Practice autonomously and be self-directed, manage own workload. Undertake assessment of individuals using a range of different assessment methods, which may include physical examination, ordering and interpreting diagnostic tests or advanced health needs assessment. Work with the named Lead Clinician and Lead Nurse ensuring new specialist clinical services are developed according to local needs, policies and within an agreed time frame. Ensuring abnormal imaging is acted upon in a timely manner to progress patient care. Independent clinics for patients with pancreatic cysts, Liver cirrhosis, Primary Biliary Cholangitis - managing independent caseload at Watford General Hospital and Hemel Hempstead Hospital, possibly St Albans Hospital in the future.