To operate autonomously at an advanced level of clinical practice providing research based expert care and advice to all colleagues and managing a caseload effectively, making the most of available time To manage a specified case load of patients, providing information and support, to enable patients to make informed choices about their care and understand the rational of investigations and treatments. To utilise specialist, skills, underpinned by in depth theoretical knowledge, to facilitate the assessment, planning and implementation of individualised programmes of care for patients presenting with a specialist condition and to evaluate their programmes of care. To undertake initial assessment of patients including: physical examination assessment/investigation of symptoms evaluation of test results recommendation of further diagnostic tests To work closely with the Consultants, medical and nursing staff, multi-disciplinary team and Heads of Department within the Directorate. To ensure that patients are seen within recommended time scales and targets where these are in place. To visit inpatients as appropriate to ensure continuity of care and to give advice/ support. To accept referrals from medical/nursing staff both within and outside the Trust, of newly diagnosed and existing patients To periodically review caseload and to discharge patients appropriately within divisional guidelines To respond to telephone enquiries and co-ordinate admission or changes in appointment dates as warranted by the patients clinical condition, including operation of a telephone helpline for the relevant speciality if required. Please refer to the Job Description for the full specification of responsibilities and requirements for this post.