaluates clinical care of patients. Follow policies in own role, may be required to comment Professionally responsible for adherence to policies and procedures. Maintain stock control Responsible for ordering supplies. Demonstrates own activities to new or less experienced employees/professional/clinical supervision Demonstrate own duties/supervise students. 0. Responsibility for Information Update client records.. Responsibility for Undertake surveys or audits, as necessary to own work; regularly undertake R&D activity; clinical trials Occasionally participates in R&D activity/undertakes R&D activity; clinical trials.. Freedom to Act Clearly defined occupational procedures, someone available close by Works within codes of practice and professional guidelines.. Physical Effort Combination of sitting, standing, walking/frequent light effort for several short periods Light physical effort/push lightweight trolleys.. Mental Effort Frequent concentration; work pattern predictable Concentration for implementing care plans, taking smear tests, analysing ECG printout. 5. Emotional Effort Occasional/frequent distressing or emotional circumstances Care of the terminally ill, care of distressed patients. 6. Working Conditions Frequent unpleasant conditions; occasional/frequent highly unpleasant conditions Body odours/body fluids, infectious material. (b) 5(a) (c) (b) (a)(b) (b) (a) (a) (a) (a)/(b)/(b) JE Score/Band JE Score 6 67 Band 5 8
Nurse (Schools). Carries out immunisation programmes for school age children. Undertakes health assessments, screening and any necessary follow-up action. Undertakes health education work with school age children. Communication & Provide and receive complex, sensitive information; barriers to understanding; persuasive, motivational, negotiating, training skills are required Communicates condition related information to children, parents and carers (a). Knowledge, Training &. Analytical &. Planning & requiring empathy and reassurance. Expertise within a specialism, underpinned by theory Professional/clinical knowledge acquired through training to degree/diploma level. Range of facts or situations requiring analysis Skills for assessing child conditions. Plan and organise complex activities or programmes, requiring formulation, adjustment Plans immunisation and health education programmes. 5. Physical Skills Physical skills obtained through practice Driving, dexterity and co-ordination for immunisations. Human Develop programmes of care/care packages; provide specialised advice in relation to care Assesses health needs, develops care programmes; gives specialist advice to clients, parents and carers. Follows policies in own role, may be required to comment Contributes to discussions on service, policy development, provides comments on proposals. Personal duty of care in relation to equipment, resources; maintains stock control Responsible for equipment used in course of duties/orders immunisation supplies. Demonstrate own duties to new or less experienced employees/day to day supervision Demonstrates duties to/supervises work of recently qualified School Nurses, nursing assistant(s), students. 0. Responsibility for Information Updates client records.. Responsibility for Undertakes surveys or audits, as necessary to own work/regularly undertake R&D activity; clinical trials Occasionally participates in R&D activity/undertakes R&D activity; clinical trials.. Freedom to Act Clearly defined occupational policies, work is managed, rather than supervised Works within codes of practice and professional guidelines.. Physical Effort Frequent light effort for several short periods Walks, stands most of shift, pushes and pulls trolleys and commodes, kneels and crouches to dress wounds.. Mental Effort Frequent concentration, work pattern predictable Daily concentration on client assessment, immunisations. 5. Emotional Effort Occasional/frequent distressing or emotional situations; occasional highly distressing or emotional situations Imparts unwelcome news/child abuse cases. 6. Working Conditions Occasional/frequent unpleasant; occasional highly unpleasant conditions Body odours/body fluids; lice. 5 5(a)(c) (c) (a) (a)(b) (b) (a) (a) (a)(b) (a) (a)(b) JE Score/Band JE Score: 8 6 Band 5 9
