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Key Knowledge, Skills and Behaviours (KSBs) Statements

The NMAHP Development Framework aims to support users to develop core knowledge, skills and behaviours (KSBs) to demonstrate competence across the 4 pillars of practice. 

The knowledge, skills, and behaviours (KSBs) are outlined as statements to help you reflect on your current job role and identify areas for further development to enhance your effectiveness.

You may also wish to incorporate additional KSBs from other profession-specific or role-specific frameworks relevant to your position. A blank template is provided for you to add these.

Please note that some KSB statements may have similarities and overlaps across the pillars. Keep this in mind when developing your evidence, as it may address several KSBs across different pillars

The knowledge, skills and behaviours expected for all Level 5 practitioners are detailed below.


  Clinical Practice
5C1 Use a range of skills and strategies to communicate with people about difficult matters or situations.
5C2 Acts and influences others in demonstrating non-judgemental, values-based care.
5C3 Promote and deliver safe, effective and person-centred care as part of the multi-disciplinary team.
5C4 Maintain and apply knowledge of relevant guidance, policies and legislation that govern legal and ethical aspects of service provision.
5C5 Use and contribute to the development, implementation and review of local policies, guidelines and protocols.
5C6 Monitor and maintain health, safety and security of self and others, by applying knowledge of health and safety legislation and infection control policies.
5C7 Apply critical thinking and evaluation skills to make timely and informed clinical decisions related to all aspects of the care process.
5C8 Demonstrate the ability to use technology and information systems and resources that are routinely used in practice.
5C9 Provide and share information effectively and concisely for a range of situations and contexts to ensure safety and continuity of care.
5C10 Practise in ways which recognise and respond to health inequalities, respect diversity, protect against discrimination and support others to do the same.
5C11 Apply a range of skills to promote health and well-being, improve health literacy and empower patients to share decision making.
5C12 Develop and apply clinical knowledge, skills and behaviours appropriate to specific area of practice.
5C13 Raise concerns and/or report series incidents in accordance with local reporting procedures.
5C14 Recognise the effects and potential symptoms of trauma or vicarious trauma and respond appropriately. Practising at a minimum of Trauma Informed  practice level.
5C15 Ability to escalate concerns if unable to carry out their duty and responsibilities outlined within health and care staffing legislation. Practising at Informed level.

  Facilitating Learning
5F1 Demonstrate knowledge and applies the skills of facilitation, teaching, assessment and behaviours including supervising, teaching and maintaining the learning environment.
5F2 Evidence experiential learning through supervision, feedback, reflective practice techniques and evaluation.
5F3 Apply an inclusive and collaborative approach to the development of a positive learning environment.
5F4 Evidence reflection on own and others experiences of the workplace to develop a positive learning environment.
5F5 Ability to effectively apply practice supervision, applying quality standards to facilitate pre-registration learners to develop knowledge, skills and proficiency, within own scope of practice.
5F6 Ability to engage in [clinical] supervision, using reflective practice and feedback to enhance the quality of care and outcomes through:
Personal development and wellbeing: fostering self-awareness and effective self-management. 
Continual professional development: committed to ongoing learning and development, with a focus on professional codes and maintaining quality standards. 
Knowledge, Skills, and Proficiency Development: actively seeking to expand clinical knowledge and skills to ensure high standards of practice and effective care.
5F7 Source and evidence use of a range of educational materials to support own development.
5F8 Motivate, stimulate and encourage others to facilitate the learning process.
5F9 Develop and apply knowledge of adult learning theory appropriate to specific role.
5F10 Engages with appraisal and the development and activation of a personal development plan.
5F11 Ability to effectively fulfil the role of supervisor across all aspects of [clinical] supervision for support workers, within scope of practice.
5F12 Ability to facilitate others to develop self-awareness and personal resilience through restorative supervision.

  Leadership
5L1 Demonstrate leadership qualities and behaviours including skills in motivating, influencing and negotiation.
5L2 Communicate effectively verbally non-verbally and in writing to a range of people.
5L3 Seek, receive and provide feedback in an open, honest and constructive manner.
5L4 Identify and analyse problems and recommend solutions.
5L5 Respond proactively to own and others concerns and know how to escalate ongoing issues.
5L6 Demonstrate the ability to work well within a team and in collaboration with others.
5L7 Demonstrate accountability for own work and responsibility for delegation to others.
5L8 Engage in own personal and professional development planning and review; and support others to develop personally and professionally.
5L9 Contribute to effective management of resources including workforce resources within own area of practice.
5L10 Develop and apply leadership skills and behaviours appropriate to specific role.

  Evidence, Research and Development
5E1 Consolidates understanding and application of different research approaches. Identifies and explores ideas for research/development activity from own practice.
5E2 Demonstrates the ability to search and critically appraise evidence to inform practice.
5E3 Shares with others good practice and the lessons learned from audit, research and quality improvement activity.
5E4 Adheres to research governance, including Good Clinical Practice, ethics, data protection and confidentiality.
5E5 Demonstrates the ability to undertake Quality Improvement, clinical audit and research activity to inform practice for self and others.
5E6 Critically analyses and evaluates information.
5E7 Identifies and analyses professional issues.
5E8 Develop and apply knowledge of research and development appropriate to specific role.