To accept clinical responsibility for undertaking the comprehensive assessment of a caseload of patients, including those with a complex presentation, in line with evidence based practice, legislation, policies and procedures. Using investigative and analytical skills; review and interpret all information available, utilising a systematic process of reasoning to make a differential diagnosis. Provide treatment plans for patients that are consistent with the outcome of assessment and the most probable diagnosis using current clinical pathways where required in order to facilitate timely, quality patient care and / or appropriate onward referral. Where appropriate, initiate diagnostic tests, interpret and act upon results and provide advice to members of the multidisciplinary team on patient treatment. Evaluates the effectiveness of interventions/treatments and makes any necessary modification. Practice autonomously; in planning and implementing treatment and care undertaking advanced clinical practice that has been agreed with the senior nursing, midwifery, therapy and medical teams within the specialty. To use an extended scope of practice beyond own profession recognising any limitations in knowledge, referring to senior medical staff or Advanced Practitioners when scope of practice is exceeded Maintain a safe environment for patients, relatives and staff, and adhering to infection prevention and control policies. To accept referrals from and make referrals to consultants, GPs, and other healthcare professionals. Review the patient and act accordingly, thereby reducing length of time patients wait for intervention. Improve the quality of the patient experience by identifying and meeting the individual clinical needs of patients. Act at all times in the patients best interests and as a patient advocate. Provide specialist advice on patient care to the healthcare team and act as a specialist resource within the service and other areas within the Trust. To support specialist nurses through working alongside them in the clinical area as required. To develop nurse led initiatives to allow service improvement and succession planning. To make recommendations for improvements in the provision and delivery of cancer care across all the cancer and palliative care related specialities Produce an annual report to showcase key achievements including clinical activity, research and audit, patient feedback and education activity. To participate in Macmillan reviews in order to drive service development forward. Makes sure that people affected by cancer are aware that they are interacting with a Macmillan Professional and know the full range of resources and services available through Macmillan. Actively engages with Macmillan Cancer Support to contribute expertise and experience and supports the Macmillan priorities.