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·       Compliant with respective code of professional conduct and practice within their own scope of practice.

·       Responsible for their own acts and omissions and accountable for their decisions at this level of practice.

·       Uses highly developed clinical knowledge to independently assess, diagnose, plan, implement and evaluate treatments and interventions for patients presenting to the speciality with complex, undifferentiated, undefined and chronic presentations.

·       Autonomously analyses complex clinical assessment and investigations to consider differential diagnoses, diagnose conditions and initiating treatments as necessary.

·       Performs advanced clinical procedures within their own competence and scope of practice and have a clear record of skill competence and maintenance of competency.

·       Requests investigations which are suitable for each individual patient including laboratory tests, ultrasounds, radiological investigations in adherence to local and national policy and protocol.

·       Acts on professional judgement about when to seek help, demonstrating critical reflection on own practice, self-awareness, emotional intelligence and openness to change.

·       Analyses multiple sources of data including patient history, physical examination and investigation findings when making diagnoses, clinical judgements and evaluating care provided, presenting this information, to speciality/senior medical staff for advice when scope of practice is exceeded.

·       Continuously re-evaluates findings and clinical response to treatment and establishes an appropriate ongoing management plan accordingly.

·       Priorities health problems and intervenes appropriately in complex, urgent and emergency situations, including initiation and leadership of resuscitation.

·       Manages clinical events involving patients, often requiring unpredictable and high levels of mental and/or physical effort according to the patient’s dependency and clinical need.

·       If the ACPs area of speciality requires, the ACP is integrated into the medical work force and provides rota cover as agreed.