The Clatterbridge Cancer Centre NHS Foundation Trust has ambitious goals to transform the way we deliver cancer care to our patients in new, innovative and exciting ways. We have opened a new flagship hospital in Liverpool in 2020 and are committed to being recognised as the leaders in cancer care delivery across Cheshire & Merseyside and beyond.
We recognise that our mission to ‘Drive improved outcomes and experience through our unique network of specialist cancer care across Cheshire and Merseyside’, our strategic goals and objectives, can only be achieved by supporting all our staff to develop and grow their knowledge and skills as a highly talented, educated and motivated workforce.
We want you to be proud to work at the Trust and we want to support you to be the best you can be; to learn, to develop, to achieve and to promote the Trust as a great place to work. We will offer you new challenges and opportunities to promote a culture of continuous quality improvement, and we will support and encourage you to succeed in your ambitions.
Our goal is to excel as a learning organisation in which every member of staff understands their role in delivering high quality patient care and works towards that goal every day. We recognise that you may need help and support to help you to plan your next steps in your career pathway and to understand what opportunities are available to you.
This Toolkit provides you with a helpful career pathway overview and the required competencies framework at each level to help you take the next steps in your career development. It is aimed at the nursing workforce in its broadest sense, whether you are a Health Care Assistant aspiring to be a Registered Nurse or a Registered Nurse looking to develop the skills to progress into a senior leadership role.
This Toolkit should be used in conjunction with discussions with your manager and your annual PADR, so that they can help and support you to develop. The Clinical Education Department and the Learning and Development Teams are also here to advise and support you in your career planning and achievement of required competencies, so you are ready for the next steps in your career.
We are committed to continue engaging with, and listening to, all our staff and our patients, using their feedback to shape and improve the services we provide. We are committed to helping you to take the next steps in your career, so you can help us shape the future of cancer care for patients.
Kate Greaves, Associate Director of Clinical Education (November 2021)
Role bandings will not necessarily align to individual job roles as other components, including alignment with required competencies, contribute to a role’s banding.
Job role | Indicative band | Overview | Key responsibilities* |
---|---|---|---|
Clinical Support Worker (HCA) | Band 2 |
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Clinical Support Worker (higher level nursing)
Trainee Nurse Associates |
Band 3 |
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As above, but with wider scope of delegated practice and responsibility - supervised as required.
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Nurse Associate Practitioner (NMC registered)
Cancer Support Worker (CSW) |
Band 4 |
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Nursing Associate:
Nursing Associate / Cancer Support Worker:
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Nurse:
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Band 5 |
Educated to Degree Level |
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Nurse Specialist / Nurse Team Leader:
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Band 6 |
Qualified to prescribe medications via PGD / NMP |
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Nurse Advanced / Nurse Team Manager:
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Band 7 |
Ward Manager:
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Matron Advanced Nurse Practitioner Advanced Clinical Practitioner CCC Lead Nurse (ie service lead) |
Band 8a |
Educated to Masters Level and have developed advanced skills and knowledge to allow them to take on expanded roles and scope of practice caring for patients aligned to Advanced Practice Pillars. |
Matron:
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Nurse Consultant:
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Band 8a-c |
Educated to Masters Level or equivalent |
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Nurse Consultant Higher Level:
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Bands 8c-9 |
Advanced theoretical and practical knowledge underpinned by specialist training to doctorate level or equivalent |
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Introduction
For Health Care Assistant aspiring to be a Registered Nurse, or a Registered Nurse looking to develop the skills to progress into a senior leadership role:
This Competency Framework provides guidance and support to enable clarity of roles and responsibilities and a structure for career development. It provides a focus on the areas of development to enable you to deliver your current role and to plan for your future.
For Managers and Leaders:This Competency Framework provides clarity on role definitions and expectations to support the development of the future workforce, development of new roles and ways of working, and supports succession planning. It also helps support your discussions with your staff around their development and career aspirations.
For Clinical Education and Learning and Development Teams:
This Competency Framework will inform the effective development of training programmes and the use of learning resources.
Please note: This Competency Framework should be used in conjunction with the Trust’s Mandatory Training Matrix and Role Essential Matrix.
Principles of the Competency Framework
There are 8 levels of practice, as outlined on the next page, with the first levels delivering the higher proportion of clinical care.
There are 4 areas of competency:
- Clinical
- Education and learning
- Leadership and management
- Research and development
Each level of practice has core transferable competencies.
Job roles will have specific competencies and may have additional role specific competencies.
Role bandings will not necessarily align to individual job roles as other components, including alignment with required competencies, contribute to a role’s banding.
Each level of practice has defined learning and development criteria to ensure personal development.Competency development will take the post holder from novice to expert (Benner, P. 2001) in each area of practice
This Competency Framework enables clear career progression at The Clatterbridge Cancer Centre, both linear within a profession and across professional boundaries.
8 Levels of Practice
1. Clinical Support Worker & Clinical Support Worker (higher level)
These roles include HCAs, HCSW. There is no ‘formal’ qualification but they are expected to attain the Care Certificate. They work under the direction of a health care professional. Clinical Support (higher level) includes Trainee Nursing Associates as a platform for entry to NHS careers.