Nurse (Learning Disabilities). Assesses care needs, implements and monitors care plans, administers medication, provides advice for patients/clients with Learning Disabilities. Carries out nursing procedures to support and care for clients with Learning Disability. Provides clinical supervision to other staff, students. Communication & Provide and receive complex, sensitive information; barriers to a understanding Communicates with clients and relatives to explain clinical issues and daily living procedures, use of special communication techniques eg sign language for clients with communication difficulties.. Knowledge, Training & Specialist knowledge across range of procedures underpinned by theory 5. Analytical & Professional/clinical knowledge to degree/diploma level or equivalent. Complex facts or situations requiring analysis, interpretation, comparison of a range of options Assessment of client needs and condition.. Planning & Plan and organise straightforward activities, some ongoing Plans daily clinical provision and daily living skills for clients. 5. Physical Skills Developed physical skills; manipulation of objects, people, narrow margins for error; highly developed physical skills, accuracy important; manipulation of fine tools, materials Formal restraint training; insertion of catheters, special feeding techniques. Human Develop programmes of care/care packages; provide specialised advice in relation to care Assesses patient needs and implements programmes of care; provides advice to clients, carers. Follow policies in own role, may be required to comment Professionally responsible for adherence to clinical policies and procedures. Personal duty of care in relation to equipment, resources/handle cash, valuables; maintain stock control; authorised signatory, small payments Personal duty of care/handles patient valuables; orders supplies when necessary; signs agency time sheets. Day to day co-ordination of staff; Professional/clinical supervision Day to day supervision, clinical supervision; allocates work to support staff & students. Records personally generated observations and updates client records. Undertake surveys or audits, as necessary to own work/regularly undertake R&D activity; clinical trials Undertakes surveys or audits as necessary/undertakes R&D; clinical trials. 0. Responsibility for Information. Responsibility for. Freedom to Act Clearly defined occupational policies, work is managed, rather than supervised Works within codes of practice and professional guidelines, manager is available for guidance if required.. Physical Effort Frequent sitting or standing in a restricted position/frequent moderate effort for several short periods Walks, stands for most of shift/moving patients for treatment or personal care, use of hoists/manoeuvres patients without mechanical aides.. Mental Effort Frequent concentration; work pattern predictable/unpredictable Concentration for client assessment and observation, ward rounds, team discussions/interruptions to attend client needs. (a)(b) 5(a)(c) /(a) (c)(d) (a)(b) (a) (a) (c) (b) (a) (a) 5. Emotional Effort Frequent distressing or emotional circumstances (a) Deals with client anxieties, challenging behaviours from distressed clients. 6. Working Conditions Frequent unpleasant, occasional/frequent highly unpleasant conditions (a)(b) (b) Verbal aggression/body fluids. JE Score/Band JE Score 7 8 Band 5 0
Nurse Team Leader (Learning Disabilities). Assesses care needs, implements and monitors care plans, administers medication, provides advice in specialist area for patients/clients with Learning Disabilities. Forms a supportive relationship with Learning Disability clients to facilitate care. Initiates and promotes practice development. Supervises and allocates staff, co-ordination of staff duty rotas, clinical leadership; may manage staff in absence of team manager. Knowledge, Training &. Analytical &. Planning &. Communication & Provide and receive complex, sensitive information; barriers to understanding/hostile, antagonistic or emotive atmosphere Communicates with clients and relatives to explain clinical issues and daily living procedures/use of special communication techniques eg uses de- a 5c escalation techniques when dealing with clients with learning disabilities. Specialist knowledge across range of procedures underpinned by theory Professional knowledge to degree level or equivalent, plus diploma level training or equivalent in specialist area and experience. Complex facts or situations requiring analysis, interpretation, comparison of a range of options Assessment of client need and condition, determines appropriate response when dealing with clients with learning disabilities. Plan and organise straightforward activities, some ongoing Plans daily clinical provision and training for clients on daily living skills, staff education and rostering. 