Provides a service for adults experiencing significant psychological distress in relation to diagnosis and treatment for cancer. Provides assessment for people pre- and post bariatric surgery. Manages a caseload of appropriate size, complexity and severity, including people who have complex problems which may present as challenging or risky. Problems may be complicated by physical disability, impaired cognitive functioning, other physical illnesses and issues related to trauma. Provides specialised psychological assessments. Produces psychological formulations of clients difficulties, based upon analyses of assessment findings and psychological theory. Sensitively documents and feeds back formulations to the client and, where appropriate and with client consent, to carers, staff, the clients GP and the referring agency. Exercises autonomous clinical responsibility for the development and implementation of psychological interventions, adjusting and reformulating as appropriate. Receives regular clinical supervision in accordance with good practice guidelines.