1.
JOB IDENTIFICATION
Job Title: Lead Paediatric Audiologist/ Newborn hearing Screen Co-ordinator
Reports to (insert job title): Manager Audiology Services
Department, Ward or Section: Audiology
CHP, Directorate or Corporate Department: Surgical
Job Reference
SSSARAIGAUDI18
No of Job Holders: 1 BAND 7
Last Update (insert date): 02/02/2015
2. JOB PURPOSE
A practising healthcare professional that has responsibility for the day-to-day management of the following services within Audiology (Paediatric Diagnostics, Paediatric Hearing Aid, Newborn
Hearing Screening and Out Reach Paediatric Services, Clinical Supervision and leadership of
Paediatric Services including the allocation of work, management of staff, budget and physical resources. Deputises for Head of Audiology Services.
Maintains a clinical workload within Paediatric Audiology/Newborn Screening and delivers a highly developed specialist complex clinical workload across the services above.
Provides Local and National expertise within the field of Paediatric Audiology /newborn hearing screening /outreach services.
Takes a local lead in the National Audiology Quality reviews for Newborn hearing screening and
Paediatric audiology.
To act as the professional lead for the day to day management, evaluation and quality assurance of the screening process including the provision of screening information, the screening procedures and any onward referral.
To advise and lead the screening teams both community Midwives in (3 ) Caithness, (2) Fort William ensuring regular reviews of their performance and hospital (specific screeners in (2.5) Raigmore) ensuring regular reviews of their performance.

To be responsible for the recruitment, retention and the training of the screening teams and paediatric audiologists in accordance with national and local policies and procedures.
To manage all aspects of the screening and paediatric equipment, ensuring all protocols are followed, service and calibration is completed at the required intervals and the equipment is safely secured.
Ensures that a high quality diagnostic service for babies referred from the newborn hearing screening is carried out throughout the Highlands. Also, offering support and advice to the Western Isles Health
Board area.
A diagnostic service for complex adults and those with special needs will also be required.
To line manage staff within the paediatric services and deputise in the absence of the Head of Service for the whole Audiology Services.
Communicates with a wide range of professionals and develops and maintains professional and local networks to ensure effective and efficient services.
Involvement in business planning and research and audit within the Audiology specialism.
3. DIMENSIONS
Operational
Provision of a high quality newborn hearing service, offered to all newborns born in the Highland area approximately 2500 a year.
Clinical supervision and development of protocols are also provided for the midwives who are performing the screen in outreach maternity units such as Caithness, Fort William and the Western
Isles.
Provide a call out service on weekends and public holidays for Newborn Hearing Screening Staff when they are working alone.
The whole service provides a high quality newborn hearing service to babies in the remote and rural areas who have not been screened at birth. (Total births approx 2500)
This post holder performs highly complex diagnostic assessments on Adults (occasionally), children and neonates.
Provision of a high quality hearing aid service for Adults and Paediatrics to best practise standards.
Training and teaching of Medical students and Audiology students and practitioners at all levels, junior medical staff and other professional groups.

Delivers a comprehensive Audiology service, including direct referrals for hearing aids, hearing aid provision and management, diagnostic assessments both routine and complex for Ent and Paediatric
Audiology.
A minimum client base for the whole service of over 30000 regular hearing aid users (140 of which are children with hearing aids, who require more intensive and complex support such as integration of radio aids and fm systems), plus other service users. There is an annual activity of over 19,000 contacts.
This post holder works within the paediatric team mainly, with day to day involvement with the adult
Audiology team
Responsible for staff and clinic rotas and workload allocation at all venues used by the Paed service in conjunction with Lead adult Audiologist
Responsible for staff and clinic rotas and workload allocation at all venues used by the Newborn
Hearing Screening Service.
Staff
The Audiology services workforce consists of WTE made up of 19 staff in total.
This post holder manages directly 4.5 of these for the separate Paediatric service and newborn hearing screening service. This post holder also provide a clinical supervisory role to midwives performing the
Newborn Hearing Screening in Caithness Maternity, Fort William Maternity and Western Isles
Maternity Units and also to any Audiology staff requiring assistance with difficult children. Also provides a clinical support role to HV and school nurses, junior paediatric staff, junior ENT staff and
GP’s (training and testing). There is one 0.5 wte secretary shared between the paediatric and newborn hearing screening services.
The adult service is made up of 11 qualified practitioners, 2 assistant practitioners, 1 trainee and 1 secretary.
Responsible for planning of workload into appropriate Paed clinics.
Responsible for staff disciplinary issues in conjunction with manager of audiological services, sickness and absence records and implementation of policies such as PIN guidelines and PDP’s.
Ensures Newborn screening staff are allocated study leave and encouraged to improve their skills and education by maintaining Continual Professional Development portfolios.
Financial
Liaise with line manager regarding budget of £87,468 for the newborn hearing screening service.
Authorises payments for supplies, equipment, overtime and expenses up to £1000 per individual order including revenue, internal, and staff costs.
Orders and maintains supplies for the paediatric and newborn hearing services.