5. Physical Skills Developed physical skills, manipulation of objects, people, narrow margins for error; highly developed physical skills, accuracy important; manipulation of fine tools, materials Formal restraint training; insertion of catheters, special feeding techniques. Human 0. Responsibility for Information. Responsibility for Develop programmes of care/care packages; provide specialised advice in relation to client care Assesses patient needs and implements programmes of care; provides advice to clients, carers. Implement policies and propose changes to practices, procedures for own area Implements, comments and proposes changes for policies for own work area. Personal duty of care in relation to equipment, resources/handle cash, valuables; maintain stock control Personal duty of care/safekeeping of clients cash and valuables; ordering and the safe storage of medications. Day to day co-ordination of staff; professional/clinical supervision; provide training in own discipline/day to day management Day to day supervision, clinical supervision and practical training/day to day management. Records personally generated observations and updates client records. Undertake surveys or audits, as necessary to own work/regularly undertakes R&D; clinical trials Undertakes surveys or audits as necessary/undertakes research, clinical trials, lead clinical audit in own area.. Freedom to Act Clearly defined occupational policies, work is managed, rather than supervised/broad occupational policy Work is managed, manager is available for guidance if required/leads team.. Physical Effort Frequent sitting or standing in a restricted position/frequent moderate effort for several short periods Walks, stands for most of shift/moving patients for treatment or personal care, use of hoists.. Mental Effort Frequent concentration; work pattern predictable/frequent concentration; work pattern unpredictable Concentration for patient assessment and observation, ward rounds, team discussions; interruptions to attend client needs; deals with staff issues. 6 (a)(b) 5(a) /(a)(c) abc (a) (a)(b) / (a) (c) (a)/(a) 5. Emotional Effort Occasional/frequent distressing or emotional circumstances (a) (a) Deals with client anxieties, challenging behaviours from distressed clients. 6. Working Conditions Frequent unpleasant, occasional highly unpleasant conditions (a)(b) Verbal aggression/ body fluids. JE Score/Band JE Score 98 6 Band 6
Nurse Specialist (Learning Disabilities). Assesses care needs, implements and monitors care plans, administers medication, provides advice in specialist area eg paediatrics, adolescents, adults for patients/clients with Learning Disabilities. Forms a supportive relationship with Learning Disability clients to facilitate care. Initiates and promotes practice development. Provides clinical supervision to other staff, students. Communication & Provide and receive complex, sensitive information; barriers to understanding/hostile, antagonistic or highly emotive atmosphere Communicates with clients and relatives to explain clinical issues and daily living procedures/use of special communication techniques eg uses deescalation techniques when dealing with clients who may be hostile, a 5c. Knowledge, Training &. Analytical & antagonistic. Specialist knowledge across range of procedures underpinned by theory Professional knowledge to degree level or equivalent, plus diploma level training or equivalent in specialist area and experience. Complex facts or situations requiring analysis, interpretation, comparison of a range of options Assessment of specialist client need and condition, determining appropriate response when dealing with clients with learning disabilities.. Planning & Plan and organise straightforward activities, some ongoing Plans daily clinical provision and daily living skills for clients. 5. Physical Skills Developed physical skills, manipulation of objects or people, narrow margins for error; highly developed physical skills, accuracy important; manipulation of fine tools, materials Formal restraint training; insertion of catheters, special feeding techniques. Human Develop specialised programmes of care/care packages Assesses patient needs and implements specialist programmes of care. Implement policies and propose changes to practices, procedures for own area Implements, comments and proposes changes for policies for own work area. Personal duty of care in relation to equipment, resources/handle cash, valuables; maintain stock control Personal duty of care/safekeeping of clients cash and valuables; ordering and the safe storage of medications. Day to day supervision, co-ordination of staff; professional/clinical supervision Day to day supervision, allocates work to support staff and students; clinical supervision. 