Take responsibility for the management of a complex caseload, which includes, specialist assessment (within service specification), care planning in conjunction with service user and carer, and liaison with appropriate services across the pathway. Responsible for participating in the setting of quality standards, including the auditing, monitoring and reviewing of practice in line with current clinical guidance practice and policy. Administer medication if appropriate to the role, complying with relevant Trust procedures and NMC Guidance. Assess patient's individual care needs, develop, implement and evaluate programmes of care. Complete and contribute, where appropriate to robust risk assessments and risk management plans. Deliver and promote positive risk taking, where appropriate, to improve quality of life and maximise occupational performance/independence. Maintain an effective reporting system by observing and reporting verbally and in writing on patient conditions. Utilise agreed outcome measures to review the effectiveness of interventions, as part of the care planning and evaluation process. Participate in the development of the service to ensure clinical governance processes are actively implemented at team level. Assist in ensuring that the aims and objectives of the pathway are fulfilled and to identify factors which may inhibit these from being achieved.