Detailed job description and main responsibilities

Communication of highly complex information on managing Paeditatric
conditions including risks and benefits and provide details of alternative 
options where appropriate. The postholder will communicate highly sensitive 
and contentious information supporting patients and their carers to make 
informed decisions about their care and treatment. This will require a high 
degree of empathy and advanced communication skills to support patients 
and their families.
• Ensure every person receives personalised care starting with a ‘What matters 
to you’ conversation and including shared decision making at the heart of all 
decisions.
• Assess, diagnose, plan, implement and evaluate treatments and 
interventions for patients across the Trust/division/specialty.
• Perform accurate clinical procedures appropriate to area of practice and 
within scope and competence of practice, from undertaking history taking and 
examination of the patient, including further invasive testing, diagnostics and 
treatments requiring highly developed skills and precision. 
• Request investigations such as blood, urine and other laboratory tests, 
electrocardiographs (ECGs), diagnostic imaging in accordance with 
regulatory and governance requirements, and as local policy allows. Interpret 
and act on investigation results, planning and managing clinical care and 
interventions as required.
• Analyse and respond to highly complex information from multiple sources in 
making clinical judgements and decisions regarding diagnoses, treatment 
and management plans. This may involve responding to conflicting views and 
opinions, seeking advice when scope of practice is exceeded.
• Coordinate referral to other services (e.g. surgeons, cardiologist, 
neurologist) or any other service
• Update EPR’s and complete discharge and referral letters to GPs and 
speciality consultants
• Be accountable for own practice, hence answerable for all actions and 
omissions, regardless of advice or direction from another professional
• Liaise with relevant speciality teams / services, Primary care services, other 
NHS Trusts and social care organisations, establishing local networks with 
the appropriate patient and carer groups

Act as a role model and provide leadership, clinical support and expert 
advice to medical, nursing/midwifery staff, students and other staff in the 
multidisciplinary team
• Attend paediatric emergencies across a range of settings and participate or 
lead in advanced paediatric resuscitation
• Use highly developed specialist knowledge and advanced clinical skills to 
undertake a comprehensive health history and examination of patients to
diagnose and treat them (including prescribing drugs as necessary)
• Assess health related needs of children and families by identifying and 
initiating appropriate steps for effective care exercising higher levels of 
judgement and clinical decision making using paediatric clinical guidelines
• Frequently weigh up differential diagnosis and the variety of potentially 
contentious treatment options, requiring the weighing up of possibilities and 
justification of clinical rationale
• Initiate further investigations and treatment plans from a range of options, 
analysing response and altering plans as necessary as further data 
becomes available to ensure care is safe and effective
• Develop comprehensive medical and nursing patient management plans for 
a caseload of patients that delivers a holistic approach to their care from 
admission to discharge
• In collaboration with the senior medical team, recognise abnormalities, early 
signs of illness and/or deterioration and act accordingly, ensuring 
appropriate and full range investigations are instigated and follow up action 
is taken including evaluation of care
• Carries out Non-Medical prescribing including calculating prescribing, 
administering and evaluating the effects of drug and fluid therapies in 
accordance with local policies
• Exercise judgement in recognising when supervision is required and seek 
advice, asking for help from medical colleagues as appropriate
• Apply critical judgements to inform clinical decision-making, 
recommendations and prescription of treatment, including making referrals 
as necessary.
• Utilise highly complex reasoning skills to provide diagnoses, present 
treatment options and health promotion advice within the area of expertise 
to patients.
• Effectively manage conflicting perspectives and reconcile professional 
differences of opinion.
• Recognise and adhere to the limits of personal competency.
• Challenge established practice standards and contributed to constructive 
change.
• Demonstrate critical reflection of own practice, fostering self-awareness, 
emotional intelligence and willingness to embrace change