0. Responsibility for Information Records personally generated observations and updates client records.. Responsibility for Undertake surveys or audits, as necessary to own work Undertakes surveys or audits as necessary.. Freedom to Act Clearly defined occupational policies, work is managed, rather than supervised/broad occupational policies Work is managed, manager is available for guidance if required/lead specialist for own area.. Physical Effort Frequent sitting or standing in a restricted position/frequent moderate effort for several short periods Walks, stands for most of shift/moving patients for treatment or personal care, use of hoists.. Mental Effort Frequent concentration; work pattern predictable; occasional concentration; work pattern unpredictable Concentration for patient assessment and observation, ward rounds, team discussions; occasional interruptions to attend client needs. 6 (a)(b) 6(a) (a)(c) (a)(b) / (a) (c) (a) (a) 5. Emotional Effort Occasional/frequent distressing or emotional circumstances (a) (a) Deals with client anxieties, challenging behaviours from distressed clients. 6. Working Conditions Frequent unpleasant, occasional/frequent highly unpleasant conditions (a)(b) (b) Verbal aggression/body fluids. JE Score/Band JE Score 07 6 Band 6
Current job titles: Nurse Specialist (Community) District Nursing Sister, District Nurse. Assesses patients, plans and implements care in the community; provides advice to patients/clients; maintains associated records. Caries out nursing procedures. Co-ordinates nursing team workloads. Communication & Provide and receive complex, sensitive information; barriers to understanding Communicates sensitive information concerning patient s condition, requires persuasive, reassurance skills; some patients have special needs, learning (a). Knowledge, Training &. Analytical & disabilities. Specialist knowledge across range of procedures, underpinned by theory Professional knowledge acquired through degree supplemented by diploma level specialist training, experience, short courses. Complex facts or situations requiring comparison of range of options Skills for assessing and interpreting acute and other patient/client conditions, appropriate action.. Planning & Plan and organise straightforward activities, some ongoing Organise workload, staff meeting, rotas. 5. Physical Skills Highly developed physical skills, accuracy important; manipulation of fine tools, materials Dexterity and accuracy required for eg intravenous injections, syringe pumps and infusions, insertion of catheters, removal of sutures. Human Develop programmes of care, care packages Assesses, develops and implements nursing care programmes in the community. Follow policies in own role, may be required to comment/ implement policies and propose to changes to practices, procedures for own area Follows policies, makes comments on proposals for change/contributes to development of community protocols. Maintain stock control; authorised signatory, small payments Orders incontinence and other supplies; signs travel claims. Day to day supervision; clinical/professional supervision/day to day management Provides clinical supervision to other staff, students/day to day management of team. Maintains patient/client records. Undertake surveys or audits, as necessary to own work/regularly undertakes R&D activity; clinical trials Undertakes R&D activity, clinical trials. 0. Responsibility for Information. Responsibility for. Freedom to Act Broad occupational policies Accountable for own professional actions, not directly supervised, manages caseload in the community.. Physical Effort Frequent sitting or standing in a restricted position/frequent moderate/occasional intense effort for several short periods Kneels and crouches to dress wounds/manoeuvres patients/lifts equipment, bathe patients.. Mental Effort Frequent concentration; work pattern predictable Concentration on patient treatment, care plans, works to schedule of visits. 5. Emotional Effort Occasional/frequent distressing/highly distressing or emotional circumstances Deals with distressed relatives, care of terminally ill/deals with consequences of terminal illness. 6. Working Conditions Frequent unpleasant, occasional/frequent highly unpleasant conditions Smell, noise, dust/body fluids, faeces, vomit, emptying bed pans and urinals, catheter bags. 6 (b) 5(a) (c)(d) (a)(b) (a) (a)(b) (a)/(c)/(c) (a) (a)(b) (b) (a)(b) (b) JE Score/Band JE Score 09 6 Band 6