4. ORGANISATIONAL POSITION
5. ROLE OF DEPARTMENT
The Audiology department provides a diagnostic, hearing aid and rehabilitation service to any person or professional that requires it in the Highlands Health Board area.
A technical support service is also provided at Ent clinics. It also provides a newborn hearing screening service to all babies born in the Highlands. The service called, “The newborn hearing screening service” aims to diagnose newborns early with hearing loss. Infants with hearing loss have significant problems with speech and language, which give problems with communication skills and education leading to employment and social problems, and increased risk of mental illness.
It is well documented that infants who are diagnosed early and dealt with appropriately develop better speech and language skills than those diagnosed after six months of age.
Babies who fail the newborn hearing screen are referred to the paediatric Audiology service for ongoing diagnostic tests and lifelong rehabilitation, if required.
To achieve this, the Service:

Provides hospital based specialist investigative and diagnostic services to 13 ENT staff (including their middle and junior grade medical colleagues). This includes complex and non-routine electrophysiological measurement testing to assist in the diagnosis of hearing and vestibular disorders associated with
ENT/neurological and audiological complaints. Testing is undertaken on an outpatient and in-patient basis within the Audiology Department and ENT theatre sessions.


Delivers an assessment and rehabilitation tinnitus service to tinnitus sufferers.

On a daily basis provides audiology input to assist in the running of all routine ENT out-patient clinics.

Works in partnership with ENT in the provision and development of the Bone Anchored Hearing Aid
Service and the Cochlear Implant programme.

Delivers a Universal Newborn Hearing Screening Programme.

Delivers diagnostic testing and all follow up hearing aid related activity as necessary, to the
Organisation’s Newborn Hearing Screening Programme as part of the National Programme.

Works in partnership with the Education Department to provide a continuous programme of assessment to deaf and hearing impaired babies and children including pre-school, special schools for children with learning disabilities, mainstream schools and specialist hearing impairment units attached to mainstream schools.

Provides assessment, selection, and prescription fitting of hearing aids to all residents of the Highlands, from newborns to the elderly to include the development of individual care packages and lifelong support and rehabilitation.

Operates a direct GP referral system for hearing assessment leading to hearing aid provision thus relieving ENT OPD sessions from significant pressures and devolves responsibility from ENT Specialists to Senior Audiologists also shortening the referral to appointment time for patients.

Provides a repair service 5-days a week for hearing aid repair and/or batteries.

Delivers training and education to departments and agencies out with the Audiology Service i.e. medical
& nursing staff, voluntary organisations, public sector staff, business community etc to promote the issues faced by the hearing impaired and provide on occasion practical training in dealing with these and the technical issues associated with the use of hearing aids.

Liaises closely with other professionals within Health, Education and Social Services across the 3 local authorities in addition to the private sector and volunteer groups to maximise the provision of care for the hearing impaired.
The department provides an Audiology Service in line with Scottish Executive Health Service requirements, the local health plan and national objectives. (Modernisation and Universal Newborn Hearing Screening) as well as adopting the principles and practices of Employee Friendly Policies and Staff Governance.
6. MAIN TASKS, DUTIES AND RESPONSIBILITIES
Clinical and Service a) Works together with the Audiology Manager in the provision of the Paediatric and Newborn screening services to ensure systems and processes within the services are comprehensively assessed, appropriately planned, effectively implemented and evaluated according to agreed policies, procedures and guidelines, with reference to the management of risk and changing health care needs. b) Provide expertise, advice and guidance from a broad knowledge base to improve Paediatric and newborn services.

