Clinical Practice in compliance with their respective code of professional conduct, being responsible and accountable for their decisions, actions, or omissions at this level of practice Work towards demonstrating a critical understanding of their broadened level of responsibility and autonomy, recognising the limits of their own competence and scope of practice, to include when working with complexity, risk or uncertainty Develops own professional judgment skills identifying when to escalate and seek help/guidance, critically reflecting on practice, self-awareness, emotional intelligence and their willingness to change or challenge thought processes. Learn to work in partnership with individuals, families and carers, using a range of assessment methods as appropriate which may include history-taking and physical assessments, holistic assessments, identifying risk factors, mental health assessments, requesting/undertaking and/or interpreting speciality-specific diagnostic tests, and conducting health needs assessments. Develops effective communication skills, supporting people in making decisions, planning care or seeking to make positive health changes, promoting person-centred approaches in health and care. Develops effective communication skills with colleagues both internally and/or externally, in verbal, non-verbal and written communication methods, adapting to changing parameters as required; this includes thorough accurate documentation in patient records as required. Provides and receives sensitive, complex or contentious information relating to patient care, and communicates information to patients, families or carers with respect, compassion and empathy. Develops proficiency and clinical acumen in relation to decision-making skills, to inform clinical reasoning approaches when dealing with specialty-specific presentations; synthesising information from multiple sources to make appropriate, evidence-based judgements within scope, knowing when to refer or escalate care. Works towards increasing knowledge and skills, in order to initiate, evaluate and modify a range of interventions, which may include the prescribing of medications, therapies, lifestyle advice and care. For registered professionals authorised to prescribe, in roles requiring therapeutic medications and treatments, and after approval from the Trusts respective Non-Medical Prescribing Lead, the Clinical Nurse Specialist will prescribe medications safely and effectively in line with their scope of practice, utilising local or organisation guidelines, National Guideline, and adhering to the Royal Pharmaceutical Society (RPS) Prescribing Standards, and those of their professional regulatory body (e.g. NMC). Develops professional judgement to manage risk appropriately with support and clinical supervision, especially where there may be complex and unpredictable events, promoting the safety and wellbeing of individuals, families and carers. Begins to act as a clinical role model/advocate for developing and delivering care that is responsive to changing requirements, informed by local service and local population health needs, external agencies and/or wider networks. Demonstrates evidence underpinning Rheumatology-specific role capabilities and competencies, relevant to the clinical setting and own scope of practice, in line with any relevant service specific curriculum/frameworks for training.