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This apprenticeship standard is in development and is not yet ready to use

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Clinical photographer

Details of standard

Occupation summary

This occupation is found in the healthcare sector and includes the NHS and private healthcare providers as well as some universities and research organisations.

The broad purpose of the occupation is to provide expert clinical photography services, accountable for providing complex and critical video and clinical images to support patient care. Clinical photographers support the monitoring of patient treatment, aid diagnosis and enhance patient records as well as support clinical teaching, research and publication.

In their daily work, an employee in this occupation interacts with multi-disciplinary clinical teams across all specialities, patients, relatives, management team, scientists, and academics. They also support external agencies such as the police, social workers and solicitors. Clinical photographers are usually hospital-based during core working hours, with out-of-hours working required for some specialist services.

An employee in this occupation will be responsible for using professional judgement, planning and carrying out a broad range of highly specialised clinical photography, video and imaging to deliver accurate visual records of the progress of patients’ disease and treatment and at times are required to have direct physical contact with the patient. They will also capture clinical photographic evidence for safeguarding purposes and contribute photographic and video expertise to support major incident planning. As an autonomous practitioner, they have responsibility for the safety and wellbeing of the patient whilst in their care, supervision of apprentices and trainees and prioritisation of workload. As the first point of contact for the clinician, the clinical photographer must using professional judgement interpret their requirements to determine the most appropriate action. They are accountable professionally and legally for their actions and of those they are supervising, including the enacting of legislation such as patient confidentiality, record-keeping and risk management. They will critically evaluate the service and their own practice to influence and lead change initiatives within the service. Clinical photographers might work entirely alone (in smaller institutions or the private sector) or might be part of a larger team in a big organisation. They manage and operate professional-grade equipment, which might include (depending on the specialities they serve) highly-specialised instruments such as ophthalmic imaging (biomicroscope cameras, slit-lamp, OCT and other laser-scanning technologies), 3D scanning cameras and thermal imaging equipment. They are responsible for maintaining and using a range of specialist IT software.

Typical job titles include:

Medical Photographer, Clinical Photographer


Occupation duties

Duty

KSBs

Duty 1 Work safely and effectively alongside other clinical staff and within the limits of own competence, knowledge and sphere of professional practice, in line with legislation, local policy, procedures and professional code of conduct.

K1 K2 K6 K7 K9 K13 K14 K15 K16 K22 K24 K27

S1 S2 S3 S4 S5 S8 S9 S10 S11 S12 S13 S14 S19 S25

B1 B2 B4 B5

Duty 2 Be accountable and responsible for undertaking repeatable and standardised clinical photography in a wide range of healthcare settings that capture the salient visual features of disease and treatment. e.g. clinical photographic studio, operating theatres, mortuary, clinics, wards. Make decisions based on an understanding of anatomy and medical terminology and use professional judgement to select and use imaging techniques to aid clinical decision making, support patient records, patient care, teaching, research and medico-legal evidence.

K3 K4 K5 K6 K7 K8 K9 K10 K12 K14 K15 K25

S1 S3 S4 S5 S7 S8 S9 S10 S11 S13 S14 S22 S25

B1 B2 B5

Duty 3 Capture complex and accurate clinical photographic evidence for safeguarding purposes to support multidisciplinary teams, e.g. social services, police and appropriate clinicians

K3 K4 K7 K9 K10 K13 K26 K27

S4 S5 S7 S8 S10 S14 S22 S23 S25

B1 B5

Duty 4 Lead on the production of repeatable and standardised clinical video sequences and finished films to demonstrate the dynamic, chronic and acute aspects of disease and treatment and capture the salient visual (and audio) features of disease and treatment.

K3 K4 K6 K7 K8 K9 K10 K12 K25

S4 S7 S8 S13 S14 S22 S25

B1 B5

Duty 5 Provide clinical photographic expertise to clinical trials and studies e.g. designing and managing a photographic protocol to monitor patients’ progress in a clinical trial.

K3 K4 K5 K7 K28

S1 S4 S14 S17 S22 S24 S25

B5

Duty 6 Working independently, undertake photography in the healthcare environment to support patient information, medical education, public relations and corporate communications working in compliance with legal, ethical and professional code of conduct standards.

K1 K18 K19

S2 S4 S5 S11 S12 S18 S19 S25

B5

Duty 7 Ensure that patient images have been accurately captured, processed and made available, in accordance with relevant legislation and ethical guidance to support patient care.

K14 K15 K19 K20 K24

S12 S18 S19

B5

Duty 8 Use professional judgement to ensure appropriate, informed consent is obtained or in cases where a patient lacks capacity ensures that the relevent Code of Practics are adhered to. Ensuring information governance safeguards are in place for the intended use of clinical images. Manage and promote best practice in the safe use of clinical images within the healthcare environment.