c) Works together with the Manager of the Audiology Services on the development of the Paediatric and Newborn/outreach services. d) Maintain systems and processes to monitor documentation, including recording and storing all relevant information ensuring it is securely held, accurate, complete and legible and can retrieved promptly when required. Uploading and assessing screening data regularly. f) Maintain systems and processes to ensure that the Paediatric and newborn Audiology environment is correctly and safely prepared for use, that the appropriate level of cleanliness is maintained, and that relevant materials and equipment needed for activities and procedures are available and ready for use, including clearing away and restoring equipment and the environment afterwards. g) Demonstrate and monitor the individual needs of the patient, acknowledging their personal preferences, rights and choices according to their plan of care by promoting anti-discriminatory practice, privacy, dignity and respect for personal values and identity. h) Provide advice and support for patients, carers and relatives by being visible and accessible, acting as first point of call for information and concerns referred from the Paediatric and newborn Audiology department and related areas, liaising with clinical teams, other staff and external agencies as required. i) Develop policies, procedures and clinical guidelines for implementation within and across Paediatric and newborn teams, modification of departmental policies i.e. in remote and rural areas a decision can be made to visit babies’ homes j) National involvement in newborn hearing screening co-ordinators meetings and Paediatric Working
Groups where changes to service can be discussed and implemented. k) Liaise with Child Health commissioner and other professionals on newborn hearing screening issues and developing care pathways for paediatric Audiology. l) Playing a lead role within the whole team i.e. education, social work when Scottish Exec audits are performed.
Demonstrate the promotion of effective communication and relationships, maintaining confidentiality of information by:

Working collaboratively with manager of Audiology services along with other professionals, groups,
Communities and agencies to ensure that the needs are met in relation to the service

Demonstrating effective interpersonal skills when dealing with staff, patients, relatives/carers and the
public in person, on the telephone, and in writing.

Participating and delivering Paed/newborn team brief, chairing meetings and offering suggestions for
improvements to service and team work.

Handling complex communication about the treatment of individual children with ENT
Staff.
Maintain a healthy, safe and secure working environment, ensuring compliance with legal and regulatory requirements by: -


Reporting any deficiency in health and safety systems or documentation to line manager or manager
of area concerned and dealing with it in the manager’s absence.

Attending occupational health for Health surveillance/vaccination following accidents and for
monitoring as laid down by hospital policy.

Co-operating with and attending training provided for Health and Safety purposes

Maintaining the safety and security of patients and their belongings

Recognising and responding appropriately to urgent and emergency situations

Maintaining cleanliness of the environment

Maintaining personal standards of health and hygiene. These include adherence to NHSH Health and
Safety and Control of Infection Policies.
Provide a highly specialist clinical role in the following areas: - a) Perform otoscopic examination of the ear and recognises contra indications to carrying out any
process. May require exposure to body fluids such as a discharging or blood filled ear and exposure
to varying degrees of patient personal hygiene b) Perform, analyse and report on a wide range of complex audiological tests on adults (Occasionally)
and children (Routinely) of all ages. These will include all aspects of audiometry/hearing
assessments, middle ear analysis, ABR,CERA (Evoked responses), Paediatric assessments (can
take up to 60mins mostly kneeling and crawling around at child level). Requiring a high level of
skill to elicit responses and aid management of communication difficulties. Requiring prolonged
patient contact for up to 90 minutes or more where there is a frequent requirement to use a computer
keyboard whilst sitting in a restricted position. c) To assess for, and provide hearing aids to a high standard for both adults and children
of all ages, taking aural impressions of the ear for the production of accurate earmoulds
on newborn babies to adults. Programming and fine-tuning and analysing hearing aids using
prescription methods for accurate fit to patients hearing losses using complex computer software and
hardware and manipulation of fine controls in the hearing aid using appropriate equipment.
Requiring prolonged contact of more than 60 minutes and up to 90 minutes. This requires a high
degree of precision and speed and co-ordination especially when dealing with babies and small
children. d) Perform real ear measurements and real ear to coupler measurements (requiring full co-operation of the patient as this involves placement of probe tubes into the ear canal. This requires a high degree of precision and speed and co-ordination especially when dealing with babies and small children. e) Assists with the vestibular assessment and rehabilitation clinics dealing with patients with balance problems, carrying out invasive assessment procedures in caloric testing. Clinical testing in this area requires a high degree of precision and speed and co-ordination with very vulnerable and often very dizzy individual patient) for patients with this emotionally and psychologically distressing condition. f) Provide a service for sudden profound hearing loss in patients. This service is very complex as it
happens infrequently 2-3 times a year and there is no warning that the patient will be referred.
These patients attend with total hearing loss, virtually no communication. 2-3 hours is normally spent
with these patients and their families. In the case of the paediatrics (very rare but do occur 1 this year
2005) very intense support required and home visits with other professionals involved. Specialised
assessments also carried out for non-organic hearing loss as some of the patients falsify or fabricate
their hearing loss (quite common in young teenage girls). These patients often have emotional and
psychological problems that require intense one to one counselling. As some of these patients might

