To be professionally and legally responsible and accountable for all professional activities. To be able to work alone in the community in a variety of settings, independent of multidisciplinary support whilst in direct contact with patients and their carers. To be responsible and accountable for the assessment, monitoring, management, and review of a complex diabetes caseload. To utilize effective clinical reasoning skills and evidence-based practice to develop individual care plans which address the patients goals and clinical need. To maintain up-to-date clinical written records and electronic database in accordance with local and professional standards To coordinate staff activity to meet demands of service when required. To ensure risk is managed for self, patients, colleagues, and the work environment. To participate in the development of the team by working proactively within the MDT. To take responsibility for coordinating the health care needs of people with complex needs/multiple long-term conditions and those that are at risk of hospitalization or needing a more intensive level of care. To participate in clinical supervision on a regular basis either by self or in a team environment. To use clinical skills for assessing and treating patients with diabetes using relevant clinical protocols for newly diagnosed patients with diabetes, patients with unstable diabetes and patients with complex needs and/ or complications of diabetes. To identify, monitor and review patients with diabetes in the community and in nurse led clinics with regard to symptom control, prescription and titration of medication adhering to local guidelines. To work closely with family and GP practice to maximise patients health potential. To deliver evidence-based practice in line with clinical governance, trust policies and procedures and NMC guidance. To undertake (at the earliest availability) or have undertaken the Non-Medical Prescribing Course and liaise with the medicines management team on issues around prescribing. To participate in the development of appropriate guidelines, protocols, audit and evaluation. Work proactively in seeking the views of others about the service provided. Uses a variety of methods, including verbal and written communication to effectively communicate complex and sensitive information, issues and ideas to patients and carers, where there may be significant barriers to understanding and the need for persuasion and re-assurance, Uses advanced communication and teaching skills to impart care to patients and careers from culturally diverse backgrounds, employing the services of interpreters and other means of communication where necessary.