Step guides
Understand the stages of a job evaluation specific to your band
These step guides will help you understand the national profile for bands 2 to 9, identified in our guidance.
We've outlined each factor to help you identify where there may be gaps in your current job information, to match it to the profile. As profiles can have multiple options per factor, our guide focuses on the highest option.
What you need to do
Identify the level your job has reached for each of the 16 factors below. You'll need a copy of your existing Matched Job Report (MJR), which shows how your job was originally assessed. This is a really important piece of the puzzle.
As you answer the question for each factor, you'll start to build a list of areas where your current job information would require strengthening to meet the national profile.
Which band are you currently?
Band 2
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Undertakes personal care duties for patients in the community, in hospital or other settings.
- Supports patients/clients with toileting, bathing, dressing and meals.
- Records patient information.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skills meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer "yes", your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer "no", your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communication and relationship skills
Does your MJR score level 3 or above?
Think about: The type of information communicated, and the skills used to gain the co-operation of patients/clients where there may be, for example, difficulties in understanding.
Factor 2 – Knowledge, training and experience
Does your MJR score level 2 or above?
Think about: How you would explain the training and experience needed to carry out your duties. Have you had on-the-job training and practical experience to develop your knowledge of personal care and related procedures? This can be gained through a Level 2 vocational qualification, or you could have equivalent relevant experience.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 2 or above?
Think about: The types of judgements you make whilst undertaking personal care for patients, for example, when you would escalate concerns to senior members of the team.
Factor 4 – Planning and organisational skills
Does your MJR score level 1 or above?
Think about: How you organise your own day-to-day activities.
Factor 5 – Physical skills
Does your MJR score level 2 or above?
Think about: The skills required to perform your duties. Some examples at this level would include bathing patients, using hoists, manoeuvring wheelchairs or standard driving (if it is needed for your role).
Factor 6 – Responsibility for patient/client care
Does your MJR score level 3 or above?
Think about: The personal care you provide to patients, such as bathing, toileting, dressing and assisting patients with their appearance, or perhaps providing mealtime support.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 1 or above?
Think about: Your role in the development of policies or procedures, which may be confined to following policies relevant to your specific work area and/or participating in discussions.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 2 or above?
Think about: Whether you have any financial responsibility. This can range from a personal obligation to use equipment carefully, to handling cash and patient valuables, ensuring equipment used by others is safe, and ordering supplies to maintain stock levels.
Factor 9 – Responsibility for human resources
Does your MJR score level 1 or above?
Think about: Whether you demonstrate your own activities to new or less experienced members of staff.
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether you gather and document it, such as height, weight, age or fluid balance.
Factor 11 – Responsibility for research and development
Does your MJR score level 1 or above?
Think about: The audits or surveys you may participate in as part of your own work. This may occasionally include participation in research and development activity.
Factor 12 – Freedom to act
Does your MJR score level 2 or above?
Think about: The initiative you take when delivering personal care that is guided by procedures and the availability of a supervisor who remains accountable.
Factor 13 – Physical effort
Does your MJR score level 4 or above?
Think about: The level of physical effort required to do the role. For example, whether you assist or move patients, and how often and for how long.
Factor 14 – Mental effort
Does your MJR score level 2 or above?
Think about: The level of concentration required for your role and whether this is predictable and routine.
Factor 15 – Emotional effort
Does your MJR score level 3 or above?
Think about: The types of emotional situations you are exposed to and the frequency with which they occur. For example, providing personal care to patients who have chronic conditions or those who are terminally ill and dying.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Whether you are exposed to foul linen or bodily fluids and the frequency with which this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Back to the topBand 3
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Undertakes a range of delegated clinical care duties in hospital, community or other settings.
- Records patient observations and changes to patient clinical conditions.
- Carries out limited clinical care duties.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skills meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer "yes", your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer "no", your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communication and relationship skills
Does your MJR score level 3 or above?
Think about: The type of information communicated, and the skills used to gain the co-operation of patients/clients where there may be, for example, difficulties in understanding.
Factor 2 – Knowledge, training and experience
Does your MJR score level 3 or above?
Think about: How you would explain the training, competencies or experience needed to become fully competent in the role. For example, this may be through completion of competencies alongside practical experience and short classroom-based courses.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 2 or above?
Think about: The types of judgements you make, for example, actions taken following routine observations, tests, supporting the activities of daily living, or initiating emergency procedures.
Factor 4 – Planning and organisational skills
Does your MJR score level 1 or above?
Think about: How you organise your own day-to-day activities.
Factor 5 – Physical skills
Does your MJR score level 3 or above?
Think about: The skills required to perform your duties. Some examples at this level would be restraint of patients or clients, or venepuncture.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 4 or above?
Think about: Delivery of care packages determined and delegated by others. The delegated clinical care duties will be limited and relevant to the work area. Examples may include recording patient observations, blood pressure monitoring, removal of catheters, or simple wound dressings.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 1 or above?
Think about: Your role in the development of policies or procedures, which may be confined to following policies relevant to your specific work area and/or participating in discussions.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 2 or above?
Think about: Whether you have any financial responsibility. This can range from a personal obligation to use equipment carefully, to handling cash and patient valuables, ensuring equipment used by others is safe, and ordering supplies to maintain stock levels.
Factor 9 – Responsibility for human resources
Does your MJR score level 2 or above?
Think about: The responsibility you have for staff or students. This can range from demonstrating your activities to new or less experienced staff, to the day-to-day supervision of students and junior staff.
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered, such as taking patient observations and documenting care provided.
Factor 11 – Responsibility for research and development
Does your MJR score level 1 or above?
Think about: The audits or surveys you may participate in as part of your own work. This may occasionally include participation in research and development activity.
Factor 12 – Freedom to act
Does your MJR score level 2 or above?
Think about: The initiative you take when delivering care that is guided by procedures and the availability of a supervisor who remains accountable.
Factor 13 – Physical effort
Does your MJR score level 4 or above?
Think about: The level of physical effort required to do the role. For example, whether you assist or move patients or clients, and how often and for how long.
Factor 14 – Mental effort
Does your MJR score level 3 or above?
Think about: The level of concentration required for your role and whether you are exposed to regular, unpredictable interruptions requiring a change of task.
Factor 15 – Emotional effort
Does your MJR score level 3 or above?
Think about: The types of emotional situations you are exposed to. For example, providing care to those who are terminally ill, or dealing with patients or clients exhibiting challenging behaviour, and the frequency with which these occur.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Whether you are exposed to uncontained blood or bodily fluids and the frequency with which this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Back to the topBand 4i
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Implements care packages or programmes in a range of settings under the supervision of registered clinical practitioners or as part of a multi-professional/multi-agency team.
- Carries out specific care duties for patients, as delegated by a registered nurse or other relevant professional.
- Monitors and contributes to care delivery and escalates any concerns.
- May supervise support workers.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skills meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer "yes", your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer "no", your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communication and relationship skills
Does your MJR score level 4 or above?
Think about: The types of communication you have with patients or their families where the message may be complicated or sensitive, and where you may need to provide motivation, empathy or reassurance. Examples of this would be caring for anxious or distressed patients, or those who are terminally ill or have a cognitive impairment.
Factor 2 – Knowledge, training and experience
Does your MJR score level 4 or above?
Think about: What knowledge of procedures and practices you need to undertake your role and whether this is gained through qualifications, formal training, competencies and/or experience. Examples may include an Undergraduate Diploma or equivalent appropriate qualification and experience, such as a Foundation Degree, HNC, or Level 3 vocational qualification, plus short courses, completion of competency workbooks, or relevant experience to Undergraduate Diploma level equivalency.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 3 or above?
Think about: The types of judgements you make when there is a straightforward choice of options, determining the best course of action. This may include deciding on the implementation of care programmes where there are a number of options, for example responding to a deteriorating condition or clinical emergencies such as anaphylactic shock.
Factor 4 – Planning and organisational skills
Does your MJR score level 2 or above?
Think about: Where you plan patient/client care, organise straightforward activities and reprioritise where necessary to ensure patient/client needs are met, such as organising home visits or social inclusion activities.
Factor 5 – Physical skills
Does your MJR score level 3 or above?
Think about: The skills required to perform your duties. Some examples at this level would be restraint of patients or clients, venepuncture, or insertion and removal of urinary catheters.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 4 or above?
Think about: Where you provide, monitor and contribute to care, provide advice about care, and may make minor changes to care plans within your scope of practice and under the supervision of registered practitioners.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 1 or above?
Think about: Where you have knowledge of clinical policies and may provide feedback on proposed changes to policies.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 2 or above?
Think about: Where you handle patients’ or clients’ valuables, maintain stock, or order supplies.
Factor 9 – Responsibility for human resources
Does your MJR score level 2 or above?
Think about: Where you can demonstrate your role to less experienced staff, allocate work to students or clinical support workers, or provide basic training for others.
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered, such as taking patient observations and documenting care provided.
Factor 11 – Responsibility for research and development
Does your MJR score level 1 or above?
Think about: Where you support research and development by participating in audits and surveys.
Factor 12 – Freedom to act
Does your MJR score level 2 or above?
Think about: Where you practise independently and use your own initiative, but under direct or indirect supervision, usually by a registered practitioner.
Factor 13 – Physical effort
Does your MJR score level 3 or above?
Think about: The level of frequent physical effort required for the role, for example whether you assist or manoeuvre patients and how often this occurs.
Factor 14 – Mental effort
Does your MJR score level 3 or above?
Think about: The level of concentration required for your role and whether you are exposed to regular interruptions requiring a change of task.
Factor 15 – Emotional effort
Does your MJR score level 3 or above?
Think about: The types of highly emotional and distressing situations you are exposed to, such as terminally ill patients or safeguarding issues, and the frequency with which this occurs.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Your working environment and whether you are exposed to verbal and/or physical aggression, or uncontained blood or bodily fluids, and the frequency with which this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Back to the topBand 4ii
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Implements care packages or programmes for children in a range of settings under the supervision of registered clinical practitioners.
- Carries out care activities for children, for example clinical observations, and participates in social inclusion and/or parenting support activities.
- May supervise and assess support workers.
- May participate in case conferences and case review meetings, for example safeguarding.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skills meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer "yes", your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer "no", your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communication and relationship skills
Does your MJR score level 4 or above?
Think about: The type of communication which is complex and complicated, requiring empathy, motivation and reassurance, particularly when there is a barrier to understanding or sensitivity required; for example, patients, clients, relatives or carers who may have additional learning needs. Consider how you offer support in challenging situations while meeting the communication needs of the child and family, for example children with special needs or long-term medical issues.
Factor 2 – Knowledge, training and experience
Does your MJR score level 4 or above?
Think about: The training, qualifications or experience required for the role. You may need an Undergraduate Diploma or equivalent appropriate qualification, such as an Undergraduate National Diploma Level 4, Foundation Degree in Childcare, or equivalent. This may also include a Level 3 vocational qualification plus short courses or relevant experience in children’s care, learning and development.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 3 or above?
Think about: The types of judgements you make when there is a straightforward choice of options. Examples may include deciding on the implementation of care programmes where there are several options. Consider how you use clinical judgement on problems requiring investigation and analysis, or when responding to a deteriorating child’s condition or clinical emergencies such as anaphylaxis, using skills learned to assist in emergency situations.
Factor 4 – Planning and organisational skills
Does your MJR score level 2 or above?
Think about: The types of planning you undertake. Some examples at this level would be organising delegated patient care activities such as home visits, social inclusion activities, planning parentcraft classes, and reprioritising activities as required to ensure patient needs are met.
Factor 5 – Physical skills
Does your MJR score level 3 or above?
Think about: The skills required to perform your duties. Some examples at this level would be restraint of patients or clients, venepuncture, and insertion or removal of urinary catheters or cannulas.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 4 or above?
Think about: How you provide, monitor and contribute to care delivery as delegated and supervised by registered clinical practitioners within your scope of practice. This may include making minor modifications to the programme of care. Detail how you provide a nursery nurse perspective to ward and multidisciplinary teams, and how you carry out care packages, including providing advice to patients, clients or carers.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 1 or above?
Think about: Your role in the development of policies or procedures, which may be confined to following policies relevant to your specific work area and/or participating in discussions.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 2 or above?
Think about: Whether you have any financial responsibility. This can range from a personal obligation to use equipment carefully, to handling cash and patient valuables. It could also include ensuring equipment used by others is safe, such as maintaining infection control for equipment used by children, including activity materials. It may also involve ordering supplies to maintain stock levels of play equipment. You may use expensive equipment such as incubators, highly specialist wheelchairs or specialist prams.
Factor 9 – Responsibility for human resources
Does your MJR score level 2 or above?
Think about: The responsibility you have for staff or students. This can range from demonstrating your activities to new or less experienced staff, to the day-to-day supervision of students and junior staff. It could include facilitating student placements and participating in learning through evidence-based practice, practical experience, training and competency assessments.
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered, such as taking patient observations and documenting care provided.
Factor 11 – Responsibility for research and development
Does your MJR score level 1 or above?
Think about: The audits or surveys you may participate in as part of your own work. This may occasionally include participation in research and development activities, clinical trials, or staff and patient satisfaction surveys.
Factor 12 – Freedom to act
Does your MJR score level 2 or above?
Think about: The initiative you take when delivering care that is guided by procedures or treatment plans, and the availability of a supervisor who remains accountable. You may be the first point of contact for enquiries and use your own initiative while working under direct or indirect supervision of a registered practitioner.
Factor 13 – Physical effort
Does your MJR score level 3 or above?
Think about: The level of physical effort required to do the role. For example, whether you assist or move patients or clients, and how often and for how long. You might be lifting equipment or babies, or ensuring safe patient or client restraint.
Factor 14 – Mental effort
Does your MJR score level 2 or above?
Think about: The level of concentration required for your role and whether you are exposed to regular, unpredictable interruptions requiring a change of task. You might be concentrating on patient or client treatment, care plans or observations.
Factor 15 – Emotional effort
Does your MJR score level 4 or above?
Think about: The types of emotional situations you are exposed to. For example, providing care to those who are terminally ill, dealing with patients or clients exhibiting challenging behaviour, being directly involved in family breakdown or child abuse cases, or having regular exposure to safeguarding issues.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Whether you are exposed to uncontained blood, bodily fluids or foul linen and the frequency with which this occurs. Also consider whether you are exposed to any physical aggression.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Back to the topBand 5
The Westminster government have committed to reviewing every band 5 NHS nursing role in England. If this applies to you, your employer should be in touch with more information soon. The job evaluation should be led by them.
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Provides nursing assessment of patients/clients.
- Plans, develops and/or implements and evaluates programmes of care in a range of settings.
- Provides clinical supervision to other staff and students.
- May be responsible for work allocation and checking of tasks of support staff and/or less experienced staff.
- Provides health promotion information and advice.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skills meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer "yes", your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer "no", your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communication and relationship skills
Does your MJR score level 4a or above?
Think about: The type of communications you have with patients which are complicated or sensitive, requiring empathy and reassurance, particularly when there may be a barrier to understanding such as cognitive impairment or additional learning needs. Examples of this would be explaining the clinical condition and/or treatment and care plans you are implementing to the patient and their family.
Factor 2 – Knowledge, training and experience
Does your MJR score level 5 or above?
Think about: The training, qualifications or experience required for the role. Jobs requiring registration with a professional body and a degree qualification, such as nursing, where no other training or experience is required.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 3 or above?
Think about: The types of judgements you make when there is a straightforward choice of options. Examples may include initial patient assessment, clinical risk assessments, and identifying and escalating any issues.
Factor 4 – Planning and organisational skills
Does your MJR score level 2 or above?
Think about: The types of planning you undertake. Some examples at this level would be organising staff and delegating duties to support staff and/or less experienced staff.
Factor 5 – Physical skills
Does your MJR score level 3 or above?
Think about: The skills required to perform your duties. Some examples at this level would be restraint of patients or clients, intravenous injections, syringe pumps and infusions, and removal of sutures.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 5 or above?
Think about: The type of care programmes you develop and/or the specialist advice concerning care or treatment for a specific group of patients/clients.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 1 or above?
Think about: Your role in the development of policies or procedures. This may be confined to following policies relevant to your specific work area and/or participating in discussions.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 2 or above?
Think about: Whether you have any financial responsibility. This can range from a personal obligation to use equipment carefully, to handling cash and patient valuables, ensuring equipment used by others is safe, and ordering supplies to maintain stock levels.
Factor 9 – Responsibility for human resources
Does your MJR score level 2 or above?
Think about: The responsibility you have for staff or students. This can range from demonstrating your activities to new or less experienced staff, to the day-to-day supervision of students and junior staff.
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered, such as taking patient observations and documenting care provided.
Factor 11 – Responsibility for research and development
Does your MJR score level 1 or above?
Think about: The audits or surveys you may participate in as part of your own work. This may occasionally include participation in research and development activity.
Factor 12 – Freedom to act
Does your MJR score level 3 or above?
Think about: The initiative you take when delivering care and whether your work is managed rather than supervised. This may include working within organisational and professional guidelines, with access to management support to escalate issues or problems.
Factor 13 – Physical effort
Does your MJR score level 4 or above?
Think about: The level of physical effort required to do the role. For example, whether you assist or move patients or clients, and how often and for how long.
Factor 14 – Mental effort
Does your MJR score level 3 or above?
Think about: The level of concentration required for your role and whether you are exposed to regular, unpredictable interruptions requiring a change of task.
Factor 15 – Emotional effort
Does your MJR score level 4 or above?
Think about: The types of emotional situations you are exposed to. For example, providing care to those who are terminally ill, dealing with patients or clients exhibiting challenging behaviour, or being directly involved in family breakdown or child abuse, and the frequency with which these occur.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Whether you are exposed to uncontained blood or bodily fluids and the frequency with which this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Back to the topBand 6i
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Assesses patients with complex needs/conditions.
- Plans, implements and evaluates care. This may be carried out in a specialist area; use specialist nursing skills.
- May develop specialist programmes for patients with complex needs/conditions.
- Provides day-to-day supervision and/or clinical supervision to others.
- May be responsible for a caseload, for example in the community.
As you answer the standard question for each factor, you start to build a list of areas where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skills meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer "yes", your job information may be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer "no", your job information likely requires strengthening in this area. The following step-by-step guide provides prompts to help you think about how your job information could be improved.
Factor 1 – Communication and relationship skills
Does your MJR score level 5 or above?
Think about: The type of communication which is highly sensitive and/or highly complex with patients/clients. Some examples are situations involving safeguarding; foetal abnormalities; sexually transmitted diseases; life-limiting conditions; or multi-morbidities which interact in complex ways.
Factor 2 – Knowledge, training and experience
Does your MJR score level 6 or above?
Think about: How you would explain to a newly qualified nurse what additional training, qualifications, competencies or experience they need to become fully competent in the role. For example, this may be through competency pathways such as a structured preceptorship; attainment of a Qualification in Specialism (QIS); a programme of short courses alongside practical experience to consolidate knowledge; or placements at different units/sites to acquire knowledge of the clinical conditions and how to treat them.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 4 or above?
Think about: The types of judgements you make when assessing or diagnosing conditions and the options for treatment available to you, particularly where there are specialist clinical conditions or multi-morbidities which interact in complex ways.
Factor 4 – Planning and organisational skills
Does your MJR score level 2 or above?
Think about: The types of planning you undertake. Some examples at this level would be making short-term adjustments to rosters; organising clinics; planning education or training sessions; or participation in discharge planning.
Factor 5 – Physical skills
Does your MJR score level 3 or above?
Think about: The skills required to perform your duties. Some examples at this level would be restraint of patients or clients; intravenous injections; syringe pumps and infusion; and removal of sutures.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 6 or above?
Think about: The type of care programmes you develop, particularly where these are in a specialist field. Some examples of specialist fields are critical care; spinal injuries; neonatal care; trauma; diabetes; rheumatology; stroke rehabilitation; learning-disabled children; and emergency care.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 2 or above?
Think about: How you get involved in the development of local policies or protocols and whether you have any responsibility for putting into practice a new or revised policy, for example ensuring junior staff and students are aware of and adhere to them.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 2 or above?
Think about: Whether you have any financial responsibility. Some examples at this level would be handling patient valuables; ordering stock or supplies; and assembling equipment for use by others.
Factor 9 – Responsibility for human resources
Does your MJR score level 2 or above?
Think about: The responsibility you have for staff or students, for example supervision or the provision of training to others.
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered or generated, such as taking patient observations or documenting care provided.
Factor 11 – Responsibility for research and development
Does your MJR score level 1 or above?
Think about: How you get involved in formal research studies or complex audits.
Factor 12 – Freedom to act
Does your MJR score level 4 or above?
Think about: Whether you are seen as a lead specialist in your area or team. This could be fulfilling a role such as link nurse, or whether you have a defined caseload to manage with autonomy in the role.
Factor 13 – Physical effort
Does your MJR score level 3 or above?
Think about: The level of physical effort required for the role, for example whether you assist or manoeuvre patients, and how often this occurs.
Factor 14 – Mental effort
Does your MJR score level 3 or above?
Think about: The type and frequency of concentration required for the role, and whether you are exposed to interruptions which require a change in task.
Factor 15 – Emotional effort
Does your MJR score level 3 or above?
Think about: The types of emotional situations you are exposed to, such as imparting unwelcome news to patients or providing care to those who are terminally ill, and the frequency with which this occurs.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Whether you are exposed to uncontained blood or bodily fluids, and the frequency with which this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Band 6ii
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Assesses patients, plans, implements care, provides advice; maintains associated records.
- Provides clinical and managerial support to registered and non-registered staff and students in a range of settings.
- Responsible for work allocation and checking of tasks of support staff and/or less experienced staff.
- May ensure effective running of team in a range of settings in the absence of the relevant manager.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skill meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer “yes”, your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer “no”, your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communications and relationships skills
Does your MJR score level 4 or above?
Think about: The type of communication which are sensitive and/or complex with patients/clients. Some examples are situations involving condition related information with patients, or dealing with staffing issues, discipline and grievance.
Factor 2 – Knowledge, training and experience
Does your MJR score level 6 or above?
Think about: How you would explain to a newly qualified nurse what additional training, qualifications, competencies or experience they need to become fully competent in the role. For example, this may be through competency pathways such as a structured preceptorship; attainment of a management or leadership qualification; or a programme of short course alongside practical experience to consolidate the knowledge.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 4 or above?
Think about: The types of judgements you make when assessing/diagnosing conditions and the options for treatment available to you - particularly where there are specialist clinical conditions or multi-morbidities which interact in complex ways.
Factor 4 – Planning and organisational skills
Does your MJR score level 3 or above?
Think about: The level of planning involved in your role, which may impact the delivery of the department/service, such as development of staff rosters ensuring adequate skill mix on shift, whilst undertaking assessment on patient complexity and allocation at the start of or during each shift.
Alternatively, it may be coordinating discharge planning; development of education programmes for the department; or organising multi-disciplinary case conferences.
Factor 5 – Physical skills
Does your MJR score level 3 or above?
Think about: The skills required to perform your duties. Some examples at this level would be restraint of patients or clients; intravenous injections; syringe pumps and infusion; removal of sutures.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 5 or above?
Think about: Your role in the development of patient care/treatment plans, including the patient assessment, planning and implementation.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 2 or above?
Think about: How you get involved in the development of local policies or protocols and whether you have any responsibility for their implementation, for example ensuring junior staff and students are aware of and adhere to them.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 3 or above?
Think about: The level of authority you have when committing the organisation to financial expenditure, such as when approving staff overtime, bank or agency shifts.
Factor 9 – Responsibility for human resources
Does your MJR score level 3 or above?
Think about: The responsibility and relationship you have for other staff, such as being a recognised team leader. There should be detail to explain the requirements of this role and to what degree you would be involved during employee relation process (i.e. recruitment, appraisal, discipline, grievance, capability).
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered/generated, such as taking patient observations, documenting care provided, or through supervising and supporting other staff.
Factor 11 – Responsibility for research and development
Does your MJR score level 1 or above?
Think about: The level of your involvement within research projects and/or audits, and the proportion of your time dedicated to it.
Factor 12 – Freedom to act
Does your MJR score level 3 or above?
Think about: The level of freedom you have within your role to make decisions and whether these are controlled by existing policies. Consider whether there are accessible management support or the routes for escalation.
Factor 13 – Physical effort
Does your MJR score level 3 or above?
Think about: The level of physical effort required for the role, for example whether you assist/manoeuvre patients, and how often this occurs.
Factor 14 – Mental effort
Does your MJR score level 3 or above?
Think about: The type and frequency of concentration required for the role, and whether you are exposed to any interruptions which require a change in task.
Factor 15 – Emotional effort
Does your MJR score level 3 or above?
Think about: The types of emotional situations you are exposed to, such as imparting unwelcome news to patients; providing care to those who are terminally ill; or dealing with staff discipline and grievances, and the frequency these occur.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Whether you are exposed to uncontained blood or bodily fluids, and the frequency this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Band 7i
The first step is to check that the job statement at the top of the profile does align to your job. It doesn't doesn’t need to be exact, just a good fit. The statement for the profile is:
- Assesses patients/clients, plans, implements care in a variety of settings, provides highly specialist advice.
- Deliver specialist nursing care to a defined caseload/within a defined area of nursing.
- Provides highly specialist advice and support to nurses/multidisciplinary team.
- Provides specialist education and training to other staff, students and/or patients/clients.
- Leads clinical audits in own specialist area.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skill meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer “yes”, your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer “no”, your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communications and relationships skills
Does your MJR score level 5 or above?
Think about: The type of communication which is highly sensitive and/or highly complex with patients/clients. Some examples are situations involving safeguarding; domestic violence; foetal abnormalities; sexually transmitted diseases; life limiting conditions; or multi-morbidities which interact in complex ways.
Factor 2 – Knowledge, training and experience
Does your MJR score level 7 or above?
Think about: How you would explain to a newly qualified nurse what additional training, qualifications, competencies or experience they need to become fully competent in the role. For example, a programme of short courses alongside practical experience to consolidate the knowledge; attainment of a qualification or education at master's level.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 4 or above?
Think about: The types of judgements you make when assessing/diagnosing conditions and the options for treatment available to you - particularly where there are specialist clinical conditions or multi-morbidities which interact in complex ways.
Factor 4 – Planning and organisational skills
Does your MJR score level 3 or above?
Think about: The planning you are required to undertake in your role, such as coordination of multi-agency provision or planning/running a specialised/nurse led service.
Factor 5 – Physical skills
Does your MJR score level 3 or above?
Think about: The skills required to perform your duties. Some examples at this level would be restraint of patients or clients; intravenous injections; syringe pumps and infusion; removal of sutures.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 6 or above?
Think about: The type of care programme’s you develop, particularly where these are in a specialist field. Some examples of specialist fields are critical care; spinal injuries; neonatal; trauma; diabetes; rheumatology; stroke rehabilitation; learning disabled children; and emergency care.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 3 or above?
Think about: Your role in the development of policies or practice changes for your service/specialism, or involvement in the same which impacts on other areas/specialisms/professions.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 2 or above?
Think about: Whether you have any financial responsibility. Some examples at this level would be handling patient valuables; ordering stock/supplies; assembling equipment for use by others.
Factor 9 – Responsibility for human resources
Does your MJR score level 3 or above?
Think about: The responsibility you have for other staff which may be from a supervisory or managerial perspective; or if you provide specialised training to other staff.
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered/generated, such as taking patient observations or documenting care provided.
Factor 11 – Responsibility for research and development
Does your MJR score level 2 or above?
Think about: The level of your involvement within research projects and/or audits, and the proportion of your time dedicated to it.
Factor 12 – Freedom to act
Does your MJR score level 4 or above?
Think about: Whether you are seen as a lead specialist/practitioner/nurse in your area or team. This could be fulfilling a role such as lead for a client group; or whether you have a defined caseload to manage with autonomy in the role.
Factor 13 – Physical effort
Does your MJR score level 3 or above?
Think about: The level of physical effort required for the role, for example whether you assist/manoeuvre patients, and how often this occurs.
Factor 14 – Mental effort
Does your MJR score level 3 or above?
Think about: The level of concentration required for your role and whether you are exposed to regular interruptions requiring a change of task.
Factor 15 – Emotional effort
Does your MJR score level 3 or above?
Think about: The types of emotional situations you are exposed to, such as imparting unwelcome news to patients or providing care to those who are terminally ill, and the frequency this occurs.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Your working environment, and whether you are exposed to verbal aggression or uncontained blood or bodily fluids, and the frequency this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Back to the topBand 7ii
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Provide leadership and management to registered and non-registered staff and students in a range of settings
- Assess patients/clients; plans, implements care; provides highly specialist advice; maintains associated records.
- May liaise with other agencies in planning programmes of care and/or health and education programmes.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skill meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer “yes”, your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer “no”, your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communications and relationships skills
Does your MJR score level 5 or above?
Think about: The type of communication which are highly sensitive and/or highly complex with patients/clients. Some examples are situations involving safeguarding; foetal abnormalities; sexually transmitted diseases; life limiting conditions; or multi-morbidities which interact in complex ways.
Factor 2 – Knowledge, training and experience
Does your MJR score level 6 or above?
Think about: How you would explain to a newly qualified nurse what additional training, qualifications, competencies or experience they need to become fully competent in the role. For example, this may be through attainment of a Qualification in Specialism (QIS); a programme of short course alongside practical experience to consolidate the knowledge; or placements at different units/sites to acquire knowledge of the clinical conditions and how to treat them. Also consider how you acquire the additional knowledge to underpin your responsibility for staff.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 4 or above?
Think about: The types of judgements you make when assessing/diagnosing conditions and the options for treatment available to you - particularly where there are specialist clinical conditions or multi-morbidities which interact in complex ways.
Factor 4 – Planning and organisational skills
Does your MJR score level 3 or above?
Think about: The level of planning involved in your role, which may impact the delivery of the department/service, such as development of staff rosters ensuring adequate skill mix on shift, whilst undertaking assessment on patient complexity and allocation at the start of or during each shift.
Alternatively, it may be coordinating discharge planning; development of education programmes for the department; or organising multi-disciplinary case conferences.
Factor 5 – Physical skills
Does your MJR score level 3 or above?
Think about: The skills required to perform your duties. Some examples at this level would be restraint of patients or clients; intravenous injections; syringe pumps and infusion; removal of sutures.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 6 or above?
Think about: The type of care programmes you develop, particularly where these are in a specialist field. Some examples of specialist fields are critical care; spinal injuries; neonatal; trauma; diabetes; rheumatology; stroke rehabilitation; learning disabled children; and emergency care.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 4 or above?
Think about: Your involvement in the review or development of policies and procedures, including whether their impact is within your own area/department, or if there is wider impact across other services or the organisation.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 3 or above?
Think about: The level of authority you have when committing the organisation to financial expenditure, such as when approving staff overtime, bank or agency shifts.
Factor 9 – Responsibility for human resources
Does your MJR score level 4 or above?
Think about: The responsibility and relationship you have for other staff, such as being a recognised line manager or team leader. There should be detail to explain the requirements of this role and to what degree you would be involved during employee relation process (i.e. work allocation and checking; reviewing performance and progress).
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered/generated, such as taking patient observations, documenting care provided, or through supervising and supporting other staff.
Factor 11 – Responsibility for research and development
Does your MJR score level 2 or above?
Think about: The level of your involvement within research projects and/or audits, and the proportion of your time dedicated to it.
Factor 12 – Freedom to act
Does your MJR score level 4 or above?
Think about: Whether you are seen as a lead specialist/practitioner/nurse in your area or team. This could be fulfilling a role such as lead for a client group, or whether you have a defined caseload to manage with autonomy in the role. Try to explain the level of freedom and discretion the role has within professional guidelines or defined parameters.
Factor 13 – Physical effort
Does your MJR score level 3 or above?
Think about: The level of physical effort required for the role, for example whether you assist/manoeuvre patients, and how often this occurs.
Factor 14 – Mental effort
Does your MJR score level 3 or above?
Think about: The type and frequency of concentration required for the role, and whether you are exposed to any interruptions which require a change in task.
Factor 15 – Emotional effort
Does your MJR score level 4 or above?
Think about: The types of emotional situations you are exposed to, such as imparting unwelcome news to patients; providing care to those who are terminally ill; or dealing with staff discipline and grievances, and the frequency these occur.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Whether you are exposed to uncontained blood or bodily fluids, and the frequency this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Back to the topBand 8a
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Provide clinical and operational leadership for a defined service/department.
- Lead on ensuring consistent delivery of evidence-based, safe and effective nursing care.
- Provide highly specialised advice to nursing teams and wider professional colleagues, for example social care and therapies, to ensure high standards of direct care delivery.
- Take a key role in service review and/or development and implementation of policies, procedures and guidelines.
- May provide specialist education and training to own profession and/or multidisciplinary staff.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skills meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer "yes", your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer "no", your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communication and relationship skills
Does your MJR score level 5 or above?
Think about: The types of communication which are highly sensitive and/or highly complex. Some examples are situations involving safeguarding; foetal abnormalities; sexually transmitted diseases; life-limiting conditions; or multi-morbidities which interact in complex ways. Alternatively, you may present or deliver sensitive and/or complex information to large groups (20 or more) in a formal setting.
Factor 2 – Knowledge, training and experience
Does your MJR score level 7 or above?
Think about: How you would explain to a newly qualified nurse what additional training, qualifications, competencies or experience they need to become fully competent in the role. For example, this may be through a programme of short courses alongside practical experience to consolidate knowledge, or attainment of a qualification or education at master's level.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 4 or above?
Think about: The types of judgements you make and the options available to you, particularly when these judgements have a range of options. This may include specialist clinical conditions or multi-morbidities which interact in complex ways; planning service delivery and deployment of staff to deliver the service; requiring consideration of governance, risk and interpretation of evidence-based practice.
Factor 4 – Planning and organisational skills
Does your MJR score level 4 or above?
Think about: The planning required to undertake your role, such as leading quality improvement programmes that impact service delivery, which may include service redesign, or planning and developing training programmes that have an impact across or within a service.
Factor 5 – Physical skills
Does your MJR score level 3 or above?
Think about: The skills required to perform your duties. Some examples at this level would be restraint of patients or clients; intravenous injections; syringe pumps and infusions; and removal of sutures.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 6 or above?
Think about: The accountability for the delivery of specialised care programmes, particularly where these are in a specialist field or subdivision. Some examples of specialist fields are critical care; spinal injuries; neonatal care; trauma; diabetes; rheumatology; stroke rehabilitation; learning-disabled children; and emergency care. Alternatively, you may hold accountability for the delivery of a specific or defined clinical service.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 4 or above?
Think about: Responsibility for the review, development and implementation of policies and procedures for the service, or for service redesign, including whether their impact is within your own area or department, or whether there is wider impact across other services or the organisation.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 3 or above?
Think about: The level of authority you have when committing the organisation to financial expenditure, such as authorising overtime, bank or agency spend; making procurement recommendations; allocating resources; or acting as delegated budget holder for the service or department.
Factor 9 – Responsibility for human resources
Does your MJR score level 4 or above?
Think about: The responsibility for staff, such as being a recognised line manager. There should be detail to explain the requirements of this role and the degree to which you are involved in recruitment, development and performance management. Alternatively, the main purpose of the job may be responsibility for developing and delivering training or education programmes.
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered or generated, such as taking patient observations, documenting care provided, or through supervising and supporting other staff.
Factor 11 – Responsibility for research and development
Does your MJR score level 2 or above?
Think about: The level of your involvement within research projects and/or audits, and the proportion of your time dedicated to them.
Factor 12 – Freedom to act
Does your MJR score level 5 or above?
Think about: The level of discretion you have to decide how to use your own initiative and the restrictions imposed on you by others, such as responsibility for deciding how national procedures, policies, guidelines or legislation should be interpreted and implemented within your service.
Factor 13 – Physical effort
Does your MJR score level 2 or above?
Think about: The level of physical effort required for your role. For example, whether you assist or manoeuvre patients, walk, stand, bend or kneel, and how often this occurs.
Factor 14 – Mental effort
Does your MJR score level 2 or above?
Think about: The type and frequency of concentration required for the role, and whether you are exposed to interruptions that require a change in task.
Factor 15 – Emotional effort
Does your MJR score level 3 or above?
Think about: The types of emotional situations you are exposed to, such as imparting unwelcome news to patients; providing care to those who are terminally ill; dealing with staff discipline, performance management and grievances; managing complaints; and the frequency with which these occur.
Factor 16 – Working conditions
Does your MJR score level 2 or above?
Think about: Whether you are exposed to unpleasant working conditions, such as aggressive behaviour from patients or clients, or being in the vicinity of uncontained blood or bodily fluids, and the frequency with which this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Back to the topBand 8a – c
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Provides expert professional advice to patients, carers and colleagues.
- Undertakes research in a specialist area.
- Provides education and training to other staff and students.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skills meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer "yes", your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer "no", your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communication and relationship skills
Does your MJR score level 5 or above?
Think about: The type of communication which is highly sensitive and/or highly complex with patients/clients. Some examples are situations involving safeguarding, foetal abnormalities, sexually transmitted diseases, life-limiting conditions or multi-morbidities which interact in complex ways. Alternatively, it may be through the delivery of presentations detailing complex or sensitive information to a large group of staff or patients/public.
Factor 2 – Knowledge, training and experience
Does your MJR score level 7 or above?
Think about: How you would explain to a newly qualified nurse what additional training, qualifications, competencies or experience they need to become fully competent in the role. For example, this may be through competency pathways such as a structured preceptorship and development programme; attainment of a qualification or education at master's level; or an equivalent programme of short courses alongside practical experience to consolidate knowledge.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 5 or above?
Think about: The types of judgements you make when assessing or diagnosing conditions and the options for treatment available to you. Particularly where there are specialist clinical conditions or multi-morbidities which interact in complex ways, or where you are seen as the expert in the nursing field and provide advice to the organisation.
Factor 4 – Planning and organisational skills
Does your MJR score level 3 or above?
Think about: The level of planning involved in your role, which may impact the delivery of the department or service, such as development of staff rosters ensuring adequate skill mix on shift whilst undertaking assessment of patient complexity and allocation at the start of, or during, each shift.
Alternatively, it may include coordinating discharge planning, development of education programmes for the department, or organising multidisciplinary case conferences.
Factor 5 – Physical skills
Does your MJR score level 4 or above?
Think about: The skills required to perform your duties. Some examples at this level would be suturing, endoscopies, surgical interventions, intubation or similar.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 6 or above?
Think about: The type of care programmes you develop, particularly where these are in a specialist field. Some examples of specialist fields are critical care, spinal injuries, neonatal care, trauma, diabetes, rheumatology, stroke rehabilitation, learning-disabled children and emergency care.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 4 or above?
Think about: Your involvement in the review or development of policies and procedures, including whether their impact is within your own area or department, or whether there is wider impact across other services or the organisation.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 3 or above?
Think about: The level of authority you have when committing the organisation to financial expenditure, such as holding a delegated budget or approving staff overtime, bank shifts or agency shifts.
Factor 9 – Responsibility for human resources
Does your MJR score level 4 or above?
Think about: The responsibility you have for other staff, whether from a supervisory or managerial perspective, or through the development and provision of specialised training or programmes for other staff.
Factor 10 – Responsibility for information resources
Does your MJR score level 1 or above?
Think about: The types of information you deal with and whether this is information you have gathered or generated, such as taking patient observations or documenting care provided.
Factor 11 – Responsibility for research and development
Does your MJR score level 5 or above?
Think about: The level of your involvement within research projects and the proportion of your time dedicated to them. This may include being identified as the principal investigator, holding membership of an audit or research committee, or developing research programmes.
Factor 12 – Freedom to act
Does your MJR score level 5 or above?
Think about: Whether you are seen as an expert in your field of nursing, holding responsibility to interpret and convert national guidelines or legislation into organisational policy, governance arrangements or educational programmes.
Factor 13 – Physical effort
Does your MJR score level 2 or above?
Think about: The level of physical effort required for the role, for example whether you assist or manoeuvre patients, and how often this occurs.
Factor 14 – Mental effort
Does your MJR score level 3 or above?
Think about: The level of concentration required for your role and whether you are exposed to regular interruptions requiring a change of task.
Factor 15 – Emotional effort
Does your MJR score level 4 or above?
Think about: The types of emotional situations you are exposed to, such as imparting or discussing unwelcome news with patients regarding life-changing conditions, terminal illness or safeguarding issues, and the frequency with which this occurs.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Your working environment, and whether you are exposed to verbal aggression or uncontained blood or bodily fluids, and the frequency with which this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
Back to the topBand 8c – 9
The first step is to check that the job statement at the top of the profile does align to your job. It doesn’t need to be exact, just a good fit. The statement for the profile is:
- Provides expert professional advice to patients/clients, carers and staff.
- Responsible for service development/redesign in own area of expertise.
- Undertakes clinical audit and research in a specialist field.
- Provides education and training to other staff and students; may develop or contribute to the development of specialist training and education programmes in own field.
As you answer the standard question for each factor, you start to build a list of where your current job information would require strengthening to meet the national profile. Your application will be stronger when you have more examples of where your knowledge, responsibilities and skills meet the standard required in each factor. Every factor counts, and it is your responsibility to represent your role accurately.
Where you answer "yes", your job information may already be sufficient to match the required level. You can, and should, strengthen this description if it does not accurately represent your role.
Where you answer "no", your job information may need strengthening in this area. We have provided prompts to help you think about how your job information could be improved.
Factor 1 – Communication and relationship skills
Does your MJR score level 5 or above?
Think about: The type of communication which is highly sensitive and/or highly complex with patients/clients. Some examples are situations involving safeguarding, foetal abnormalities, sexually transmitted diseases, life-limiting conditions or multi-morbidities which interact in complex ways. Alternatively, it may be through the delivery of presentations detailing complex or sensitive information to a large group of staff or patients/public.
Factor 2 – Knowledge, training and experience
Does your MJR score level 8 or above?
Think about: How you would explain to a newly qualified nurse what additional training, qualifications, competencies or experience they need to become fully competent in the role. For example, attainment of a qualification or education at doctorate level, or an equivalent programme of qualifications and short courses alongside practical experience to consolidate knowledge.
Factor 3 – Analytical and judgemental skills
Does your MJR score level 5 or above?
Think about: The types of judgements you make when assessing or diagnosing conditions and the options for treatment available to you. Particularly where there are specialist clinical conditions or multi-morbidities which interact in complex ways, or where you are seen as the expert in the nursing field providing advice to the organisation.
Factor 4 – Planning and organisational skills
Does your MJR score level 5 or above?
Think about: The level of responsibility for planning involved in your role, such as that related to service development, education and training, or workforce planning. Explain the breadth of this responsibility, for example whether it is for a service, directorate, organisation or region. Also detail whether the planning is operational or strategic, and the timeframe covered (short, medium or long term).
Factor 5 – Physical skills
Does your MJR score level 4 or above?
Think about: The skills required to perform your duties. Some examples at this level would be suturing, endoscopies, surgical interventions, intubation or similar.
Factor 6 – Responsibility for patient/client care
Does your MJR score level 6 or above?
Think about: The type of care programmes you develop, particularly where these are in a specialist field. Some examples of specialist fields are critical care, spinal injuries, neonatal care, trauma, diabetes, rheumatology, stroke rehabilitation, learning-disabled children and emergency care. Alternatively, you may hold clinical accountability for a specialist area of nursing.
Factor 7 – Responsibility for policy/service development
Does your MJR score level 4 or above?
Think about: Your involvement in the review or development of services and/or policies, and whether you hold overall responsibility within your service. This may include development of policy and practice, service development and quality improvement initiatives such as patient pathways or clinical policy.
Factor 8 – Responsibility for financial and physical resources
Does your MJR score level 3 or above?
Think about: The level of authority you have when committing the organisation to financial expenditure, such as holding a delegated budget or approving staff overtime, bank shifts or agency shifts.
Factor 9 – Responsibility for human resources
Does your MJR score level 4 or above?
Think about: The responsibility you have for other staff, whether from a supervisory or managerial perspective, or through the development and provision of specialised training or programmes for other staff.
Factor 10 – Responsibility for information resources
Does your MJR score level 2 or above?
Think about: The types of information you deal with and whether this is information you have gathered or generated, such as taking patient observations or documenting care provided. Additionally, consider whether you are required to produce reports using statistical data and the frequency of this activity.
Factor 11 – Responsibility for research and development
Does your MJR score level 5 or above?
Think about: The level of your involvement within research projects and the proportion of your time dedicated to them. This may include being identified as the principal investigator, holding membership of an audit or research committee, or developing research programmes.
Factor 12 – Freedom to act
Does your MJR score level 5 or above?
Think about: Whether you are seen as an expert in your field of nursing, holding responsibility to interpret and convert national guidelines or legislation into organisational policy, governance arrangements or educational programmes.
Factor 13 – Physical effort
Does your MJR score level 2 or above?
Think about: The level of physical effort required for the role, for example whether you assist or manoeuvre patients, and how often this occurs.
Factor 14 – Mental effort
Does your MJR score level 3 or above?
Think about: The level of concentration required for your role and whether you are exposed to regular interruptions requiring a change of task.
Factor 15 – Emotional effort
Does your MJR score level 4 or above?
Think about: The types of emotional situations you are exposed to, such as imparting or discussing unwelcome news with patients regarding life-changing conditions, terminal illness or safeguarding issues, and the frequency with which this occurs.
Factor 16 – Working conditions
Does your MJR score level 4 or above?
Think about: Your working environment, and whether you are exposed to verbal aggression or uncontained blood or bodily fluids, and the frequency with which this occurs.
Once you’ve worked through the standard question for each factor, you’ll start to see where your current job information would require strengthening to meet the national profile.
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