be under 16 years of age and there might be child protection issues to address and refer on. g) The post holder also provides effective co-counselling and coaching for any junior staff that is dealing with any difficult and complex cases, especially in the paediatric service. h) Maintain teaching and presentation skills by involvement with National agencies, Trainee Teachers
of the Deaf (Scottish Sensory Centre Edinburgh) and local Medical students. i) Manage on a day to day basis an effective and safe newborn hearing screening service to national
standards
Educational/ Learning
Encourage and support staff to improve and develop their levels of expertise by providing Clinical
Supervision as required.
Leadership
This work involves the Paed Audiology/Newborn and outreach services and workforce planning processes by a) Reviewing the current and anticipated requirements of the service, according to national and local
priorities, performance targets and objectives, legislation, identification, analysis and evaluation of
risk, NHS Highland policy and guidance, b) Evaluating the quality of service provided and allocation of resources to support it. c) Develop the Paed Audiology/Newborn screening and related clinical teams by providing knowledge
and skills to influence the quality of care provided, including developing the relationships within and across clinical teams, encouraging learning and sharing best practice. d) Review the content of existing policies, procedures and guidelines, directly and indirectly related to
Paed/ newborn services by working collaboratively and co-operatively with clinical teams, patients, relatives/carers, including adapting (to suit the needs) new policies, procedures and guidelines for sharing and implementing across the clinical areas. This would involve child protection policies, PIN guidelines, health and safety policies and other national and local policies e) Maintain systems and processes to ensure that appraisals are in place for all staff in the
Paed/newborn screening department f) Support members of staff who struggle with their role and responsibilities, including balancing their work/home lives g) Manage the department resources in conjunction with Audiology Services Manager - staff, budget, premises, equipment, supplies and materials. h) Ensure that the job roles within the Paediatric /Newborn screening department are allocated fairly and with consideration of personal strengths and individuals PDP. i) Ensure that recruitment and selection of staff for these roles is at a high level and within NHS
Highland guidelines k) Ensure that staff are adequately prepared and trained for the post that they have been given and highlight any weaknesses during individual PDP’s and individual counselling sessions. l) Arranges monthly meetings with teams. m) Deputise for head of Audiology Services in their absence. n) Provides National Expertise and paediatric working group and newborn hearing screening groups. o) Provides local expertise and Children’s Hearing Services Working Group, Integrated Hearing
Support Group, Individual Child Plan meetings and Screening group.

p) Liase with local Paediatric Ent lead.
7a. EQUIPMENT AND MACHINERY a.
The main Audiology database is Auditbase and the post holder is fully competent in all aspects of its use. b.
Laptops and computers are routinely used and attached to this software by the post holder.
Most of the post holder’s day would be involved with this database and associated equipment and software. Statistics and scheduling are all developed on the database. c.
All digital and analogue hearing aids are computer programmed by the above software and stored on the main server. d.
The Auricle audiometers, which test peoples hearing, are also attached to the above. e.
The auricle real ear measures to make sure that the hearing aids are fitted correctly are also routinely used f.
The auricle test box is used routinely to check the output, frequency and gain of hearing aids. g.
Stand alone audiometers are also used h.
Label printers and DeskJet printers are also used on a daily basis. i.
Otoscopes are routinely used to assess if there are any medical conditions in the ear that might prevent assessment or treatment. j.
Speech words are presented to patients for them to repeat by the use of a CD-rom. k.
Speech testing equipment is also used with children l.
Tympanometers are used regularly to check pressure of the middle ear and assess for middle ear disease. m.
Specialised hearing aids such as Bone anchored, vibrotactile and frequency transposition ones are issued by this post holder. n.
Drills and grinding equipment for maintenance of patients ear moulds o.
Word processing and spreadsheets p.
Visual Reinforcement audiometry is performed with speakers and reward boxes to test small babies and children occasionally. q.
Syringes for inserting impression material into the patient’s ear. r.
Otostops for ensuring safe removal and insertion of the above. s.
Automated auditory brainstem response – newborn screening. t.
Otoacoustic Emissions – Newborn Screening u.
Otoacoustic Emissions I- Diagnostic v.
Diagnostic Electrophysiological Testing (highly specialised and complex test procedures) – evoked response audiometry including auditory brainstem response (routinely carried out under general anaesthetics), cortical (medical legal) and auditory steady state responses. w.
Diagnostic vestibular testing (highly specialised and complex test procedures) – nystar computer system
7b. SYSTEMS
Ensuring Paed/newborn staff accurately enters patient details and booking information for statistical purposes

