Clinical: 1. Independently performs and reports a wide range of complex ultrasound examinations. Recognises the sonographic characteristics of normal and abnormal tissues, structures and blood flow; adjusts scanning technique to optimise image quality 2. Demonstrates the specialist professional knowledge and skills necessary for the interpretation, reporting and diagnosis of a range of complex patient conditions; provides an authorised report of clinical findings to the referring clinician 3. Evaluates referrals with respect to appropriate clinical details and gathers relevant information from the patient or their representative. Uses such information to develop or adapt the procedure to optimise the diagnostic outcome 4. Identifies any contraindications to the procedure such as medication, insufficient patient preparation or any inability or unwillingness on the part of the patient to tolerate the procedure 5. Is responsible for the clinical management and care of the patient ensuring patient safety, privacy and dignity is maintained at all times 6. Communicates with the patient or their representative the purpose of the ultrasound examination and where applicable the significance of the results. Is aware of barriers to understanding and is able to present and explain potentially complex clinical information 7. Participates in the vetting of ultrasound referrals by both manual and electronic processes. Prioritises the urgency of referrals and advises the administrative team with regard to scheduling requirements 8. Works in conjunction with the profession lead sonographer to act as a source of information and expert advice for colleagues, both internal and external to the department, with regard ultrasound 9. Contributes to the patient care pathway through participation in multidisciplinary team meetings (MDT) as required Managerial: 10. Supervises radiology staff working in own area of responsibility. Staff groups include Student and Qualified Sonographers, Health Care Assistants and Radiology Department Assistants 11. Prioritises and plans the daily activities of the unit ensuring patients are imaged in a safe, timely and efficient manner; works in cooperation/conjunction with other staff groups 12. Proactively contributes to the delivery of objectives and targets relevant to the Radiology service, in particular the Department of Health 6 week Diagnostic Waiting Time target (DM01). Monitors ultrasound waiting times and notifies the Senior Management Team of any issues likely to impact on performance 13. Performs appraisals for Qualified Sonographers under the Trusts Values in Action process, with support from the Clinical Services Manager as appropriate; ensures that Trust targets for completed appraisals are met 14. In conjunction with the professional lead sonographer, performs Return to Work interviews in accordance with Trust policy; undertakes first stages of absence management notifying the Clinical Services Manager of any issues 15. In conjunction with the professional lead sonographer, participates in the recruitment and selection of staff within own area of responsibility; actively promotes diversity in the recruitment, management and development of staff. Ensures relevant paperwork is completed for new starters, leavers etc. 16. Is responsible for the management of annual leave within own area of responsibility; ensures that leave requirements are balanced against service needs and that Trust and departmental leave policies are followed 17. Is responsible for the efficient use of resources within own area of responsibility. Manages stock levels and submits orders via the eProcurement System 18. Ensures all ultrasound equipment is in safe working order and that regular checks and preventative maintenance is performed and recorded according to agreed schedules. Liaise with Clinical Engineering where appropriate 19. Oversees quality assurance and clinical audit within own area of responsibility 20. Has a sound knowledge of ultrasound equipment technology; is able to identify and rectify minor faults. Is fully conversant with processes for reporting faults, contacting engineers/suppliers and supervising engineers on site. Ensures all faults are appropriately logged 21. Is involved in the evaluation, procurement and implementation of new equipment in conjunction with the Clinical Services Manager and relevant Consultant Radiologists; this may include participation in the tendering process and in the preparation of business cases etc. 22. Contributes to strategic planning in conjunction with the Clinical Services Manager, and Medical Lead; works with the Clinical Services Manager to manage and implement changes relating to clinical service developments, changes in working practice or patterns of work 23. Contributes to the development and implementation of Clinical Governance processes relevant to own area of responsibility; attends the monthly Radiology Clinical Governance meetings 24. Ensures appropriateness and currency of documentation in own area of responsibility; is responsible for local documentation including Standard Operating Procedures, Safe Systems of Work, Risk Assessments etc. Ensures local risk assessments are incorporated into the Radiology Risk Register 25. Ensures local data compliance and IT security consistent with Trust policies and practices 26. Is responsible for the timely & effective investigation of PALS concerns or complaints relating to own area of responsibility. Prepares responses or reports as appropriate, in conjunction with the Clinical Services Manager and Deputy Clinical Services Manager. Is responsible for identifying and reporting adverse incidents, near misses or potential risks; takes action in line with Trust and departmental procedures, informing the Clinical Services Manager and Deputy Clinical Services Manager as appropriate 28. Represents own specialist area of responsibility / subdivision at the monthly Radiology Leads meetings 29. In conjunction with the professional lead and practice education sonographer, holds responsibility for the development and implementation of local protocols within the Sonography Department 30. Is able to identify and apply data to decision making processes Teaching, Training & Research: Alongside the professional lead and practice education sonographer, assesses the knowledge and proficiency of staff, addressing training and development needs as appropriate and reporting any deficiencies to the Clinical Services Manager, as necessary Develops and delivers formal and informal training relevant to own area of expertise. Ensures training is in accordance with local and national professional standards and policies Participates in Research & Development initiatives, as appropriate 34. Undertakes clinical audits as appropriate, evaluating the outcomes and proposing changes to working practice Professional Role Responsibilities: Is accountable for own practice and maintenance of Governing Body registration status. Develops own skills, maintaining and developing competencies across the repertoire of the department as appropriate Demonstrates highly developed specialist knowledge underpinned by theory and experience; has the ability to use this knowledge to provide highly specialist advice. Ability to apply evidence based practice to own area of responsibility 38. Exercises autonomy within professional and managerial boundaries, working independently and without supervision in the provision of services Participates in the Trust appraisal programme Values in Action, and works towards identified development needs. To include attendance on mandatory training courses Demonstrates active participation in Continuous Professional Development, ensuring personal standards of clinical proficiency are maintained Displays and maintains an appropriate level of IT skills 42. Participates in the development and implementation of policies and procedures which impact on own area of responsibility. Regular updating of policies and procedures in accordance with NICE guidelines 43. Participates in the Trusts Service Improvement Strategy Improving Together General Responsibilities: Communicates effectively with staff groups from inside and outside the Trust, including clinicians and other healthcare professionals, patients and their representatives, senior Trust management, external agencies, commercial suppliers, manufacturers, service engineers and visitors to the unit Demonstrates and maintains a high level of IT skills; is fully conversant with the computerised systems within the Radiology Department Accurately inputs details on to EPR / RadNet; is able to interrogate the system for patient details, updating and recording information as required. Maintains accurate, up to date and comprehensive documentation in line with legal and departmental requirements Is conversant with departmental policies, and supports the Radiology management team in ensuring that staff performance complies with professional standards Is aware of the requirements of Clinical Governance, Data Protection, Patient Confidentiality, IR(ME)R, COSHH and local and national Health and Safety Policies Abides by current policies and procedures of the Trust and/or the Radiology Department, and complies with the Health and Safety at Work Act Participates in departmental and team meetings as appropriate. Undertakes other duties appropriate to grade, as delegated by the Medical Lead for Radiology, and the Clinical Services Manager