Knowledge, skills and performance

1. You must recognise and work within the limits of your competence and refer a patient to another practitioner where you cannot safely meet their needs.

2. Before carrying out an intervention for the first time yourself, or supervising others performing it, you must make sure you can do so safely, eg by undergoing training or seeking opportunities for supervised practice4

3. You must take part in activities to maintain and develop your competence and performance across the full range of your practice.

4. You must keep up to date with the law and clinical and ethical guidelines that apply to your work. You must follow the law, our guidance and other regulations relevant to your work.

5. You must seek and act on feedback from patients, including information on their satisfaction and physical and psychological outcomes. You must use this, and feedback from colleagues, to inform your practice and improve the quality of your work.

6. You must make sure your annual appraisal covers the whole of your practice.

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