K7 K13 K14 K15

S4 S25

B5

Duty 9 Critically evaluate practice and contribute expert advice on research, new imaging technology and innovative techniques to develop and improve the service. Identify and implement change to improve the clinical photography service, making decisions based on legal, financial, user and organisational requirements.

K21 K22 K23 K29

S4 S6 S9 S15 S16 S17 S20 S21 S25

B5

Duty 10 Develop self and others through a commitment to career-long learning and demonstration of best practice, training, coaching and mentoring evidenced through CPD.

K16 K17

S6 S15 S20

B2 B3 B5

Duty 11 Contribute photographic and video expertise to support major incident planning as part of a multidisciplinary, clinical and wider team e.g. terrorist incident, pandemic. Undertake photography and video as an integral part of the major incident response team.

K11 K15 K18

S10 S14 S25

B4 B5


KSBs

Knowledge

K1: Local and national legislation, policies and procedures within their scope of practice, professional and regulatory codes of conduct; the importance of working within boundaries of practice; the range of physical, psychological and diagnostic interventions within their scope of practice. Back to Duty

K2: Professional Standards Authority (PSA) and Academy for Healthcare Science (AHCS) standards and adheres to the Institute of Medical Illustrators (IMI) Code of Professional Conduct. Back to Duty

K3: Relevant anatomy, physiology and pathology, anatomical positioning and medical terminology. Back to Duty

K4: Key patient signs and symptoms in order to recognise and document their condition. Back to Duty

K5: Different patient needs and rights in relation to dignity, equality, diversity, inclusion and privacy, communication styles and clinical conditions e.g. dementia or learning disabilities. Back to Duty

K6: Protocols in relation to the appropriate use of Personal Protective Equipment (PPE). Back to Duty

K7: The underpinning knowledge of consent, how to obtain consent and the procedures to follow when consent cannot be obtained. Back to Duty

K8: Human anatomy and physiology to image the area of interest, using anatomical landmarks and the importance of patient positioning to obtain the photograph required. Back to Duty

K9: Safe patient moving and handling techniques. Back to Duty

K10: The process for escalation of unexpected findings identified on images to ensure optimum patient care. Back to Duty

K11: The procedures relating to major incident and their role within the Major Incident Response Team. Back to Duty

K12: Different methods of communication including verbal and non-verbal communication; the effect of own body language and attitude on others and the need for active listening skills. Back to Duty

K13: Legal, ethical and professional principles associated with equality, diversity, inclusion and safeguarding, including the use of consent chaperones when direct physical contact is needed. Back to Duty

K14: Patient confidentiality and awareness of responsibility to maintain it in line with ethical and legislative frameworks. Back to Duty

K15: Data Protection Regulations and consequences of good and poor data quality on the patient experience/pathway including the need for accurate record keeping (data capture and data processing). Back to Duty

K16: Different roles and scopes of practice for those under own supervision. Back to Duty

K17: Both good and bad practice, with the ability to deliver constructive feedback. Back to Duty

K18: Photographic, video and specialist imaging equipment and techniques. Back to Duty

K19: Post production imaging software techniques. Back to Duty

K20: How images are captured and appropriately shared and stored. Back to Duty

K21: Service management and the principles of service improvement. Back to Duty

K22: Current trends in relevant legislation, the profession and the wider healthcare service and how to use evidence-based practice in daily work. Back to Duty

K23: Different research methodologies and how to critically analyse research. Back to Duty

K24: Cyber security relevant to the clinical photography service. Back to Duty

K25: The application of different photographic, video and imaging procedures and techniques including standard representational photography relevant to a broad range of clinical conditions and settings. This includes clinical work such as ophthalmology, dermatology, dental, surgical and non-clinical such as public relations /corporate. Back to Duty

K26: Specific legislation relating to safeguarding policies and practices, (adults and paediatrics). Back to Duty

K27: Multi-disciplinary team structures and multi-agency working e.g. non-accidental injuries (NAI), police, coroner, social workers and solicitors. Back to Duty

K28: Photographic and imaging processes, procedure and adherence to protocols in relation to clinical trials. Back to Duty

K29: The theory of the audit cycle, including quality control methods, analysis of results and how to take appropriate action. Back to Duty

Skills

S1: Manage time and resources and prioritise workload according to clinical needs. Back to Duty

S2: Build and sustain professional relationships and work independently, as part of the clinical photography team, as part of a multi-disciplinary team, providing supervision as appropriate. Back to Duty

S3: Communicate appropriately with patients, their families, carers and clinical staff at all levels when exercising the duties. Back to Duty

S4: Collate and record information from different sources and critically evaluate that information to make a logical, informed decision, and communicate decisions appropriately and in a timely way. Back to Duty

S5: Analyse and critically assess a clinical or professional situation and respond accordingly, raising concerns as appropriate. Back to Duty

S6: Analyse results of audits and quality control, present findings and take appropriate action. Back to Duty

S7: Use professional photographic and video techniques and adapting as required to each clinical situation. For example selects and operates a range of equipment, maintains patient dignity and comfort, communicates with patients and colleagues to ensure the safe movement of patients into imaging position. Back to Duty