Collate Newborn Screening quarterly statistics for the Scottish Exec
Inputting patient data into database
Completing monthly timesheets and processing these for pay unit purposes (occasionally)
8. ASSIGNMENT AND REVIEW OF WORK
Operates the paediatric newborn hearing screening and paediatric services independently within departmental policies, general guidelines and policies by the Scottish Executive and NHS Highland
Workload is generated by these policies, Head of service, by staff and patients of the service and Ent
Services and GPs, Health visitors, school nurses, community paediatricians, Eduaction, SLT’s,
Paediatricians and social services for the deaf.
Leads and manages Paed/newborn services independently with liaison with the Audiology services
Manager as required
9. DECISIONS AND JUDGEMENTS a) Interprets a broad spectrum of audiological test results and decides on tests to perform. For example in newborn hearing screening there were world wide differences in opinion that had to be taken into account when deciding on the best way forward for the Highland service There was no remote and rural research at the time and therefore Highland results have been used in other services in the world. b) Decides on what to write in a patient written report and provide supervision to Paediatric/newborn
Screening staff on the same. d) Decides if a patient referral should be accepted by the Audiology service or if it should be an Ent referral i.e. dependant on contents in referrals and the referral source –paeds such as history of ear infections, discharging ears and age e) Judges when patient should be discharged from care and treatment has finished or if they should be referred to another service. For example following up special care babies who have a higher risk of developing a hearing loss. f) Decides when referral to an Ent consultant is necessary for medical reasons such as visible infections, tumours etc. g) Works with Manager of the Audiology services with regarding best recruitment methods and how to prioritise staffing budget (for example take on a locum, offer staff overtime or seconding). h) Decides at interview the best person for any vacant Audiology posts in conjunction with other interviewers – newborn screening posts with midwifery staff, Audiology posts with Audiology /ENT staff using NHS Highland Protocols and individual person specifications.

i) Quick decisions and judgements throughout the day on staff and patient issues – these are often random, unprepared For example decisions about accidents – if a patient/staff requires first aid or intervention by the A&E team. j) Judgements on the level of information required for different individuals – patients (who may have learning difficulties, English as a second language or British sign language) and staff who also might have differing degrees of deafness or understanding.
10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB a) Counselling patients /parents/carers of children with sudden profound deafness that have very limited communication. c) Dealing with newly diagnosed families of deaf babies when deafness is totally unexpected and families are in deep emotional shock. d) Dealing with constant unpredictable interruptions by staff and patients and other professionals e) Lack of clinical supervision and training because of the geographical distance of Highland to UK
Audiology training centres. f) Working in uncomfortable cramped and hot conditions due to the sound treatment needed to perform Audiology type work in which adequate air flow is not provided.
11. COMMUNICATIONS AND RELATIONSHIPS
Communications
Gives out complex and factual rehabilitative knowledge and skills information to patients, carers and colleagues. Receives highly contentious and sensitive information when counselling patients and staff
Uses tact, sensitivity, persuasion and reassurance where barriers to communication and understanding include hearing loss, visual impairment (including deaf-blind) dementia, stroke/aphasia and English as a second language, emotional distress, adults/parents/carers with learning difficulties and children.
Ability to deal with and diffuse verbally aggressive, or hostile situations.
Liaise with other professionals with regard to all aspects of Paediatric and Newborn screening services including:
Medical and nursing staff, professionals related to Audiology outside of the Health Board, University bodies, company representatives, educational staff. Presents papers to national and local conferences
Communicates to Paed/newborn screening staff through regular staff meetings, personal development plans and day to day.
Communicates to service users through paediatric working group meetings, the local and national press and by individual consultation.
Communicates to wider professional groups who are involved with deafness, both locally and national
(such as social workers, voluntary organisations, paediatricians, GPs, Support workers, medical consultants, teachers of the deaf through regular working group meetings.
Communicates highly sensitive information to professionals at Network meetings (such as social workers, voluntary organisations, paediatricians, GPs, Support workers, medical consultants, teachers of the deaf, educational Physiologists (child protection cases - health board lawyers and police representatives)

