To ensure that nursing care is provided which meets or exceeds the level of patient expectations To manage the delivery of nursing care, deploying staff effectively and ensuring appropriate delegation to junior MDT members To monitor standards of record keeping ensuring adherence to NMC guidelines To lead the Plastic Dressing team implementing quality indicators. To promote an effective learning environment within the unit facilitating staff development and team working Conduct staff appraisals Resolve conflict at unit level, diffuse situations and challenge poor behaviour when witnessed or reported Assist and provide support to develop the Plastic Dressing team ensuring good working practices and evidence based protocols to deliver excellent services for Ophthalmology patients. To lead clinical practice within the Plastic Dressing Clinic. Assessing needs, developing, implementing and evaluating programmes of care, whilst being an effective role model, promoting effective communication with all disciplines internally and across divisional boundaries, within the Trust. Support the Ward Manager in investigations. Communicate with patients to enable them to make informed choices about their health and health care. To clinically assess and be accountable for a defined caseload which will incorporate medical history taking, clinical examination of skin cancer patients and those requiring plastic surgery Holistically assess and identify health and psychosocial needs of individual patients, and plan programmes of care to meet these needs in partnership with the patient and their significant others. To maintain a nurse led outpatient service Request and interpret appropriate diagnostics Undertakes training and maintains their competency in debridement of wounds. Interprets diagnostic results and discusses the results at multidisciplinary teams Use advanced interpersonal skills to impart sensitive, complex and potentially distressing information to patients and carers providing them with emotional support as appropriate community, specialist and other health care professionals delivering holistic care. To educate and provide advice on symptom control, wound management and psychosocial matters to multi-disciplinary teams. Work with other specialist teams to ensure appropriate timely care Undertake appropriate training to progress the role of the Plastic Dressing Clinic. Assist in evaluation of the service and patient care. Undertake or be involved in audit of the services Be proactive in supporting service change contributing to the development of protocols, documents. Policies and clinical guidelines for others to use to support clinical practice. To establish and maintain nurse lead follows up clinics for Plastic Surgery patients. To manage clinic activity. To provide support to consultants, medical and nursing team. To develop when necessary protocols and standard operational procedures.