Provide a clinical service for individuals and their carers to the nationally agreed standards (e.g. COT standards). Provide an occupational therapy service across the clinical settings and prioritising these cases as appropriate. To work autonomously to undertake the specialist comprehensive assessment of patients with a range of complex health and social care needs and multi-pathologies where a medical diagnosis may not be formalised, demonstrating highly specialised skills and advanced clinical reasoning. Be accountable to the Health Professionals Council. Take an active part in multi-disciplinary working, planning and development and evaluation of services. Manage a caseload of complex patients as an autonomous practitioner, evidencing high level problem solving and reasoning skills and independence of judgement. Participate in the referral assessment, intervention and evaluation in order to meet client and carer need. Assess and diagnose functional/perceptual/cognitive/social/physical/ environmental problems. Design, implement and evaluate treatment programmes to address these problems. Work to client-centered goals, promoting a balance in their daily living tasks in personal and domestic care, work, productivity and leisure. Use normal movement approach in assessment and treatment of activities of daily living. To plan and carry out rehabilitation programmes to improve and maintain independence with activities of daily living. Assess personal needs with regards to activities of daily living and prescribe any equipment and/or adaptations of task or environment necessary to improve physical and/or psychological functioning of the patient. To assess for the provision of wheelchairs, in line with the wheelchair service criteria. Establish a therapeutic relationship with clients/carers through motivation and negotiation in order to achieve the optimum outcome for the patient. Act as an advocate for patients as appropriate and necessary eg liaising with other services. To provide crisis intervention, especially when referred very late in the course of their life threatening illness. Participate in and co-ordinate the discharge planning of patients to other community services as appropriate. To take an active part in multi-disciplinary working, planning and development and evaluation of services. To maintain, monitor and review standards set for the service and actively participate in improving the service provided. Initiate new evidence based therapeutic interventions in occupational therapy in palliative care where appropriate. Represent occupational therapy and contribute to any meetings for developing policy and decisions as required to develop and/or facilitate the palliative care service in line with local/national policy. Provide advice and support to patients/carers, colleagues and outside agencies, and education for other staff groups on the role of occupational therapy for palliative care. Communicate complex and sensitive information to patients, carers/family and reassurance regarding the outcome of therapeutic intervention. Utilise specialist clinical knowledge/skills and judgement in order to devise appropriate courses of treatment for patients who are experiencing dysfunction in daily living tasks and occupational roles. Critically analyse and implement research into practice.