• Conduct comprehensive holistic assessment for patients with specialist care 
needs, referred to the service, via the requesting/undertaking and 
interpretation of diagnostic results.
• Develop highly specialised programmes of care and provide highly 
specialised advice regarding care.
• To demonstrate expertise in evidence-based healthcare to assess, 
diagnose, plan, implement and evaluate care for patients.
• Be clinically competent and proficient within the acute paediatric setting, 
independently managing clinical conditions, making autonomous decisions, 
seeking advice and/or referring and prescribing where appropriate.
• Can plan, order, interpret and act upon the results of tests and 
investigations
• To communicate effectively both verbally and in writing to members of the 
multi-disciplinary team and other healthcare professionals.
• Participate in the stabilisation and transfer of patients for escalation of care
• Use initiative and acts independently within the bounds of existing 
knowledge and skills

• Work with clinical and leadership teams to develop new and improved 
processes and pathways to streamline and improve patient flow and care 
processes.
• Lead in the development of new initiatives and ways of working, including 
AP led services, informed by local and national Policy
• To develop, coordinate, deliver and evaluate the advanced clinical 
practitioner service within acute paediatrics.
• Collaborate with senior clinical colleagues, develop or introduce agreed 
clinical guidelines for best practice.
• Manage and assess risk within the areas of responsibility, ensuring 
adequate measures are in place to protect staff and patients
• Facilitate good team spirit through leadership skills and team building.
• Be conversant with all Trust and departmental policies and procedures and 
ensure that the requirements are met.
• To attend departmental, divisional and other meetings where appropriate, 
maintaining continuous effective communication.
• Continually assess and monitor risk in their own and others’ practice and 
challenge others about wider risk factors within the service
• Use evidence-based practice to underpin clinical guidelines and integrate 
research into clinical practice.
• Develop, implement and evaluate strategies to advance knowledge and 
practice.
• Make operational judgements, manage conflicting views, reconcile inter and 
intra-professional differences of opinion and escalate for senior clinician 
review when require

Accountable for optimal use of resources balanced against the needs of 
each individual child or young person
• Assist in the formulation of business cases to ensure adequate, appropriate 
equipment and staffing.
• Collaborate in the redesign of services to ensure they are organized to meet 
service user need.
• Personal duty of care in relation to equipment, resources and safe use of 
equipment used within clinical areas Responsible for the effective and 
appropriate use of resources and the cost implications

Provide support and advice to all disciplines of healthcare staff, acting as an 
excellent role model and demonstrating advanced clinical skills and 
knowledge.
• Lead staff appraisal and setting of personal and department objectives in 
collaboration with others where appropriate. 
• Provides support for the day-to-day line management / supervision of 
advanced practitioners and trainee advanced practitioners within own 
specialty.
• Actively seek user involvement in developing services that are responsive 
to the needs of the local population.
• Act as an expert practitioner to provide a supportive learning environment 
which promotes continuous professional development and lifelong learningthis may require liaison with education & learning providers and their tutorial 
staff.
• Provide a supportive environment for all staff (including pre-registration 
students) which encourages learning and professional development. This 
will require liaison with education & learning providers and their tutorial staff.
• To actively participate in the development and delivery of future education 
and training provision; which recognises the needs of patients and is in line 
with national and local priorities.
• Collaborate with senior colleagues and educational establishments where 
appropriate to ensure the needs of service are met.
• To assist with the development of education and learning which are 
appropriate for practitioners working within the Trust.
• To identify own education and training needs in line with curriculum / 
competency framework within speciality, and Trust statutory and mandatory 
training. Ensuring that these are addressed through the appraisal process 
with the clinical supervisor / line manager.
• Make presentations on complex subjects, both written and verbally to a 
wide range of groups and at meetings and conferences external to the 
organisation to share work locally, nationally and internationally.
• Plan and deliver a training package for trainee advanced clinical 
practitioners within paediatrics.
• Be a mentor and clinical supervisor where appropriate to junior members of 
the multi- disciplinary team.
• Maintain a professional development portfolio