To act in an advisory role and take direct responsibility for the assessment of physical. Psychological, financial and social support needs of people and carers of people with Parkinsons disease and related movement disorders. Use specialist knowledge and skills to identify symptoms and problems. Communicate in a professional and sensitive manner with individuals, their relatives and carers in highly emotive or distressing circumstances taking their beliefs and culture into account. This can be from diagnosis to palliative care. To take direct responsibilities for providing highly sensitive, accurate, research based information on Parkinsons disease and related neurological movement disorders including diagnostic treatments, prognosis and disease management. This may be to patients, carers GPs, medical staff and other health care members. To take direct responsibility for assessing the need for Neurological/medical review and to arrange review with managing Consultant or GP. To take direct responsibility for prescribing, adjusting or titrating medication, following assessment, using an agreed treatment plan. To take direct referrals to nurse-led service from Consultants, Neurologists and other health care professionals and therapists, to be reviewed in nurse-led clinics. To be responsible for managing own caseload, including in-patients, out patients and home visits. Provide nurse-led clinics Trust wide and maintain telephone helpline. Provide telephone and written advice for GPs on all aspects of disease management and medication changes. To take direct responsibility for informing patients and carers of specific aspects of care, including physical complications, drug interactions, drug efficacy and side effects. To be responsible for reviewing patients response to treatment by regular contact, monitoring and detection of side effects, titration and reduction of medication following agreed treatment plans. Maintain accurate and updated information to support clinical practice, including maintenance of database. Act as a resource for Parkinsons disease. Provide highly sensitive information, support and advice for patients with Sub-thalamic Deep Brain Stimulation. Counsel patients, carers, family and where appropriate patients work colleagues giving support and maximum independence. Provide written individual statements to support claims for benefits or adaptations. Monitor and assess an individuals ability to drive and, where appropriate inform the relevant party if a patients condition changes. Plan, implement and deliver specialist educational support and training for nursing, medical and care staff, in primary sand secondary settings Trust wide. Support both patients and carers at home and remain as key worker if appropriate when they require admission to hospital, nursing or residential care. Work closely with relevant charitable organisations, providing support for local groups, facilitating integration with local services, NHS and local authority. Plan implement and evaluate service provision. Identify patents suitable for Apomorphine, perform and be accountable for Apomorphine challenge investigation without medical supervision. Collect, evaluate, analyse, interpret and report on complex information. Maintain accurate patients notes, databases and specialist reports in accordance with Trust standards. Work as an autonomous practitioner, managing case load, exercising high levels of judgement, discretion, problem solving and decision making. Maintain good awareness of NICE guidelines regarding Parkinsons and work towards the key recommendations, promoting good practice.