2. Associate Practitioner and Assistant Practitioner (external validated training programmes)
Nurse Associate is a new role to help bridge the gap between health and care support workers and graduate Registered Nurses. They are registered by the NMC. Assistant Practitioner: Assistant Practitioners have skills and experience in a particular area of clinical practice. Although they are not registered practitioners they have a level of skill through their experience and training and achieve a qualification. They work under the direction of a health care professional within a defined scope of practice from the employer.
3. Practitioner: eg Newly Qualified Nurse
Practitioner level is the entry level following qualification as a registered health care professional. This level consolidates pre-registration experience and provides a platform for further development for higher roles. The key area of practice is clinical.
4. Senior Practitioner: eg Nurse Specialist / Nurse Team Leader
This level provides some specialist clinical expertise and / or has management and leadership responsibilities. They are able to lead and direct teams and are problem solvers.
5. Advanced Practitioner: eg Advanced Nurse Practitioner / Nurse Team Manager / Clinical Nurse Specialist / ACP Trainee / Ward Manager / Lead Specialist Nurse
Advanced Practice is delivered by experienced registered health care practitioners. It is a level of practice characterised by a high level of autonomy and complex decision-making. This is underpinned by a master’s level award or equivalent that encompasses the four pillars of clinical practice, management and leadership, education and research, with demonstration of core and area specific clinical competence.
6. Senior Advanced Practitioner: eg Modern Matron / Advanced Clinical Practitioner
Senior Advanced Clinical Practice underpinned by a master’s level award, embodies highly specialist knowledge and the ability to manage complete clinical care in partnership with patients/carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance patient experience and improve outcomes.
7. Consultant Practitioner
Consultant roles are structured around all four areas of practice with up to 50% being direct clinical care. The role of a Consultant Practitioner is to strengthen clinical leadership as well as improve practice and the patient experience. They provide expert professional advice to patients/clients, carers and staff. They are responsible for service development / redesign in own area of expertise and the maintenance of clinical excellence.
Core functions include leading and undertaking research in their specialist field. They provide education and training to other staff / students, and may develop or contribute to development of specialist training, education programmes in their own field They are at the forefront of their field and demonstrate original thinking in development of practice and service delivery.
8. Senior roles
Senior roles will vary according to the area of service delivery and require a clinical registration. Roles include: General Manager, Associate Director and Director of Nursing and Qualit
Clinical Support Worker & Clinical Support Worker (Higher)
Indicative banding: CSW - B2, CSW (Higher) - B3
OVERVIEW
Description | Attributes |
Areas of Practice:
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Qualifications |
---|---|---|---|
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The main area of practice is CSW Higher: |
CSW Higher:
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CLINICAL SUPPORT WORKER & CLINICAL SUPPORT WORKER (HIGHER):
Area of Practice: CLINICAL
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
|
---|---|---|---|
Examples within own practice area:
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CSW Higher:
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CSW Higher:
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Courses/Modules available at CCC:
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CLINICAL SUPPORT WORKER & CLINICAL SUPPORT WORKER (HIGHER):
Area of Practice: EDUCATION & LEARNING
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
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CSW Higher:
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CSW Higher:
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CLINICAL SUPPORT WORKER & CLINICAL SUPPORT WORKER (HIGHER):
Area of Practice: : LEADERSHIP & MANAGEMENT
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
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CSW Higher:
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CSW Higher:
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Courses/Modules available at CCC:
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CLINICAL SUPPORT WORKER & CLINICAL SUPPORT WORKER (HIGHER):
Area of Practice: : RESEARCH & DEVELOPMENT
Sphere of responsibility, knowledge, skills and behaviours |
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Entry qualifications | Educational and professional development to achieve the next level of practice |
---|---|---|---|
Examples within own practice
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CSW Higher:
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Courses/Modules available at CCC:
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Nurse Associate Practitioner & Assistant Practitioner
Indicative banding: B4
OVERVIEW
Description | Attributes | Areas of Practice:
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Qualifications |
---|---|---|---|
practice. |
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The main area of practice is
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Assistant:
Nurse Associate:
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ASSOCIATE PRACTITIONER & ASSISTANT PRACTITIONER:
Area of Practice: CLINICAL
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
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Associate:
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Assistant:
Nurse Associate:
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Courses/Modules available at CCC:
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ASSOCIATE PRACTITIONER & ASSISTANT PRACTITIONER:
Area of Practice: EDUCATION & LEARNING
Sphere of responsibility, knowledge, skills and behaviours |
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Entry qualifications | Educational and professional development to achieve the next level of practice |
---|---|---|---|
Examples within own practice area:
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Assistant:
Nurse Associate:
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Courses/Modules available at CCC:
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ASSOCIATE PRACTITIONER & ASSISTANT PRACTITIONER:
Area of Practice: : LEADERSHIP & MANAGEMENT
Sphere of responsibility, knowledge, skills and behaviours |
|
Entry qualifications | Educational and professional development to achieve the next level of practice |
---|---|---|---|
Examples within own practice area:
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Assistant:
Nurse Associate:
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Courses/Modules available at CCC:
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ASSOCIATE PRACTITIONER & ASSISTANT PRACTITIONER:
Area of Practice: : RESEARCH & DEVELOPMENT
Sphere of responsibility, knowledge, skills and behaviours |
|
Entry qualifications | Educational and professional development to achieve the next level of practice |
---|---|---|---|
Examples within own practice area:
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Assistant:
Nurse Associate:
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Courses/Modules available at CCC:
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Practitioner
Indicative banding: B5
OVERVIEW
Description | Attributes | Areas of Practice:
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Qualifications |
---|---|---|---|
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PRACTITIONER:
Area of Practice: CLINICAL
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
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Courses/Modules available at CCC:
Accredited Modules: Degree level 6:
Masters level 7:
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PRACTITIONER:
Area of Practice: EDUCATION & LEARNING
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
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Courses/Modules available at CCC:
Accredited Modules: Degree level 6:
Masters level 7:
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PRACTITIONER:
Area of Practice: : LEADERSHIP & MANAGEMENT
Sphere of responsibility, knowledge, skills and behaviours |
|
Entry qualifications | Educational and professional development to achieve the next level of practice |
---|---|---|---|
Examples within own practice area:
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Courses/Modules available at CCC:
Accredited Modules: Degree level 6:
Masters level 7:
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PRACTITIONER:
Area of Practice: : RESEARCH & DEVELOPMENT
Sphere of responsibility, knowledge, skills and behaviours |
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Entry qualifications | Educational and professional development to achieve the next level of practice |
---|---|---|---|
Examples within own practice
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Courses/Modules available at CCC:
Accredited Modules: Degree level 6:
Masters level 7:
At CCC additional research competency requirements are:
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Senior Practitioner
Indicative banding: B6
OVERVIEW
Description | Attributes | Areas of Practice:
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Qualifications |
---|---|---|---|
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SENIOR PRACTITIONER:
Area of Practice: CLINICAL
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
|
---|---|---|---|
Examples within own practice area:
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|
|
Courses/Modules available at CCC:
Accredited Modules: Degree level 6:
Masters level 7:
|
SENIOR PRACTITIONER:
Area of Practice: EDUCATION & LEARNING
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
|
---|---|---|---|
Examples within own practice area:
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SENIOR PRACTITIONER:
Area of Practice: : LEADERSHIP & MANAGEMENT
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications |
Educational and professional development to achieve the next level of practice |
|
---|---|---|---|
Examples within own practice area:
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SENIOR PRACTITIONER:
Area of Practice: : RESEARCH & DEVELOPMENT
Sphere of responsibility, knowledge, skills and behaviours |
|
Entry qualifications | Educational and professional development to achieve the next level of practice |
---|---|---|---|
Examples within own practice
|
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At CCC additional research competency requirements are:
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Advanced Practitioner
Indicative banding: B7
OVERVIEW
Description | Attributes | Areas of Practice:
|
Qualifications |
---|---|---|---|
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ADVANCED PRACTIONER:
Area of Practice: CLINICAL
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
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|
|
Courses/Modules available at CCC:
Accredited Modules: Degree level 6:
Masters level 7:
|
ADVANCED PRACTITIONER:
Area of Practice: EDUCATION & LEARNING
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
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ADVANCED PRACTITIONER:
Area of Practice: : LEADERSHIP & MANAGEMENT
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
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ADVANCED PRACTITIONER:
Area of Practice: : RESEARCH & DEVELOPMENT
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice
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Consultant Practitioner
Indicative banding: B8a-c
OVERVIEW
Description | Attributes | Areas of Practice:
|
Qualifications |
---|---|---|---|
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CONSULTANT PRACTITIONER:
Area of Practice: CLINICAL
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
|
---|---|---|---|
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CONSULTANT PRACTITIONER:
Area of Practice: EDUCATION & LEARNING
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
|
---|---|---|---|
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CONSULTANT PRACTITIONER:
Area of Practice: : LEADERSHIP & MANAGEMENT
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
|
---|---|---|---|
Examples within own practice area:
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CONSULTANT PRACTITIONER:
Area of Practice: : RESEARCH & DEVELOPMENT
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
|
---|---|---|---|
Examples within own practice
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Senior Roles
Indicative banding: B8c-9
OVERVIEW
Description | Attributes | Areas of Practice:
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Qualifications |
---|---|---|---|
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SENIOR ROLES
Area of Practice: CLINICAL
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
|
---|---|---|---|
Examples within own
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SENIOR ROLES:
Area of Practice: EDUCATION & LEARNING
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
|
CSW Higher:
|
CSW Higher:
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Courses/Modules available at CCC:
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SENIOR ROLES:
Area of Practice: : LEADERSHIP & MANAGEMENT
Sphere of responsibility, knowledge, skills and behaviours |
Entry qualifications | Educational and professional development to achieve the next level of practice |
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---|---|---|---|
Examples within own practice area:
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SENIOR ROLES:
Area of Practice: : RESEARCH & DEVELOPMENT
Sphere of responsibility, knowledge, skills and behaviours |
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Entry qualifications | Educational and professional development to achieve the next level of practice |
---|---|---|---|
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