To undertake all aspects of clinical duties and to carry a significant caseload of patients as an autonomous practitioner, including those with complex presentations Liaise with consultants, nurses and other therapy staff to ensure best outcomes To work at an advanced level and be professionally and legally accountable for a specialised patient caseload, and decide priorities for own work area, without direct supervision. To be professionally and legally responsible and accountable for all aspects of work, and the work of staff under the postholders supervision. This will include management of clinical risk, clinical governance, knowledge of indications and precautions of chosen techniques in line with National and Trust clinical guidelines and protocols where they exist. Be responsible for maintaining own competency to practice through CPD activities and maintain a portfolio which reflects personal development. Ensure that your practice meets the required professional standards. To facilitate implementation and evaluation of clinical outcomes within a designated pathway and monitor adherence with professional and national standards. To work to trust and professional clinical guidelines and have a good working knowledge of relevant national standards to which quality of practice should be monitored. Participate in the staff appraisal scheme as an appraisee and an appraiser and be responsible for complying with your agreed personal development programme to meet set knowledge and competencies. To be responsible for the appraisal and professional development of designated pathway therapy staff in line with the requirements of the trust. Be an active member of the in-service training programme by attendance at, and participation in, in-service training programmes, tutorials, individual training sessions, external courses and peer review Be actively involved in professional clinical groups such as Clinical interest groups. Attend trust mandatory training sessions and adhere to trust and departmental policies and procedures Maintain state registration with HCPC and provide evidence of registration on request Once considered competent to participate in the on-call, weekend, bank holiday and extended working rotas where clinically appropriate To fully participate in whatever pattern of working is required by the service in the future To contribute to clinical induction of hand therapy staff To undertake other duties commensurate with the grade as requested by Team Lead