Nurse Specialist (GP Practice). Delivers nursing care, including running specialist clinics. Provides Health Education. Carries out immunisations and smear tests. Communication & Provide and receive complex information; barriers to understanding; persuasive, motivational, negotiating, training skills required Communicates sensitive condition related information to patients relatives, (a). Knowledge, Training & requiring empathy, reassurance. Specialist knowledge across range of procedures underpinned by theory Professional knowledge acquired through degree/diploma supplemented by diploma level specialist training, experience, short courses.. Analytical & Complex facts or situations requiring comparison of range of options Skills for assessing and interpreting specialist clinical conditions.. Planning & Plan and organise straightforward activities, some ongoing Organises clinics. 5. Physical Skills Developed physical skills, accuracy important; manipulation of fine tools, materials Dexterity and accuracy required for eg intravenous injections, syringe pumps and infusion pumps. Human 0. Responsibility for Information. Responsibility for Develop programmes of care/care packages; provide specialist advice concerning care Assesses, plans, implements and evaluates clinical care of patients; provides advice on specialist conditions eg diabetes. Implement policies and propose changes to practices, procedures for own area Implements clinical policies; readjusts protocols to meet need. Maintain security of stock Orders supplies. Professional/clinical supervision Supervises students. Updates clients records. Undertake surveys or audits as necessary to own work/regularly undertake R&D activity/clinical trials Occasionally participate in R&D activity/undertakes R&D activity; clinical trials.. Freedom to Act Clearly defined occupational policies, work is managed rather than supervised/broad occupational policies Accountable for own professional actions, not directly supervised/lead specialist.. Physical Effort Combination of sitting, standing, walking/frequent light effort for several short periods Light physical effort/push lightweight trolleys.. Mental Effort Frequent concentration; work pattern predictable Concentration for implementing care plans, taking tests. 5. Emotional Effort Occasional/frequent distressing or emotional circumstances Care of the terminally ill; care of distressed patients. 6. Working Conditions Frequent unpleasant conditions; occasional/frequent highly unpleasant conditions Body odours/body fluids, infectious material. 6 (b) 5(a)(c) (c) (b) (a)/(b) (b) (a) (a) (a) (a)(b) (b) JE Score/Band JE Score 0 6 Band 6
Nurse Specialist (Schools). Carries out immunisation programmes for school age children. Undertakes specialist health assessments and screening and any necessary follow-up action. Undertakes health education work with school age children. Participates in child protection investigations and attends case conferences. Communication & Provide and receive complex information; barriers to understanding; persuasive, motivational, negotiating, training skills are required (a). Knowledge, Training &. Analytical &. Planning & Communicates condition related information to children, parents and carers. Specialist knowledge across range of procedures underpinned by theory Professional knowledge acquired through degree/diploma supplemented by post graduate diploma level specialist training, experience, short courses. Complex facts or situations requiring analysis, interpretation, comparison of a range of options Skills for assessing complex need of clients, including child protection issues. Plan and organise complex activities or programmes, requiring formulation, adjustment Plans immunisation and health education programmes. 5. Physical Skills Physical skills obtained through practice/highly developed physical skills, accuracy important; manipulation of fine tools, materials Dexterity co-ordination for driving, immunisation/dexterity and accuracy required for eg taking bloods. Human Develop programmes of care/care packages; provide specialist advice in relation to care Assesses, develops and implements specialist nursing care programmes; advice to patients, relatives, carers. Implement policies and proposes changes to practices, procedure for own area Contributes to development of specialist protocols. Maintain stock control Orders specialist supplies. Day to day supervision; provide training in own discipline Supervises work of recently qualified School Nurses, nursing assistant(s), students; provides training to teachers, school staff. Updates clients records. Undertake surveys or audits as necessary to own work/regularly undertake R&D activity/clinical trials May participate in/undertake in R&D activity, clinical trials. 0. Responsibility for Information. Responsibility for. Freedom to Act Clearly defined occupational policies, work is managed rather than supervised Accountable for own professional actions, not directly supervised.. Physical Effort Frequent light effort for several short periods Walks, stands most of shift, pushes and pulls trolleys and commodes; kneels and crouches to dress wounds.. Mental Effort Frequent concentration, work pattern is predictable Concentration on client assessment, immunisations. 5. Emotional Effort Occasional/frequent distressing situations/occasional highly distressing or emotional circumstances Imparts unwelcome news/child abuse cases. 6. Working Conditions Occasional/frequent unpleasant; occasional highly unpleasant conditions Body odours/body fluids, lice. 6 (b) 5(a)(c) (c) (a)(c) (a)(b) (b) (a) (a) (a)(b) (a) (a) (b) JE Score/Band JE Score 00 Band 6 5
