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Levels of practice -Enhanced

Enhanced Level:

  • Practitioners at this level go beyond the basics, acquiring additional skills, knowledge, and experience beyond their initial registration requirements. In this advanced stage, they often step into more specialized roles, embracing increased responsibilities within their professional domain.


In-depth Knowledge and Leadership:

  • Possess a critical understanding of detailed theoretical and practical knowledge, either as generalists with a special interest or specialists with focused expertise.
  • Manage and lead responsibilities within their role.


Specialist Skills and Capabilities:

  • Acquire specialist knowledge, skills, and capabilities directly related to their sphere of practice.


Collaborative Patient Care:

  • Consult with patients, their families, and the multi-professional team to conduct assessments of patient needs.
  • Devise and evaluate complex care plans through a comprehensive approach.


Clinical Problem Solving:

  • Evaluate and analyze clinical problems using their in-depth knowledge, seeking and applying relevant evidence, enhanced techniques, interventions, and equipment to make informed clinical decisions.


Adaptability and Innovation:

  • Deliver enhanced clinical care amid continual change, challenging environments, different models of care delivery, innovation, and rapidly evolving technologies.
  • Utilize analysis and deep knowledge to manage complex interventions effectively.


Educational Role:

  • Teach and advise patients and their families on how to manage their conditions or support the multidisciplinary team in doing so.


Research and Development:

  • Participate in clinical audits and research projects, implementing changes as required.
  • Contribute to the development and updating of practice protocols, guidelines, and procedures at the local level.


Adherence to Protocols and Boundaries:

  • Work within national and local protocols where available.
  • Recognize the boundaries of their practice, knowing when and to whom patients should be referred.


Delegation and Accountability:

  • Delegate work to other members of the multidisciplinary team, taking accountability for the delegated activity.


Initiative and Creativity:

  • Demonstrate initiative and creativity in finding solutions to problems.


Team Performance and Service Development:

  • Have some responsibility for team performance and service development.
  • Consistently undertake self-development, contributing to the continual advancement of their professional skills

Examples of job roles at enhanced level: 

Registered nurse (all fields), Registered AHP, Registered Pharmacist.

Experienced practitioners who work in a role which requires in-depth role specific cancer knowledge and skills or training

following registration, for example cancer treatment administration/side effect management/site or pathway specific to undertake complex work managing a discrete aspect of patient care related to their sphere of practice. Role titles may vary

Click here for for more information on different roles within cancer services