Communicates to patients by one to one consultation about their individual care plans as part of my clinical role.
12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
Physical
Occasional Manual handling of elderly patients.
Manual handling of children with physical and complex needs during assessments.
Routine handling of newborn babies – frequently sick and performing other bodily functions, also seen prior to bathing whilst still crusted with blood from birth.
Routinely dealing with children with complex and communication disorders who can be physically violent
(kicked, punched and spat at).
Occasional lifting of heavy equipment. (Portable ERA system 15kg occasionally used in home visits and visits to other hospitals) In and out of dept, in and out of cars and in and out of homes/hospitals.
Persistent manoeuvring from crouching position to standing during testing.
Frequent use of keyboards and monitors.
Long periods of driving throughout Scotland and the Highlands, often starting early in the morning.
Using speed and high levels of hand, eye co-ordination when taking impressions of babies and small children’s ears and adults with special needs.
Highly developed physical skills when taking impressions of the ear and ear canal for individual ear moulds
Precision programming of specialised digital hearing aids. These are attached to patient’s ears via the computer and speed and precision and a high degree of expertise is required for babies and small children and adults with special needs.
Insertion of probe into the patient’s ear to measure the response of the ear to make sure the level of the hearing aid is correct.

Mental
Frequent requirement for prolonged concentration both clinically and managerially, which includes the following: -
Clinically when using specialist behavioural testing methods with paediatrics that have complex needs i.e. physical disabilities, learning difficulties and communication disorders (sometimes all three of the afore mentioned)
Clinical reporting often interrupted for specialist advice
Strong job requirement for frequent interruption to deal with clinical, administration, personnel and financial issues.
Supervising trainee’s (screeners) work and signing off their competencies
Emotional
Letting people with these disorders know unwelcome news that there is often no cure for their problems
Conveying the unwelcome news to parents that their baby has a permanent hearing loss as part of the newborn hearing screening service
Patients/parents/carers supplying distressing information that comes out during the counselling service to patients/parents/carers that are seen with a deteriorating or sudden hearing loss.
Parents supplying distressing information regarding their children often with poor prognosis.
Information that is supplied during counselling and referral service to Audiology staff that require it. (As required). Supporting the staff on personnel issues and helping them come to their own decisions about life and work issue
Supporting staff and advising on child protection concerns that they might have during consultations
Environmental
Prolonged VDU use
Dealing with aggressive or unclean patients and those with chronic ear infections or wax
(infrequent)
Using noisy and dusty machinery for ear mould modification
Coping with bad weather driving conditions
Working in uncomfortable cramped and hot conditions due to the sound treatment needed to perform Audiology type work.
Working in patients home environments ranging from immaculate to squalid conditions.
13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
Qualifications
BSc and MSc or equivalent short courses and experience
Registration with HPC or Royal College of Clinical Physiologists
BAA and/or BSA member
Training and assessing
Recruitment and Selection
Personal Development Planning
Counselling

Leadership and/or management training
Research and Audit
Development planning and project management
Knowledge
Advanced theoretical and clinical practice knowledge across the whole range of Audiology procedures
Advanced clinical knowledge in chosen specialist fields (Paediatrics mainly for this post holder).
Advanced habilitation of paediatric audiology patients.
Widespread knowledge of NHS networks/referral routes/policy
Evidence of contribution to new guidelines, policies and care pathways.
Sound knowledge of employment policies (PIN)
14. JOB DESCRIPTION AGREEMENT
I agree that the above Job Description is an accurate reflection of my duties and responsibilities at the date of signing.
Job Holder’s Signature: Date:
Manager’s Signature: Date: