To provide a level of advanced knowledge and comprehensive assessment based on specialist body of knowledge. To appropriately assess, examine, investigate, diagnose and treat patients, resulting in the safe management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations. To be able to identify the need for appropriate diagnostic tests and interpret results including point of care testing and radiography investigations. To undertake advanced physical assessment and non-medical prescribing in accordance with the Trusts policy to meet clinical needs. To ensure that patients are informed and consent is gained prior to treatment, investigation, examination and management as appropriate. To work out of hours and weekend shifts as needed to ensure availability of advanced clinical skills and visible clinical leadership To ensure the safe discharge of patients under your care in conjunction with the multi-disciplinary team where necessary. Management/Leadership To role model a high standard of documentation within the patients health records. To undertake delegated projects and management responsibilities as required. To develop and maintain effective and appropriate communication systems with staff and colleagues within the Trust. To take every responsible step to see that the working environment is safe, healthy and hazard free for staff and users. To utilise effective leadership styles to promote clinical excellence and optimum patient outcomes To be aware of care provision in the wider healthcare community and utilise this knowledge to proactively contribute to service development/improvement Quality To work with all members of the multidisciplinary team to ensure that care is evidence based and that continuous quality improvement programmes are in place that constantly challenges practice. To improve the quality of patient experience by identifying and meeting the individual needs of patients, including issues pertaining to child protection and safeguarding vulnerable adults. To assist in the collation of data for the service key performance and work with others to ensure continuous improvement on results. To work closely with the Trusts PALS department and where necessary participate in investigating incidents and complaints in line with the Trust policy, procedures and timescales, making recommendations about changes in practice and service that may result. To advocate the collection of friends and family results. To be a role model in the correct use of relevant procedures, guidelines and protocols. To assist the Division in benchmarking against other services and developing innovative practice and new ways of working which are productive and patient outcome focused. Education, training and research To promote a continuous learning environment for the nursing and medical teams ensuring that staff have access to information that enables them to practice safely and effectively. To contribute to the development of nursing and medical knowledge and skills. To teach and support medical staff, nursing staff, students and newly qualified staff as appropriate in the clinical setting. To contribute to peer review and supervisory processes. To collate information about training and development needs of staff as identified through annual reviews and liaise with the professional development team to ensure these needs are met where appropriate. To ensure where appropriate that arrangements are made for educational evaluation and for staff to learn from the outcomes of quality reviews, audits, complaints and investigations. To undertake mandatory training as required for the role. To be aware of ones own continuous professional development needs and maintain an annual personal development plan. To proactively initiate, lead and participate in audit as required and in line with the Trusts audit programme, devising audits and presenting findings as needed. To lead on data collection for specific local and multi-centre research projects. To ensure that results of mandatory and departmental specific audits are acted on and changes in practice implemented Professional responsibilities To be aware of and act in accordance with agreed policy and procedures, legislation and NMC standards To adhere to policies and procedures at all times and ensure that all teams are aware of their responsibilities in relation to these To ensure personal compliance with the Trusts non-medical prescribing policy To ensure continuing professional development