To work autonomously to manage a defined complex patient caseload whilst working as part of a multidisciplinary team. To contribute to the delivery of the service in a variety of defined clinical settings, this may include out-patient and community clinics. The running of Joint clinics within the MDT may be required. To respect the individuality, values, cultural and religious diversity of patients, contributing to the provision of a service sensitive to these needs. To utilise advanced communication skills to ensure clinical advice and treatment programmes are delivered sensitively, taking into consideration the needs of carers. To gain consent for treatment and motivate patients to comply with treatment programmes, overcoming barriers such as dementia, cognitive impairment, hearing, visual or speech impairment. To undertake specialist clinical assessment, taking into account all relevant information and clinical reasoning to formulate evidence based individualised treatment plans in agreement with the patient. To implement specialist individual and/or group interventions for patients with diverse presentations and complex needs. To monitor progress and review treatment plans and interventions to facilitate the achievement of goals. To provide appropriate oral and written information for patients and carers where relevant. To develop and maintain good working relationships with other healthcare professions, social care and other appropriate agencies, to ensure integrated and high quality patient outcomes. To work as a member of the multidisciplinary team, contributing to decisions with regard to patient care programmes through attendance of multidisciplinary meetings. To maintain accurate documentation in line with professional standards, and local policies and procedures. To provide accurate and timely written information and reports to referring agents and other agencies where appropriate. To record and submit clinical PROMS as required by the Trust in an accurate and timely manner. To ensure the safe and timely discharge of patients from the caseload, liaising with other agencies as required. To be responsible for safe and competent use of equipment including the provision of support, education and training to other staff, patients and carers as required.