Perform specialist assessment of patients nursing needs, plan, implement and evaluate care delivery using advanced clinical knowledge and clinical skills. Lead clinical care by managing a patient caseload providing expert assessment, planning and evaluation. Co-ordinate and manage nurse-led clinics (within Speciality). Contribute towards a multi-professional approach in the management of patients within the specialist area, especially in relation to ongoing care needs and discharge arrangements. Establish and maintain effective communication with patients and carers / relatives. Support patients and their families and ensure that they receive the required information to enable them to self manage, lead or participate in their care delivery. Recognise changes in patients condition that require the intervention of others and refer on as appropriate. To support, assist and encourage the multi-disciplinary team in resolving patient problems, by the provision of new and innovative models of case management. To lead the specialist nursing contribution to the service, in the delivery of high standards of patient care. To lead the specialist nursing contribution to the service, work in partnership with lead clinicians, General Managers, Matron to ensure the delivery of high standards of patient care.Leadership Act as a role model and expert nurse providing in depth specialist clinical knowledge to colleagues through MDT meetings, for patients and carers / relatives. Undertake clinical supervision of nursing colleagues on an individual or group basis. Act as a resource for health care professionals by being visible, available, and accessible for support and advice in relation to the management of patients in the speciality. Provide leadership to the team of nurse specialists and working with the service lead, develop new roles / ways of working (High Impact Changes). Linked to directorate business plans. Ensure the effective and efficient use of physical and financial resources. Lead consultations on and develop strategies for delivering effective care within a changing environment that improves the quality of care and health outcomes in the specialist area. Responsible for monitoring health, safety and security of self, the team and others and promote best practice in the ward area. Ensure systems are in place for risk assessment and minimisation including promoting no blame cultures in order that near misses and incidents are reported. Take the lead in investigation of incidents / complaints when required, including detailed reports / letters to complainants. Act as an innovative, enthusiastic role model providing leadership, guidance and advice to staff on operational and professional issues promoting an open and honest and transparent culture. Demonstrate clinical leadership and challenge speciality and directorate boundaries to enhance and support the patients journey. To identify and develop proposals and business cases as required for future service innovation. Take the lead and develop and influence the development of practice / services in the clinical area through the business planning process / service development and in conjunction with Matron, General Manager, Lead Clinician and Assistant Chief Nurse. Manage own and other resources effectively ensuring efficient service delivery. Undertake performance development reviews including reviewing the performance measures framework. Monitor sickness, absence and competence issues in line with Trust Policy. Lead recruitment and selection of staff in line with Trust Policy.Advocate Ensure that high standards of nursing care are given and maintained and act when standards are not being met. Involve patients and carers in the planning and delivery of care. Act as the patients advocate and ambassador. Lead the development of a patient focussed education and information giving strategy within the speciality. Recognise, prevent and diffuse potential areas of conflict and take a key role in the management of the outcome.