S8: Recognise normal and abnormal image appearances and use critical judgement when to act upon them. Back to Duty

S9: Assess image standards technically against national guidelines and local protocols, in terms of both image capture and patient positioning. Back to Duty

S10: Respect and maintain patient privacy and dignity at all times in all environments, including emergency situations. Back to Duty

S11: Maintain accurate and confidential patient records, paper and/or electronic as appropriate. Back to Duty

S12: Maintain data protection and patient confidentiality in clinical photography practice and complete relevant documentation. Back to Duty

S13: Use appropriate Personal Protective Equipment (PPE) for staff, patients and members of the public, e.g. correct selection of PPE when on wards, in theatre or any other clinical situation. Back to Duty

S14: Work in accordance with local and national legislation, policies and procedures, the professional and regulatory codes of conduct and within scope of practice. Back to Duty

S15: Supervise, facilitate learning, motivate and share good practice with others. Back to Duty

S16: Use Quality Assurance methods to analyse and interpret results and act upon them in a safe manner. Back to Duty

S17: Read and critically analyse research articles and relevant legislation and apply research findings to practice. Back to Duty

S18: Select and use post production software techniques in order to deliver high quality clinical photographic and video records and manage workflow. E.g. make adjustments to the exposure or contrast of the image to improve clinical value while maintaining the integrity of the image. Back to Duty

S19: Use image storing and delivery systems to ensure images are appropriately and securely shared and stored e.g. various access levels for image database in accordance with consent levels and data protection. Analyse and critically assess different image storage and delivery systems and contribute to the procurement of a solution, ensuring that it adheres to Data Protection, GDPR, and IT security. Back to Duty

S20: Contribute to continuous improvement of service and personal practice through reflection and adaptation. Back to Duty

S21: Critically evaluate and employ current trends in the profession and wider healthcare environment. Back to Duty

S22: Apply different photographic, video and imaging procedures and techniques relevant to a broad range of clinical conditions and settings, (including standard representational photography, dermoscopy, UV/IR as appropriate). Back to Duty

S23: Provide photographic/video evidence to standards appropriate for safeguarding purposes to support the multi-agency and multi-disciplinary work. Back to Duty

S24: Adapt techniques in order to adhere to clinical trials protocols. Back to Duty

S25: Demonstrate emotional intelligence, critical thinking, independent decision-making skills, problem solving skills and professional judgement. Back to Duty

Behaviours

B1: Empathy, compassion and underpinning emotional resilience. Back to Duty

B2: Confident, flexible and adaptable within own scope of practice. Back to Duty

B3: Be a reflective practitioner. Back to Duty

B4: Act with their code of conduct, honesty, integrity and respect in all interactions, including when direct physical contact is needed, obtaining the appropriate consent. Back to Duty

B5: Reflect on own impact on others, take responsibility and be accountable for own actions. Sensitively challenge others and raise issues when appropriate. Back to Duty


Qualifications

English & Maths

Apprentices without level 2 English and maths will need to achieve this level prior to taking the End-Point Assessment. For those with an education, health and care plan or a legacy statement, the apprenticeship’s English and maths minimum requirement is Entry Level 3. A British Sign Language (BSL) qualification is an alternative to the English qualification for those whose primary language is BSL.

Professional Recognition

This standard has professional recognition.

Body Level
Professional Member of the Institute of Medical Illustrators Academy for Healthcare Science (AHCS), Accredited Register for Healthcare Scientists.


Additional details

Occupational Level:

7

Duration (months):

24

Review

This apprenticeship standard will be reviewed after three years

Status: In development
Proposal approved Standard approved Assessment plan approved
Level: 7
Degree: non-integrated degree
Reference: ST0858
Version: 1
Date updated: 31/01/2020
Route: Health and science
Typical duration to gateway (I.e. excluding EPA period) : 24 months
Trailblazer contact(s): j.noctor@ucl.ac.uk
Employers involved in creating the standard: University College London, Cardiff and Vale University Health Board, Media Studio, Cambridge University Hospitals NHS Foundation Trust, Manchester Hospital’s NHS Foundation Trust, Buckinghamshire Healthcare NHS Trust, UCL (but based in Royal Free Hospital and Great Ormond Street Hospital), Brighton & Sussex University Hospitals NHS Trust, Medical Illustration Heartlands Hospital, Bordesley Green East Birmingham, Royal National Throat, Nose and Ear Hospital, Medical Photography, Mid Essex Hospital Services NHS Trust, Broomfield Hospital Chelmsford Essex, University of Staffordshire, Cardiff University, AHCS, Institute of Medical Illustrators and Head of Service, Medical Illustration Services, NHS Greater Glasgow & Clyde, IMI Chairman elect

Version log

Version Date updated Change Previous version
1 31/01/2020 Standard first published

Not available

1 15/01/2019 Initial creation

Not available