Nurse Specialist (Special Schools). Assesses, develops and implements programmes of care for children with special needs in special schools. Undertakes health assessment, screening and any necessary follow-up action. Communication & Provide and receive complex information; barriers to understanding; persuasive, motivational, negotiating, training skills are required Communicates condition related information to children with disabilities, (a). Knowledge, Training &. Analytical & parents and carers. Specialist knowledge across range of procedures underpinned by theory Professional knowledge acquired through degree/diploma supplemented by post graduate diploma level specialist training, experience, short courses. Complex facts or situations requiring comparison of range of options Skills for assessing child conditions, including care for children with special needs.. Planning & Plan and organise straightforward activities, some ongoing Plans care for client group. 5. Physical Skills Physical skills obtained through practice/highly developed physical skills, accuracy important; manipulation of fine tools, materials Dexterity, co-ordination for driving, immunisation/dexterity and accuracy for eg taking bloods. Human Develop programmes of care, care packages; provide specialist advice in relation to care/develop specialised programmes of care, care packages Assesses health needs, develops care programmes; gives specialist advice to clients, parents, carers/develops special care programs for children with special needs. Follow policies in own role, may be required to comment/ implement policies and propose to changes to practices, procedures for own area Provides comments on proposals, contributes to policy development. Maintain stock control Orders supplies. Day to day supervision Supervises work of recently qualified School Nurses, nursing assistant(s), nursery nurses, students. Updates clients records. Undertake surveys or audits as necessary to own work/regularly undertakes R&D activity May participate in research studies/undertakes R&D activity. 0. Responsibility for Information. Responsibility for. Freedom to Act Clearly defined occupational policies, work is managed rather than supervised Accountable for own professional actions not directly supervised.. Physical Effort Frequent moderate/occasional intense effort for several short periods Moves children with disabilities/severe disabilities.. Mental Effort Frequent concentration; work pattern predictable Concentration on client assessments; interruptions to deal with client incidents. 5. Emotional Effort Frequent distressing; occasional/frequent highly distressing or emotional circumstances Works with children with disabilities/challenging behaviour; deaths and serious illness. 6 (b) 5(a)(c) 6(a) (c) (a) (a) (c) (c) (a) (a)(b) (b) 6. Working Conditions Frequent highly unpleasant conditions (b) Body fluids. JE Score/Band JE Score 09 57 Band 6 6
Current job title: Nurse Specialist Mental Health (Community) Community Psychiatric Nurse (CPN). Assesses Mental Health patients; plans, implements care, provides specialised advice in the community; maintains associated records. Liaises with other agencies in planning and assessing programmes of care. Communication & Provide and receive complex, sensitive or contentious information; hostile, antagonistic or highly emotive atmosphere Communicates sensitive condition related information to clients with mental 5c. Knowledge, Training &. Analytical &. Planning & health problems, where clients may be hostile and antagonistic. Specialist knowledge across range of procedures underpinned by theory Professional knowledge acquired through degree supplemented by diploma level specialist training, experience, short courses. Complex facts or situations requiring analysis, interpretation, comparison of a range of options Skills for assessing and interpreting mental health patient/client conditions, appropriate action. Plan and organise complex activities or programmes, requiring formulation, adjustment Co-ordinates multi-agency activities. 