To assess patients in their home environment and/or a clinic environment and plan for their future needs in accordance with the service guidelines. To demonstrate a high level of expertise in the field of community heart failure services provision through a comprehensive assessment of heart failure patients and the application of this knowledge to advise on the development of services across organisational boundaries. To identify patients for ambulatory diuretics and liaise with Secondary Care and to support and participate in Rapid Access Heart Failure clinics alongside Heart Failure Consultants and the Acute Team. Management of individual caseload assuming ability to work autonomously within scope of practice: Clinical assessment Drug titration and prescribing To select, apply and advise on profession specific assessment and treatment strategies for heart failure patients with complex presentations at any stage of the heart failure syndrome. Optimise referrals and patient pathways and avoid hospital admissions by developing and participating in the running of clinics/services such as rapid access Heart failure Clinic. To provide support for patients and their families, particularly where the diagnosis is recent, those in need of palliative care and those experiencing deterioration in their quality of life with regard to physical, psychological, social and spiritual elements of care. Support the service leads with the co-ordination of the overall heart Failure care pathway. Take every opportunity to promote the health of patients and initiate health education strategies as necessary, such as smoking cessation and cardiac rehab. To work with the cardiac rehabilitation team in order to provide a service for heart failure patients where appropriate. To identify patients requiring input from specialist palliative care services, seeking advice from and liaising with these services. To ensure care provided maintains the individuals privacy and dignity, values diversity, and respects and individual rights and choices. Provide emergency care within the scope of practice and be familiar with cardiac resuscitation guidelines. To review current research and evidence relating to heart failure and utilise the findings and implications in order to ensure that practice is To review current research and evidence relating to heart failure and utilise the findings and implications in order to ensure that practice is evidence based and to plan for future health care developments.