5. Physical Skills Highly developed physical skills, accuracy important; manipulation of fine tools, materials Dexterity and accuracy required for eg injections, taking blood and infusions. Human 0. Responsibility for Information. Responsibility for Develop programmes of care/care packages; provide specialist advice in relation to care Assesses health needs, develops programmes of care for mental health patients; advises patients and carers. Follow policies in own role, may be required to comment/ implement policies and propose changes to practices, procedures for own area Follows policies may comment on proposals for change/proposes changes to community mental health service protocols. Personal duty of care in equipment to equipment, resources/ authorised signatory, small payments Careful use of equipment/authorises small payments to clients. Professional/clinical supervision Clinical supervision of junior staff and students. Updates clients records. Undertake surveys or audits as necessary to own work/regularly undertake R&D activity/clinical trials Undertakes surveys, audits; clinical trials; various R&D studies.. Freedom to Act Broad occupational policies Accountable for own actions, not directly supervised, manages a caseload in the community.. Physical Effort Combination of sitting, standing, walking Occasional light lifting.. Mental Effort Frequent concentration, work pattern is predictable/unpredictable Concentration on patient/client treatment/dealing with patient crises. 5. Emotional Effort Frequent distressing or emotional circumstances; occasional/ frequent highly distressing or emotional circumstances Imparts unwelcome news; severely challenging behaviour, crisis intervention. 6 (b) 5(a)(c) (d) (b) (a),(b) (a) (a) (a)(b) (b) 6. Working Conditions Frequent unpleasant/occasional highly unpleasant conditions (a)(b) Verbal aggression; body fluids. JE Score/Band JE Score 0 6 Band 6 7
Nurse Team Manager (Mental Health, Community). Liaises with other agencies in planning and assessing programmes of care. Assesses Mental Health patients; plans, implements care; provides specialist advice in the community; maintains associated records. Manages a team of community psychiatric nurses in a geographical area. Communication & Provide and receive complex, sensitive or contentious information; hostile, antagonistic or highly emotive atmosphere Communicates sensitive condition related information to clients with mental 5c. Knowledge, Training &. Analytical &. Planning & health problems, where clients may be hostile and antagonistic. Specialist knowledge across range of procedures underpinned by theory Professional knowledge acquired through degree plus relevant experience for working in the community. Complex facts or situations requiring analysis, interpretation, comparison range of options Skills for assessing patient needs and analysis of issues. Plan and organise complex activities or programmes, requiring formulation, adjustment Co-ordinates multi-agency activities, organises workload of a community psychiatric team. 5. Physical Skills Highly developed physical skills, accuracy important, manipulation of fine tools, materials Dexterity and accuracy for giving eg injections, taking blood and infusions. Human Accountable for the direct delivery of sub-division of a clinical, clinical technical or social care service Responsibility for delivery of a Community Psychiatric Nurse service for a geographical area. Propose policy or service changes, impact beyond own area Responsible for policies for area, impact on other community and voluntary services. Authorised signatory; hold delegated budget Authorises payments for supplies and expenses; manages budget for service for area. Day to day management; allocate, place and supervise staff or students/line manager for single function or department Manages CPN s; organises student placements; line manager for community psychiatric nursing team. 0. Responsibility for Information Updates client records.. Responsibility for Undertake surveys or audits as necessary to own work/regularly undertake R&D activity/clinical trials Undertakes surveys, audits/clinical trials; various R&D studies.. Freedom to Act Broad occupational policies Manages a team of nurses in the community.. Physical Effort Combination of sitting, standing, walking Occasional light lifting.. Mental Effort Frequent concentration, work pattern is predictable/unpredictable Concentration on patients/client treatment/dealing with patient crises. 5. Emotional Effort Frequent distressing or emotional circumstances; occasional highly distressing or emotional circumstances Imparts unwelcome news, severely challenging behaviour, crisis intervention. 6 (b) 6(d) (a)(d) (a)(b) (a),b a a (a)(b) 6. Working Conditions Frequent unpleasant; occasional highly unpleasant conditions (a)(b) Verbal aggression; body fluids. JE Score/Band JE Score 80 50 Band 7 8